IMPORTANCE: Medicaid expansion was widely expected to alleviate the financial stresses faced by hospitals by providing additional revenue in the form of Medicaid reimbursements from patients previously receiving uncompensated care. Among nonprofit hospitals, which receive tax-exemp...

Despite significant income-related disparities in pediatric sleep, few early childhood sleep interventions have been tailored for or tested with families of lower socio-economic status (SES). This qualitative study assessed caregiver and clinician perspectives to inform adaptation...

A national quality measure in the Child Core Set is used to assess whether pediatric patients hospitalized for a mental illness receive timely follow-up care. In this study, we examine the relationship between adherence to the quality measure and repeat use of the emergency departm...

Autism spectrum disorder (ASD) now affects at least 1 in 59 children. While we know that we can often detect ASD by age 2, the average age of diagnosis remains 4 years old and is even later for racial/ethnic minority, rural and low-income youth and girls. This is concerning as ear...

Youth exposure to ‘web of violence’ is associated with impairments in mental and physical health. The current study aimed to identify subgroups of violent events, such as maltreatment, bullying perpetration and peer victimization and explore how these relate to depressive symptoms,...

Although the American Academy of Pediatrics recommends screening for autism spectrum disorder (ASD) for all young children, disparities in ASD diagnosis and intervention in minority children persist. One potential contributor to disparities could be whether physicians take differe...

While gender-affirming hormones (GAH) may impact the fertility of transgender and gender diverse (TGGD) youth, few pursue fertility preservation (FP). The objective of this study is to understand youth and parent attitudes toward FP decision-making. This study is a cross-sectional ...

Although there is growing interest in screening for Food Insecurity (FI) in the clinical setting, little research exists describing the effect of screening practices on caregiver comfort and willingness to disclose social risk, or what factors affect eventual engagement with food r...

In the last few years, US immigration policy has received increasing attention from the media, political candidates, and citizens. Within the medical community, there has been a slower but burgeoning realization that immigration policy has consequences for the practice of medicine ...

Children in foster care have worse medical and behavioral health than children in the general population. This is influenced by multiple factors, including a high incidence of poverty, exposure to trauma, and chronic medical conditions. Despite known differences in health, less is ...