title: Creating nurturing environments: a science-based framework for promoting child health and development within high-poverty neighborhoods.
abstract: Living in poverty and living in areas of concentrated poverty pose multiple risks for child development and for overall health and wellbeing. Poverty is a major risk factor for several mental, emotional, and behavioral disorders, as well as for other developmental challenges and physical health problems. In this paper, the Promise Neighborhoods Research Consortium describes a science-based framework for the promotion of child health and development within distressed high-poverty neighborhoods. We lay out a model of child and adolescent developmental outcomes and integrate knowledge of potent and malleable influences to define a comprehensive intervention framework to bring about a significant increase in the proportion of young people in high-poverty neighborhoods who will develop successfully. Based on a synthesis of research from diverse fields, we designed the Creating Nurturing Environments framework to guide community-wide efforts to improve child outcomes and reduce health and educational inequalities.
authors.affiliation: Department of Health Outcomes and Policy, College of Medicine, Institute for Child Health Policy, University of Florida, Gainesville, FL 32610-0177, USA. kelli.komro@gmail.com
authors.forename: Kelli A
authors.initials: KA
authors.lastname: Komro
authors.forename: Brian R
authors.initials: BR
authors.lastname: Flay
authors.forename: Anthony
authors.initials: A
authors.lastname: Biglan
mesh_terms: D000293:Adolescent; D002648:Child; D002657:Child Development; D002669:Child Welfare; D005260:Female; D006293:Health Promotion; D006801:Humans; D008297:Male; D008960:Models, Psychological; D011203:Poverty / Q000523:psychology*; D012111:Residence Characteristics; D012307:Risk Factors; D012931:Social Environment