Vibrant and Healthy Kids: Aligning Science, Practice, and Policy to Advance Health Equity
2019

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Children are the foundation of the United States, and supporting them is a key component of building a successful future. However, millions of children face health inequities that compromise their development, well-being, and long-term outcomes, despite substantial scientific evidence about how those adversities contribute to poor health. Advancements in neurobiological and socio-behavioral science show that critical biological systems develop in the prenatal through early childhood periods, and neurobiological development is extremely responsive to environmental influences during these stages. Consequently, social, economic, cultural, and environmental factors significantly affect a child's health ecosystem and ability to thrive throughout adulthood.

Vibrant and Healthy Kids: Aligning Science, Practice, and Policy to Advance Health Equity builds upon and updates research from Communities in Action: Pathways to Health Equity (2017) and From Neurons to Neighborhoods: The Science of Early Childhood Development (2000). This report provides a brief overview of stressors that affect childhood development and health, a framework for applying current brain and development science to the real world, a roadmap for implementing tailored interventions, and recommendations about improving systems to better align with our understanding of the significant impact of health equity.

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Roadmap to Apply the Science of Early Development
Report Recommendations
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Summary: Vibrant and Healthy Kids: Aligning Science, Practice, and Policy to Advance Health Equity
How the Health Care System Can Improve Outcomes and Promote Health Equity for Children and Families
U.S. Early Care and Education System Should Promote the Health of All Children and Families
Paid Parental Leave: A Key Policy for Advancing Health Equity Among Children

Publication information

620 pages · 6 x 9 · paperback
ISBN Paperback: 0-309-49338-2
ISBN Ebook: 0-309-49339-0
DOI: https://doi.org/10.17226/25466

Suggested citation

National Academies of Sciences, Engineering, and Medicine. 2019. Vibrant and Healthy Kids: Aligning Science, Practice, and Policy to Advance Health Equity. Washington, DC: The National Academies Press.

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Front Matter i-xxii
Summary 1-28
1 The Need to Intervene Early to Advance Health Equity for Children and Families 29-76
2 Healthy Development from Conception Through Early Childhood 77-140
3 Development Happens in Contexts: Overview of Early Life Critical Influences 141-232
4 Fostering Caregiver Well-Being Toward Healthy Child Development 233-300
5 Leveraging the Health Care System to Improve Outcomes and Promote Health Equity 301-388
6 Creating Healthy Living Conditions for Early Development 389-472
7 Promoting Health Equity Through Early Care and Education 473-544
8 A Systems Approach to Advance Early Development and Health Equity 545-568
9 A Roadmap for Applying the Science of Early Development 569-578
Appendix A: Criteria for Selecting Promising Models 579-582
Appendix B: Public Meeting Agendas 583-588
Appendix C: Committee Biographical Sketches 589-598

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Vibrant and Healthy Kids: Aligning Science, Practice, and Policy to Advance Health Equity (2019)

Chapter: 5 Leveraging the Health Care System to Improve Outcomes and Promote Health Equity

Additional materials

Publication information

Suggested citation

My Academies

Vibrant and Healthy Kids: Aligning Science, Practice, and Policy to Advance Health Equity (2019)

Chapter: 5 Leveraging the Health Care System to Improve Outcomes and Promote Health Equity