Background: More than 20 million children in the United States lack access to primary health care. Practice Learning: Research shows that students with regular access to physical and mental health services have fewer absences, are more social, less likely to participate in risky behaviors, have improved focus and higher test scores. Implication…

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…

While the challenge of access to healthy food features prominently in the literature, access to federal nutrition programs, specifically USDA's Summer Meals Program, is relatively undocumented. Participation in the program depends on a number of complex variables, including site availability, neighborhood dynamics, and community investment. The…

In the past few years, people have come to realize that family and child well-being are public health issues. Helping families and children be happy, healthy and resilient helps the larger community. This report will discuss various aspects of family life including the systems that exist to support them, ways families can have more positive…

Over the past decade, the National Advisory Committee on Rural Health and Human Services (hereinafter referred to as "the Committee") has examined a number of rural issues that touch upon the social determinants of health. The Committee's past work has focused on understanding how conditions and outcomes such as homelessness, childhood…

Purpose: The aim of this study was to examine (a) whether distance from home to school is a determinant of active commuting to school (ACS), (b) the relationship between distance from home to heavily used facilities (school, green spaces, and sports facilities) and the weight status and cardiometabolic risk categories, and (c) whether ACS has a…

Background: Obesity is a major concern among American Indians and Hispanics. The Child Health Initiative for Lifelong Eating and Exercise (CHILE) is an evidence-based intervention to prevent obesity in children enrolled in 16 Head Start (HS) Centers in rural communities. The design and implementation of CHILE are described. Methods: CHILE uses a…

Background: Previous research has indicated positive effects of early developmental intervention (EDI) on the development of children in developing countries. Few studies, however, have examined longitudinally when differential treatment effects may be observed and whether differential outcomes are associated with exposure to different risk…

People with intellectual disabilities (ID) have experienced increasing levels of community participation since deinstitutionalization. This freedom has facilitated community inclusion, access to alcohol and drugs, and the potential for developing substance abuse (SA) disorders. People with ID, who are known to have high rates of co-occurring…

More than a quarter of all Americans have a mental disorder at some point in their lives, according to a 2004 study by the World Health Organization. As anyone who has experienced mental illness knows, it can interfere with work, relationships, and every aspect of daily living. Children are not immune to such disorders or their effects. Research…

This article examines the social epidemiology of HIV/AIDS within a Caribbean context and the specific ways in which children are affected. In particular, the article explores the nature of risk and vulnerability among especially marginalized children: street children. Literature on HIV/AIDS was reviewed, and semistructured interviews with 44 key…

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…

Background: Unmet need for dental care is the most prevalent unmet health care need among children with special health care needs (CSHCN), even though these children are at a greater risk for dental problems. The combination of rural residence and special health care needs may leave rural CSHCN particularly vulnerable to high levels of unmet…

Describes programs of Comprehensive Interdisciplinary Development Services, a private nonprofit agency that provides preventive health care services to families in Chemung County, New York. The Infant Registry program registers, tracks, and screens the health and development of children from birth until the child starts school. (LP)

Although the children in Texas face health and welfare issues common to other states, such as changing family structures, poverty, expanding immigrant populations, and tight budgets, there are unique aspects to Texas that must be factored in. These include having 254 counties, the largest rural population of any state, and a 46 percent increase in…