Abstract：
OBJECTIVE: To explore racially minoritized families\' perceptions on how, and if, physicians should address children\'s racial identity and concepts of racism within clinical settings.
METHODS: Parents of racially minoritized children, ages 5 through 18, were interviewed to explore experiences with racial identity formation, discrimination, and the extent to which they wanted pediatricians to address these topics. Children were included at the discretion of their parents. Interviews were transcribed, coded, and analyzed through a critical race theory lens based in constructivist grounded theory.
RESULTS: Parents encouraged their children to embrace their racial identities but also wanted to shield them from negative experiences of racism to preserve identity safety. Parents felt pediatricians should address racial issues in a manner specific to their child\'s situation. Thoughtful inclusion of race-related questions, whether in discussion or on questionnaires, is essential to prevent tension in a therapeutic relationship. There was no consensus on the use of preclinical screening. Instead, families highlighted the importance of embracing humility, trust, and respect.
CONCLUSIONS: Participant families have preferences for approaches to address the effects of racism on their children\'s health. Pediatricians should understand the importance of identity safety and approach their discussions with cultural humility, which includes self-reflection, empathy, active listening, and flexible negotiation. Above all, pediatricians need to create a safe environment for appropriate discussion of these issues.
METHODS: Parents of racially minoritized children, ages 5 through 18, were interviewed to explore experiences with racial identity formation, discrimination, and the extent to which they wanted pediatricians to address these topics. Children were included at the discretion of their parents. Interviews were transcribed, coded, and analyzed through a critical race theory lens based in constructivist grounded theory.
RESULTS: Parents encouraged their children to embrace their racial identities but also wanted to shield them from negative experiences of racism to preserve identity safety. Parents felt pediatricians should address racial issues in a manner specific to their child\'s situation. Thoughtful inclusion of race-related questions, whether in discussion or on questionnaires, is essential to prevent tension in a therapeutic relationship. There was no consensus on the use of preclinical screening. Instead, families highlighted the importance of embracing humility, trust, and respect.
CONCLUSIONS: Participant families have preferences for approaches to address the effects of racism on their children\'s health. Pediatricians should understand the importance of identity safety and approach their discussions with cultural humility, which includes self-reflection, empathy, active listening, and flexible negotiation. Above all, pediatricians need to create a safe environment for appropriate discussion of these issues.
摘要：
目的：探索种族化家庭对如何，如果,医生应该在临床环境中解决儿童的种族身份和种族主义概念。
方法：种族化儿童的父母，5至18岁的人接受了采访，以探索种族身份形成的经验，歧视,以及他们希望儿科医生解决这些问题的程度。儿童由父母自行决定。采访被转录，编码,并通过基于建构主义扎根理论的批判种族理论镜头进行了分析。
结果：父母鼓励孩子接受他们的种族身份，但也想保护他们免受种族主义的负面经历，以保护身份安全。父母认为儿科医生应该以特定于孩子情况的方式解决种族问题。周到地包含与种族有关的问题，无论是在讨论中还是在问卷调查中，对于防止治疗关系中的紧张至关重要。关于临床前筛查的使用尚无共识。相反，家庭强调了拥抱谦逊的重要性，信任,和尊重。
结论：参与者家庭对解决种族主义对其子女健康影响的方法有偏好。儿科医生应该理解身份安全的重要性，并以文化谦卑的态度对待他们的讨论，其中包括自我反省，同理心,积极倾听,灵活的谈判。最重要的是,儿科医生需要为适当讨论这些问题创造一个安全的环境。
方法：种族化儿童的父母，5至18岁的人接受了采访，以探索种族身份形成的经验，歧视,以及他们希望儿科医生解决这些问题的程度。儿童由父母自行决定。采访被转录，编码,并通过基于建构主义扎根理论的批判种族理论镜头进行了分析。
结果：父母鼓励孩子接受他们的种族身份，但也想保护他们免受种族主义的负面经历，以保护身份安全。父母认为儿科医生应该以特定于孩子情况的方式解决种族问题。周到地包含与种族有关的问题，无论是在讨论中还是在问卷调查中，对于防止治疗关系中的紧张至关重要。关于临床前筛查的使用尚无共识。相反，家庭强调了拥抱谦逊的重要性，信任,和尊重。
结论：参与者家庭对解决种族主义对其子女健康影响的方法有偏好。儿科医生应该理解身份安全的重要性，并以文化谦卑的态度对待他们的讨论，其中包括自我反省，同理心,积极倾听,灵活的谈判。最重要的是,儿科医生需要为适当讨论这些问题创造一个安全的环境。
