TBD

有证据表明，贫困与包括心理健康在内的健康差距之间存在很强的关联， 教育和儿童成果(Carter&Briggs-Gowan，2005)。根据旱獭的公平社会健康 生命(2010)：“健康方面的不平等是由于社会不平等--在人们所处的条件下--而产生的 出生、成长、生活、工作和年龄。来自神经科学和儿童早期发展的额外证据 研究表明，儿童早期，特别是儿童的头五年，为 他们成年后需要的复杂技能才能成功就业、合法、合作和 多产(哈佛大学儿童发展中心，2007年)。因此，减少健康的行动 不平等必须从出生前开始，并持续到一生，以减少由于社会经济原因造成的不平等 地位或不同的机会剥夺了所有儿童公平和健康的开始。 为了采取必要的行动缩小差距，必须制定政策，支持和要求 在联邦、州和地方政府以及社区层面采取适当行动。有明显的证据表明 有证据表明，即使制定了书面政策，单靠书面政策也不足以解决卫生问题。 在得到有效的当地交付系统和社区参与行动的支持之前，不平等的问题将一直存在。 因此，为了有效地减少并最终消除差距，萨彻健康领导研究所在 莫尔豪斯医学院(SHLI/MSM)提议成立一个跨学科合作中心(TCC)，以 让疾病控制和预防中心的九个州的成员参与种族和民族健康 差异行动研究所(REHDAI)评估高质量育儿结果的影响程度 儿童健康发展，以及州和地方政策如何确保每个儿童接受高质量的育儿 通过与社区的支持性计划和公共服务提供系统促进儿童早期发展 参与决策。

Evidence has shown a strong association between poverty and health disparities, including mental health, education and child outcomes (Carter & Briggs-Gowan, 2005). According to Marmot's Fair Society Health Lives (2010), "inequities in health arise because of inequities in society - in the conditions in which people are born, grow, live, work, and age." Additional evidence from neuroscience and early childhood development research has shown that eariy childhood, particulariy a child's first five years, lays the foundation necessary for the complex skills they will need as adults to become successfully employed, lawful, cooperative and productive (Harvard University Center on the Developing Child, 2007). As a result, actions to reduce health disparities must start from before birth and continue through the life span to reduce inequities due to socioeconomic status or disparate opportunities that deprive a fair and healthy start for all children. For necessary action to be taken to reduce disparities, policies have to be in place to support and require the appropriate action at the federal, state and local government and community levels. There is demonstrable evidence showing that even when they are in place, written policies alone do not adequately address health inequities until they are supported with effective local delivery systems and community participatory action. Thus, to effectively reduce and ultimately eliminate disparities, the Satcher Health Leadership Institute at Morehouse School of Medicine (SHLI/MSM) proposes a Transdisciplinary Collaborative Center (TCC) to engage nine states' members of the Centers for Disease Control and Prevention's Racial and Ethnic Health Disparities Action Institute (REHDAI) to evaluate the extent to which the outcomes of quality parenting impacts healthy child development, and how state and local policies ensure that every child receives quality parenting and eariy child development through supportive programs and public service delivery systems with community participation in decision-making.