Family structure and child health outcomes in the United States

We use categorical and logistic regression models to investigate the extent that family structure affects children’s health outcomes at age five (i.e., child’s type of health insurance coverage, the use of a routine medical doctor, and report of being in excellent health) using a sample of 4,898 children from the "Fragile Families and Child Well-Being Study." We find that children with married biological parents are most likely to have private health insurance compared with each of three other relationship statuses. With each additional child in the home, a child is less likely to have private insurance compared with no insurance and Medicaid insurance. Children with cohabiting biological parents are less likely to have a routine doctor compared with children of married biological parents, yet having additional children in the household is not associated with having a routine doctor. Children with biological parents who are not romantically involved and those with additional children in the household are less likely to be in excellent health, all else being equal.     

Same‐Sex Parent Families and Children's Academic Achievement

Children in traditional families (i.e., married, 2 biological parents) tend to do better than their peers in nontraditional families. An exception to this pattern appears to be children from same‐sex parent families. Children with lesbian mothers or gay fathers do not exhibit the poorer outcomes typically associated with nontraditional families. Studies of same‐sex parent families, however, have relied on a static conceptualization of the family and discounted the importance of the timing and number of family transitions for understanding children's outcomes. To examine whether same‐sex parent families represent an exception among nontraditional families, the author used data from the Early Childhood Longitudinal Study—Kindergarten cohort (N = 19,043) to create a dynamic indicator of children's family structure and tested its association with math assessment scores. The results indicated that children in same‐sex parent families scored lower than their peers in married, 2‐biological parent households, but the difference was nonsignificant net of family transitions.     

Family Structure and Child Well‐Being: The Significance of Parental Cohabitation

Data from the 1999 National Survey of America's Families (N = 35,938) were used to examine the relationship between family structure and child well‐being. I extended prior research by including children in two‐biological‐parent cohabiting families, as well as cohabiting stepfamilies, in an investigation of the roles of economic and parental resources on behavioral and emotional problems and school engagement. Children living in two‐biological‐parent cohabiting families experience worse outcomes, on average, than those residing with two biological married parents, although among children ages 6–11, economic and parental resources attenuate these differences. Among adolescents ages 12–17, parental cohabitation is negatively associated with well‐being, regardless of the levels of these resources. Child well‐being does not significantly differ among those in cohabiting versus married stepfamilies, two‐biological‐parent cohabiting families versus cohabiting stepfamilies, or either type of cohabiting family versus single‐mother families.     

Family Structure and Child Well‐being: Integrating Family Complexity

Although children's family lives are diverse, the measurement of children's living arrangements has lagged, focusing on the relationships of children to parents while largely ignoring sibling composition. Using data from the 2008 Survey of Income and Program Participation (N = 23,985) the authors documented patterns of family complexity among a nationally representative sample of children ages 0–17 living in a range of family structures. They also examined the independent and joint associations of family structure and family complexity on child economic well‐being. Family complexity was independently related to economic disadvantage, namely, a lower income‐to‐needs ratio and a higher likelihood of public assistance receipt. The role of family complexity was partially contingent on family structure, with the positive association between family complexity and receipt of public assistance more pronounced for children in families with 2 married biological parents. This study demonstrates the utility of integrating family structure and family complexity in studies of children's well‐being.     

Maternal Cohabitation and Child Well‐Being Among Kindergarten Children

Using data collected from 10,511 kindergarten children and their parents from the Early Childhood Longitudinal Study—Kindergarten Cohort, this study examines child well‐being across cohabiting 2‐biological‐parent families; cohabiting stepfamilies; married stepfamilies; and married 2‐biological‐parent families. Findings indicate no differences in child well‐being for children living in cohabiting stepfamilies and cohabiting 2‐biological‐parent families. Multivariate models controlling for child characteristics, economic resources, maternal depressive symptoms, stability, and parenting practices show no significant differences across family types in child well‐being indicators, with the exception of reading skills. Important factors in explaining the link between cohabitation and child well‐being include economic resources, maternal depressive symptoms, and parenting practices.     

Poverty and Material Hardship in Grandparent‐Headed Households

Using the 2001 Survey of Income and Program Participation, the current study examines poverty and material hardship among children living in 3‐generation (n = 486), skipped‐generation (n = 238), single‐parent (n = 2,076), and 2‐parent (n = 6,061) households. Multinomial and logistic regression models indicated that children living in grandparent‐headed households experience elevated risk of health insecurity (as measured by receipt of public insurance and uninsurance)—a disproportionate risk given rates of poverty within those households. Children living with single parents did not share this substantial risk. Risk of food and housing insecurity did not differ significantly from 2‐parent households once characteristics of the household and caregivers were taken into account.     

Life Satisfaction Among Children in Different Family Structures: A Comparative Study of 36 Western Societies

This paper examines differences in life satisfaction among children in different family structures in 36 western, industrialised countries (n = 184 496). Children living with both biological parents reported higher levels of life satisfaction than children living with a single parent or parent–step‐parent. Children in joint physical custody reported significantly higher levels of life satisfaction than their counterparts in other types of non‐intact families. Controlling perceived family affluence, the difference between joint physical custody families and single mother or mother–stepfather families became non‐significant. Difficulties in communicating with parents were strongly associated with less life satisfaction but did not mediate the relation between family structure and life satisfaction. Children in the Nordic countries characterised by strong welfare systems reported significantly higher levels of life satisfaction in all living arrangements except in single father households. Differences in economic inequality between countries moderated the association between certain family structures, perceived family affluence and life satisfaction.     

Family Structure and Economic Success Across the Life Course

This paper examines the role that family structure plays in long-run economic outcomes across the life course. Using nearly 30 years of data from the National Longitudinal Survey of Youth 1979, we find that youths who grow up with both biological parents earn more income, work more hours each week and are more likely to be married themselves as adults, compared to children raised in single-parent families. Many of these differences continue to be statistically significant even after we control for family income experienced as an adolescent. In addition, the implied size of the income transfer that children growing up with a single parent to equalize lifetime economic outcomes would need—about $42,000—is markedly larger than the income transfers now available to families in USA.     

Family Environment and Adolescents' Well‐Being Before and After Parents' Marital Disruption: A Longitudinal Analysis

Although previous research has noted that children of divorce tend to fare less well than peers raised in families with two biological parents, much less is known about how parents' marital disruption affects children as a continuous process in its different phases. Based on two waves of a large, nationally representative panel, this study demonstrates that even before the disruption, both male and female adolescents from families that subsequently dissolve exhibit more academic, psychological, and behavioral problems than peers whose parents remain married. Families on the verge of breakup are also characterized by less intimate parent‐parent and parent‐child relationships, less parental commitment to children's education, and fewer economic and human resources. These differences in family environment account for most well‐being deficits among adolescents in predisrupted families. Furthermore, the deterioration in different domains of the family environment appears to be associated with maladjustment in different aspects of children's lives. The postdisruption effects on adolescents can either be totally or largely predicted by predisruption factors and by changes in family circumstances during the period coinciding with the disruption. Finally, the analyses indicate that female adolescents are as likely to be affected by the parental divorce process as male adolescents.     

Family Processes and Adolescent Religiosity and Religious Practice: View From the NLSY97

This article focuses on family processes and adolescent religious attendance and personal religiosity. We find that the closeness and quality of the marital relationship and relationship between adolescent and parents significantly contributes to the strength of adolescent religious conviction and practice. The study used data from the NLSY97 cohort. Predictors include parenting style, closeness, and parent–child closeness; family structure; income, employment, parental education, mother's age at first birth, and number of siblings; adolescent characteristics (e.g., age, gender, race/ethnicity, disability, lying or cheating); and environmental characteristics (e.g., region of country, urbanicity, and physical environment risk). Family religious attendance was dramatically influenced by race in adolescents aged 16 years. Adolescents living with married, biological parents in 1997 were 36% more likely to attend worship services than those living with stepfamilies. Adolescents living in more physically risky environments, with peers who belonged to gangs, cut classes, or had sex, were less likely to attend weekly worship services with their families. Finally, compared with adolescents whose parents had a high-quality marital relationship and who had good relationships with both parents, all other adolescents were less likely to attend weekly worship services with their families.     

Family characteristics of children in cases of alleged abuse and neglect

Information is presented about the family composition, structure and significant relationships of 2069 children referred to an English social services department for suspected abuse and neglect. Of these children, 373 (18%) were subsequently placed on the child abuse register. Very few members of extended families were recorded as being significant in the lives of these children. Contrary to earlier research, less than one‐third of children lived with a lone or unmarried mother. However, children whose parents were married and living together were less likely to be registered. Nearly half of the mothers and one‐fifth of the fathers of registered children were aged 21 or less at their child's birth. Compared to all those referred, a significantly larger number of children registered were conceived by younger or older men. Two in five of the siblings of registered children were under 6, and the younger the siblings, the more likely the child was to be registered. Children with two or more siblings were also more likely to be registered. Copyright © 1999 John Wiley & Sons, Ltd.     

Factors Associated With Perceptions of Family Belonging Among Adolescents

Adolescents' perceptions of family belonging are associated with several well‐being indicators, yet we know little about which factors influence these perceptions or how they differ by family structure. The current study uses nationally representative data from Add Health to examine predictors of adolescents' perceptions of family belonging in two‐biological‐parent families (n = 9,686). The results are compared to a recent study using Add Health that examined family belonging in married mother–stepfather families. Findings suggest both similarities and differences across family structure in the factors associated with family belonging.     

Parental Depression and Anxiety and Early Childhood Behavior Problems Across Family Types

Using the Fragile Families and Child Wellbeing Study, we examine the association between parental major depressive and generalized anxiety disorders and child behavior problems across family types: married, cohabiting, involved nonresident father, and noninvolved nonresident father. Among 3‐year‐olds in all families, maternal anxiety/depression is associated with increased odds of anxious/depressed, attention deficit, and oppositional defiant disorders (N = 2,120). Paternal anxiety/depression has no significant association with these problem behaviors; father’s illness, however, exacerbates anxious/depressed behaviors in young children if both parents are ill and he is coresident. The findings underscore the importance of maternal mental health for child well‐being and suggest that a negative interaction between parent illnesses is most likely when parents and children share the same disorder.     

Unsociable Work? Nonstandard Work Schedules,Family Relationships,and Children’s Well‐Being

Many children live in families where one or both parents work evenings, nights, or weekends. Do these work schedules affect family relationships or well‐being? Using cross‐sectional survey data from dual‐earner Canadian families (N= 4,306) with children aged 2 – 11 years (N= 6,156), we compared families where parents worked standard weekday times with those where parents worked nonstandard schedules. Parents working nonstandard schedules reported worse family functioning, more depressive symptoms, and less effective parenting. Their children were also more likely to have social and emotional difficulties, and these associations were partially mediated through family relationships and parent well‐being. For some families, work in the 24‐hour economy may strain the well‐being of parents and children.     

The Mental Health Advantage of Immigrant‐Background Youth: The Role of Family Factors

Children of immigrant background, despite problems with acculturation, poverty, and discrimination, have better mental health than children of native parents. We asked whether this is a result of immigrant families' characteristics such as family structure and relations. Using a new comparative study on the integration of immigrant‐background youth conducted in England, Germany, the Netherlands, and Sweden (N = 18,716), particularly strong associations with mental health (internalizing and externalizing problems) were found for family structure, family cohesion, and parental warmth. Overall, half of the advantage in internalizing and externalizing problems among immigrant‐background youth could be accounted for by our measures of family structure and family relations, with family cohesion being particularly important.     

Differences in Views of Family Life According to Age,Gender, and Parental Marital Status

A sample (N = 706) of children, adolescents, young adults, and older adults were surveyed with regard to their views of family. Young adults endorsed more nontraditional views than children and older adults and were more likely than other age groups to indicate that there is no best family type. Children and older adults were more likely than adolescents and young adults to endorse married or living together parents as the best family type. Women and respondents who had experienced parental divorce endorsed traditional views of family less strongly, but women also endorsed stronger expectations for their own family formation. Findings support the possibility of both developmental and sociocontextual influences on attitudes toward family life.     

Family Structure and Parent–Child Contact: A Comparison of Native and Migrant Families

This article is an investigation of the frequency of contact between parents and adult children in Germany. It compares Turkish immigrants and native Germans and includes both biological and step‐relations. After the United States and Russia, Germany reports the third highest proportion of immigrants internationally, but the extent to which results regarding natives are applicable to immigrant families remains unknown. Data are from the first wave of the German Generations and Gender Surveys (2005) and the supplemental survey of Turkish citizens living in Germany (2006). A total of 7,035 parent–child relations are analyzed. The frequency of parent–adult child contact is significantly higher for biological parents living with the child's other biological parent than for parents without a partner, parents with a new partner, or stepparents. Contact is more frequent for all Turkish families, but the pattern of variation by family structure is similar for both Germans and Turks.     

Three‐Generation Family Households: Differences by Family Structure at Birth

Using data from the Fragile Families and Child Wellbeing Study (N = 4,898), this study investigated how the share, correlates, transition patterns, and duration of 3‐generation households vary by mother's relationship status at birth. Nine percent of married mothers, 17% of cohabiting mothers, and 45% of single mothers lived in a 3‐generation family household at the time of the child's birth. Incidence over time was much higher and most common among single‐mother households: Sixty percent lived in a 3‐generation family household at least 1 wave. Economic need, culture, and generational needs were associated with living in a 3‐generation household; correlates varied by mother's relationship status. Three‐generation family households were short lived, and transitions were frequent. Kin support through coresidence was an important source of support for families with young children and in particular families in which the parents were unwed at the time of their child's birth.     

The Cost of Instability: The Effects of Family,Work, and Welfare Change on Low‐Income Women’s Health Insurance Status

The number of uninsured Americans has risen substantially over the last decade. Despite the availability of Medicaid, low‐income women are at particularly elevated risk of having no or inadequate health insurance. How does continuity of work, family, and welfare affect low‐income women’s health insurance status? A multinomial logistic regression analysis of 1,662 low‐income women from the Welfare, Children, and Families: A Three‐City Study provides evidence of the consequences of life changes on access to health insurance from 1999–2005. The results show that compared to those with stable welfare, work, and family attachments, new full‐time employment actually increases low‐income women’s risk of being uninsured as does being underemployed, on welfare, or single for extended periods of time. These findings illustrate how health‐care reform must adequately address the complexity of low‐income women’s lives—including the ways labor market, state, and family factors interact to create barriers to health insurance—in order to improve access to care under the current U.S. health insurance model.     

Coming to Terms With Parental Divorce: Associations With Marital Outcomes and the Role of Gender and Religiosity

In this article we examine the current marriage relationship outcomes for children of divorce compared to children from intact families. The sample is 997 matched married couples. Those from families with married parents were more likely to come to terms with issues in their family of origin, and had higher religiosity, less negative communication, and more positive relationship satisfaction than those with divorced parents. Religiosity was effective in helping those with married parents come to terms with family of origin. The variable coming to terms with family of origin predicted positive marital outcomes to some extent for all couples, although for couples where both partners' parents had divorced coming to terms predicted fewer positive outcomes. Coming to terms for females was associated more profoundly with decreases in negative communication for both males and the females, and also predicted satisfaction and stability in more cases than did coming to terms for males.