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Acad Pediatr. 2016 Apr;16(3 Suppl):S128-35. doi: 10.1016/j.acap.2016.01.013.

Neighborhood-Level Interventions to Improve Childhood Opportunity and Lift Children Out of Poverty.

Author information

  • 1Department of General Pediatrics, Boston University School of Medicine, Boston, Mass. Electronic address: megan.sandel@bmc.org.
  • 2Department of General Pediatrics, Boston University School of Medicine, Boston, Mass; Boston University's Schools of Social Work and Public Health, Boston, Mass.
  • 3Department of Community Relations, Nationwide Children's Hospital, Columbus, Ohio.
  • 4Department of Community Engagement, Nationwide Children's Hospital, Columbus, Ohio.
  • 5Department of General Pediatrics, Boston University School of Medicine, Boston, Mass.
  • 6Heller School of Public Policy, Brandeis University, Waltham, Mass.
  • 7Dudley Street Neighborhood Initiative, Boston, Mass.
  • 8Department of General Pediatrics, Boston University School of Medicine, Boston, Mass; Department of Epidemiology, University of North Carolina, Gillings School of Global Public Health, Chapel Hill, NC.

Abstract

Population health is associated with the socioeconomic characteristics of neighborhoods. There is considerable scientific and policy interest in community-level interventions to alleviate child poverty. Intergenerational poverty is associated with inequitable access to opportunities. Improving opportunity structures within neighborhoods may contribute to improved child health and development. Neighborhood-level efforts to alleviate poverty for all children require alignment of cross-sector efforts, community engagement, and multifactorial approaches that consider the role of people as well as place. We highlight several accessible tools and strategies that health practitioners can engage to improve regional and local systems that influence child opportunity. The Child Opportunity Index is a population-level surveillance tool to describe community-level resources and inequities in US metropolitan areas. The case studies reviewed outline strategies for creating higher opportunity neighborhoods for pediatricians interested in working across sectors to address the impact of neighborhood opportunity on child health and well-being.

KEYWORDS:

child poverty; collective efficacy; community engagement; equity; neighborhood; opportunity

PMID:
27044690
DOI:
10.1016/j.acap.2016.01.013
[PubMed - indexed for MEDLINE]
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