Racial disparities in infant health conditions have persisted for decades. However, there is surprisingly limited evidence regarding the long-term consequences of these disparities. Using novel linked administrative data from Texas and the shift to Medicaid Managed Care (MMC), I show that MMC-driven declines in infant health worsened cognitive and…

School nurses represent cost-effective investments in students' health and educational success. Alternative high schools (AHSs) serve an understudied population of youth who are at risk for school dropout and face numerous social inequities, heightening their risk for poor health outcomes. In this two-phase explanatory sequential mixed methods…

In its 2019 report, "Beyond the Border: Family Separation in the Trump Era" (see ED603926), UnidosUS demonstrates how the current trajectory of the nation's immigration policies is threatening the future of an entire generation of American children. Today, 80% of Latinos are U.S. citizens and half of those remaining are legal permanent…

Background: Physical activity (PA) is beneficial for physical, mental, and emotional health; however, Latinx children report lower PA levels. Scholars have called for a renewed focus on fathers to promote child health. Purpose: This study examines changes in Mexican-heritage child active play networks through participation in a father-focused…

All children -- regardless of race, class, gender, or national origin -- deserve to fulfill their potential and have the opportunity to thrive. Over the last several years, Texas children and youth have faced serious challenges and disruptions to their lives due to the COVID-19 pandemic. Children of color, in particular, were disproportionately…

"Deep visual listening and children's art during times of crisis" explores a way to understand children's art created amidst crisis as well as the meanings we can discern from it through the lens of the "Uncaged Art Tornillo Detention Center" exhibit. In 2018, the U.S. government opened a detention center to hold youth who…

Background: Childhood obesity is a public health concern that disproportionately affects populations from low socioeconomic status (SES) and minority groups. Evaluation of social and health risk factors of preschool children living along the Texas-Mexico border provides feedback to design health interventions. Methods: South Texas Early Prevention…

This report responds to the requirement of PL 110-246 to assess the effectiveness of state and local efforts to directly certify children for free school meals. Direct certification is a process conducted by the states and by local educational agencies (LEAs) to certify eligible children for free meals without the need for household applications.…

Background: Amid the COVID-19 pandemic, there is a need to understand caregiver preferences for their children's instructional format for the start of the 2020 to 2021 academic year. The purpose of the current study was to assess caregiver preferences for on-campus versus virtual learning at home during the fall and factors associated with these…

Aggressive immigration enforcement hurts the very youngest children. Refugee and U.S.-born children of undocumented immigrants experience many childhood adversities, compromising their development and health. Refugee children flee traumatizing violence in their home countries, face grueling migrations, and are harmed further by being held in…

Background: Equitable healthcare outcomes are compromised in the absence of strong medical care and social services linkages. In May 2019, Children's Health, the largest health system for pediatric care in North Texas, initiated a three-pronged social determinants of health (SDOH) quality improvement (QI) project that included: (1) baseline and…

The purpose of this quantitative study was to examine the relationship between physical fitness, body mass index and academic performance in Hispanic children enrolled in grade 5 from a district in the Rio Grande Valley. A total of 547 participants were selected from 11 elementary schools from a school district in the Rio Grande Valley. The…

Through reinforcement of policies and nutrition standards linked to the National School Lunch Program (NSLP), school environments play an important role in preventing childhood obesity. The NSLP includes mandated nutrition standards that specify recommended servings of vegetables, fruit, whole grains, dairy and protein, as well as limits on…

Despite a growing population of homeschool children in the United States, little is known regarding their physical activity (PA) levels. Without access to physical education, homeschool children may engage in inadequate PA levels. The purpose of this study was to objectively examine the activity levels of homeschool students participating in a…

Time spent in the outdoors has been proven to benefit individuals of all ages mentally and physically. For example, exposure to nature reduces stress levels, induces relaxation, and provides Vitamin D. Prior research has linked free play outdoors to helping elementary children focus better in the classroom, reducing symptoms of attention deficit…