The nurse is aware that the community affects the health of its members. Which statements accurately reflect a community influence of health care? Select all that apply.

A. A community can be a contributor to a child's health or be the cause of his or her illnesses: Environmental factors such as pollution, sanitation, and access to nutritious food and healthcare directly influence children’s health outcomes. A supportive community promotes wellness, while unsafe or resource-poor environments can contribute to disease.

B. The child's health should be separated from the health of the surrounding community: A child’s health is closely interconnected with the overall health and conditions of the community. Factors like education, housing, and safety significantly impact individual health.

C. Community support and resources are necessary for children with significant problems: Children with chronic illnesses, disabilities, or mental health issues benefit from community resources such as rehabilitation programs, counseling services, and family support systems.

D. Poverty has not been linked to an increase in health problems in communities: Poverty is strongly associated with higher rates of malnutrition, infection, limited healthcare access, and chronic illness. Economic disadvantage is a major determinant of poor health outcomes.

E. The breakdown of community and family support systems can lead to depression and violence: Social isolation, lack of community cohesion, and weakened family structures increase stress and vulnerability to mental health issues and social problems such as violence and substance abuse.

F. Ideally, the child's medical home is located outside the community: The medical home should ideally be within the community to ensure accessibility, continuity of care, and familiarity with local resources that support holistic child and family health.