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Infant and Toddlers

Prenatal risk factors and perinatal and postnatal outcomes associated wtih maternal opioid exposure in an urban, low-income multiethnic US population

Individual Author: 
Azuine, Romuladus E.
Ji, Yuelong
Chang, Hsing-Yuan
Kim, Yoona
Ji, Hongkai
DiBari, Jessica
Hong, Xiumei
Wang, Guoying
Singh, Gopal K.
Pearson, Colleen
Zuckerman, Barry
Surkan, Pamela J.
Wang, Xiaobin
Importance: The opioid epidemic increasingly affects pregnant women and developing fetuses, resulting in high rates of neonatal abstinence syndrome. However, longitudinal studies that prospectively observe newborns with neonatal abstinence syndrome or with maternal opioid use and examine their long-term physical and neurodevelopmental outcomes are lacking.
Objective: To examine prenatal risk factors associated with maternal opioid use during pregnancy and the short-term and long-term health consequences on their children.

America's child care deserts in 2018

Individual Author: 
Malik, Rasheed
Hamm, Katie
Schochet, Leila
Novoa, Cristina
Workman, Simon
Jessen-Howard, Steven

For this report, the Center for American Progress collected and analyzed data on the location and capacity of licensed or registered child care providers in every state and Washington, D.C. These data were synthesized with estimates of the population, family income, and labor force participation rates in every one of the country’s 73,057 census tracts. This original and comprehensive analysis of child care supply at the census tract level finds that 51 percent of Americans live in child care deserts.

Resilience in children: Developmental perspectives

Individual Author: 
Masten, Ann S.
Barnes, Andrew J.

Advances in developmental resilience science are highlighted with commentary on implications for pediatric systems that aspire to promote healthy development over the life course. Resilience science is surging along with growing concerns about the consequences of adverse childhood experiences on lifelong development. Resilience is defined as the capacity of a system to adapt successfully to challenges that threaten the function, survival, or future development of the system.

Resilience of children with refugee statuses: A research review

Individual Author: 
Pieloch, Kerrie A.
Marks, Amy K.
McCullough, Mary Beth

Over the past several decades, an increasing number of refugee children and families have involuntarily migrated to countries around the world to seek safety and refuge. As the refugee population increases, it is becoming more important to understand factors that promote and foster resilience among refugee youth. The present review examines the past 20 years of resilience research with refugee children to identify individual, family, school, community, and societal factors fostering resilience.

Association of maternal depressive symptoms and offspring physical health in low-income families

Individual Author: 
Thompson, Sarah M.
Jiang, Lu
Hammen, Constance
Whaley, Shannon E.

Objectives The present study sought to examine the association between maternal depressive symptoms and characteristics of offspring physical health, including health status, health behaviors, and healthcare utilization, among low-income families. Maternal engagement was explored as a mediator of observed effects. Methods Cross-sectional survey data from a community sample of 4589 low-income women and their preschool-age children participating in the WIC program in Los Angeles County were analyzed using logistic, Poisson, and zero-inflated negative binomial regression.

Services according to mental health needs for youth in foster care? – A multi-informant study

Individual Author: 
Larsen, Marit
Baste, Valborg
Bjørknes, Ragnhild
Myrvold, Trine
Lehmann, Stine

Background: Foster children have a high risk of mental disorders. This has contributed to increased international attention to service utilization for youth in foster care. The aim of this study is to examine whether youth in foster care receive services according to need, by using a multi-informant design. Method: Detailed information on the type and frequency of service use during the last 2 years and on youth mental health were collected from foster youths and their carers in Norway (n = 405, aged 11–17 years) through online questionnaires.

Integration of the Safe Environment for Every Kid (SEEK) model across primary care settings

Individual Author: 
Eismann, Emily A.
Theuerling, Jack
Maguire, Sabine
Hente, Elizabeth A.
Shapiro, Robert A.

This project sought to assess the generalizability, barriers, and facilitators of implementing the Safe Environment for Every Kid (SEEK) model for addressing psychosocial risk factors for maltreatment across multiple primary care settings, including a pediatric practice, federally qualified health center, and family medicine practice. The SEEK model includes screening caregivers for psychosocial risk factors at well-child visits age 0 to 5 years, brief intervention incorporating principles of motivational interviewing to engage caregivers, and referral to treatment.

Wellness check: Food insecurity among families with infants and toddlers

Individual Author: 
Waxman, Elaine
Joo, Nathan
Pyati, Archana

Food insecurity, defined as limited or uncertain access to nutritious food because of a lack of resources, is a significant risk for many families with infants and toddlers. Early childhood is a critical period for a child’s physical growth and cognitive development, as well as a time when child-related expenses may be high.

Wellness check: Financial instability among families with infants and toddlers

Individual Author: 
Ratcliffe, Caroline
Pyati, Archana

Families with infants and toddlers face significant, ongoing child-related expenses, such as daycare, diapers, and formula, that can strain household budgets. Couple these with unexpected shocks, such as a medical bill for a sick child or lost wages from caring for a sick child (i.e., no paid leave) and a lack of emergency savings, and it’s easy to see how families with young children—even against a backdrop of low unemployment and an improving economy—struggle with financial instability.

Wellness check: Material hardship and psychological distress among families with infants and toddlers

Individual Author: 
Sandstrom, Heather
Adams, Gina
Pyati, Archana

Families raising infants and toddlers experience singular joys—and unique challenges. Against a backdrop of an improving economy, many new parents struggle to pay for basic expenses, find affordable child care, and balance work with family responsibilities.

In this fact sheet, we explore the extent to which families of young children experience material hardship and psychological distress using a unique data source, the Urban Institute’s Well-Being and Basic Needs Survey.