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Poverty is a public health concern because individuals exposed to disadvantage backgrounds are at a greater risk of morbidity and mortality. To unfold the neurobiological mechanisms underlying health inequalities, researchers have examined how poverty exposure negatively influences brain development. Poverty is most often defined based on income, but income is typically correlated with other socioeconomic status (SES) indicators including education levels and occupation type. Although some studies have compared the relative impacts between SES indicators, most use one or more of these SES indicators to reveal the associations between poverty and brain development. Thus, in this entry, we included findings of neuroimaging studies using any of these SES indicators.

In the brain, three specific neural regions—the amygdala, hippocampus, and prefrontal cortex—have received the most amount of attention. The amygdala is a neural region involved in detecting potential and/or real threats from the environment and alerting other neural regions to respond. The hippocampus is involved in memory consolidation but also in stress regulation. The prefrontal cortex contributes to higher level cognitive functioning such as executive function and emotion regulation.

This entry presents a review of the recent evidence for the associations between poverty and brain development from a life-span perspective. Included are studies examining neural structure (e.g., gray and white matter structure) and function (e.g., neural activation supporting mental processes). The first two sections review how poverty influences brain structure and function in childhood and adulthood, respectively. The third section reviews how childhood poverty may have a long-lasting effect and be prospectively associated with brain outcomes in adulthood. The entry concludes with a discussion of the potential factors that may mediate the associations between poverty and brain development.

Poverty and Brain Development in Childhood

In infancy, children of low-income families exhibit reductions in brain structure indicated by lower cortical gray matter volume, even after controlling for birth weight. Throughout childhood and adolescence (ages 3–20), family income is positively associated with brain structure (assessed by cortical surface area or cortical thickness) across cortical regions. The association between income and cortical structure is stronger among children from lower income families than children from higher income families—which suggests that a change in income has a greater impact on brain development among low-income children than among high-income children. The observed reductions in brain structure are a concern because they are associated with poorer academic and cognitive performance including language, reading, and executive function in children.

Regarding neural functioning in childhood, the prefrontal cortex has received much of the attention for its importance in academic and cognitive performance. Dampened prefrontal cortex activation is observed among low-SES children compared to their middle- to high-SES counterparts during a range of cognitive tasks including executive function, language, and arithmetic tasks. Low-SES children also show greater difficulties in attentional control (i.e., staying focused on a target stimulus while suppressing responses to distracting information).

Compared to cognitive development, less is known about the associations between poverty, the brain, and emotional development in childhood. Some work suggests a developmental pattern with early poverty associated with smaller amygdala volume and later poverty with larger amygdala size. In adolescents, low SES is associated with increased amygdala responses to negative social information (i.e., angry faces). This heightened neural sensitivity to negative emotional information may increase the risk of emotion dysregulation and further the development of psychopathology in children. Problems with early emotion regulation may also forewarn of a less effective repertoire of coping strategies later in life.

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