TBD

有证据表明，贫穷与健康差距，包括心理健康， 教育和儿童成果（卡特和布里格斯-高恩，2005年）。根据土拨鼠的公平社会健康 生活（2010年），“卫生不公平的产生是因为社会的不公平-在人们所处的条件下， 出生，成长，生活，工作，和年龄。“来自神经科学和儿童早期发育的其他证据 研究表明，儿童早期，特别是儿童的头五年，为儿童的健康奠定了必要的基础。 他们成年后成功就业所需的复杂技能，合法，合作， （哈佛大学儿童发展中心，2007年）。因此，减少健康的行动 差距必须从出生前开始，并持续到整个生命周期，以减少由于社会经济原因造成的不平等。 这种状况或不同的机会剥夺了所有儿童公平和健康的开端。 为了采取必要行动减少差距，必须制定政策，支持和要求 在联邦、州和地方政府以及社区各级采取适当行动。有证据表明 有证据表明，即使有书面政策，单靠书面政策也不足以解决卫生问题。 在有效的地方交付系统和社区参与行动的支持下，这些目标将得到实现。 因此，为了有效地减少并最终消除差距， 莫尔豪斯医学院（SHLI/MSM）提出了一个跨学科合作中心（TCC）， 让九个州的疾病控制和预防中心的种族和民族健康 差异行动研究所（REHDAI），以评估优质养育的结果对 健康的儿童发展，以及州和地方政策如何确保每个孩子都得到高质量的养育 通过支持计划和社区公共服务提供系统， 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.