Abstract

Despite the progress made in pediatrics over the past decades, nearly every metric of children’s health and well-being in the United States has deteriorated relative to other high-income Western democracies. This is in part due to American pediatricians’ slow response to the impact of social and environmental determinants on children’s health. It is well established that social and environmental determinants of health—the social, economic, political, environmental, and cultural conditions that influence the health and well-being of individuals and communities—are the primary drivers of contemporary child and adult health and health disparities (ACE Study 2015; CDC 2015; Marmot..