2011 The Palm Beach County Family Study (Full Report)

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we sought to identify the ecological and cultural factors that shape mothers’ decisions to use (or not use)services.Additional information on the qualitative methodology and findings based on an analysis of the first threewaves of qualitative data can be found in the third-year study report (Spielberger et al., 2009). In thatreport, we particularly focused on the barriers to and facilitators of families’ use of various types ofservices—healthcare, economic supports, childcare, and social services—and how services fit into thecontext of their daily lives. In addition, we looked for emerging themes in their social support andparenting practices and beliefs because as we read the data about various types of services, developedcodes, and analyzed the data, informal social support and parenting practices were emerging as importantthemes related to service use. Additional findings, based on the analysis of the remaining three waves ofqualitative interviews with mothers and additional interviews with male caregivers, will be presented inlater study reports.Chapin Hall at the University of Chicago 165
Appendix B: Additional Data onPBC and TGA Birth Cohorts,2004–2009Table B- 1. Risk Screen Scores of Mothers with Newborns, 2004–2009 aScreen Score in FOCiS Database “At Risk” Screen Score bSampleN% All% All % MothersNnMothersMothers Screened2004–2005 Birth Cohort 29,620 21,556 73 6,858 23 32Non-TGAs 17,185 11,515 67 2,455 14 21TGAs 12,435 10,041 81 4,403 35 442006 Birth Cohort 15,434 11,798 76 3,962 26 34Non-TGAs 8,718 6,176 71 1,422 16 23TGAs 6,716 5,622 84 2,540 38 452007 Birth Cohort 15,414 12,338 80 4,054 26 33Non-TGAs 8,785 6,657 76 1,471 17 22TGAs 6,629 5,681 86 2,583 39 452008 Birth Cohort 14,943 12,562 84 4,052 27 32Non-TGAs 8,578 6,972 81 1,532 18 22TGAs 6,365 5,590 88 2,520 40 452009 Birth Cohort 13,897 10,409 75 2,977 21 29Non-TGAs 8,053 5,785 72 1,124 14 19TGAs 5,844 4,624 79 1,853 32 402004–2009 Birth Cohort 89,308 68,663 77 21,903 25 32Non-TGAs 51,319 37,105 72 8,004 16 22TGAs 37,989 31,558 83 13,899 37 44a Source: Vital Statistics and FOCiS (2004–2009). Data for the year 5 study sample were weighted to account for oversamplingof mothers “at risk” and mothers residing in the Glades TGA. <strong>The</strong> birth of twins, triplets, and other multiples are counted as onebirth event. This data reports Maternal Child Health Partnership risk screening that is slightly different than was reported in theyear 3 report due to updated score data.b “At Risk” indicates a score of 4 or above on the Healthy Start risk screen.Chapin Hall at the University of Chicago 166
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FifthMarciaGouvêa2011
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AcknowledgmentsThis fifth report of
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Chapin Hall at the University of Ch
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List of TablesTable 1. Components o
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Table 58. Logistic Regression of Mo
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Table C- 24. Mothers’ Baseline an
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• In addition, we observed a pote
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kind of out-of-home educational exp
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IntroductionOver the last three dec
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eadiness and school success and in
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The study’s comprehensive, longit
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Table 2. Characteristics of Mothers
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The Year 5 Study SampleTable 4 show
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Household Structure, Employment, an
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Although mothers continued to repor
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Table 6. Family Income and Economic
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Specifically, mothers living outsid
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at the birth of the focal child tha
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Table 10. Reasons for Transportatio
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Health, Healthcare, and ChildDevelo
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two years of the study. In year 1 1
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Subsequent Pregnancies and Prenatal
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Children’s HealthcareMost (80%) o
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private plans or HMOs increased sig
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outside the TGAs to report that all
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Children’s Behavior and Developme
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cultural norms regarding what sorts
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Table 21. Emerging Pre-academic Ski
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the year 5 interview, over three-qu
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various activities, mothers reporte
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Negative Parenting PracticesThere i
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Table 28. Fathers’ Negative Paren
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Table 30. Parent Involvement Activi
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Table 32. Mothers’ Positive Paren
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Table 34. Mothers’ Parent Involve
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The most frequent parent involvemen
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Figure 3. Primary Childcare Arrange
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for 6 months, but when the subsidy
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ecause it is of particular interest
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types of care between mothers whose
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Table 40. Characteristics of Mother
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Table 41). Of the 204 children, 91
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commented on their children’s nee
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nonparental childcare arrangement f
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Informal and Community SupportAn un
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Table 46. Frequency of Husband/Part
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We also asked the mothers about the
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Table 49. Type of Family/Friends Su
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Access to Support by TGAFigure 5 sh
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Use of Formal ServicesA central que
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Correlates of At-Risk StatusA large
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services after 6 months. Among the
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Enhanced ServicesEnhanced services
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Termination of MCHP ServicesAs prev
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services were fairly stable, althou
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languages. The fact that more mothe
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In interpreting these results, it s
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Overall, mothers reported seeking h
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We found that in years 2 and 3, aft
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We also found that mothers tended t
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variables that could potentially be
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significant levels of stress. Paren
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positive parenting items and 5 nega
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friend/neighbor/other), which were
Page 134 and 135: Table 60. Logistic Regression of Ch
Page 140 and 141: County in either fall 2009 or fall
Page 142 and 143: Figure 6. Percent of Focal Children
Page 144 and 145: Next, we conducted logistic regress
Page 146 and 147: Table 68. Selected Maternal and Chi
Page 148 and 149: R 2 .180*p < .05, **p < .01, or ***
Page 150 and 151: SummarySimilar to previous analyses
Page 152 and 153: less than a high school education,
Page 154 and 155: Parenting PracticesWhen surveyed in
Page 156 and 157: We also looked at the stability of
Page 158 and 159: Service Use, Maternal Functioning,
Page 160 and 161: Conclusions and ImplicationsMore th
Page 162 and 163: Meanwhile, our findings indicate th
Page 164 and 165: literacy skills, families who do no
Page 166 and 167: BibliographyAbidin, R. R. (1995). P
Page 168 and 169: Dinan, K. A. (2005a). Federal polic
Page 170 and 171: Leventhal, T., Brooks-Gunn, J., McC
Page 172 and 173: Weisner, T. S. (1984). A cross-cult
Page 174 and 175: What are pathways to service use? W
Page 176 and 177: Table A- 1. FOCiS Codes for MCHP Se
Page 178 and 179: Table A- 2. Interview Study Samplin
Page 180 and 181: Table A- 3. Household Survey Topics
Page 182 and 183: Table A- 5. Reasons for Sample Attr
Page 186 and 187: Table B- 2. Characteritics of TGA M
Page 188 and 189: Figure B- 1. Characteristics of Mot
Page 192 and 193: Figure B- 5. Percentage of PBC Moth
Page 194 and 195: Table B- 5. Logistic Regression Pre
Page 198 and 199: Table B- 7. Characteristics of TGA
Page 200 and 201: Table B- 9. Logistic Regression Pre
Page 202 and 203: Type of Enhanced Service2009N% of M
Page 204 and 205: Table B- 12. Logistic Regression Pr
Page 206 and 207: Numberof BirthswithReferrals2009 TG
Page 208 and 209: Table B- 15. OLS Logistic Regressio
Page 210 and 211: Table C- 1. Selected Characteristic
Page 212 and 213: Table C- 4. Social and Emotional Be
Page 214 and 215: Table C- 7. Communication Skills of
Page 216 and 217: Table C- 11. Emerging Literacy and
Page 218 and 219: Table C- 14. Mothers’ Negative Pa
Page 220 and 221: Number of Different Arrangements ac
Page 222 and 223: Figure C- 1. Mean Days of MCHP Serv
Page 224 and 225: Table C- 19. Characteristics of Mot
Page 226 and 227: Table C- 22. Number of Service Area
Page 228 and 229: Table C- 23. Number of Services Use
Page 230 and 231: Table C- 25. Linear Regression Anal
Page 232 and 233: Table C- 27. Baseline Characteristi
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2011 The Palm Beach County Family Study (Full Report)

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