National Research Council - Focusing on Childrens Health: Community Approaches to Addressing Health Disparities: Workshop Summary
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Socioeconomic conditions are known to be major determinants of health at all stages of life, from pregnancy through childhood and adulthood. Life-course epidemiology has added a further dimension to the understanding of the social determinants of health by showing an association between early-life socioeconomic conditions and adult health-related behaviors, morbidity, and mortality. Sensitive and critical periods of development, such as the prenatal period and early childhood, present significant opportunities to influence lifelong health. Yet simply intervening in the health system is insufficient to influence health early in the life course. Community-level approaches to affect key determinants of health are also critical.
Many of these issues were raised in the 1995 National Academies book, Childrens Health, the Nations Wealth. The present volume builds upon this earlier book with presentations and examples from the field. Focusing on Childrens Health describes the evidence linking early childhood life conditions and adult health; discusses the contribution of the early life course to observed racial and ethnic disparities in health; and highlights successful models that engage both community factors and health care to affect life course development.
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FOCUSING ON CHILDRENS HEALTH
Community Approaches to Addressing Health Disparities
Workshop Summary
Theresa M. Wizemann and Karen M. Anderson, Rapporteurs
Roundtable on Health Disparities
Board on Population Health and Public Health Practice
Board on Children, Youth, and Families
INSTITUTE OF MEDICINE AND NATIONAL RESEARCH COUNCIL OF THE NATIONAL ACADEMIES
THE NATIONAL ACADEMIES PRESS
Washington, D.C.
www.nap.edu
THE NATIONAL ACADEMIES PRESS500 Fifth Street, N.W.Washington, DC20001
NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine.
This study was supported by multiple contracts and grants between the National Academy of Sciences and the Agency for Healthcare Research and Quality (Contract HHSP23320042509XI, TO#11), California Endowment (Contract 20052634), California Health Care Foundation (Contract 06-1213), Commonwealth Fund (Contract 20060048), Connecticut Health Foundation (unnumbered grant), Ford Foundation (Contract 1050-0152,FF5H003), Healthcare Georgia Foundation (unnumbered grant), the Henry J. Kaiser Family Foundation (Contract 01-1149-810), Kaiser Permanente (Contract 20072164), Merck (unnumbered grant), Missouri Foundation for Health (Contract 06-0022-HPC), Robert Wood Johnson Foundation (Contract 56387), and the W.K. Kellogg Foundation (Contract P0123822). Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the author(s) and do not necessarily reflect the view of the organizations or agencies that provided support for this project.
ISBN 0-309-14452-3 e-pub ISBN
International Standard Book Number-13: 978-0-309-13785-0
International Standard Book Number-10: 0-309-13785-3
Additional copies of this report are available from theNational Academies Press,500 Fifth Street, N.W., Lockbox 285, Washington, DC 20055; (800) 624-6242 or (202) 334-3313 (in the Washington metropolitan area); Internet,
http://www.nap.edu.
For more information about the Institute of Medicine, visit the IOM home page at: www.iom.edu.
The serpent has been a symbol of long life, healing, and knowledge among almost all cultures and religions since the beginning of recorded history. The serpent adopted as a logotype by the Institute of Medicine is a relief carving from ancient Greece, now held by the Staatliche Museen in Berlin.
Suggested citation: IOM (Institute of Medicine). 2009. Focusing on childrens health: Community approaches to addressing health disparities: Workshop summary. Washington, DC: The National Academies Press.
Knowing is not enough; we must apply.
Willing is not enough; we must do.
Goethe
INSTITUTE OF MEDICINE OF THE NATIONAL ACADEMIES
Advising the Nation. Improving Health.
Advisers to the Nation on Science, Engineering, and Medicine
The National Academy of Sciences is a private, nonprofit, self-perpetuating society of distinguished scholars engaged in scientific and engineering research, dedicated to the furtherance of science and technology and to their use for the general welfare. Upon the authority of the charter granted to it by the Congress in 1863, the Academy has a mandate that requires it to advise the federal government on scientific and technical matters. Dr. Ralph J. Cicerone is president of the National Academy of Sciences.
The National Academy of Engineering was established in 1964, under the charter of the National Academy of Sciences, as a parallel organization of outstanding engineers. It is autonomous in its administration and in the selection of its members, sharing with the National Academy of Sciences the responsibility for advising the federal government. The National Academy of Engineering also sponsors engineering programs aimed at meeting national needs, encourages education and research, and recognizes the superior achievements of engineers. Dr. Charles M. Vest is president of the National Academy of Engineering.
The Institute of Medicine was established in 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public. The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education. Dr. Harvey V. Fineberg is president of the Institute of Medicine.
The National Research Council was organized by the National Academy of Sciences in 1916 to associate the broad community of science and technology with the Academys purposes of furthering knowledge and advising the federal government. Functioning in accordance with general policies determined by the Academy, the Council has become the principal operating agency of both the National Academy of Sciences and the National Academy of Engineering in providing services to the government, the public, and the scientific and engineering communities. The Council is administered jointly by both Academies and the Institute of Medicine. Dr. Ralph J. Cicerone and Dr. Charles M. Vest are chair and vice chair, respectively, of the National Research Council.
www.national-academies.org
IOM forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published workshop summary rests with the workshop rapporteurs and the institution. |
Nicole Lurie (Chair), Senior Natural Scientist,
RAND Corporation, Arlington, VA
Victoria H. Barbosa, President,
Dermal Insights, Inc., Chicago, IL
Anne C. Beal, Senior Program Officer,
Quality of Care of Underserved Population, Commonwealth Fund, New York
Cheryl A. Boyce, Executive Director,
Ohio Commission on Minority Health, Vern Riffe Center for Government and the Performing Arts, Columbus, OH
America Bracho, CEO,
Latino Health Access, Anaheim, CA
Francis D. Chesley, Director,
Office of Extramural Research, Education, and Priority Populations, Agency for Healthcare Research and Quality, Rockville, MD
Todd Cox, Program Officer,
Racial Justice and Minority Rights, Ford Foundation, New York
William F. Crimi, Vice President,
Program and Evaluation, Connecticut Health Foundation, New Britain, CT
Alicia Dixon, Program Officer,
The California Endowment, Los Angeles
Jos J. Escarce, Professor of Medicine,
David Geffen School of Medicine, University of California, Los Angeles
Garth N. Graham, Deputy Assistant Secretary,
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