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1 Introduction and Overview
Pages 1-12

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From page 1...
... . The same report also pointed out that significant health disparities exist between different income groups and geographic locations in the United States and that among the important contributors to these disparities are various social determinants, such as education and income, and also place-based characteristics of the physical and social environment in which people live and the macrostructural policies that shape them.
From page 2...
... The Round­able's t vision is of a strong, healthful, and productive society that cultivates human capital and equal opportunity. The Roundtable recognizes that such outcomes as life expectancy, quality of life, and health are shaped by a variety of interdependent social, economic, environmental, genetic, behavioral, and health care factors and thus that achieving its vision will require robust national and community-based policies and dependable resources.
From page 3...
... WORKSHOP SCOPE AND ORGANIZATION OF THE SUMMARY In his introductory remarks, Roundtable co-chair and planning committee co-chair David Kindig, professor emeritus of population health sciences and emeritus vice chancellor at the University of Wisconsin School of Medicine and Public Health, said that the evidence shows that education and health are linked in multiple and complex ways and that the workshop would highlight some of that evidence. In her opening comments, roundtable member and planning committee co-chair Gillian Barclay, vice president of the Aetna Foundation, pointed out that health care accounts for just a small portion of the factors that influence health.
From page 4...
... Chapter 3 considers how the health sector can support the education sector, and Chapter 4 discusses the connection between rising health care expenditures and diminishing funds for education and suggests some approaches for restructuring the nation's investments in both health and education. Chapter 5 describes the potential for the health sector to contribute to the implementation of best evidence about what supports educational achievement, and Chapter 6 discusses state- and local-level collaborations between the health and education sectors.
From page 5...
... Kaplan highlighted the presentation of Neal Halfon, who described an approach to revising the nation's health care system. In this talk, Halfon (2014)
From page 6...
... In this second era, health care moved from the acute care setting in hospitals into ambulatory care settings, and the goals shifted from simply reducing deaths to reducing morbidity and disability. The third era, which has not quite started, will place an increasing focus on achieving optimal health through investments in population-based prevention using a network model.
From page 7...
... . Although the profound relationship between racial and ethnic group membership and life expectancy should never be downplayed, in fact the relationship between Toxic Stress Lack of Health Services " Healthy" Trajectory Ready to Learn Poverty " At Risk" Trajectory Pre-school Health Services " Delayed/Disordered" Trajectory Appropriate Discipline Reading to Child Parent Education Emotional Health Literacy Late Preschool Birth Late Infancy Late Toddler 6 mo 12 mo 18 mo 24 mo 3 yrs 5 yrs Age Early Infancy Early Toddler Early Preschool FIGURE 1-3  Life-course health development: Reducing risk and optimizing protective factors.
From page 8...
... 0–11 Years 12 Years Percentage of Population 13+ Years others < 1/Week FIGURE 1-5  Education and morbidity/risk factors. SOURCE: House, June 4, 2014, NIH presentation, adapted from IOM, 2000.
From page 9...
... Kaplan discussed data that he collected with George Howard and other colleagues showing that the relationship between educational attainment and life expectancy attenuates somewhat when the data are adjusted for demographic variables, further when an income adjustment is made, more when biological risk factors are considered, and more still when behavioral variables are added. He noted that there was a great deal of discussion among the demographers at the meeting as to whether this is a stepped relationship based on education level, where much of the gain in life expectancy occurs with post-high school education and then on through graduate education.
From page 10...
... . Academic failures in childhood seem to have a particularly strong effect on being healthy as an adult, Kaplan said, and are remarkably strong predictors of disease outcomes in adult FIGURE 1-7  Adverse childhood events predict poorer adult health.
From page 11...
... . The data also show that it is possible for a child's educational achievements to overcome the negative impact of a parent's low level of educational attainment.


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