Breaking the Intergenerational Cycle of Disadvantage: The Three Generation Approach

Breaking the Intergenerational Cycle of Disadvantage: The Three Generation Approach
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DOI:
10.1542/peds.2015-2467
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发表时间:
2016-06-01
期刊:
影响因子:
8
通讯作者:
Goodman, Elizabeth
Goodman, Elizabeth
中科院分区:
医学2区
文献类型:
--
作者:
Cheng, Tina L.;Johnson, Sara B.;Goodman, Elizabeth

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在美国,与社会经济地位有关的健康差距持续存在并普遍存在。这篇综述突出了社会劣势,特别是较低的社会经济地位及其带来的健康负担是如何代代相传的。首先,我们回顾了当前理解健康差距代际传播的框架,并提供了4个与儿童健康、发展和福祉相关的说明性例子。其次,回顾了打破美国年轻家庭贫困循环的主要战略--两代人方法。最后,我们提出了一种新的三代方法,它必须与两代方法相结合,以打破劣势的代际循环,消除健康差距。
Health disparities in the United States related to socioeconomic status are persistent and pervasive. This review highlights how social disadvantage, particularly low socioeconomic status and the health burden it brings, is passed from 1 generation to the next. First, we review current frameworks for understanding the intergenerational transmission of health disparities and provide 4 illustrative examples relevant to child health, development, and well-being. Second, the leading strategy to break the cycle of poverty in young families in the United States, the 2-generation approach, is reviewed. Finally, we propose a new 3-generation approach that must combine with the 2-generation approach to interrupt the intergenerational cycle of disadvantage and eliminate health disparities.