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Children living in poor households are at greater risk for worse health, less productivity, and harms to well-being far into adulthood and on into subsequent generations.
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Timing and duration of poverty matter for outcomes throughout the life course, especially for education attainment, health, and lifetime productivity.
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Attention must be focused on interventions at the levels of policy advocacy and the pediatric health delivery system on ways to protect the health and well-being of children and
Childhood Poverty: Understanding and Preventing the Adverse Impacts of a Most-Prevalent Risk to Pediatric Health and Well-Being
Section snippets
Key points
Defining the extent of childhood poverty
About 15 million, or 1 in 5, American children live below the federal poverty line (FPL).1 Children are the poorest of all age groups in the United States, where the child poverty rate ranks among the very worst in the developed world.2 Other first-world nations with similar child poverty rates, such as the United Kingdom,3 have managed to reverse course as a result of concerted public and political leadership. Yet, in the United States the number of poor children has remained persistently high
The impact of poverty on health and well-being
Pediatricians are well aware of the health consequences of child poverty. The leading causes of childhood chronic disease and mortality seen in pediatrics every day, including prematurity, obesity, asthma, developmental delay, failure to thrive, accidents, and many more, are strongly linked to being poor, with rates many times higher among low-income children (Table 1). Equally critical are poverty’s impacts on overall well-being, such as failing academic attainment and exposure to emotional
Prevention of child poverty and its adverse effects on health and well-being
How can pediatricians intervene to reduce child poverty and mitigate its harms? Given what is known about the widespread prevalence of financial hardship and its effects on children’s lives, the most challenging decision may be how to begin. There is no single right place to start to prevent the harms of poverty. Poverty’s impact on multiple domains of social determinants, child health, and family well-being means there is no simple silver bullet. Solving such a multifaceted problem requires a
Summary
Economic adversity begets more adversity and poorer health. Therefore, interrupting the cycle of poverty has significant benefits for families today and their children tomorrow. There is much to do in reducing child poverty and many important roles for pediatricians to play in improving the health and well-being of poor families. It can be done, evidenced by efforts in the United Kingdom that cut rates of child poverty by half over the last decade.157 Even in the United States there is
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