Behavioral influences include the child’s emotions, beliefs, attitudes, behaviors, and cognitive abilities that affect health outcomes. The physical environment affects children’s health by exposing them to a wide variety of external conditions. The built environment affects the ways in which children are differentially exposed to some of these influences. Exposure is the sum of all exposure factors over the course of time, including the home, school, child care, and play areas. Van Ryn and Fu proposed a pathway through which health provider behavior in clinical or public health settings contributes to discrimination.

Social determinants of health are conditions in the environments in which people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks. Resources that enhance quality of life can have a significant influence on population health outcomes. Examples of these resources include safe and affordable housing, access to education, public safety, availability of healthy foods, local emergency/health services, and environments free of life-threatening toxins. Services relevant to children’s health include a broad array of interventions, such as health promotion and preventive services, diagnostic, treatment, and rehabilitative services, educational programs, and a variety of social services. They include specific health interventions, such as immunizations, as well as programs of integrated services that systematically address prevention, promotion, treatment, and risk reduction simultaneously, as is the case in model chronic disease management programs .

In this case, the pathway would be as relevant to children as to adults, as adults generally accompany children in health services encounters and act as proxy for them. Nazroo , reviewing evidence on ethnic discrimination from the United Kingdom, concluded that social and economic inequalities, underpinned by racism, are a fundamental source of ethnic inequalities in health across population subgroups. Chaturvedi suggested that recognition of different kinds of effects from racism, including on children, could help to sort out the pathways by which the multifactorial and interacting influences affect various aspects of health. To that effect, a recent review provided added evidence for an effect of racism on health, including the documentation of racism as well as the mechanisms by which it operates.

Social determinants of health are the conditions that we live, learn, work, and play in. These conditions can influence the health and well being of you and your community.

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Services function at several different levels, including the level of the individual child, family, and community, as well as larger social, physical, and policy environments. Community influences can originate in neighborhoods, schools, or other organizations and can operate through children’s peer groups, the adults with whom children come into contact, or the larger set of social and cultural practices in neighborhoods. Table 3-1 lists a range of potential services relevant to children’s health that reflects the committee’s conceptualization of it.

• Children’s health is determined by the interaction of a multitude of influences, reflecting complex processes.
• For example, a pharmacological agent like thalidomide is highly toxic within a narrow window during pregnancy but not afterward, an attachment to a caring adult is especially critical during infancy, and peer influences appear to grow steadily from toddlerhood through adolescence.
• This chapter provides a summary of published literature and a framework for understanding those influences.
• Even within a childhood stage, health influences can act in very different ways because of the differing cultural interpretations that families attach to them.

They can include things like your education level, your exposure to violence, the way your community is designed, and if you have access to health care. These factors affect your ability to take part in healthy behaviors, and this affects your health.

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While not exhaustive, this list depicts a continuum of services designed to improve the health of children and the functions they serve. It includes services provided by the personal and public health system, as well as the environmental health, education, and social service systems. Comprehensive, high-quality center-based early education has been demonstrated to improve a range of educational outcomes . The availability and configuration of services in a given community can be logically assumed not only to affect a range of children’s health outcomes, but also to create a context for and to affect the range of other influences. Biological influences as discussed in this chapter include genetic expressions, prenatal influences, as well as biological constraints and possibilities created by perinatal and postnatal events plus prior states of health.

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Operational EffectivenessAt Morneau Shepell, we have the proven expertise and the tools to successfully assess, plan and implement your health, retirement and workforce management programs for improved operational effectiveness. This information provides a general overview and may not apply to everyone. Talk to your family signs of std doctor to find out if this information applies to you and to get more information on this subject.