Build Healthy Places Network (DP Jutte, RA Badruzzaman, and R Thomas-Squance), San Francisco, Calif; Public Health Institute (DP Jutte, RA Badruzzaman, and R Thomas-Squance), Oakland, Calif.
Build Healthy Places Network (DP Jutte, RA Badruzzaman, and R Thomas-Squance), San Francisco, Calif; Public Health Institute (DP Jutte, RA Badruzzaman, and R Thomas-Squance), Oakland, Calif.
Acad Pediatr. 2021 Nov-Dec;21(8S):S184-S193. doi: 10.1016/j.acap.2021.04.027.
If ZIP code is more important than genetic code in determining one's health and opportunities, how can pediatricians enable healthy and opportunity-rich environments for all children? This paper introduces a broad network of organizations, policies, and financial resources that are working to improve ZIP codes by tackling poverty at the neighborhood level. The mission-driven US community development sector began with the War on Poverty in the 1960s and 70s and comprises a network of finance, real estate, and community-based organizations working together to overturn decades of racially motivated disinvestment, revitalize persistently marginalized, low-income communities, and enhance the lives of the people who live in them. Across the country, thousands of community development corporations, community development financial institutions, affordable housing developers, and regulated for-profit banks together invest over $300 billion annually in affordable housing, childcare and early learning facilities, recreation centers, community clinics, grocery stores, small businesses, and financial services for low-income families and neighborhoods. We present successful examples of community development efforts targeting child health and opportunity and highlight opportunities for pediatricians to advise, collaborate, and partner in order to accelerate and maximize the impact of billions of dollars invested in support of healthier neighborhoods where all children can grow and thrive.
如果邮政编码比基因密码更能决定一个人的健康和机会，那么儿科医生如何才能为所有儿童创造健康和机会丰富的环境呢？本文介绍了一个广泛的组织、政策和财政资源网络，这些组织和资源致力于通过在社区层面解决贫困问题来改善邮政编码。以消除贫困为使命的美国社区发展部门始于 20 世纪 60 年代和 70 年代的反贫困战争，它由金融、房地产和社区为基础的组织网络组成，共同努力扭转几十年来出于种族动机的投资不足，振兴长期处于边缘地位的低收入社区，并改善居住在这些社区的人们的生活。在全国范围内，数以千计的社区发展公司、社区发展金融机构、经济适用房开发商和受监管的营利性银行每年共同投资 3000 多亿美元用于经济适用房、儿童保育和早期学习设施、娱乐中心、社区诊所、杂货店、小企业和为低收入家庭和社区提供金融服务。我们介绍了一些针对儿童健康和机会的社区发展工作的成功案例，并强调了儿科医生提供建议、合作和伙伴关系的机会，以加速和最大化投资数十亿美元支持更健康的社区的影响，让所有儿童都能在这些社区中成长和茁壮成长。
