Examines the claimed advantages and potential disadvantages of managed care plans for children and pregnant women. Although available research does not support most claims that such plans reduce costs and improve care, managed care plans are growing and changing rapidly. Therefore, past experience with managed care may not be a good guide to…

Discusses the advantages and disadvantages of an employer-based health insurance system and the effects of such a system on children. Examines employer decisions regarding coverage, financial limitations, insurer and health plan practices that affect the availability and continuity of coverage, and several new models for providing health insurance…

Recent polling data suggest that there is a growing consensus to pay special attention to children's needs in the health care reform debate. The public generally desires children to have greater access to health care services, even if this would mean higher taxes, but is unsure that government is the best vehicle to provide such services. (MDM)

Survey data from the United States, Brazil, and Ghana revealed that, in all three, mothers' education had a greater effect on daughters' height, fathers' education on sons' height. There appear to be differences in the allocation of household resources, nutrition, and child rearing that are dependent on children's and parents' gender. (SK)

Details the 1990 meeting of the World Council of the World Organization for Early Childhood Education (OMEP) in Lagos, Nigeria. OMEP's Statement to the World Summit for Children is provided. The conditions of Nigerian children and female children in India are considered. (BG)

Discusses hearing loss resulting from everyday noise. Recent research suggests that noise-induced hearing loss among school-aged children and teens is more severe than parents and teachers realize. Suggestions about what parents and teachers can do about excessive noise are presented. (SM)

Community programs developed as part of the Healthy Children Program demonstrate that cost-effective models for accessible health care exist. A communications strategy to disseminate knowledge about improving health care is recommended. (SLD)

According to data from national survey of 17,110 children under age 18, children living with single mothers or with mothers and stepfathers were more likely than those living with both biological parents to have repeated a grade, been expelled, been treated for emotional or behavioral problems, and to have elevated scores for behavioral problems…

Childhood obesity is a social and health problem that is encouraged by junk food ads and the easy availability of unhealthful fast foods. The article provides guidance for parents to encourage healthy eating by their children; it includes a list of resources and a list of "best" processed foods. (SM)

Advantages of direct observation are prominent in assessment of dietary intake by children, particularly those too young to recall diet accurately, and in situations in which self-report bias exists. The article describes the direct observation method (focusing on institutional settings) and reviews literature on the subject, noting methodological…

Literature review examined studies of validity and reliability of children's physical activity self-reports and measures based on others' reports of the child's activity. The study identified 18 self-report or proxy-report measures of children's physical activity with some data on their reliability or validity. (SM)

Reviews several mechanical and electronic techniques for monitoring physical activity in children. The paper focuses on motion sensors (Large Scale Integrated Sensor and Caltrac Accelerometer) and heart rate, and it presents recommendations for establishing general guidelines for appropriate use of such monitoring devices with children. (SM)

Summarizes health-related physical fitness measurement procedures for children, emphasizing field measures. Health-related physical fitness encompasses cardiorespiratory endurance, body composition, muscular strength and endurance, and flexibility. The article presents several issues pertinent to research on health-related fitness testing. (SM)

Current studies suggest that children today are less physically fit, are more obese, and have less healthy cardiovascular systems than their peers of 10 years ago. Obesity affects more than fitness; it is a major health problem. Physical education specialists, teachers, administrators, parents, and business leaders can cooperate to change this…

Three-fourths of American schools are in substandard condition. Health effects associated with indoor air/environmental quality are a major concern. Sick building syndrome, which causes illness in occupants, generally results from particulates, volatile organic compounds, biologicals, or radio-nucleotides. The article recommends how to deal with…