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Child Public Health$
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Dr Mitch Blair, Professor Sarah Stewart-Brown, Dr Tony Waterston, and Dr Rachel Crowther

Print publication date: 2010

Print ISBN-13: 9780199547500

Published to Oxford Scholarship Online: May 2010

DOI: 10.1093/acprof:oso/9780199547500.001.0001

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Determinants of child health

Determinants of child health

Chapter:
(p.47) Chapter 3 Determinants of child health
Source:
Child Public Health
Author(s):

Mitch Blair

Sarah Stewart-Brown

Tony Waterston

Rachel Crowther

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199547500.003.003

This chapter uses the Mandala framework of health determinants to describe the many interweaving factors that influence child health. It is shown that parental health and genetic constitution, antenatal and postnatal nutrition, and infection influence early human biological factors such as birthweight. At a family level, support, nurturance, and stimulation influence the development of language, social and emotional health. The family is in turn influenced by resources determined in large part by employment and financial security. Neighbourhoods and communities play a part in determining what families can and cannot offer their children. Here factors such as safety, social cohesion, and the avoidance of ghettoization of poor and marginalized families are key influences on early childhood development. The way in which we design our cities and their social organization has a major influence at this level. At the widest level of social aggregation, the key factors are sociopolitical organization and programme delivery. Income distribution, patterns of employment and migration, and societal attitudes to children and young people influence the conditions in which children live, learn, and grow up. This chapter describes each of these levels of influence and gives examples of how these determinants effect the child in the centre of the Mandala diagram.

Keywords:   Mandala diagram, child health, parental behaviour, family, neighbourhoods, community

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