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AJPH First Look, published online ahead of print Dec 4, 2008
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AJPH.2005.068569v1
99/2/205    most recent
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February 2009, Vol 99, No. 2 | American Journal of Public Health 205-210
© 2009 American Public Health Association
DOI: 10.2105/AJPH.2005.068569


HEALTH POLICY AND ETHICS

Root Shock Revisited: Perspectives of Early Head Start Mothers on Community and Policy Environments and Their Effects on Child Health, Development, and School Readiness

Carol L. McAllister, PhD, Tammy L. Thomas, MSW, MPH, Patrick C. Wilson, PhD and Beth L. Green, PhD

At the time of the study, Carol L. McAllister was with the Department of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA. Tammy L. Thomas is with the Department of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, Pittsburgh. Patrick C. Wilson is with the Department of Anthropology, University of Lethbridge, Lethbridge, Alberta. Beth L. Green is with the Northwest Professional Consortium Inc, Portland, OR.

Correspondence: Requests for reprints should be sent to Patrick C. Wilson, Department of Anthropology, 4401 University Drive, Lethbridge, Alberta T1K 3M4, Canada (e-mail: patrick.wilson{at}uleth.ca).

Racial differences in school readiness are a form of health disparity. By examining, from the perspective of low-income minority families participating in an Early Head Start study, community and policy environments as they shape and inform lived experiences, we identified several types of social and economic dislocation that undermine the efforts of parents to ready their children for school.

The multiple dislocations of community triggered by housing and welfare reform and "urban renewal" are sources of stress for parents and children and affect the health and development of young children. Our findings suggest that racial differences in school readiness result not from race but from poverty and structural racism in American society.







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