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Health inequality can be measured in children up to 5 years, showing studies

Health inequality can be measured in children up to 5 years, showing studies

 


In a national study, UCLA researchers found that health inequality could be measured in children up to the age of five.Research published in Health problemsContributes to the growth of literature in discovering that poor-colored children face greater health inequality than white children.

Researchers trained kindergarten teachers in 98 school districts across the United States to manage electronic digital cameras (EDIs), a measure of a child’s physical, social, emotional, and linguistic development.

This assessment was conducted on more than 185,000 kindergarten children between 2010 and 2017. After analyzing and correlating the results according to where the children lived, investigators found that 30% of children in the lowest-income areas were vulnerable to one or more health areas. Development compared to 17 percent of children in a high-income environment.

Researchers have also found that income-related differences in developmental vulnerabilities differ significantly between children of different ethnic and racial groups. For example, black children were at highest risk, followed by Latina / o children. Asian children had the lowest risk.

Differences in developmental vulnerabilities between black and white children were most pronounced at higher socio-economic levels and tended to be narrower among black and white children in low-income areas.

These early disparities can seriously affect the long-term development of children and increase the incidence of chronic illnesses such as diabetes, heart disease, drug use, mental illness and dementia as an adult. ..

Our findings highlight the marked racial disparities in young children. Many other studies highlight patterns of income and racial inequality in health and educational outcomes. This study shows that these patterns of inequality are clearly apparent and measurable before children go to school. “

Neil Half On, MD, STudy Lead Author Director of the Healthier Children, Family and Community Center at the University of California, Los Angeles

Halfon is also a professor of pediatrics, public health and public policy at UCLA’s David Geffen School of Medicine, Fielding School of Public Health, and Luskin School of Public Affairs.

The report also emphasizes the value of understanding child development inequality at the micron level.

“Because EDI is reported and linked to neighborhood risk indicators at the census level, this measurement tool has focused urban and local grassroots efforts to address racial inequality. It helps develop support and services, “co-author Lisa Stanley adds. Transforming the early childhood community system at the UCLA Center for healthier children, families, and communities.

The EDI tool was developed by Dr. Dan Offord and Dr. Magdalena Janus of McMaster University’s Offord Center for Child Studies in Ontario, Canada, has been internationally validated, and is widely used in Canada, Australia, and other countries.

EDI was first piloted in 2009 by Santa Ana’s UCLA in partnership with First Five Orange County. Over the past decade, UCLA has enabled city and school district leaders in more than 85 communities across 18 states to assess the health, development, and well-being of more than 350,000 kindergarten children across the United States. ..

UCLA researchers are making this data available to the local community so that they can develop their own initiatives to address the root causes of inequality.

“These findings not only highlight the fairness challenges we face, but also reveal a truly unfair design of all systems responsible for ensuring the prosperity of children. “More and more,” says co-author Efren Aguilar, a geographic information system leader at the Center for Healthier Children and Families. And the UCLA community.

“Only by addressing the historic exploitation and exclusion of communities left out of society can we repair past suffering and exploitative practices and redesign the community system for the prosperity of all children. . “

Source:

Journal reference:

Halphon, N. , et al.. (2020) Measure fairness from the beginning: Disparities in health development for kindergarten children in the United States. Health problems. Doi.org /10.10.1377 /hlthaff.2020.00920..

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