Child Obesity and the Interaction of Family and Neighborhood Socioeconomic Context

Population Research and Policy Review - The literature on neighborhoods and child obesity links contextual conditions to risk, assuming that if place matters, it matters in a similar way for...     

Family Diversity and Child Health: Where Do Same‐Sex Couple Families Fit?

Increasing family diversity during the past half century has focused national attention on how children are faring in nontraditional family structures. Much of the limited evidence on children in same‐sex couple families suffers from several shortcomings, including a lack of representative data. We use the National Health Interview Survey (2004–2012) and the National Survey of Children's Health (2011–2012) to identify children in different‐sex married and cohabiting families, never and previously married single‐parent families, and same‐sex couple families. Considering important characteristics such as the child's race or ethnicity and adoption status, household socioeconomic standing, family stability, and parent health, we examine the relationship between family type and parent‐rated overall child health. The results suggest that poorer health among children in same‐sex couple as well as different‐sex cohabiting couple and single‐parent families appears to be largely the product of demographic and socioeconomic differences rather than exposure to nontraditional family forms.     

The Influence of Acculturation on Breastfeeding Initiation and Duration for Mexican-Americans

This paper uses data from the Fragile Families and Child Wellbeing Study to test the hypotheses that (1) similar to other positive pre- and post-natal outcomes, Mexican immigrant mothers are more likely to breastfeed, and to breastfeed longer, than white or Mexican-American mothers; and (2) acculturation accounts for the ethnic/nativity differential in breastfeeding initiation and duration. The results support both hypotheses. Mexican immigrants to the U.S. are much more likely than whites to breastfeed, and to breastfeed longer. Mexican-American mothers, after controlling for background characteristics, have similar initiation and duration to whites. Using expanded acculturation measures developed for this paper, acculturation accounts for some of the difference between whites and Mexican immigrants in breastfeeding initiation, and much of the difference for breastfeeding duration. The results suggest that low levels of acculturation operate to protect Mexican immigrants from choosing to formula-feed, which gives their babies many health advantages, and may be associated with better health outcomes across the life course. The results also suggest that successive generations of Mexican immigrants may abandon breastfeeding, which is deleterious for their infants.     

Maternal Mental Health,Neighborhood Characteristics,and Time Investments in Children

We use data from the Fragile Families and Child Wellbeing Study (N = 3,572) to examine relationships between maternal depression and mothers' time investments with their 5‐year‐old children in outings, trips to playgrounds or parks, time spent reading with the child, and time spent playing indoors with the child. We also examine whether mothers' self‐assessments of neighborhoods are associated with time investments in children. Findings indicate that persistent maternal depression is associated with fewer time investments in all four activities with 5‐year‐old children. Mothers' fear of children playing outdoors and self‐assessments of neighborhood collective efficacy are associated with indoor and outdoor activities with children, but do not mediate the relationships between maternal depression and maternal time investments. In sum, maternal depression and neighborhood context play significant but largely independent roles in regulating mothers' time spent in primary child‐care activities.     

Neighborhood social capital, parenting strain, and personal mastery among female primary caregivers of children

Neighborhood social capital-resources inherent within community networks-has been identified as a potential facilitator of personal well-being. We test hypotheses concerning how neighborhood social capital moderates the influence of parenting strain on mastery (individuals' understanding of their ability to control personal life circumstances) for female primary caregivers of children. First, we test how different forms of neighborhood social capital-social support, social leverage (information exchange), informal social control, and neighborhood organization participation-modify the association between parenting strain and mastery. Second, we test whether such moderation depends on one's access to these forms via neighbor ties. Analyses of Los Angeles Family and Neighborhood Survey data (N = 765) indicate that the negative relationship between parenting strain and mastery worsens as informal social control increases. Social support and informal social control, however, buffer this parenting strain-mastery relationship when caregivers have stronger ties to neighbors. Our findings implicate mechanisms of "negative social capital" and warrant more nuanced considerations of neighborhood social capital's health-promoting potential.     

Together Forever? Romantic Relationship Characteristics and Prenatal Health Behaviors

Using Fragile Families and Child Wellbeing Data (N= 4,871), this paper examines why relationship status matters for prenatal health behaviors. The paper argues that a mother’s potential investments in her child’s health are conditioned by socioeconomic and interpersonal resources, including the quality of her relationship with the child’s father. Mothers in strained relationships may experience more stress, which is associated with poor prenatal health behaviors. Results show that married mothers exhibit the healthiest prenatal behaviors and that relationship characteristics and dynamics measures, including physical abuse and relationship conflict, predict poor prenatal health behaviors above and beyond confounding factors. In addition, these relationship characteristics explain some of the advantage in prenatal health behaviors married mothers have over unmarried mothers.     

Language proficiency and health status: are bilingual immigrants healthier?

Bilingual immigrants appear to have a health advantage, and identifying the mechanisms responsible for this is of increasing interest to scholars and policy makers in the United States. Utilizing the National Latino and Asian American Study (NLAAS; n = 3,264), we investigate the associations between English and native-language proficiency and usage and self-rated health for Asian and Latino U.S. immigrants from China, the Philippines, Vietnam, Mexico, Cuba, and Puerto Rico. The findings demonstrate that across immigrant ethnic groups, being bilingual is associated with better self-rated physical and mental health relative to being proficient in only English or only a native language, and moreover, these associations are partially mediated by socioeconomic status and family support but not by acculturation, stress and discrimination, or health access and behaviors.     

Contact Theory Extended: The Effects of Prior Racial Contact on Current Social Ties

Objective . We address methodological limitations in tests of contact theory. Just as importantly, we extend its theoretical focus to behaviors. Linking insights from social and cognitive psychology with contact theory, we hypothesize that prior racial contact will have significant effects on the racial diversity of contemporary social ties. Methods . Using the 1999–2000 Lilly Survey of Attitudes and Social Networks, we conduct univariate and multivariate analyses to test our hypotheses. Results . Those who had experienced prior interracial contact in schools and neighborhoods were more likely, as adults, to have more racially diverse general social groups and friendship circles. They were more likely to attend multiracial as opposed to a uniracial religious congregations, and to be interracially married. In general, these findings applied not only to all Americans, but to whites, African Americans, and Hispanics separately. They did not apply to Asians. Conclusions . Contact theory can and should be extended, rendering it more fruitful for studying race relations. Except when groups are an extremely small percentage of the population, even limited prior contact in multiracial settings appears to have important effects on contemporary social ties. These findings have important policy implications.     

Neighborhood and social environmental influences on child chronic disease prevalence

We investigate how distinct residential environments uniquely influence chronic child disease prevalence. Aggregating over 200,000 pediatric geocoded medical records to the census tract of residence and linking them to neighborhood-level measures, we use multiple data analysis techniques to assess how heterogeneous exposures of social and environmental neighborhood conditions influence an index of child chronic disease (CCD) prevalence for the neighborhood. We find there is a graded relationship between degree of overall neighborhood disadvantage and children’s chronic disease such that the highest neighborhood CCD scores are found in communities with the highest concentrated disadvantage. After considering individual- and family-level characteristics, results show that higher levels of neighborhood concentrated disadvantage and air pollution exposure associate with higher risks of children having at least one chronic condition. Overall, our analysis serves as a comprehensive start for future researchers interested in assessing which neighborhood factors matter most for child chronic health conditions.     

Health‐Related Parenting Among U.S. Families and Young Children's Physical Health

Parenting is a constellation of behaviors, yet investigations of the link between parenting and children's health typically focus on singular behaviors. Thus, patterns of health‐related parenting among U.S. families, associations between patterns and children's physical health, and the prevalence of such patterns among different sociodemographic groups remain unknown. Applying latent class analysis to the Early Childhood Longitudinal Study–Birth Cohort (2001; N = 8,550) revealed 6 parenting patterns. The pattern characterized by high levels of television watching was associated with the worst overall health; the pattern characterized by the highest consumption of food and amount of outdoor play was linked to the highest odds of obesity. Children of less‐educated mothers and Black mothers were more likely to experience both of these patterns than the patterns associated with the best child health, but these patterns did not differ for Hispanics (vs. Whites). Income differences only appeared for patterns associated with children's general health.