Abstract
Objectives
The first 5 years of life are critical to children’s health and development. Sociocultural and environmental factors play a prominent role as do variations in the quality of resources available. The objective of this study, grounded in Asset Based Community Development and the Model of Children’s Health and its Influences, was to identify and understand these factors through the lens of parents living in predominantly African-American low-income communities within Washington, DC.
Methods
An exploratory qualitative study employed semi-structured virtual interviews to discuss parents’ priorities and challenges in raising their children.
Results
Participants relayed perceptions of community assets as well as struggles with access to care, proper nutrition, and police activity within their communities. Results were presented to apprise community partners and encourage modifications in program delivery to enhance community resources.
Conclusions for Practice
Lived experiences voiced by underrepresented parents can potentially inform design of community-centered programing. Policymakers must take into account community strengths and weaknesses during the development of community services. Due to inequities in childhood health outcomes, it is imperative that policymakers receive information from parents to make informed decisions.
Significance
What is Already Known on this Subject? Parental input is critical to the health, development, and well-being of children, yet parents are often excluded in the design and implementation of resources and services offered to support positive health outcomes.
What does this Study add? Due to the unique characteristics of communities throughout the country, programs should elicit residents’ input to inform programs tailored to community strengths and weaknesses. Parents must act as primary advisors on the factors that play a role in the health and development of their children in order to identify the resources needed for children to thrive.
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Data Availability
Data for this qualitative study are not available.
Code Availability
Transcripts were analyzed using MAXQDA Qualitative Analysis Software (VERBI, 2021). Codebook is provided in Table 1.
References
Aisenberg, E. (2001). The effects of exposure to community violence upon Latina mothers and preschool children. Hispanic Journal of Behavioral Sciences, 23(4), 378–398.
Amissah-Essel, S. (2020). Assessment of institutional health and safety practices of early years schools in Cape Coast Metropolis, Ghana: A mixed methods approach. Ghana Medical Journal, 54(2), 93–99. https://doi.org/10.4314/gmj.v54i2.7
Anderson, L., et al. (2003). The effectiveness of early Childhood Development Programs: A systematic review. American Journal of Preventive Medicine, 24(3S), 32–46. https://doi.org/10.1016/S0749-3797(02)00655-4
Bronfenbrenner, U. (1986). Ecology of the family as a context for human development: Research perspectives. Developmental Psychology, 22(6), 723–742. https://doi.org/10.1037/0012-1649.22.6.723
Charmaz, K. (2014). Constructing Grounded Theory. Sage.
Cheng, T., & Goodman, E. (2013). Race ethnicity, and Socioeconomic Status in Research on Child Health. The American Academy of Pediatrics, 0031–4005. https://doi.org/10.1542/peds.2014-3109
Child and Adolescent Health Measurement Initiative. (2021). Fast facts: 2020 National survey of children’s health. Washington, DC: Data Resource Center. Retrieved from http://childhealthdata.org/docs/nsch-docs/2007_fast_facts_508-pdf
Clinton, J., Feller, A., & Williams, R. (2016). The importance of infant mental health. Paediatrics & Child Health, 24(7), 239–241. https://doi.org/10.1093/pch/21.5.239
Zippel, C. (2016). DC’s public housing: An important resource at risk. DC Fiscal Policy Institute. Available at https://www.dcfpi.org/wp-content/uploads/2016/01/16-01-27-Public-housing-paper-final.pdf
Flores, G., Kopp, B., Tomany-Korman, S., & Olson, L. (2005). Does Disadvantage Start at Home? Racial and ethnic disparities in Health-related early Childhood Home routines and Safety practices. Archives of Pediatrics and Adolescent Medicine, 159, 158–165.
Green, M., Stritzel, H., Smith, C., Popham, F., & Crosnoe, R. (2018). Timing of poverty in childhood and adolescent health: Evidence from the US and UK. Social Science and Medicine, 197, 136–143. https://doi.org/10.1016/j.socscimed.2017.12.004
Health Resources and Services Administration (2017). Home Visiting. Retrieved From: https://mchb.hrsa.gov/maternal-child-health-initiatives/home-visiting-overview
Logan, R. (2020). Interactive District Wide Asset Map. Available at https://www.google.com/maps/d/viewer?mid=1cQj3pwwO4iY0CqRfSX5jnqour92EE6vk&ll=38.89500950676679%2C-77.01372620000002&z=11
Mansfield, J., & Savaiano, D. (2017). Effect of school wellness policies and the Healthy, Hunger-Free Kids Act on food-consumption behaviors of students, 2006–2016: A systematic review. Nutrition Reviews, 75(7), 533–552. https://doi.org/10.1093/nutrit/nux020
Mathie, A., & Cunningham, G. (2003). From clients to citizens: Asset-based Community Development as a strategy for community-driven development. Development in Practice, 13(5), 474–486. https://doi.org/10.1080/0961452032000125857
Miller, R., Sullivan, M., Hawes, K., & Marks, A. (2009). The effects of perinatal morbidity and environmental factors on health status of preterm children at age 12. Journal of Pediatric Nursing, 24(2), 101–114. https://doi.org/10.1016/j.pedn.2008.02.031
Miller, W., Sadegh-Nobari, T., & Lillie-Blanton, M. (2011). Healthy starts for all policy prescriptions. American Journal of Preventative Medicine, 40(1S1), S19–S37. https://doi.org/10.1016/j.amepre.2010.10.001
Morris, A., et al. (2017). Targeting parenting in early childhood: A Public Health Approach To Improve Outcomes for Children Living in Poverty. Child Development, 88(2), 388–397. https://doi.org/10.1111/cdev.12743
Oh, D., et al. (2018). Systematic review of pediatric health outcomes associated with childhood adversity. BMC Pediatrics, 18(83), https://doi.org/10.1186/s12887-018-1037-7
Peyre, H., et al. (2019). Developmental trajectories of motor skills during the preschool period. European Child & Adolescent Psychiatry, 28, 1461–1474. https://doi.org/10.1007/s00787-019-01311-x
Robinson, L., et al. (2017). CDC Grand rounds: Addressing Health disparities in early childhood. Morbidity and Mortality Weekly Report, 66(29), 769–772.
Stevens, G. (2011). Gradients in the Health Status and Developmental risks of Young children: The combined influences of multiple social risk factors. Maternal and Child Health Journal, 10(2), 187–199. https://doi.org/10.1007/s10995-005-0062-y
Strickland, B., Jones, J., Ghandour, R., Kogan, M., & Newacheck, P. (2011). The Medical Home: Health Care Access and Impact for Children and Youth in the United States. Pediatrics, 604–611. https://doi.org/10.1542/peds.2009-355
U.S. Census Bureau (2016). American Community Survey 1-year estimates Census Reporter Profile page for District of Columbia, DC. Retrieved from: https://censusreporter.org/profiles/05000US11001-district-of-columbia-dc/
VERBI Software. (2021). MAXQDA 2022 [computer software]. VERBI Software. Available from maxqda.com.
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R.L. conceived of the presented idea, developed the theory, collected and analyzed data for this project, and took the lead in manuscript writing. J.M., R.W., and T.T. supervised every aspect of project design and implementation, verified the analytical methods and supervised the findings of this work. All authors provided critical feedback and helped shape the research, analysis and manuscript.
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Logan, R., Marshall, J., Wilson, R. et al. Sociocultural and Geographic Factors Influencing the Health and Development of Young Children in Washington, District of Columbia. Matern Child Health J 28, 177–186 (2024). https://doi.org/10.1007/s10995-023-03834-x
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DOI: https://doi.org/10.1007/s10995-023-03834-x