Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Baltimore, MD, 21205, United States.
Division of General Pediatrics and Adolescent Medicine, Department of Pediatrics, Johns Hopkins School of Medicine, 1800 Orleans Street, Baltimore, MD, 21287, United States.
Soc Sci Med. 2019 Apr;226:69-76. doi: 10.1016/j.socscimed.2019.02.042. Epub 2019 Feb 28.
One in four Americans lives in a poor neighborhood - defined by a poverty rate of 20% or higher. The effects of neighborhood poverty on children's health and development depend on the timing and duration of the exposure. Focusing on children born in poor families, we examined the timing and persistence of their exposure to neighborhood poverty from birth to age 17. We also examined family characteristics associated with exposure to neighborhood poverty. Study data are from a national cohort of 634 children born in poor families in the Panel Study of Income Dynamics. Neighborhood poverty was defined by census tract using residential addresses reported in annual/biennial interviews. Approximately half of the children lived in a poor neighborhood at any age. More than a third lived in a poor neighborhood both at birth and in their last follow-up in adolescence, spending most of their childhood and adolescence in such neighborhoods. Many family demographic and socioeconomic characteristics were significantly associated with entering and exiting poor neighborhoods, but only non-white head of household, being born in a poor neighborhood, and parents' tenure in poor neighborhoods before the child's birth were significantly positively associated with cumulative exposure to poor neighborhoods (in years). Among children born in poor families, exposure to neighborhood poverty is persistent throughout childhood and adolescence. Children from non-white families and families with a history living in poor neighborhoods are disproportionately exposed to poor neighborhoods. Policies are needed to address structural conditions such as neighborhood racial and income segregation to reduce prolonged exposure to neighborhood poverty among children born into poverty.
四分之一的美国人生活在贫困社区——这些社区的贫困率为 20%或更高。社区贫困对儿童健康和发展的影响取决于暴露的时间和持续时间。本研究聚焦于出生在贫困家庭的儿童,考察了他们从出生到 17 岁期间接触社区贫困的时间和持续性。我们还研究了与接触社区贫困相关的家庭特征。研究数据来自收入动态面板研究中的一个全国性贫困家庭儿童队列,共 634 名儿童。利用年度/两年一次的访谈中报告的居住地址,以普查地段来定义社区贫困。在任何年龄,约有一半的儿童生活在贫困社区。超过三分之一的儿童在出生时和青少年时期的最后一次随访中都生活在贫困社区,他们的大部分童年和青春期都在这样的社区中度过。许多家庭人口统计学和社会经济特征与进入和离开贫困社区显著相关,但只有非白人家庭户主、出生在贫困社区以及父母在孩子出生前在贫困社区的居住时间与接触贫困社区(以年为单位)的累积时间呈显著正相关。在出生于贫困家庭的儿童中,接触社区贫困的情况在整个童年和青春期都持续存在。来自非白人家庭和有贫困社区居住史的家庭的儿童不成比例地暴露在贫困社区中。需要采取政策来解决结构性条件,如社区种族和收入隔离,以减少贫困家庭出身的儿童长期接触社区贫困的情况。