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Intersection of living in a rural versus urban area and race/ethnicity in explaining access to health care in the United States

Individual Author: 
Caldwell, Julia T.
Ford, Chandra L.
Wallace, Steven P.
Wang, May C.
Takahashi, Lois M.

Objectives. To examine whether living in a rural versus urban area differentially exposes populations to social conditions associated with disparities in access to health care. Methods. We linked Medical Expenditure Panel Survey (2005–2010) data to geographic data from the American Community Survey (2005–2009) and Area Health Resource File (2010). We categorized census tracts as rural and urban by using the Rural–Urban Commuting Area Codes. Respondent sample sizes ranged from 49 839 to 105 306.

A snapshot of homelessness and housing instability in Michigan schools

Individual Author: 
Erb-Downward, Jennifer
Evangelist, Michael

Children need stability to thrive, but for the more than 36,000 children in Michigan’s elementary, middle and high schools who face homelessness, stability is often elusive. Under federal education law all children and youth who “lack a fixed, regular, and adequate nighttime residence” are homeless. These children not only lack a stable place to call home, they are more likely to transfer schools, have long commutes, struggle with poor health, and be chronically absent than their non-homeless peers.

Neighborhoods, obesity, and diabetes - A randomized social experiment

Individual Author: 
Ludwig, Jens
Sanbonmatsu, Lisa
Gennetian, Lisa
Adam, Emma
Duncan, Greg J.
Katz, Lawrence F.
Kessler, Ronald C.
Kling, Jeffrey R.
Lindau, Stacy Tessler
Whitaker, Robert C.
McDade, Thomas W.

BACKGROUND: The question of whether neighborhood environment contributes directly to the development of obesity and diabetes remains unresolved. The study reported on here uses data from a social experiment to assess the association of randomly assigned variation in neighborhood conditions with obesity and diabetes.

Rural/urban differences in barriers to and burden of care for children with special health care needs

Individual Author: 
Skinner, Asheley Cockrell
Slifkin, Rebecca T.

Purpose: To examine the barriers and difficulties experienced by rural families of children with special health care needs (CSHCN) in caring for their children. Methods: The National Survey of Children with Special Health Care Needs was used to examine rural-urban differences in types of providers used, reasons CSHCN had unmet health care needs, insurance and financial difficulties encountered, and the family burden of providing the child's medical care.

Evaluation of Raising Adolescent Families Together program: A medical home for adolescent mothers and their children

Individual Author: 
Cox, Joanne E.
Buman, Mathew P.
Woods, Elizabeth R.
Famakinwa, Olatokunbo
Harris, Sion Kim

Objectives. This study described a medical home model for adolescent mothers and their children, and their 1- and 2-year preventive care, repeat pregnancy, and psychosocial outcomes.

Methods. In this prospective, single cohort demonstration project, adolescent mothers (14–18 years old) and their children received care in a medical home. Demographic, medical and social processes, and outcomes data were collected at enrollment through 24 months. Change over time and predictors of repeat pregnancy were analyzed.

Concentration of poverty in the new millennium: Changes in the prevalence, composition, and location of high-poverty neighborhoods

Individual Author: 
Jargowsky, Paul A.

Concentration of Poverty in the New Millennium, authored by TCF fellow and CURE director Paul A. Jargowsky, is the first to compare the 2000 census data with the 2007-11 American Community Survey (ACS), revealing the extent to which concentrated poverty has returned to, and in some ways exceeded, the previous peak level in 1990.Concentrated poverty is defined as census tracts where more than 40 percent of households live below the federal poverty threshold, currently set at approximately $23,000 per year for a family of four.

Understanding Latino parents' child mental health literacy: Todos a bordo/All Aboard

Individual Author: 
Umpierre, Mari
Meyers, Laura V.
Ortiz, Aida
Paulino, Angela
Rodriguez, Anita Rivera
Miranda, Ana
Rodriguez, Raquel
Kranes, Stephanie
McKay, Mary M.

Objective: This article describes Phase 1 of a pilot that aims to develop, implement, and test an intervention to educate and simultaneously engage highly stressed Latino parents in child mental health services.

Basic facts about low-income children: Children aged 6 through 11 years, 2013

Individual Author: 
Jiang, Yang
Ekono, Mercedes
Skinner, Curtis

Children under 18 years represent 23 percent of the population, but they comprise 33 percent of all people in poverty. Among all children, 44 percent live in low-income families and approximately one in every five (22 percent) live in poor families. Similarly, among children in middle childhood (age 6 through 11 years), 45 percent live in low-income families and 22 percent live in poor families. Being a child in a low-income or poor family does not happen by chance.