Abstract

* Abbreviation: AAP — : American Academy of Pediatrics The mission of the American Academy of Pediatrics (AAP) has always been to attain optimal health and well-being for all children. In recent decades, however, our understanding of the composition of “all children” has changed, and it will continue changing well into the future. By 2020, more than half of all US children will be racial or ethnic minorities; by 2044, no single racial or ethnic group will comprise a majority of the nation’s population.1 There is also a growing understanding of the wide variety of children’s lives and experiences and the needs of those who face social disparities; have special needs; are lesbian, gay, bisexual, transgender, or questioning; or who experience adverse childhood experiences and toxic stress.2 The response to children’s varied life experiences and needs is complicated by the fact that these are perilous times for our nation’s children, who face increasing insecurity and challenges as they strive to develop and grow. Structural drivers of social disparities and income … Address correspondence to Karen Remley, MD, MBA, MPH, FAAP, American Academy of Pediatrics, 345 Park Blvd, Itasca, IL 60143. E-mail: kremley{at}aap.org

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