The first eight years of life, beginning before birth and continuing through third grade, are a critical developmental period that sets the stage for future success. Research over the past 15 years has demonstrated the importance of high-quality care and education throughout the prenatal-through-third-grade (P-3) continuum, including prenatal and…

This study investigated the unique relations between school concentrations of student risk factors and measures of reading, mathematics, and attendance. It used an integrated administrative data system to create a combined data set of risks (i.e., birth risks, teen mother, low maternal education, homelessness, maltreatment, and lead exposure) for…

Context: Preterm birth and low birthweight remain high priority public health problems and are associated with increased risk of infant mortality as well as long-term health impairments. Although 20% of all births nationally are to rural women, relatively little attention has been paid to pregnancy outcomes in rural areas relative to more…

This study examined the effects of prenatal cocaine exposure, environmental risk, and maternal verbal intelligence on children's cognitive ability. Gender and age were examined as moderators of potential cocaine exposure effects. The Stanford-Binet IV intelligence test was administered to 231 children (91 cocaine exposed, 140 unexposed) at ages 4,…

Caring Start is a mobile-clinic program that provides prenatal care, well-baby clinics, childhood immunizations, counseling services, and contraceptives to rural poor families in northwest Pennsylvania. Before the mobile clinic, many rural women (mostly teenagers) went without prenatal health care due to lack of transportation. (LP)

Noting that the last decade has seen population shifts, economic and governmental changes, and different family and work patterns that have influenced the lives of children and their families of southeastern Pennsylvania, this report presents information on the current situation for children and families in the five counties of southeastern…

Pregnant women at high risk for adverse health outcomes can benefit from the services of community health workers. Maternity Care Coalition identifies at risk women and provides links to health care and social services through the MOMobile Program. The purpose of this study was to explore (a) the relationship formed between community health…

This Kids Count report examines statewide trends in the well-being of Pennsylvanias children. The statistical portrait is based on trends in 19 indicators of child well being: (1) early prenatal care; (2) low birth weight; (3) infant mortality; (4) child deaths; (5) child violent deaths; (6) births to single mothers under age 20; (7) mothers with…

This Kids Count report examines statewide trends in the well-being of Pennsylvania's children. The statistical portrait is based on trends in 17 indicators of child well being: (1) birth weight; (2) early prenatal care; (3) infant mortality; (4) substantiated cases of child abuse or neglect; (5) out-of-home placements; (6) delinquent children…