Reviews evidence on the state of health of the nation's children and youth, identifying common health problems. Findings indicate the need for policies placing priority on the delivery of primary care services and status measures that reflect the interrelationships among health problems and the impairments associated with them. (SLD)

Provides an overview of the major federal and state health care programs serving children and pregnant women, including (1) Medicaid; (2) the Maternal and Child Health Block Grant Program; (3) the Community and Migrant Health Center Program; and (4) the Special Supplemental Food Program for Women, Infants, and Children. (SLD)

Discusses nonfinancial barriers to receiving medical care, including legal restrictions, geographic isolation and provider shortages, provider practices and policies, and personal circumstances. Suggests ways to reduce these barriers. These efforts should not wait for health care financing reforms, because nonfinancial barriers will continue even…

Analyzes implications of the birthrate for teenage mothers, and examines the limitations of key statistical indicators. Evidence suggests that the rate of childbearing among U.S. teens may be increasing after a decade of stability. To deal with this effectively, it may be necessary to enhance life options of teenagers. (SLD)

Examines whether U.S. public is underinvesting in its children. Several measures indicate a deterioration in the well-being of children in the past few decades, and some measures suggest a decline in crucial inputs from parents to children (i.e., parenting hours). Ways to increase society's investment in children are discussed. (SLD)

Black-white differences in infant mortality rate are examined for 38 large metropolitan statistical areas for 1982 through 1986. The most important difference predictor was a "segregation index" (residential dissimilarity) apparently independent of variation in median family income and poverty prevalence but possibly reflecting…

It is apparent that some children in the United States have not benefited from the improved oral health care available. These children tend to be poor and members of racial and ethnic minority groups. Policy recommendations are made to increase both self-care and access to dental care. (SLD)

Reviews past and present research on early communication and language intervention at the Kennedy Center for Research on Human Development, presenting three premises that inform most of the Kennedy Center's research on the issue, summarizing seven lines of contemporary research by Kennedy Center investigators that influence the development of…

Presents the scientific basis for the impacts of the environment on children and describes the differences between adults and children in physical, biological, and social environments. The article highlights why children should not be treated as "little adults" in developing environmental policy. (GR)

Describes the Hawaii Partnership for Standards-Based School Health Education, which includes various state agencies, a university, local businesses, and the American Cancer Society, highlighting: the development of the standards; the history of the partnership; partnership activities to date; concurrent supporting efforts; future plans; and…

Introduction: Clinicians report a low proficiency in treating overweight children and using behavioral management strategies. This paper documents the design and implementation of a training program to improve clinicians' skills in the assessment and behavioral management of pediatric overweight. Methods: Two one-hour CME trainings were designed…

School-based asthma interventions delivered by nonschool staff have been successful but are limited in their reach because of the cost and effort of bringing in outside educators and their inability to establish improved communication about asthma between schools, families, and primary care providers (PCPs). To address these problems, Columbia…

Background: Previous studies suggest that failure to thrive in infancy may be associated with adverse sequelae in childhood. Although cognitive abilities have been extensively investigated, little systematic research is available on other aspects of development. Methods: Eighty-nine children who failed to thrive as infants and 91 controls were…

The present study addresses the question of equality of access, as it relates to waiting time for specialised mental health treatment for children and adolescents. The aim was to investigate whether demographic, clinical factors and service-related factors were associated with waiting time. Data was based on a documentation system in which all…

Community-based participatory research (CBPR) increasingly is being used to study and address environmental justice. This article presents the results of a cross-site case study of four CBPR partnerships in the United States that researched environmental health problems and worked to educate legislators and promote relevant public policy. The…