conclusion on factors affecting the development of child
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The health of children is a product of complex, dynamic processes produced by the interaction of external influences, such as children’s family, social, and physical environments, and their genes, biology, and behaviors. Because children are rapidly changing and developing in response to these interactions, the developmental process plays an important role in shaping and determining their health. Nonetheless, the routine approaches to defining and measuring health in many national, state, and local data collection and measurement efforts are adult-based and capture neither the developmental essence of nor the multiple influences on children’s health.
In the committee’s view, healthy development is both a component of children’s health and a manifestation of it. It is often the case that existing health measurement strategies and systems neither account for the developmental variability of children’s health nor include components specific to children. This leads to incomplete measurement of health characteristics, capacities, and influences and a diminished capacity to effectively characterize and adequately monitor the health of children.
Recent rapid increases in scientific information about the development of health, the role of prenatal and early childhood health on adult health outcomes, and the importance of predisease pathways that begin in childhood provide powerful evidence about what is likely to be learned from more detailed, systematic, and longitudinal efforts to measure the multidimensionality of children’s health. This growing body of empirical evidence also suggests that as more is understood about how different internal and external influences program the development of biopsychosocial pathways, more effective and appropriate prevention and intervention strategies can be designed, targeted, and implemented.
As reiterated throughout this report, the committee contends that it is in the national interest to place a higher priority on children’s health. In the short term, this will result in children whose health and quality of life is improved and who are more ready and able to learn. Children have important value in their own right and are worthy of this type of societal commitment. It is also in the national interest to optimize children’s health for two reasons that have longer term implications.
First, the continuing viability of society depends on a citizenry and a work-force that are properly equipped to be productive and committed to serving the nation. Second, failure to improve children’s health will have substantial long-term consequences for the health of the adult population, especially in terms of the incidence, timing of onset, and severity of chronic conditions. Events in early childhood can contribute to the physical and mental health morbidity that is often evident and only measurable later on. Thus, society has a choice between addressing that morbidity early in children’s lives or dealing with its future consequences. In the committee’s view, investing now is the better alternative for all the reasons above and because it is the right thing to d
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