Abstract
This secondary data analysis of 4373 mothers and their children investigated racial disparities in children’s health and its associations with social structural factors, social relationships/support, health/mental health, substance use, and access to health/mental health services. The study drew on longitudinal records for mother–child pairs created from data in the Fragile Families and Child Wellbeing Study. Generalized estimating equations yielded results showing children’s good health to be associated positively with mother’s health (current health and health during pregnancy), across three ethnic groups. For African-American children, good health was associated with mothers’ education level, receipt of informal child care, receipt of public health insurance, uninsured status, and absence of depression. For Hispanic children, health was positively associated with mothers’ education level, receipt of substance-use treatment, and non-receipt of public assistance. Implications for policy and intervention are discussed.
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Alvidrez, J., Snowden, L. R., & Kaiser, D. M. (2010). Involving consumers in the development of a psychoeducational booklet about stigma for Black mental health clients. Health Promotion Practice, 11(2), 249–258.
Bass, L. E., & Warehime, M. N. (2011). Family structure and child health outcomes in the United States. Sociological Inquiry, 81(4), 527–548. doi:10.1111/j.1475-682X.2011.00391.x.
Bekemeier, B., Yang, Y. R., Dunbar, M. D., Pantazis, A., & Grembowski, D. E. (2014). Targeted health department expenditures benefit birth outcomes at the county level. American Journal of Preventive Medicine, 46(6), 569–577. doi:10.1016/j.amepre.2014.01.023.
Bendheim-Thoman Center for Research on Child Wellbeing, & Columbia Population Research Center. (2011). Data user’s guide for the nine-year follow-up wave of the fragile families and child wellbeing study. Princeton, NJ: Princeton University.
Black, M. M., Quigg, A. M., Cook, J., Casey, P. H., Cutts, D. B., Chilton, M., & Frank, D. A. (2012). WIC participation and attenuation of stress-related child health risks of household food insecurity and caregiver depressive symptoms. Archives of Pediatrics and Adolescent Medicine, 166(5), 444–451.
Bloom, B., Jones, L. I., & Freeman, G. (2013). Summary health statistics for U.S. children: National Health Interview Survey, 2012. Washington, DC: National Center for Health Statistics.
Chatterji, P., Markowitz, S., & Brooks-Gunn, J. (2013). Effects of early maternal employment on maternal health and well-being. Journal of Population Economics, 26(1), 285–301. doi:10.1007/s00148-012-0437-5.
Cheng, T. C., & Lo, C. C. (2013). Racial disparity in risk factors for substantiation of child maltreatment. Children and Youth Services Review, 35(12), 1962–1969. doi:10.1016/j.childyouth.2013.09.016.
Cheng, T. C., & Lo, C. C. (2015). A longitudinal causal analysis of impact made by collaborative engagement and service receipt on likelihood of substantiated re-report. Child Maltreatment, 20(4), 258–267.
Cheng, T. C., & Lo, C. C. (2015). Racial disparities in intimate partner violence examined through the multiple disadvantage model. Journal of Interpersonal Violence. doi:10.1177/0886260515572475.
Cheng, T. C., & Robinson, M. A. (2013). Factors leading African Americans and Black Caribbeans to use social work services for treating mental and substance use disorders. Health and Social Work, 38(2), 99–109. doi:10.1093/hsw/hlt005.
Chiu, T., Hudak, M. L., Snider, I. G., Long, T. F., Harbaugh, N., Helm, M., & Committee on Child Health Financing. (2013). Policy statement: Medicaid policy statement. Pediatrics, 131(5), E1697–E1706. doi:10.1542/peds.2013-0419.
Collins, B. N., Nair, U. S., Shwarz, M., Jaffe, K., & Winickoff, J. (2013). SHS-related pediatric sick visits are linked to maternal depressive symptoms among low-income African American smokers: Opportunity for intervention in pediatrics. Journal of Child and Family Studies, 22(7), 1013–1021. doi:10.1007/s10826-012-9663-4.
Currie, J. (2005). Health disparities and gaps in school readiness. Future of Children, 15(1), 117–138. doi:10.1353/foc.2005.0002.
Do, D. P. (2009). The dynamics of income and neighborhood context for population health: Do long-term measures of socioeconomic status explain more of the black/white health disparity than single-point-in-time measures? Social Science and Medicine, 68(8), 1368–1375. doi:10.1016/j.socscimed.2009.01.028.
Ellingsen, R., Baker, B. L., Blacher, J., & Crnic, K. (2014). Resilient parenting of preschool children at developmental risk. Journal of Intellectual Disability Research, 58(7), 664–678. doi:10.1111/jir.12063.
Fan, Y. L., & Chen, Q. (2012). Family functioning as a mediator between neighborhood conditions and children’s health: Evidence from a national survey in the United States. Social Science and Medicine, 74(12), 1939–1947. doi:10.1016/j.socscimed.2012.01.039.
Graham-Bermann, S. A., & Seng, J. (2005). Violence exposure and traumatic stress symptoms as additional predictors of health problems in high-risk children. Journal of Pediatrics, 146(3), 349–354. doi:10.1016/j.jpeds.2004.10.065.
Guevara, J. P., Mandell, D., Danagoulian, S., Reyner, J., & Pati, S. (2013). Parental depressive symptoms and children’s school attendance and emergency Department use: A nationally representative study. Maternal and Child Health Journal, 17(6), 1130–1137. doi:10.1007/s10995-012-1109-5.
Guillory, V. J., Lai, S. M., Suminski, R., & Crawford, G. (2015). Low birth weight in Kansas. Journal of Health Care for the Poor and Underserved, 26(2), 577–602.
Hardie, J. H., & Landale, N. S. (2013). Profiles of risk: Maternal health, socioeconomic status, and child health. Journal of Marriage and Family, 75(3), 651–666. doi:10.1111/jomf.12021.
Hardin, J. W., & Hilbe, J. M. (2003). Generalized estimating equations. Boca Baton, FL: Chapman & Hall/CRC.
Hessol, N. A., Vittinghoff, E., & Fuentes-Afflick, E. (2004). Reduced risk of inadequate prenatal care in the era after medicaid expansions in California. Medical Care, 42(5), 416–422. doi:10.1097/01.mlr.0000124244.26926.4d.
Howell, E. M., & Trenholm, C. (2007). The effect of new insurance coverage on the health status of low-income children in Santa Clara County. Health Services Research, 42(2), 867–889. doi:10.1111/j.1475-6773.2006.00625.x.
Larson, K., Russ, S. A., Crall, J. J., & Halfon, N. (2008). Influence of multiple social risks on children’s health. Pediatrics, 121(2), 337–344. doi:10.1542/peds.2007-0447.
Leininger, L. J., Ryan, R. M., & Kalil, A. (2009). Low-income mothers’ social support and children’s injuries. Social Science and Medicine, 68(12), 2113–2121. doi:10.1016/j.socscimed.2009.03.013.
Liberto, T. L. (2012). Screening for depression and help-seeking in postpartum women during well-baby pediatric visits: An integrated review. Journal of Pediatric Health Care, 26(2), 109–117. doi:10.1016/j.pedhc.2010.06.012.
Lo, C. C., Howell, R. J., & Cheng, T. C. (2013). Explaining Black–White differences in homicide victimization. Aggression and Violent Behavior, 18, 125–134.
Lo, C. C., Howell, R. J., & Cheng, T. C. (2015). Racial disparities in age at time of homicide victimization: A test of the multiple disadvantage model. Journal of Interpersonal Violence, 30(1), 152–167. doi:10.1177/0886260514532720.
McConnell, D., Breitkreuz, R., & Savage, A. (2011). From financial hardship to child difficulties: Main and moderating effects of perceived social support. Child: Care, Health and Development, 37(5), 679–691. doi:10.1111/j.1365-2214.2010.01185.x.
Mehta, N. K., Lee, H., & Ylitalo, K. R. (2013). Child health in the United States: Recent trends in racial/ethnic disparities. Social Science and Medicine, 95, 6–15. doi:10.1016/j.socscimed.2012.09.011.
Nkansah-Amankra, S. (2010). Neighborhood contextual factors, maternal smoking, and birth outcomes: Multilevel analysis of the South Carolina PRAMS survey, 2000–2003. Journal of Womens Health, 19(8), 1543–1552. doi:10.1089/jwh.2009.1888.
Sims, M., Sims, T. L., & Bruce, M. A. (2007). Urban poverty and infant mortality rate disparities. Journal of the National Medical Association, 99(4), 349–356.
Singer, J. D., & Willett, J. B. (2003). Applied longitudinal data analysis: Modeling change and event occurrence. New York: Oxford University Press.
Snowden, L. R. (2001). Barriers to effective mental health services for African Americans. Mental Health Services Research, 3(4), 181–187.
Woolhouse, H., Brown, S., Krastev, A., Perlen, S., & Gunn, J. (2009). Seeking help for anxiety and depression after childbirth: Results of the maternal health study. Archives of Womens Mental Health, 12(2), 75–83. doi:10.1007/s00737-009-0049-6.
Yamauchi, M., Carlson, M. J., Wright, B. J., Angier, H., & DeVoe, J. E. (2013). Does health insurance continuity among low-income adults impact their children’s insurance coverage? Maternal and Child Health Journal, 17(2), 248–255. doi:10.1007/s10995-012-0968-0.
Zhang, S., Cardarelli, K., Shim, R., Ye, J. L., Booker, K. L., & Rust, G. (2013). Racial disparities in economic and clinical outcomes of pregnancy among medicaid recipients. Maternal and Child Health Journal, 17(8), 1518–1525. doi:10.1007/s10995-012-1162-0.
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Cheng, T.C., Lo, C.C. Racial Disparities in Children’s Health: A Longitudinal Analysis of Mothers Based on the Multiple Disadvantage Model. J Community Health 41, 753–760 (2016). https://doi.org/10.1007/s10900-016-0149-y
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DOI: https://doi.org/10.1007/s10900-016-0149-y