Pediatric Primary Care and Partnerships Across Sectors to Promote Early Child Development

Erin Roby, Daniel S. Shaw, Pamela Morris, Caitlin F. Canfield, Elizabeth B. Miller, Benard Dreyer, Perri Klass, Anna Ettinger, Elizabeth Miller, Alan L. Mendelsohn

Research output: Contribution to journalComment/debatepeer-review


Poverty remains a critical predictor of children's school readiness, health and longer term outcomes. Early relational health (ERH) (ie, parenting practices and relationship quality) mediates the impact of poverty on child development, and thus has been the focus of many parenting interventions. Despite the documented efficacy of parenting interventions at reducing poverty-related disparities in child health and development, several key barriers prevent achieving population-level reach to families with young children. In the current paper we highlight several of these barriers including gaining population-level access to young children and families, reaching families only through single points of access, addressing the significant heterogeneity of risk that exists among families living in poverty, as well as addressing each of these barriers in combination. We suggest that understanding and confronting these barriers will allow family-centered interventions to more effectively address issues related to ERH at a population level, which in turn will reduce poverty-related disparities in child development.

Original languageEnglish (US)
Pages (from-to)228-235
Number of pages8
JournalAcademic Pediatrics
Issue number2
StatePublished - Mar 2021

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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