Abstract
Despite decades of enormous investment in research and public programs, the United States continues to face pandemics of preventable health problems such as low birth weight, teenage pregnancy, drug abuse, and interpersonal violence. With some justification, these problems have been blamed on the failings of families. The reasons why families may function poorly in their child-rearing roles have not been coherently or vigorously addressed by our social policies; sometimes these policies have aggravated the problems. This paper provides background to allow a better understanding of families' role in the social determination of children's health, and argues for programs and policies that assist families through the creation of social supports embedded in communities that are characterized by trust and mutual obligation.
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Selected References
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- Achenbach T. M., Howell C. T. Are American children's problems getting worse? A 13-year comparison. J Am Acad Child Adolesc Psychiatry. 1993 Nov;32(6):1145–1154. doi: 10.1097/00004583-199311000-00006. [DOI] [PubMed] [Google Scholar]
- Adler N. E., Boyce W. T., Chesney M. A., Folkman S., Syme S. L. Socioeconomic inequalities in health. No easy solution. JAMA. 1993 Jun 23;269(24):3140–3145. [PubMed] [Google Scholar]
- Belsky J. Child maltreatment: an ecological integration. Am Psychol. 1980 Apr;35(4):320–335. doi: 10.1037//0003-066x.35.4.320. [DOI] [PubMed] [Google Scholar]
- Bowler S., Sheon A. R., D'Angelo L. J., Vermund S. H. HIV and AIDS among adolescents in the United States: increasing risk in the 1990s. J Adolesc. 1992 Dec;15(4):345–371. doi: 10.1016/0140-1971(92)90069-h. [DOI] [PubMed] [Google Scholar]
- Cadman D., Rosenbaum P., Boyle M., Offord D. R. Children with chronic illness: family and parent demographic characteristics and psychosocial adjustment. Pediatrics. 1991 Jun;87(6):884–889. [PubMed] [Google Scholar]
- Christoffel K. K., Liu K. Homicide death rates in childhood in 23 developed countries: U.S. rates atypically high. Child Abuse Negl. 1983;7(3):339–345. doi: 10.1016/0145-2134(83)90012-1. [DOI] [PubMed] [Google Scholar]
- Christoffel K. K. Violent death and injury in US children and adolescents. Am J Dis Child. 1990 Jun;144(6):697–706. doi: 10.1001/archpedi.1990.02150300095025. [DOI] [PubMed] [Google Scholar]
- Conger R. D., McCarty J. A., Yang R. K., Lahey B. B., Kropp J. P. Perception of child, child-rearing values, and emotional distress as mediating links between environmental stressors and observed maternal behavior. Child Dev. 1984 Dec;55(6):2234–2247. [PubMed] [Google Scholar]
- Dodge K. A., Pettit G. S., Bates J. E. Socialization mediators of the relation between socioeconomic status and child conduct problems. Child Dev. 1994 Apr;65(2 Spec No):649–665. [PubMed] [Google Scholar]
- Halpern R. Poverty and early childhood parenting: toward a framework for intervention. Am J Orthopsychiatry. 1990 Jan;60(1):6–18. doi: 10.1037/h0079162. [DOI] [PubMed] [Google Scholar]
- Hashima P. Y., Amato P. R. Poverty, social support, and parental behavior. Child Dev. 1994 Apr;65(2 Spec No):394–403. [PubMed] [Google Scholar]
- House J. S., Landis K. R., Umberson D. Social relationships and health. Science. 1988 Jul 29;241(4865):540–545. doi: 10.1126/science.3399889. [DOI] [PubMed] [Google Scholar]
- Jones E. D., McCurdy K. The links between types of maltreatment and demographic characteristics of children. Child Abuse Negl. 1992;16(2):201–215. doi: 10.1016/0145-2134(92)90028-p. [DOI] [PubMed] [Google Scholar]
- Jones E. F., Forrest J. D., Goldman N., Henshaw S. K., Lincoln R., Rosoff J. I., Westoff C. F., Wulf D. Teenage pregnancy in developed countries: determinants and policy implications. Fam Plann Perspect. 1985 Mar-Apr;17(2):53–63. [PubMed] [Google Scholar]
- Kellam S. G., Ensminger M. E., Turner R. J. Family structure and the mental health of children. Concurrent and longitudinal community-wide studies. Arch Gen Psychiatry. 1977 Sep;34(9):1012–1022. doi: 10.1001/archpsyc.1977.01770210026002. [DOI] [PubMed] [Google Scholar]
- Krieger N., Rowley D. L., Herman A. A., Avery B., Phillips M. T. Racism, sexism, and social class: implications for studies of health, disease, and well-being. Am J Prev Med. 1993 Nov-Dec;9(6 Suppl):82–122. [PubMed] [Google Scholar]
- Leon D. A., Vågerö D., Olausson P. O. Social class differences in infant mortality in Sweden: comparison with England and Wales. BMJ. 1992 Sep 19;305(6855):687–691. doi: 10.1136/bmj.305.6855.687. [DOI] [PMC free article] [PubMed] [Google Scholar]
- McLoyd V. C., Jayaratne T. E., Ceballo R., Borquez J. Unemployment and work interruption among African American single mothers: effects on parenting and adolescent socioemotional functioning. Child Dev. 1994 Apr;65(2 Spec No):562–589. [PubMed] [Google Scholar]
- McLoyd V. C. The impact of economic hardship on black families and children: psychological distress, parenting, and socioemotional development. Child Dev. 1990 Apr;61(2):311–346. doi: 10.1111/j.1467-8624.1990.tb02781.x. [DOI] [PubMed] [Google Scholar]
- McLoyd V. C. The impact of economic hardship on black families and children: psychological distress, parenting, and socioemotional development. Child Dev. 1990 Apr;61(2):311–346. doi: 10.1111/j.1467-8624.1990.tb02781.x. [DOI] [PubMed] [Google Scholar]
- Miller J. E., Korenman S. Poverty and children's nutritional status in the United States. Am J Epidemiol. 1994 Aug 1;140(3):233–243. doi: 10.1093/oxfordjournals.aje.a117242. [DOI] [PubMed] [Google Scholar]
- Navarro V. Race or class versus race and class: mortality differentials in the United States. Lancet. 1990 Nov 17;336(8725):1238–1240. doi: 10.1016/0140-6736(90)92846-a. [DOI] [PubMed] [Google Scholar]
- Nelson M. D., Jr Socioeconomic status and childhood mortality in North Carolina. Am J Public Health. 1992 Aug;82(8):1131–1133. doi: 10.2105/ajph.82.8.1131. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Newacheck P. W., Starfield B. Morbidity and use of ambulatory care services among poor and nonpoor children. Am J Public Health. 1988 Aug;78(8):927–933. doi: 10.2105/ajph.78.8.927. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Richardson J. L., Radziszewska B., Dent C. W., Flay B. R. Relationship between after-school care of adolescents and substance use, risk taking, depressed mood, and academic achievement. Pediatrics. 1993 Jul;92(1):32–38. [PubMed] [Google Scholar]
- Rosenheck R. Homelessness in America. Am J Public Health. 1994 Dec;84(12):1885–1886. doi: 10.2105/ajph.84.12.1885. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sampson R. J., Laub J. H. Urban poverty and the family context of delinquency: a new look at structure and process in a classic study. Child Dev. 1994 Apr;65(2 Spec No):523–540. [PubMed] [Google Scholar]
- Schoendorf K. C., Hogue C. J., Kleinman J. C., Rowley D. Mortality among infants of black as compared with white college-educated parents. N Engl J Med. 1992 Jun 4;326(23):1522–1526. doi: 10.1056/NEJM199206043262303. [DOI] [PubMed] [Google Scholar]
- Seligson M., Allenson M. Continuity of supervised care for school-age children. Pediatrics. 1993 Jan;91(1 Pt 2):206–208. [PubMed] [Google Scholar]
- Smith J. P. Children among the poor. Demography. 1989 May;26(2):235–248. [PubMed] [Google Scholar]
- Starfield B. Childhood morbidity: comparisons, clusters, and trends. Pediatrics. 1991 Sep;88(3):519–526. [PubMed] [Google Scholar]
- Wilkinson R. G. Income distribution and life expectancy. BMJ. 1992 Jan 18;304(6820):165–168. doi: 10.1136/bmj.304.6820.165. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Williams B. C., Kotch J. B. Excess injury mortality among children in the United States: comparison of recent international statistics. Pediatrics. 1990 Dec;86(6 Pt 2):1067–1073. [PubMed] [Google Scholar]
- Williams D. R., Lavizzo-Mourey R., Warren R. C. The concept of race and health status in America. Public Health Rep. 1994 Jan-Feb;109(1):26–41. [PMC free article] [PubMed] [Google Scholar]
- Wise P. H., Kotelchuck M., Wilson M. L., Mills M. Racial and socioeconomic disparities in childhood mortality in Boston. N Engl J Med. 1985 Aug 8;313(6):360–366. doi: 10.1056/NEJM198508083130605. [DOI] [PubMed] [Google Scholar]
- Wise P. H., Meyers A. Poverty and child health. Pediatr Clin North Am. 1988 Dec;35(6):1169–1186. doi: 10.1016/s0031-3955(16)36577-4. [DOI] [PubMed] [Google Scholar]
- Wissow L. S., Gittelsohn A. M., Szklo M., Starfield B., Mussman M. Poverty, race, and hospitalization for childhood asthma. Am J Public Health. 1988 Jul;78(7):777–782. doi: 10.2105/ajph.78.7.777. [DOI] [PMC free article] [PubMed] [Google Scholar]
