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The text addresses the importance of recognizing childhood trauma, specifically child abuse, as a critical social determinant of health, alongside factors like income, education, housing, and social support. It advocates for increased awareness, policy focus, and investment in addressing childhood trauma, given its significant and long-lasting impact on individuals and society. Pediatric clinicians often consider income, education, housing, and social support as the primary social determinants of health. Despite being less frequently mentioned, childhood trauma and abuse have profound effects that are gaining recognition through scientific research. Childhood trauma is widespread and affects children on individual, societal, and economic levels. Fields such as molecular genetics, neurobiology, and population health provide evidence of the long-term negative consequences of early childhood adversity. Advocated Action: Childhood trauma should receive the same focus and resources as traditional health determinants. These centers are proposed as effective models for addressing child abuse, providing needed interventions and support. Broader Implications: The text suggests that addressing child abuse not only aids in individual health but also reduces economic burdens, implying that significant public health benefits can be achieved through targeted interventions. Advocates must work to make childhood trauma a public health priority.
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