HealthySteps (HS) is an evidence-based integrated model designed to provide enhanced primary care services to young children and families. This article describes the strategies HS specialists use, adapt, and innovate while maintaining fidelity to the model to meet the unique needs of diverse settings, circumstances, and communities. The authors…

There is a need for more research focusing on the health outcomes of infants born to the understudied group of adolescent mothers. Archivical data from four independent sources were used to answer the following research question: During the child's first year, what adverse health factors are associated with acts of intimate partner violence (IPV)…

Obesity is an important global health problem. Although obesity is not directly related to access to health care or constrained by resource deprivation, overweight status is predominantly found in poor, less-educated populations. This paper seeks to identify the causal role of schooling in affecting obesity among children and adolescents, using…

Objectives: This study explored a new telehealth educational and development psychologist (EDP) service 10 provided as part of a multidisciplinary team to rural families. We aimed: (1) to examine the role and process changes made in telehealth consults compared to in-person consults, and (2) to evaluate the satisfaction of key stakeholders with…

The American Academy of Sleep Medicine recommends 9-12 hours of sleep for children aged 6-12 years and 8-10 hours for those aged 13-18, yet only two-thirds of children meet these recommendations. This report uses 2020 National Health Interview Survey (NHIS) data to describe regular bedtimes, defined as going to sleep at the same time most days or…

Although gender has become a key dimension in migration research, previous scholarship has largely focused on adult rather than child migrants. Even less attention has been paid to the role of gender in migration-related child health. By comparing rural migrant and urban-born adolescents in the largest city in south China, this study assessed…

A sample of 398 African American youth, residing in rural counties with high poverty and unemployment, were followed from ages 11 to 19. Protective parenting was associated with better health, whereas elevated socioeconomic status (SES) risk was associated with poorer health at age 19. Genome-wide epigenetic variation assessed in young adulthood…

This year's "America's Children in Brief" highlights selected indicators by metropolitan status to give the reader a closer look at how well-being is influenced by the type of community in which children and their families live. The "Brief" also provides a snapshot of the overall well-being of America's children through the…

Objective: To examine individual characteristics associated with local produce purchasing among North Carolina families with children. Design: Cross-sectional analysis using data from the 2008 North Carolina Child Health Assessment and Monitoring Program (NC CHAMP), a representative sample of adults who have land-line telephones. Setting: North…

At least 20% of young people aged between 14 and 25 years who live in inland Australia experience a mental health or substance use problem at any given point in time. Many of these young people experience significant geographic, economic and sociocultural barriers to obtaining youth-friendly health advice and care, particularly in relation to key…

Background: As the obesity epidemic expands to include younger Americans, there is greater need to understand youth experiences and to identify innovative strategies to promote physical activity in children and adolescents. Connecting children and families with nature-based activities is an example of a strategy that may promote physical activity…

Objective: The purpose of this study was to establish baseline values on physiological parameters for 7-11 graders (n = 146) in a rural area of Alabama and to examine whether differences existed among the adolescents in the county. Design: Descriptive. Setting: Many adolescents in the southern portion of the United States suffer disproportionately…

Context: Few studies have examined the prevalence of overweight status and physical inactivity among children and adolescents living in rural America. Purpose: We examined urban and rural differences in the prevalence of overweight status and physical inactivity among US children. Methods: Data were drawn from the 2003 National Survey of…

Context and Purpose: Between 2002 and 2006 New South Wales was in the grip of the worst drought for more than 100 years. Financial hardships have led governments to declare "Exceptional Circumstances." Little social research has investigated the impact of drought on children. For this study, children from rural and remote regions of New…

Big dreams often start small. For the Wayne County Public Schools in eastern North Carolina, those dreams started with the vision to improve adolescent health care at school. Now seven years later, the system is proud to operate five full-time school-based health centers, which have contributed to a decline in teen-age pregnancies and an increase…