Cargando…

Inequality and child health: dynamic population health interventions

Established social gradients across a wide range of child health issues including obesity, anxiety, infectious diseases, injuries, prematurity and low birth weight suggest that much illness is avoidable and there is an imperative to intervene in this whole of society issue. This review examines rece...

Descripción completa

Detalles Bibliográficos
Autores principales: Halfon, Neal, Russ, Shirley A., Kahn, Robert S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8728680/
https://www.ncbi.nlm.nih.gov/pubmed/34879028
http://dx.doi.org/10.1097/MOP.0000000000001087
_version_ 1784626782524145664
author Halfon, Neal
Russ, Shirley A.
Kahn, Robert S.
author_facet Halfon, Neal
Russ, Shirley A.
Kahn, Robert S.
author_sort Halfon, Neal
collection PubMed
description Established social gradients across a wide range of child health issues including obesity, anxiety, infectious diseases, injuries, prematurity and low birth weight suggest that much illness is avoidable and there is an imperative to intervene in this whole of society issue. This review examines recent advances in understanding of the pathways to health and health inequalities and their application to interventions to improve health equity. RECENT FINDINGS: Children's health develops over the life course in ways that are profoundly influenced by their entire developmental ecosystem including individual, family, community and system-level factors. Interventions to address child health inequalities must include action on the structural determinants of health, a greater focus on family and community health development, and attention to the acquisition of developmental capabilities. Nascent dynamic population health initiatives that address whole developmental ecosystems such as All Children Thrive, Better Start Bradford and Generation V, hold real promise for achieving child health equity. SUMMARY: Pathways to health inequalities are driven by social and structural determinants of health. Interventions to address inequalities need to be driven less by older biomedical models, and more by prevailing ecological and complex systems models incorporating a life course health development approach.
format Online
Article
Text
id pubmed-8728680
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Lippincott Williams & Wilkins
record_format MEDLINE/PubMed
spelling pubmed-87286802022-01-05 Inequality and child health: dynamic population health interventions Halfon, Neal Russ, Shirley A. Kahn, Robert S. Curr Opin Pediatr POPULATION HEALTH: Edited by Kara Odom Walker Established social gradients across a wide range of child health issues including obesity, anxiety, infectious diseases, injuries, prematurity and low birth weight suggest that much illness is avoidable and there is an imperative to intervene in this whole of society issue. This review examines recent advances in understanding of the pathways to health and health inequalities and their application to interventions to improve health equity. RECENT FINDINGS: Children's health develops over the life course in ways that are profoundly influenced by their entire developmental ecosystem including individual, family, community and system-level factors. Interventions to address child health inequalities must include action on the structural determinants of health, a greater focus on family and community health development, and attention to the acquisition of developmental capabilities. Nascent dynamic population health initiatives that address whole developmental ecosystems such as All Children Thrive, Better Start Bradford and Generation V, hold real promise for achieving child health equity. SUMMARY: Pathways to health inequalities are driven by social and structural determinants of health. Interventions to address inequalities need to be driven less by older biomedical models, and more by prevailing ecological and complex systems models incorporating a life course health development approach. Lippincott Williams & Wilkins 2022-02 2021-12-20 /pmc/articles/PMC8728680/ /pubmed/34879028 http://dx.doi.org/10.1097/MOP.0000000000001087 Text en Copyright © 2021 The Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) This article is made available via the PMC Open Access Subset for unrestricted re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the COVID-19 pandemic or until permissions are revoked in writing. Upon expiration of these permissions, PMC is granted a perpetual license to make this article available via PMC and Europe PMC, consistent with existing copyright protections.
spellingShingle POPULATION HEALTH: Edited by Kara Odom Walker
Halfon, Neal
Russ, Shirley A.
Kahn, Robert S.
Inequality and child health: dynamic population health interventions
title Inequality and child health: dynamic population health interventions
title_full Inequality and child health: dynamic population health interventions
title_fullStr Inequality and child health: dynamic population health interventions
title_full_unstemmed Inequality and child health: dynamic population health interventions
title_short Inequality and child health: dynamic population health interventions
title_sort inequality and child health: dynamic population health interventions
topic POPULATION HEALTH: Edited by Kara Odom Walker
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8728680/
https://www.ncbi.nlm.nih.gov/pubmed/34879028
http://dx.doi.org/10.1097/MOP.0000000000001087
work_keys_str_mv AT halfonneal inequalityandchildhealthdynamicpopulationhealthinterventions
AT russshirleya inequalityandchildhealthdynamicpopulationhealthinterventions
AT kahnroberts inequalityandchildhealthdynamicpopulationhealthinterventions