2011 The Palm Beach County Family Study (Full Report)

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outside the TGAs to report that all or some of their children have insurance coverage. Finally, mothers inthe Glades were significantly more likely than mothers in the non-Glades TGAs to report receivingregular medical care.<strong>The</strong>re were also differences in self-reported health information and insurance coverage according tomothers’ race/ethnicity. Black mothers were significantly more likely than Hispanic mothers to report thattheir health and their focal child’s health was “good” to “excellent.” At the same time, however, blackmothers were more likely than Hispanic mothers to report having a physical or mental health problem(11% vs. 1%), while white/other mothers reported more health problems (29%) than both black andHispanic mothers. In addition, black and white/other mothers were more likely than Hispanic mothers toreport that they had insurance coverage for themselves, while black mothers were more likely than eitherHispanic or white/other mothers to report that all or some of their children were covered by healthinsurance. Finally, black mothers were more likely than Hispanic or white/other mothers to reportreceiving regular medical care themselves.According to Table 16, differences by nativity reflect the race/ethnicity results. That is, U.S.-born motherswere more positive about their children’s health and their own health than foreign-born mothers, but morelikely to report having a physical or mental health issue themselves. <strong>The</strong> reasons for these differences arenot clear. One reason might be differences in interpretations of the survey question about general health;another might be different views of what it means to have special medical needs. Also, U.S.-born motherswere more likely to report that they have insurance, and that at least some of their children haveinsurance. Perhaps because they were more likely to have insurance, U.S.-born mothers were also morelikely to get regular medical care for themselves.Chapin Hall at the University of Chicago 33
Table 16. Mothers’ and Children’s Health Status by TGA, Race/Ethnicity, and Nativity at Year 5 aIndicatorHealthTGA Race/Ethnicity Nativity% AllMothersNon- OutsideWhite/ ForeignbornbornU.S.-GladesBlack HispanicGlades TGAOther(N=310) (n=38) (n=232) (n=40) (n=126) (n=159) (n=25) (n=167) (n=143)Mother’s health “good” to “excellent”* 83 92 81 83 91 75 92 77 90Mother has physical or mental health problem* 7 3 7 13 11 1 29 1 14Focal child’s health “good” to “excellent”* 95 95 94 98 98 91 100 92 98Focal child has special medical needs 19 29 17 20 21 16 21 16 22Other children have medical problems 22 20 23 18 26 19 20 21 23Health insuranceMother covered by insurance* 45 82 39 39 68 23 64 19 75All/some children covered by insurance* 87 95 88 76 97 80 84 83 93Focal child has insurance* 85 95 85 76 94 78 80* 81 90HealthcareMother receives regular medical care* 77 92 75 78 88 69 68* 72 83Child received well-child check-up in last 680 87 78 90 84 79 72 80 81monthsa Data were weighted to adjust for the oversampling of mothers in the Glades and mothers screened “at risk.”*Denotes z-test of column proportions (or t-test of means where applicable) statistically significant at p < .10 or lower: [By TGA] motherinsured(1) vs. motherinsured(2);motherinsured(1) vs. motherinsured(3); some/allchildreninsured(1) vs. some/allchildreninsured(3); [By Race/Ethnicity] mothershealth(1) vs. mothershealth(2);motherhealthproblem(1) vs. motherhealthproblem(2); focalchildhealth(1) vs. focalchildhealth(2); motherinsured(1) vs. motherinsured(2); motherinsured(2) vs. motherinsured(3);some/allchildreninsured(1) vs. some/allchildreninsured(2); focalchildinsured(1) vs. focalchildinsured(2); mothermedicalcare(1) vs. mothermedicalcare(2); mothermedicalcare(1)vs. mothermedicalcare(3); [By Nativity] mothershealth(1) vs. mothershealth(2); motherhealthproblem(1) vs. motherhealthproblem(2); focalchildhealth(1) vs. focalchildhealth(2);motherinsured(1) vs. motherinsured(2); some/allchildreninsured(1) vs. some/allchildreninsured(2); focalchildinsured(1) vs. focalchildinsured(2);mothermedicalcare(1) vs.mothermedicalcare(2).Chapin Hall at the University of Chicago 34
Page 1 and 2: FifthMarciaGouvêa2011
Page 3: AcknowledgmentsThis fifth report of
Page 6 and 7: Chapin Hall at the University of Ch
Page 8 and 9: List of TablesTable 1. Components o
Page 10 and 11: Table 58. Logistic Regression of Mo
Page 12 and 13: Table C- 24. Mothers’ Baseline an
Page 16 and 17: • In addition, we observed a pote
Page 18 and 19: kind of out-of-home educational exp
Page 20 and 21: IntroductionOver the last three dec
Page 22 and 23: eadiness and school success and in
Page 24 and 25: The study’s comprehensive, longit
Page 26 and 27: Table 2. Characteristics of Mothers
Page 28 and 29: The Year 5 Study SampleTable 4 show
Page 30 and 31: Household Structure, Employment, an
Page 32 and 33: Although mothers continued to repor
Page 34 and 35: Table 6. Family Income and Economic
Page 36 and 37: Specifically, mothers living outsid
Page 38 and 39: at the birth of the focal child tha
Page 40 and 41: Table 10. Reasons for Transportatio
Page 42 and 43: Health, Healthcare, and ChildDevelo
Page 44 and 45: two years of the study. In year 1 1
Page 46 and 47: Subsequent Pregnancies and Prenatal
Page 48 and 49: Children’s HealthcareMost (80%) o
Page 50 and 51: private plans or HMOs increased sig
Page 54 and 55: Children’s Behavior and Developme
Page 56 and 57: cultural norms regarding what sorts
Page 58 and 59: Table 21. Emerging Pre-academic Ski
Page 60 and 61: the year 5 interview, over three-qu
Page 62: various activities, mothers reporte
Page 66 and 67: Negative Parenting PracticesThere i
Page 68 and 69: Table 28. Fathers’ Negative Paren
Page 70 and 71: Table 30. Parent Involvement Activi
Page 72 and 73: Table 32. Mothers’ Positive Paren
Page 74 and 75: Table 34. Mothers’ Parent Involve
Page 76 and 77: The most frequent parent involvemen
Page 78 and 79: Figure 3. Primary Childcare Arrange
Page 80 and 81: for 6 months, but when the subsidy
Page 82 and 83: ecause it is of particular interest
Page 84 and 85: types of care between mothers whose
Page 86 and 87: Table 40. Characteristics of Mother
Page 88 and 89: Table 41). Of the 204 children, 91
Page 90 and 91: commented on their children’s nee
Page 92 and 93: nonparental childcare arrangement f
Page 94 and 95: Informal and Community SupportAn un
Page 96 and 97: Table 46. Frequency of Husband/Part
Page 98 and 99: We also asked the mothers about the
Page 100 and 101: Table 49. Type of Family/Friends Su
Page 102 and 103:
Access to Support by TGAFigure 5 sh
Page 104 and 105:
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 136 and 137:
Page 138 and 139:
Page 140 and 141:
County in either fall 2009 or fall
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Figure 6. Percent of Focal Children
Page 144 and 145:
Next, we conducted logistic regress
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Table 68. Selected Maternal and Chi
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R 2 .180*p < .05, **p < .01, or ***
Page 150 and 151:
SummarySimilar to previous analyses
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less than a high school education,
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Parenting PracticesWhen surveyed in
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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
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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
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Weisner, T. S. (1984). A cross-cult
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What are pathways to service use? W
Page 176 and 177:
Table A- 1. FOCiS Codes for MCHP Se
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Table A- 2. Interview Study Samplin
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Table A- 3. Household Survey Topics
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Table A- 5. Reasons for Sample Attr
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we sought to identify the ecologica
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Table B- 2. Characteritics of TGA M
Page 188 and 189:
Figure B- 1. Characteristics of Mot
Page 190 and 191:
Page 192 and 193:
Figure B- 5. Percentage of PBC Moth
Page 194 and 195:
Table B- 5. Logistic Regression Pre
Page 196 and 197:
Page 198 and 199:
Table B- 7. Characteristics of TGA
Page 200 and 201:
Table B- 9. Logistic Regression Pre
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Type of Enhanced Service2009N% of M
Page 204 and 205:
Table B- 12. Logistic Regression Pr
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Numberof BirthswithReferrals2009 TG
Page 208 and 209:
Table B- 15. OLS Logistic Regressio
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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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