Economic Well-Being And Health: The Role Of Income Support Programs In Promoting Health And Advancing Health Equity.

People with low incomes have poorer health outcomes, including greater risk for disease and shorter lifespans. This pattern has the least favorable outcomes for those living in poverty but is present at every level of the income ladder. Income support programs that provide a social safety net for families-including the Earned Income Tax Credit and Temporary Assistance for Needy Families-can influence health by meeting families' basic needs and supporting participation in economic development. However, families face inequitable access to income support programs. States vary in whether they offer the Earned Income Tax Credit, and this can lead to unequal access and participation across groups. Critical challenges for policy makers are identifying barriers to access to and participation in income supports as well as developing strategies to increase equitable access to income supports. This article synthesizes evidence on income and health and its relevance to income supports.

How accurately can we predict repeat teen pregnancy based on social ecological factors?

Many factors at the individual, relationship, family, and community or environmental levels could predict repeat teen pregnancies or births, but research on certain factors is limited. In addition, few studies have examined whether these factors can accurately predict whether teen mothers will have a repeat pregnancy. This study examined theoretically selected predictors of repeat teen pregnancy among 945 pregnant and parenting teens (M age = 17), most of whom were Hispanic/Latina (86%). Logistic regression with 47 predictors measured at baseline was used to predict repeat pregnancy. Predictors were selected based on backward selection that aimed for a balance between model performance and model complexity. A random forest model was also used to determine how accurately repeat pregnancy could be predicted based on all predictors. Significant predictors of repeat pregnancy were the teen mother having a parent with a serious drinking or drug problem when she was a child, being older, not living with a mother figure, not intending to abstain from sex or use a long-acting reversible contraceptive, and having lower resiliency skills. However, predictors explained limited variance in repeat pregnancy, and their accuracy in predicting repeat pregnancy was low. More research is needed to identify accurate predictors of repeat pregnancy because this could inform program providers or developers about areas that warrant more focus in programming for teen parents, and it could help identify teen mothers at higher risk of a repeat pregnancy so they could be the focus of specific programming. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Supporting Expectant and Parenting Teens: New Evidence to Inform Future Programming and Research.

Until recently, federal programs had not explicitly focused on improving the outcomes of highly vulnerable teen parents. Established in 2010, the Pregnancy Assistance Fund (PAF) aims to improve the health, social, educational, and economic outcomes for expectant and parenting teens and young adults, their children, and their families, through providing grants to states and tribes. This article introduces the Maternal and Child Health Journal supplement "Supporting Expectant and Parenting Teens: The Pregnancy Assistance Fund," which draws together the perspectives of researchers and practitioners to provide insights into serving expectant and parenting teens through the PAF program. The articles in the supplement include examples of programs that use different intervention strategies to support teen parents, with programs based in high school, college, and community settings in both urban and rural locations. Some of the articles provide rigorous evidence of what works to support teen parents. In addition, the articles demonstrate key lessons learned from implementation, including allowing some flexibility in implementation while clearly outlining core programmatic components, using partnerships to meet the multifaceted needs of young parents, hiring the right staff and providing extensive training, using strategies for engaging and recruiting teen parents, and planning for sustainability early. The studies use a range of qualitative and quantitative methods to evaluate programs to support teen parents, and three articles describe how to implement innovative and cost effective methods to evaluate these kinds of programs. By summarizing findings across the supplement, we increase understanding of what is known about serving expectant and parenting teens and point to next steps for future research.

Meeting the Multifaceted Needs of Expectant and Parenting Young Families Through the Pregnancy Assistance Fund.

INTRODUCTION: The Pregnancy Assistance Fund (PAF) program funds states and tribes to provide a wide range of services to improve health, social, educational, and economic outcomes for expectant and parenting teens and young adults, their children, and their families. This introductory article to the Maternal and Child Health Journal supplement Supporting Expectant and Parenting Teens: The Pregnancy Assistance Fund provides a description of the PAF program, including the program goals and structure, participants and communities served, and services provided; presents data on the reach and success of the program; and describes lessons learned from PAF grantees on how to enhance programs and services to have the best outcomes for expectant and parenting young families. METHODS: Performance measure data are used to describe the reach and success of the PAF program, and implementation experiences and lessons learned from PAF grantees were gathered through a standardized review of grantee applications and from interviews with grant administrators. RESULTS: Since its establishment in 2010, the PAF program has served 109,661 expectant and parenting teens, young adults, and their families across 32 states, including the District of Columbia, and seven tribal organizations; established more than 3400 partnerships; and trained more than 7500 professionals. Expectant and parenting teens and young adults who participated in the PAF program stay in high school, make plans to attend college, and have low rates of repeat pregnancy within a year. CONCLUSIONS: Expectant and parenting teens and young adults in the PAF program demonstrated success in meeting their educational goals and preventing repeat unintended pregnancies. In addition, the staff who implemented the PAF programs learned many lessons for how to enhance programs and services to have the best outcomes for expectant and parenting young families, including creating partnerships to meet the multifaceted needs of teen parents and using evidence-based programs to promote program sustainability.

A Systematic Review of Programs to Promote Aspects of Teen Parents' Self-sufficiency: Supporting Educational Outcomes and Healthy Birth Spacing.

INTRODUCTION: Expectant and parenting teens experience many challenges to achieving self-sufficiency and promoting their children's healthy development. Teen parents need support to help them address these challenges, and many different types of programs aim to support them. In this systematic review, we examine the research about programs that aim to support aspects of teen parents' self-sufficiency by promoting their educational outcomes and healthy birth spacing. METHODS: We conducted a comprehensive literature search of published and unpublished literature to identify studies of programs to support teen parents that met this review's eligibility criteria. The quality and execution of the eligible study research designs were assessed to determine whether studies' findings were at risk of bias. We then extracted information about study characteristics, outcomes, and program characteristics for studies considered to provide rigorous evidence. RESULTS: We identified 58 eligible studies. Twenty-three studies were considered to provide rigorous evidence about either education, contraceptive use, or repeat pregnancy or birth. Seventeen of these studies showed at least one favorable effect on an outcome in one of these domains, whereas the other six did not show any significant or substantial effects in these domains. These 17 studies represent 14 effective programs. DISCUSSION: Effective programs to support expectant and parenting teens have diverse characteristics, indicating there is no single approach for promoting teens' education and healthy birth spacing. More rigorous studies of programs to support teen parents are needed to understand more about how to support teen fathers and the program characteristics associated with effectiveness.

Links between Shared Reading and Play, Parent Psychosocial Functioning, and Child Behavior: Evidence from a Randomized Controlled Trial.

OBJECTIVE: To investigate pathways by which interventions that promote shared reading and play help prevent child behavior problems. We examined whether family processes associated with the family investment pathway (eg, parental cognitive stimulation) and the family stress pathway (eg, mothers' psychosocial functioning) mediated impacts of a pediatric-based preventive intervention on child behavior. STUDY DESIGN: The sample included 362 low-income mothers and their children who participated in a randomized controlled trial of the Video Interaction Project, a pediatrics-based preventive intervention that promotes parent-child interactions in the context of shared reading and play. Parent-child dyads were randomly assigned to group at birth. Three mediators-parental cognitive stimulation, maternal stress about the parent-child relationship, and maternal depressive symptoms-were assessed at child ages 6 and 36 months. The outcome, child externalizing behaviors, was assessed at 36 months. We used a series of path analytic models to examine how these family processes, separately or together, mediated the impacts of the Video Interaction Project on child behavioral outcomes. RESULTS: Intervention impacts on child behavior were mediated by enhancements in cognitive stimulation and by improvements in mothers' psychosocial functioning. A sequential mediation model showed that Video Interaction Project impacts on cognitive stimulation at 6 months were associated with later decreases in mothers' stress about the parent-child relationship and that this pathway mediated intervention impacts on child behavioral outcomes at 3 years of age (P = .023). CONCLUSIONS: Using an experimental design, this study identifies pathways by which parent-child interactions in shared reading and play can improve child behavioral outcomes. TRIAL REGISTRATION: Clinicaltrials.gov: NCT00212576.

Head Start Teachers' Professional Development, Well-being, Attitudes, and Practices: Understanding Changes Over Time and Predictive Associations.

Early care and education (ECE) teachers shape children's daily experiences in many ways. Specifically, teachers' well-being, attitudes about child development, and teaching practices are central influences on children's learning. One crucial way ECE programs support teachers to enhance children's learning environments is through the provision of professional development (PD), but little research has examined the PD provided by ECE programs in the absence of focused initiatives to support teachers. In this descriptive study, we use data from a nationally representative study of Head Start teachers (N = 484) to explore whether teachers' job satisfaction, depression, developmentally appropriate attitudes, and frequency of engagement in math and literacy activities are associated with the number of (a) overall PD supports available to teachers, (b) curriculum supports received by teachers, and (c) mentoring supports received by teachers. Many of the associations between teachers' outcomes and overall PD supports, curriculum supports, and mentoring supports were not statistically significant, perhaps because the PD variables do not measure the quality or content of the PD provided. However, those PD supports that were significantly associated with outcomes were associated with specific teacher outcomes in ways consistent with theory, although associations were relatively weak. To contextualize these findings, we describe how PD supports and teachers' outcomes have changed over nearly a decade that encompasses some key Head Start policy changes. This research contributes to our understanding of scalable ways to prepare and support teachers of some of the nation's most vulnerable children.

Racial/ethnic differences in mothers' socialization goals for their adolescents.

OBJECTIVES: We explored the socialization goals that African American, Latino, Chinese and White mothers held for their adolescents within 4 domains that are centrally relevant during adolescence-proper demeanor, academics, race/ethnicity, and peers. METHOD: A card sort task and subsequent logistic regression analyses were used to explore mothers' choice of the most important socialization goals for their ethnically/racially diverse 6th-grade adolescents (N = 185). RESULTS: Compared to White mothers, African American, Latino, and Chinese mothers were significantly more likely to select proper demeanor goals that emphasize deference over benevolence, and peer goals that emphasize instrumental over relational friendships. African American and Latino mothers were more likely to select race/ethnicity goals that emphasize cultural over egalitarian goals compared to Chinese and White mothers. All mothers were more likely to select academic engagement as more important than performance. In contrast to mothers' emphases within domains, mothers' ranked the importance of these different domains remarkably similarly. CONCLUSIONS: Mothers' socialization goals illustrate both similarities and differences across race/ethnicity. Findings are discussed with reference to how mothers' goals reflect broad cultural orientations as well as the contextual demands of their adolescents' experiences. (PsycINFO Database Record

Trajectories of Discrimination Across Adolescence: Associations With Academic, Psychological, and Behavioral Outcomes.

The authors explored trajectories of perceived discrimination over a 6-year period (five assessments in 6th-11th grade) in relation to academic, behavioral, and psychological adjustment in 8th and 11th grades. They distinguished discrimination from adults versus peers in addition to overt versus covert discrimination from peers. The sample included 226 African American, White, Dominican, Puerto Rican, and Chinese adolescents (ages 11-12 at Time 1) recruited in sixth grade from six public schools in New York City. All forms of discrimination increased during middle school and decreased during high school. The frequency with which adolescents reported different sources and types of discrimination varied across ethnicity/race, but not gender. Initial levels and rates of change in discrimination predicted academic, behavioral, and psychological adjustment in 8th and 11th grades, albeit in complex ways.

Increases in maternal education and low-income children's cognitive and behavioral outcomes.

Although the strong link between maternal education and children's outcomes is one of the most well-established findings in developmental psychology (Reardon, 2011; Sirin, 2005), less is known about how young, low-income children are influenced by their mothers completing additional education. In this research, longitudinal data from the Head Start Impact Study were used to explore the associations between increases in maternal education and Head Start eligible children's cognitive skills and behavioral problems in 1st grade. Propensity score weighting was used to identify a balanced comparison group of 1,362 children whose mothers did not increase their education between baseline (when children were aged 3 or 4) and children's kindergarten year, who are similar on numerous covariates to the 262 children whose mothers did increase their education. Propensity-score weighted regression analyses indicated that increases in maternal education were positively associated with children's standardized cognitive scores, but also with higher teacher-reported externalizing behavioral problems in 1st grade. The increases in externalizing behavioral problems were larger for children whose mothers had less than a college degree at baseline.

Losing our humanity: the self-dehumanizing consequences of social ostracism.

People not only dehumanize others, they also dehumanize the self in response to their own harmful behavior. We examine this self-dehumanization effect across four studies. Studies 1 and 2 show that when participants are perpetrators of social ostracism, they view themselves as less human compared with when they engage in nonaversive interpersonal interactions. Perceived immorality of their behavior mediated this effect. Studies 3 and 4 highlight the behavioral consequences of self-dehumanization. The extent to which participants saw themselves as less human after perpetrating social ostracism predicted subsequent prosocial behavior. Studies 2 to 4 also demonstrate that consequences of self-dehumanization occur independently of any effects of self-esteem or mood. The findings are discussed in relation to previous work on dehumanization and self-perception. We conclude that in the context of immoral actions (self) dehumanization may be functional.

Alcohol's harm to others: self-reports from a representative sample of New Zealanders.

AIM: There is a lack of research, internationally and in New Zealand, on the harms experienced as a result of drinking by others. Such effects have often been neglected in policy development and in estimates of the economic burden associated with alcohol consumption. This study describes the broad range of harms reported by New Zealanders due to the drinking of someone else. METHOD: A representative national survey was conducted using Computer Assisted Telephone Interviewing with New Zealanders aged 12 to 80 years (N=3068) in 2008/2009 (response rate - 64%). Harms experienced due to the drinking of others were reported along with demographic variables. RESULTS: One in four respondents indicated that they had at least one heavy drinker in their life. Most of these respondents indicated they had experienced a range of harms because of this person's drinking. Further, 17% of respondents with children reported that their children experienced harm because of the drinking of someone else. Seventy-one percent of those sampled reported experiencing at least one harm because of the drinking of a stranger. CONCLUSION: A large proportion of New Zealanders report the experience of physical, social, economic, and psychological harms because of the drinking of others. These harms should be considered in the discussion of alcohol policy.