It has been well described that poverty is associated with poor health, starting from time in the womb all the way into adulthood. Poor children have higher rates of infant mortality, low birth weight, food insecurity, and unintentional injuries. They also have a higher incidence and worse severity of chronic diseases such as asthma and obesity. As these children grow older, they are at higher risk of poor educational achievement, teen pregnancy, and inability to escape poverty. Finally, most poor children unfortunately grow into poor adults with higher rates of diabetes and cardiovascular disease, depression, substance abuse, and ultimately shorter life expectancy. Lately, a growing body of evidence has shown that toxic stress experienced by developing children fundamentally changes their biology – altering brain development, the immune system, hormones, and metabolism in ways that predispose to illness. As pediatricians, we should understand that addressing the effect of poverty on our patients’ health requires more than seeing families individually in the office. It will require our voices in broader social institutions. (more…)
The AAP responds to a request from the Senate Finance Committee regarding our nation’s mental health system.
In the wake of the tragic shootings at Sandy Hook Elementary School in Newtown, CT, the Administration and Congress are looking for ways to improve our nation’s mental health system. Exposure to violence causes toxic stress in childhood, which can have long-term negative effects on children. Managing adult mental health disorders begins with ensuring that children have access to quality mental health services. (more…)