From Oakland and Ferguson, to Cleveland and Baltimore, cities across the country mourn young African-Americans whose tragic deaths, following contentious encounters with police, illustrate the violent exchange that can erupt between law enforcement and people of color. Because police are vital pillars of community safety, these events raise important questions about how they influence the life course of children of color.Despite public concern for how police impact black lives, few publications in the medical literature contextualize police behavior within a clinical framework. Those that do, rarely explore the extent to which police treatment functions as a social determinant of health, with unique implications for children.1 These implications provide pediatricians an opportunity to examine and address how police exposure affects child and adolescent health.Police exposure begins in neighborhoods, where police discretion determines who is suspicious and sets the latitude with which the law is enforced. That latitude varies based on public policy, institutional culture, and budget pressures. When subject to explicit and implicit racial bias, this structures how police engage communities. For example, from 2002 to 2013, policies permitted New York City police to “stop-and-frisk” pedestrians if the officer had reasonable suspicion the pedestrians committed or were about to commit a crime. Of the ∼5 million stops, almost 9 in 10 were innocent. And though blacks and Hispanics only represented 50% to 53% of the population, they comprised >80% of those stopped.2 While no longer legal, the impact of similar policing strategies contributes to a continuum of trauma that cannot be disentangled from the trauma associated with the disproportionate arrest, prosecution, and incarceration of individuals of color.Today, while nearly 1 in 100 adults are behind bars, >60% are people of color, and most are men of color. Imprisonment rates for black males are 3.8 to 10.5 times greater, at every age group, than for white males, and greatest for black males aged 18 to 19 years.3 If unchanged, of those born in the year 2001, 1 in 3 black men will be jailed in their lifetime, compared with 1 in 6 Hispanic men and 1 in 17 white men. This also applies to women. Black women now face a 1-in-18 lifetime risk of imprisonment, compared with a 1-in-45 risk for Hispanic women and 1-in-111 risk for white women.4These disparities reflect how local crime rates, concentrated poverty, structural racism, and institutional bias shape representation in the correctional system. For youth experiencing them as caregiver absence, custody transitions, or the criminalization of peers, these disparities also reveal how police exposure can be linked to events associated with loss or stress. This transforms routine police encounters into experiences that, in quantity or severity, may affect youth health.Three types of police exposure can influence child and adolescent health:The nature, frequency, and outcome of police encounters for youth and their caregivers are powerful social determinants of health that would benefit from investment and expertise across disciplines in pediatrics.The symptoms of adverse police exposures may present in primary care, school-based clinics, juvenile justice facilities, and emergency departments. Existing screenings may overlook these patients because although many Adverse Childhood Experience questionnaires inquire about caregiver incarceration, few ask about police contact.As local governments explore community policing strategies, research is critical to minimize child health impacts.Partnering with other leaders in child advocacy enables pediatricians to support legislative and community-based interventions that reduce the health impact of adverse police exposures.Ultimately, issues of equity are issues of health. Pediatricians now have an opportunity to produce new screening guidelines, research agendas, and policy statements that structure how police exposure relates to disease prevention, health maintenance, and treatment strategies. Advancing pediatric knowledge, attitudes, and skills in this way affirms the pursuit of equity as foundational to pediatric practice.We thank and recognize Dr Irene Mathieu for her assisting in the research of secondary sources and for her commitment to elevating the pediatrician’s role in addressing police violence.