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Health Insurance is a Family Matter is the third of a series of six reports on the problems of uninsurance in the United Sates and addresses the impact on the family of not having health insurance. The book demonstrates that having one or more uninsured members in a family can have adverse consequences for everyone in the household and that the financial, physical, and emotional well-being of all members of a family may be adversely affected if any family member lacks coverage. It concludes with the finding that uninsured children have worse access to and use fewer health care services than children with insurance, including important preventive services that can have beneficial long-term effects.
List of tables; Education of caregiver; Knowledge, attitudes, and beliefs of caregiver; Physical health and nutritional status of caregiver; Mental health, self-confidence, and lack of stress of caregiver; Autonomy and control of resources in the household by caregiver; Workload and time availability of caregiver; Social support for caregiver; Estimates of time spent on child care from observation and recall; Feeding practices: caregiver-child interactions; Feeding practices: child variables; Psychosocial care: child and caregiver interactions; Psychosocial care: child variables; Illustrations; The unicef conceptual model; The extended model of care; The transactional model of care; Pathways of interaction of education with caregiving; Possible pathways of interaction of maternal health and caregiving; Summary; Introduction; Developments in conceptualizing care; Resources for care; Care practices.
As women's labor force participation has risen around the globe, scholarly and policy discourse on the ramifications of this employment growth has intensified. This book explores the links between maternal employment and child health using an international perspective that is grounded in economic theory and rigorous empirical methods. Women's labor-market activity affects child health largely because their paid work raises household income, which strengthens families' abilities to finance healthcare needs and nutritious food; however, time away from children could counteract some of the benefits of higher socioeconomic status that spring from maternal employment. New evidence based on data from nine South and Southeast Asian countries illuminates the potential tradeoff between the benefits and challenges families contend with in the face of women's labor-market activity. This book provides new, original evidence on links between maternal employment and children's health using data associated with three indicators of children's nutritional status: birth size, stunting, and wasting. Results support the implementation and enforcement of policy interventions that bolster women's advancement in the labor market and reduce undernutrition among children. Scholars, students, policymakers and all those with an interest in nutritional science, gender, economics of the family, or development economies will find the methodology and original results expounded here both useful and informative.
How do some families create more healthful environments for their children? How do we explain the health status differences between men and women, blacks and whites, and different communities or cultures? How is stress generated in the workplace? What accounts for the persistent social class differences in mortality rates? Why do societies experience higher rates of mortality after economic recession? Such fundamental questions about the social determinants of health are discussed in depth in this wide-ranging and authoritative book. Well-known contributors from North America and Europe assess the evidence for the diverse ways by which society influences health and provide conceptual frameworks for understanding these relationships. The book opens with a broad review of research on the social environment's contribution to health status and then addresses particular social factors: the family, the community, race, gender, class, the economy, the workplace and culture. The concluding two chapters examine the contribution of medicine to the improved health of Americans and recast the health care policy debate in a broad social policy context.
Using data from the first two phases of the NICHD Study of Early Child Care, the links between maternal employment in the first 12 months of life and cognitive, social, and emotional outcomes for children at age 3, age 4.5, and first grade are examined. Families in which mothers worked full time (55%), part time (23%) or did not work in the first year (22%) are compared. Most families involved non-Hispanic White children although some analyses did involve African-American children. Structural equation modeling results indicated that, on average, the associations between first-year maternal employment and later cognitive, social, and emotional outcomes are neutral because negative effects, where present, are offset by positive effects. The results confirmed that maternal employment in the first year of life may confer both advantages and disadvantages and that for the average non-Hispanic White child those effects balance each other.
America's Children is a comprehensive, easy-to-read analysis of the relationship between health insurance and access to care. The book addresses three broad questions: How is children's health care currently financed? Does insurance equal access to care? How should the nation address the health needs of this vulnerable population? America's Children explores the changing role of Medicaid under managed care; state-initiated and private sector children's insurance programs; specific effects of insurance status on the care children receive; and the impact of chronic medical conditions and special health care needs. It also examines the status of "safety net" health providers, including community health centers, children's hospitals, school-based health centers, and others and reviews the changing patterns of coverage and tax policy options to increase coverage of private-sector, employer-based health insurance. In response to growing public concerns about uninsured children, last year Congress voted to provide $24 billion over five years for new state insurance initiatives. This volume will serve as a primer for concerned federal policymakers and regulators, state agency officials, health plan decisionmakers, health care providers, children's health advocates, and researchers.
In 1997 the committee published Reproductive Health in Developing Countries: Expanding Dimensions, Building Solutions, a report that recommended actions to improve reproductive health for women around the world. As a follow- on activity, the committee proposed an investigation into the social and economic consequences of maternal morbidity and mortality. With funding from the William and Flora Hewlett Foundation, the Andrew W. Mellon Foundation, and the U.S. Agency for International Development, the committee organized a workshop on this topic in Washington, DC, on October 19-20, 1998. The Consequences of Maternal Morbidity and Maternal Mortality assesses the scientific knowledge about the consequences of maternal morbidity and mortality and discusses key findings from recent research. Although the existing research on this topic is scarce, the report drew on similar literature on the consequences of adult disease and death, especially the growing literature on the socioeconomic consequences of AIDS, to look at potential consequences from maternal disability and death.