Primary care pediatrics and public health: meeting the needs of today's children.
The proportion of children suffering from chronic illnesses--such as asthma and obesity, which have significant environmental components--is increasing. Chronic disease states previously seen only in adulthood are emerging during childhood, and health inequalities by social class are increasing. Advocacy to ensure environmental health and to protect from the biological embedding of toxic stress has become a fundamental part of pediatrics. We have presented the rationale for addressing environmental and social determinants of children's health, the epidemiology of issues facing children's health, recent innovations in pediatric medical education that have incorporated public health principles, and policy opportunities that have arisen with the passage of the 2010 Patient Protection and Affordable Care Act.
Department of Pediatrics, David Geffen School of Medicine, University of California, Los Angeles (UCLA), USA. akuo@mednet.ucla.edu
Alice A
AA
Kuo
Ruth A
RA
Etzel
Lance A
LA
Chilton
Camille
C
Watson
Peter A
PA
Gorski
D000293:Adolescent; D001249:Asthma / Q000453:epidemiology; D002648:Child; D004781:Environmental Exposure / Q000706:statistics & numerical data; D004782:Environmental Health; D005260:Female; D006301:Health Services Needs and Demand / Q000458:organization & administration / Q000592:standards; D006801:Humans; D007348:Insurance, Health; D008297:Male; D008603:Mental Health; D009765:Obesity / Q000453:epidemiology; D009909:Oral Health; D010372:Pediatrics / Q000193:education / Q000458:organization & administration* / Q000592:standards; D011203:Poverty; D011320:Primary Health Care / Q000458:organization & administration* / Q000592:standards; D011635:Public Health Administration / Q000193:education / Q000592:standards; D014481:United States / Q000453:epidemiology; D014754:Violence / Q000706:statistics & numerical data