Rational choice models of teenage sexual behaviour lead to radically different predictions than do models that assume such behaviour is random. Existing empirical evidence has not been able to distinguish conclusively between these competing models. I use regional data from England between 1998 and 2001 to examine the impact of recent increases in…

The impact of a consumer-directed support program on family caregivers of adults with developmental disabilities was explored. Economic, health, and social outcomes were compared between families in the program and families on the waiting list for the program. Caregivers of adults in the program reported fewer out-of-pocket disability expenses,…

The "Handbook of Youth Prevention Science" describes current research and practice in mental health preventive interventions for youth. Traditional prevention research focused on preventing specific disorders, e.g. substance abuse, conduct disorders, or criminality. This produced "silos" of isolated knowledge about the…

Purpose: To examine the barriers and difficulties experienced by rural families of children with special health care needs (CSHCN) in caring for their children. Methods: The National Survey of Children with Special Health Care Needs was used to examine rural-urban differences in types of providers used, reasons CSHCN had unmet health care needs,…

Although considerable evidence shows that residential segregation is deleterious to the health of African Americans, findings regarding segregation and health for Hispanic Americans are inconsistent. Competing hypotheses regarding the effects of neighborhood segregation on health are tested with data from Puerto Rican and Mexican American…

Postpartum depression (PPD) is a major mental health disorder that affects at least 13 percent of new mothers and has detrimental consequences for populations that are of concern to social workers, such as low-income women, women of color, young women, and single mothers. Despite the relevance of PPD to multiple social work problems and…

This article provides a brief history of interpretations of Head Start's objectives over the last 4 decades. We begin with the founding goal of helping children prepare for school and the later misguided adaptation of increases in IQ scores as an indicator of children's readiness. We then discuss Head Start's more contemporary objectives, social…

This study, using Andersen's health care utilization model, examined how predisposing characteristics, enabling resources, need, personal health practices, and psychological factors influence health care utilization using a nationally representative, longitudinal sample of Canadian adolescents. Second, this study examined whether this process…

In light of recent efforts in the United States to advance some type of universal health care package for all citizens, including preventive services for children, this report examines how other countries with universal health insurance provide preventive care to children, and what, if any, are the implications for reform efforts in the United…

Significant progress has been made through Medicaid and the Children's Health Insurance Program (CHIP) in recent years to get health insurance to families who cannot afford it. However, children being raised by their grandparents or other relative caregivers are often harder than other groups to reach through standard outreach activities. To find…

In 1998, California voters approved Proposition 10, the Children and Families First Act, which placed an additional tax on cigarette sales; monies generated will be used to improve early childhood development for birth to five. In terms of early childhood development, the starting point is not birth but long before; care of women of reproductive…

Dental disease restricts activities in school, work, and home, and often significantly diminishes the quality of life for many children and adults, especially those who are low income or uninsured. Noting that dental caries (tooth decay) is the most common preventable chronic childhood disease, this Kids Count issue brief considers the extent to…

Using estimates drawn from the 1997 National Survey of America's Families (NSAF), this brief examines variations in the receipt of dental care services and in unmet need for dental care across different subgroups of children aged 3 and over, both nationally and across 13 states. The NSAF is a household survey that provides information on more than…

To assess the level of family stress that a child experiences, several questions from the National Survey of America's Families (NSAF) were combined to create a family stress index. The NSAF is a survey of more than 44,000 households representative of the United States as a whole and of 13 states, conducted as part of the Assessing the New…

This report responds to a California Senate directive to the state's postsecondary education commission to examine the extent to which health care is accessible and equitably distributed throughout the state. The Commission, in conjunction with several state agencies and the University of California, conducted an analysis and offered 11…