The acquisition of literacy, from earliest emergent stages to full fluency with understanding and self-expression in written language, represents a distinct developmental trajectory. Unlike other developmental arenas, achieving literacy combines environmental stimulation and informal interaction in the preschool years with formal school-based instruction in decoding print and reflects the integration of multiple neuronal networks. Skills children acquire along this literacy trajectory powerfully influence life course, from early school achievement to earning potential to lifelong self-expression and civic engagement. Recognizing this, many pediatric health care professionals have incorporated literacy promotion into primary care, often through Reach Out and Read, an evidence-based model (supported by a national network) that provides parental guidance and children’s books at health supervision visits.

从最早的出现阶段到熟练的书面语言理解和自我表达，读写能力代表了一条独特的发展轨迹。与其他发展领域不同，获得识字能力将学龄前的环境刺激和非正式互动与正式的基于学校的教学方法结合在一起，对印刷品进行解码，并反映了多个神经元网络的整合。从识字轨迹开始，孩子们所学的技能会极大地影响生活过程，从早期的学业成就到赚钱的潜力到终生的自我表达和公民参与。认识到这一点，许多儿科医疗保健专业人员通常通过“接触和阅读”，将扫盲促进工作纳入了初级保健，