Persistent racial, ethnic, and economic inequality in infant and child health in the US continues to be a matter of both research and policy interest. While previous research has documented the inequality itself and many of its covariates, more detailed work is necessary to identify the specific pathways through which individual, structural, and policy factors work to generate this health differential. In our research on infant health in New Jersey, we currently are analyzing the effects of these factors on prenatal care use and a number of birth outcomes. We will build on this foundation in two ways: first, by replicating our multilevel analyses on birth outcomes using data from the national Fragile Families and Child Wellbeing Study. To do this, we will geocode the respondents' addresses and also abstract the mothers' and children's medical records. The rich Fragile Families data will also allow us to expand the explanatory factors we include. Second, we will broaden our focus from birth outcomes to child health using both the Fragile Families survey and data on the children of the mothers in the HealthStart expanded prenatal/pediatric services program in New Jersey. Since the Fragile Families data are being collected during a period of welfare reform and the expansion of health insurance for children through the new Children's Health Insurance Program, we will specifically analyze the impact that city- and state- specific policy environments have on child health. Together, these analyses will allow us to disentangle some of the most important questions surrounding infant and child health inequalities in the United States. The findings will be of theoretical interest to the research community and have direct policy application. In addition, the creation of the enhanced Fragile Families data will serve researchers interested in other aspects of child development and family life.

Agency
National Institute of Health (NIH)
Institute
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Type
Research Project (R01)
Project #
2R01HD035301-04
Application #
6204727
Study Section
Special Emphasis Panel (ZRG1-RPHB-4 (03))
Program Officer
Evans, V Jeffery
Project Start
1997-07-01
Project End
2001-09-21
Budget Start
2000-09-22
Budget End
2001-09-21
Support Year
4
Fiscal Year
2000
Total Cost
$217,058
Indirect Cost
Name
Princeton University
Department
Miscellaneous
Type
Other Domestic Higher Education
DUNS #
002484665
City
Princeton
State
NJ
Country
United States
Zip Code
08544
Curtis, Marah A; Corman, Hope; Noonan, Kelly et al. (2013) Life shocks and homelessness. Demography 50:2227-53
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Curtis, Marah A; Corman, Hope; Noonan, Kelly et al. (2010) Effects of child health on housing in the urban U.S. Soc Sci Med 71:2049-56
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Reichman, Nancy E; Hamilton, Erin R; Hummer, Robert A et al. (2008) Racial and ethnic disparities in low birthweight among urban unmarried mothers. Matern Child Health J 12:204-15

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