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New Hampshire Value:
Ratio of the childhood poverty rate of the racial/ethnic group with the highest rate (varies by state) to the non-Hispanic white rate
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Ratio of the childhood poverty rate of the racial/ethnic group with the highest rate (varies by state) to the non-Hispanic white rate
<= 2.8
2.9 - 3.1
3.2 - 3.7
3.8 - 4.1
>= 4.2
US Value: 3.0
Top State(s): West Virginia: 1.9
Bottom State(s): Rhode Island: 9.0
Definition: Ratio of the childhood poverty rate of the racial/ethnic group with the highest rate (varies by state) to the non-Hispanic white rate
Data Source and Years(s): U.S. Census Bureau, American Community Survey, 2018-2022
Suggested Citation: America's Health Rankings analysis of U.S. Census Bureau, American Community Survey, United Health Foundation, AmericasHealthRankings.org, accessed 2024.
Large and persistent racial and ethnic disparities exist among children living in poverty in the United States. According to the U.S. Census Bureau, an estimated 12.4% of children under 18 lived in poverty in 2022, which is more than double the 2021 rate of 5.2%. The 2021 poverty rate showed significant variation among different racial and ethnic groups, ranging from 8.8% of non-Hispanic white children living in poverty to 27.3% of non-Hispanic Black children.
Families with incomes below the federal poverty level may struggle to meet the basic needs of their children. Moreover, living in poverty can cause toxic stress among children, increasing the risk of poor physical, behavioral, socio-emotional and cognitive health.
Across all age groups, Black and Hispanic populations have remained consistently overrepresented in poverty. The persistence of poverty across generations is more common among Black than white families. Studies show that Black children who experience a year or more of childhood poverty are twice as likely as their white counterparts to experience adulthood poverty.
The prevalence of childhood poverty is higher among:
Recent innovations to mitigate the adverse effects of childhood poverty use the two-generation approach. This approach promotes family resilience by combining support and education programs for parents with early childhood intervention programs to create a stronger whole-family experience.
Access to fair opportunities in education for low-income individuals and people of color is needed to strengthen communities. This requires an equitable investment of state and federal funds into K-12 schools. Reducing bias in the criminal justice system could be achieved by expanding alternative options to prison or juvenile justice facilities and investing in community programs focused on rehabilitation.
Many government programs and community interventions exist to help reduce the number of children in poverty and support low-income families:
While not specific to children, reducing the proportion of people living in poverty is a Healthy People 2030 economic stability objective.
Duncan, Greg J., Kathleen M. Ziol-Guest, and Ariel Kalil. “Early-Childhood Poverty and Adult Attainment, Behavior, and Health.” Child Development 81, no. 1 (January 2010): 306–25. https://doi.org/10.1111/j.1467-8624.2009.01396.x.
Duncan, Greg, and Suzanne Le Menestrel, eds. A Roadmap to Reducing Child Poverty. Washington, D.C.: The National Academies Press, 2019. https://doi.org/10.17226/25246.
Federal Interagency Forum on Child and Family Statistics. “America’s Children in Brief: Key National Indicators of Well-Being, 2023.” Washington, D.C.: U.S. Government Printing Office, 2023. https://www.childstats.gov/pdf/ac2023/ac_23.pdf.
Francis, Lucine, Kelli DePriest, Marcella Wilson, and Deborah Gross. “Child Poverty, Toxic Stress, and Social Determinants of Health: Screening and Care Coordination.” OJIN: The Online Journal of Issues in Nursing 23, no. 3 (September 30, 2018). https://doi.org/10.3912/OJIN.Vol23No03Man02.
Haider, Areeba. “The Basic Facts About Children in Poverty.” Center for American Progress, January 12, 2021. https://www.americanprogress.org/article/basic-facts-children-poverty/.
Hamad, Rita, and David H. Rehkopf. “Poverty, Pregnancy, and Birth Outcomes: A Study of the Earned Income Tax Credit.” Paediatric and Perinatal Epidemiology 29, no. 5 (September 2015): 444–52. https://doi.org/10.1111/ppe.12211.
Heard-Garris, Nia, Rhea Boyd, Kristin Kan, Leishla Perez-Cardona, Nevin J. Heard, and Tiffani J. Johnson. “Structuring Poverty: How Racism Shapes Child Poverty and Child and Adolescent Health.” Academic Pediatrics 21, no. 8 (November 2021): S108–16. https://doi.org/10.1016/j.acap.2021.05.026.
Hoynes, Hilary, Marianne Page, and Ann Huff Stevens. “Can Targeted Transfers Improve Birth Outcomes?: Evidence from the Introduction of the WIC Program.” Journal of Public Economics 95, no. 7 (August 1, 2011): 813–27. https://doi.org/10.1016/j.jpubeco.2010.12.006.
Hoynes, Hilary W., and Ankur J. Patel. “Effective Policy for Reducing Inequality? The Earned Income Tax Credit and the Distribution of Income.” Working Paper 21340. National Bureau of Economic Research, July 2015. https://doi.org/10.3386/w21340.
Sandel, Megan, Elena Faugno, Angela Mingo, Jessie Cannon, Kymberly Byrd, Dolores Acevedo Garcia, Sheena Collier, Elizabeth McClure, and Renée Boynton Jarrett. “Neighborhood-Level Interventions to Improve Childhood Opportunity and Lift Children Out of Poverty.” Academic Pediatrics 16, no. 3 (April 2016): S128–35. https://doi.org/10.1016/j.acap.2016.01.013.
Trisi, Danilo, and Matt Saenz. “Economic Security Programs Reduce Overall Poverty, Racial and Ethnic Inequities: Stronger Policies Needed to Make Further Progress.” Center on Budget and Policy Priorities, July 1, 2021. https://www.jstor.org/stable/resrep28437.
Wilson-Simmons, Renée, Yang Jiang, and Yumiko Aratani. “Strong at the Broken Places: The Resiliency of Low-Income Parents.” New York: National Center for Children in Poverty, Columbia University Mailman School of Public Health, April 2017. https://www.nccp.org/publication/strong-at-the-broken-places/.
America’s Health Rankings builds on the work of the United Health Foundation to draw attention to public health and better understand the health of various populations. Our platform provides relevant information that policymakers, public health officials, advocates and leaders can use to effect change in their communities.
We have developed detailed analyses on the health of key populations in the country, including women and children, seniors and those who have served in the U.S. Armed Forces, in addition to a deep dive into health disparities across the country.