National Academy of Medicine

An Example of Effecting Change Through Community, Movement Building, and Scaling Up

By Anthony Iton
December 09, 2014 | Commentary

Low-income people in this country are mired in a constant and unremitting fog of stress. This chronic stress is driven by housing insecurity, food insecurity, fear of crime, unemployment, exposure to pollution and poor education, often collectively conceptualized as the social determinants of health. The buffers against this chronic stress are family support, social connectedness, meaningful opportunity, and a sense of purpose and belonging. The chronic stress is directly controlled by policy and politics, meaning that this situation is largely manmade and thus can be unmade.


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