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Child Poverty, Toxic Stress, and Social Determinants of Health: Screening and Care Coordination.

Lucine FrancisKelli DePriestMarcella WilsonDeborah Gross
Published in: Online journal of issues in nursing (2018)
Social determinants of health (SDOH) refer to the social, economic, and physical conditions in which people live that may affect their health. Poverty, which affects nearly 15 million children in the United States, has far-reaching effects on children's physical and mental health. Although it is difficult to change a family's economic circumstances, nurses can play a critical role to address SDOH through screening and effective coordination of care. As nurses, our role is to minimize the effects of SDOH, including poverty, on child health and well-being through our practice, research, and professional education. We present three exemplars of child poverty to demonstrate the impact on child health and well-being and propose a model of care for nurses to assess and address SDOH in the pediatric clinical setting.
Keyphrases
  • mental health
  • healthcare
  • quality improvement
  • palliative care
  • mental illness
  • young adults
  • public health
  • pain management
  • primary care
  • physical activity
  • health information
  • risk assessment
  • social media
  • human health