Boston University School of Medicine (KA Green), Boston, Mass.
Childrens HealthWatch, Boston Medical Center (A Bovell-Ammon), Boston, Mass.
Acad Pediatr. 2021 Nov-Dec;21(8S):S194-S199. doi: 10.1016/j.acap.2021.08.018.
Understanding how housing inequities among families with children are rooted in structural racism is important for identifying opportunities to engage in ongoing and collective work as pediatricians to lift children out of poverty. This article discusses the complex mechanisms between housing and child and family health outcomes, and offers potential solutions linking housing, health programs, and policy solutions. Beginning with a review of historical antecedents of housing policy and their impact on health inequities, the authors outlines policies and structures directly linked to disproportionate housing instability and inequities in health outcomes among children. This article examines four key domains of housing - affordability, stability, quality, and neighborhood - and their relationship to child and family health. Finally, the authors present multidimensional solutions for advancing health equity.
了解儿童家庭住房不平等现象如何根植于结构性种族主义，对于确定机会以作为儿科医生参与持续和集体工作，从而使儿童摆脱贫困，是非常重要的。本文讨论了住房与儿童和家庭健康结果之间的复杂机制，并提供了将住房、健康计划和政策解决方案联系起来的潜在解决方案。本文从住房政策的历史前因及其对健康不平等的影响开始，概述了与住房不稳定不成比例以及儿童健康结果不平等直接相关的政策和结构。本文研究了住房的四个关键领域——可负担性、稳定性、质量和社区——及其与儿童和家庭健康的关系。最后，作者提出了实现健康公平的多维解决方案。
