TY - JOUR
T1 - Structuring Poverty
T2 - How Racism Shapes Child Poverty and Child and Adolescent Health
AU - Heard-Garris, Nia
AU - Boyd, Rhea
AU - Kan, Kristin
AU - Perez-Cardona, Leishla
AU - Heard, Nevin J.
AU - Johnson, Tiffani J.
N1 - Funding Information:
Funding: N. Heard-Garris's efforts were supported by the National Heart Lung and Blood Institute ( 5K01HL147995-02 ) and K. Kan's efforts were supported by Agency for Healthcare Research and Quality ( K12 HS026385-01 ). The content is solely the responsibility of the authors and does not necessarily represent the official views of the funding agency.
Funding Information:
Financial disclosure: This article is published as part of a supplement sponsored by the Robert Wood Johnson Foundation.
Publisher Copyright:
© 2021 Academic Pediatric Association
PY - 2021/11/1
Y1 - 2021/11/1
N2 - Black, Native, and Latinx populations represent the racial and ethnic groups most impacted by poverty. This unequal distribution of poverty must be understood as a consequence of policy decisions—some that have sanctioned violence and others that have created norms—that continue to shape who has access to power, resources, rights, and protections. In this review, we draw on scholarship from multiple disciplines, including pediatrics, public health, environmental health, epidemiology, social and biomedical science, law, policy, and urban planning to explore the central question—What is the relationship between structural racism, poverty, and pediatric health? We discuss historic and present-day events that are critical to the understanding of poverty in the context of American racism and pediatric health. We challenge conventional paradigms that treat racialized poverty as an inherent part of American society. We put forth a conceptual framework to illustrate how white supremacy and American capitalism drive structural racism and shape the racial distribution of resources and power where children and adolescents live, learn, and play, ultimately contributing to pediatric health inequities. Finally, we offer antipoverty strategies grounded in antiracist practices that contend with the compounding, generational impact of racism and poverty on heath to improve child, adolescent, and family health.
AB - Black, Native, and Latinx populations represent the racial and ethnic groups most impacted by poverty. This unequal distribution of poverty must be understood as a consequence of policy decisions—some that have sanctioned violence and others that have created norms—that continue to shape who has access to power, resources, rights, and protections. In this review, we draw on scholarship from multiple disciplines, including pediatrics, public health, environmental health, epidemiology, social and biomedical science, law, policy, and urban planning to explore the central question—What is the relationship between structural racism, poverty, and pediatric health? We discuss historic and present-day events that are critical to the understanding of poverty in the context of American racism and pediatric health. We challenge conventional paradigms that treat racialized poverty as an inherent part of American society. We put forth a conceptual framework to illustrate how white supremacy and American capitalism drive structural racism and shape the racial distribution of resources and power where children and adolescents live, learn, and play, ultimately contributing to pediatric health inequities. Finally, we offer antipoverty strategies grounded in antiracist practices that contend with the compounding, generational impact of racism and poverty on heath to improve child, adolescent, and family health.
KW - capitalism
KW - pediatric health
KW - poverty
KW - structural racism
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U2 - 10.1016/j.acap.2021.05.026
DO - 10.1016/j.acap.2021.05.026
M3 - Article
C2 - 34740417
AN - SCOPUS:85117836839
VL - 21
SP - S108-S116
JO - Academic Pediatrics
JF - Academic Pediatrics
SN - 1876-2859
IS - 8
ER -