| 000 | 02476nab a22003377a 4500 | ||
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| 999 |
_c7104 _d7104 |
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| 005 | 20250625151548.0 | ||
| 008 | 210422s2021 ||||| |||| 00| 0 eng d | ||
| 040 | _aAFVC | ||
| 100 |
_aShonkoff, Jack P. _99941 |
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| 245 |
_aEarly childhood adversity, toxic stress, and the impacts of racism on the foundations of health _cJack P. Shonkoff, Natalie Slopen and David R. Williams |
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| 260 |
_bAnnual Reviews, _c2021 |
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| 500 | _aAnnual Review of Public Health, 2021, 42: 115-134 | ||
| 520 | _aInequalities in health outcomes impose substantial human and economic costs on all societies—and the relation between early adversity and lifelong well-being presents a rich scientific framework for fresh thinking about health promotion and disease prevention broadly, augmented by a deeper focus on how racism influences disparities more specifically. This review begins with an overview of advances in the biology of adversity and resilience through an early childhood lens, followed by an overview of the unique effects of racism on health and a selective review of findings from related intervention research. This article presents a framework for addressing multiple dimensions of the public health challenge—including institutional/structural racism, cultural racism, and interpersonal discrimination—and concludes with the compelling need to protect the developing brain and other biological systems from the physiological disruptions of toxic stress that can undermine the building blocks of optimal health and development in the early childhood period. (Authors' abstract). Record #7104 | ||
| 610 | 0 |
_96010 _aCenter on the Developing Child at Harvard University |
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| 650 |
_aADVERSE CHILDHOOD EXPERIENCES _94089 |
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| 650 |
_aCHILD DEVELOPMENT _9109 |
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| 650 |
_aDISCRIMINATION _93086 |
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| 650 |
_aHEALTH _9283 |
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| 650 |
_aINTERVENTION _9326 |
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| 650 |
_aRACISM _93087 |
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| 650 |
_aSTRESS _9582 |
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| 651 |
_aINTERNATIONAL _93624 |
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| 651 | 4 |
_aUNITED STATES _92646 |
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| 700 |
_aSlopen, Natalie _99942 |
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| 700 |
_aWilliams, David R. _99943 |
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| 773 | 0 | _tAnnual Review of Public Health, 2021, 42: 115-134 | |
| 830 |
_aAnnual Review of Public Health _99944 |
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| 856 |
_uhttps://doi.org/10.1146/annurev-publhealth-090419-101940 _zDOI:10.1146/annurev-publhealth-090419-101940 (Open access) |
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| 856 |
_uhttps://developingchild.harvard.edu/resources/racism-and-ecd/ _ySee related infographic (includes accessible text) |
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| 942 |
_2ddc _cARTICLE |
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