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Disparities in Academic Achievement and Health: The Intersection of Child Education and Health Policy
Abstract
Recent data suggest that that the United States is failing to make significant progress toward the Healthy People 2010 goal of eliminating health disparities. One missing element from the US strategy for achieving this goal is a focus on gaps in child development and achievement. Academic achievement and education seem to be critical determinants of health across the life span and disparities in one contribute to disparities in the other. Despite these linkages, national policy treats child education and health as separate. Landmark education legislation, the No Child Left Behind Act of 2001, is due for Congressional reauthorization. It seeks to eliminate gaps in academic child achievement by 2014. It does so by introducing accountability for states, school districts, and schools. In this special article, we review health disparities and contributors to child achievement gaps. We review changes in achievement gaps over time and potential contributors to the limited success of the No Child Left Behind Act of 2001, including its unfunded mandates and unfounded assumptions. We conclude with key reforms, which include addressing gaps in child school readiness through adequate investment in child health and early education and reductions in child poverty; closing the gap in child achievement by ensuring equity in school accountability standards; and, importantly, ensuring equity in school funding so that resources are allocated on the basis of the needs of the students. This will ensure that schools, particularly those serving large numbers of poor and minority children, have the resources necessary to promote optimal learning.
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“Conversely, low academic achievement is strongly associated with risk-taking behavior, compromised health status, and reduced longevity.22–33”
From School-Based Health Centers to Advance Health Equity (2016) · cites this paper as [28]
In the citing paper
“Adult health and lifetime productivity are both influenced by educational attainment.37, 38”
From Health and School Outcomes During Children's Transition Into Adolescence (2013) · cites this paper as [38]
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Metadata
- Authors
- Fiscella, K., & Kitzman, H.
- Affiliations
- University of Rochester Medicine (US)
- University of Rochester (US)
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2009-03-01
- Volume
- 123
- Issue
- 3
- Pages
- 1073-1080
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W2000858850
- Cited by
- 224
- References
- 110
- Citations by year
- 2026: 5 · 2025: 9 · 2024: 6 · 2023: 12 · 2022: 13 · 2021: 12 · 2020: 31 · 2019: 17 · 2018: 12 · 2017: 14 · 2016: 17 · 2015: 12 · 2014: 15 · 2013: 11 · 2012: 17
- FWCI
- 12.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- PEDIATRICS (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Education › School Choice and Performance
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Child and Adolescent Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › School Health and Nursing Education
- Keywords
- health disparities, achievement gap, children's education, No Child Left Behind Act, school accountability, school funding equity, school readiness, early childhood education, child poverty, Healthy People 2010, minority children
- MeSH terms
- Adolescent, Adult, Child, Child, Preschool, Educational Status, Ethnicity, Female, Forecasting, Health Policy, Health Services Needs and Demand, Humans, Infant, Male, Socioeconomic Factors, United States, Early Intervention, Educational, Healthy People Programs, Healthcare Disparities, Young Adult
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