{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T04:55:59Z","timestamp":1790571359609,"version":"4.1.0"},"reference-count":34,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T00:00:00Z","timestamp":1784505600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T00:00:00Z","timestamp":1784505600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Dermatology"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Polycrisis refers to interacting social, economic, environmental, institutional, cultural, political, and health\u2010system crises that amplify one another. In Indigenous children and adolescents, dermatological diseases may indicate not only a clinical skin condition but also overlapping vulnerabilities involving housing, water and sanitation, nutrition, environmental exposure, territorial disruption, discrimination, and barriers to culturally safe care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To map evidence on how polycrisis is related to dermatological diseases among Indigenous children and adolescents, and to describe the dermatological conditions most frequently reported in these populations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This scoping review considered records published between 2010 and 2025, without language restrictions. Eligible records included quantitative, qualitative, review, perspective, editorial, secondary\u2010analysis, and gray\u2010literature sources when they addressed dermatological disease in Indigenous children or adolescents and overlapping crisis\u2010related determinants. The review followed Joanna Briggs Institute guidance and PRISMA\u2010ScR reporting standards.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eight studies were included. The evidence does not establish causality, but it maps recurrent pathways through which environmental exposure, poverty, overcrowding, limited water and sanitation, geographic isolation, fragmented services, cultural safety barriers, stigma, and under\u2010documentation converge with pediatric skin disease. Atopic dermatitis\/eczema and infectious dermatoses, including bacterial skin infections, scabies, fungal infections, and pediculosis, were the most frequent categories.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Pediatric skin health in Indigenous communities should be understood as a clinical and public health indicator of intersecting environmental, socioeconomic, institutional, cultural, and political crises. Dermatological care in these settings requires accurate diagnosis and treatment, but also intercultural, rights\u2010based, and social\u2010determinants\u2010informed responses.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/pde.70308","type":"journal-article","created":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T00:38:10Z","timestamp":1784594290000},"page":"1017-1026","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Dermatological Diseases in Indigenous Children and Adolescents in Polycrisis: A Scoping Review"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-8671-2783","authenticated-orcid":false,"given":"Ana Mar\u00eda","family":"Valencia\u2010Casta\u00f1o","sequence":"first","affiliation":[{"name":"Universidad de Caldas  Caldas Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-7955-6772","authenticated-orcid":false,"given":"Ana Mar\u00eda","family":"Vargas\u2010Gallego","sequence":"additional","affiliation":[{"name":"Comprehensive Clinic for Immune\u2010Mediated Skin Diseases Helpharma  Medell\u00edn Antioquia Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8356-8878","authenticated-orcid":false,"given":"Felipe","family":"Agudelo\u2010Hern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Prof. Felipe Agudelo\u2010Hern\u00e1ndez Universidad de Burgos  Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,20]]},"reference":[{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1017\/sus.2024.1"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eist.2012.11.001"},{"key":"e_1_2_12_5_1","volume-title":"Homeland Earth: A Manifesto for the New Millennium","author":"Morin E.","year":"1999"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2023.11.034"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/cells12232745"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.siny.2025.101681"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/pde.13870"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102133.2006.07185.x"},{"key":"e_1_2_12_11_1","volume-title":"Health Inequalities and Social Determinants of Aboriginal Peoples' Health","author":"Reading C. 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