Unveiling early childhood health inequities by age five through the national neighborhood equity index and the early development instrument.

Autor:	Aguilar E; University of California, Los Angeles (UCLA), Center for Healthier Children, Families, and Communities, 10960 Wilshire Blvd., Suite 960, Los Angeles, CA, 90024, USA., Perrigo JL; University of California, Los Angeles (UCLA), Center for Healthier Children, Families, and Communities, 10960 Wilshire Blvd., Suite 960, Los Angeles, CA, 90024, USA.; University of California, Los Angeles (UCLA), Luskin School of Public Affairs, Department of Social Welfare, 337 Charles E Young Dr E, Los Angeles, CA, 90095, USA., Pereira N; University of California, Los Angeles (UCLA), Center for Healthier Children, Families, and Communities, 10960 Wilshire Blvd., Suite 960, Los Angeles, CA, 90024, USA., Russ SA; University of California, Los Angeles (UCLA), Center for Healthier Children, Families, and Communities, 10960 Wilshire Blvd., Suite 960, Los Angeles, CA, 90024, USA.; Department of Pediatrics, David Geffen School of Medicine, USA., Bader JL; University of California, Los Angeles (UCLA), Center for Healthier Children, Families, and Communities, 10960 Wilshire Blvd., Suite 960, Los Angeles, CA, 90024, USA., Halfon N; University of California, Los Angeles (UCLA), Center for Healthier Children, Families, and Communities, 10960 Wilshire Blvd., Suite 960, Los Angeles, CA, 90024, USA.; Department of Pediatrics, David Geffen School of Medicine, USA.; Department of Health Policy and Management, Feilding School of Public Health, USA.; Department of Public Policy, Luskin School of Public Affairs, USA.
Jazyk:	angličtina
Zdroj:	SSM - population health [SSM Popul Health] 2023 Nov 14; Vol. 25, pp. 101553. Date of Electronic Publication: 2023 Nov 14 (Print Publication: 2024).
DOI:	10.1016/j.ssmph.2023.101553
Abstrakt:	There is growing public urgency to close equity gaps in health and development by addressing inequities at multiple levels of children's developmental ecosystems. Current measurement strategies obscure the dynamic structural and relational patterns of oppression, adversity, and disadvantage that children can experience in their local intimate developmental ecosystem, as well as the leverage points that are necessary to change them. The purpose of this study is to examine the relationship between a universally available measure of neighborhood socio-economic context, the National Neighborhood Equity Index (NNEI), and a population measure of early child development and well-being, the Early Development Instrument (EDI). Data from a convenience sample of 144,957 kindergarteners in neighborhoods across the US demonstrate that children living in neighborhoods with more equity barriers are more likely to be on vulnerable developmental trajectories than those who reside in neighborhoods without any equity barriers. A multi-dimensional measurement approach that incorporates both the EDI and the NNEI can be used to quantify ethnoracialized patterns of structural disadvantage during critical periods of health development. These measures can inform community action to intervene early in the lifecourse to optimize children's health development trajectories at a population level. Competing Interests: None. (© 2023 Published by Elsevier Ltd.)
Databáze:	MEDLINE
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