Physical and mental health disparities among young children of Asian immigrants.

OBJECTIVE: To examine physical and mental health functioning among Asian-American children of US-born and immigrant parents. STUDY DESIGN: We used data from the Early Childhood Longitudinal Study-Kindergarten Class of 1998-1999 base-year public data file. The sample was restricted to 7726 Asian and US-born white children. Asian subgroups were created based on parents' country of birth. Child physical and mental health was assessed based on multiple sources of data and measures. Analyses included multivariate linear and logistic regression. RESULTS: After adjusting for demographic and contextual differences, disparities were found for physical and mental health indicators. Children of foreign-born Asian families (from east, southeast, and south Asia) were at greater risk for poor physical health, internalizing problems, and inadequate interpersonal relationships compared with children of US-born white families. CONCLUSION: There is little support for the "model minority" myth with regard to physical and mental health. Evidence of physical and mental health disparities among young Asian-American children and differing risk based on region of origin of immigrant parents suggests the need for culturally informed prevention efforts during early childhood.

Putting two and two together? Early childhood education, mothers' employment and care service expansion in Chile and Mexico.

In recent years, several middle-income countries, including Chile, Mexico and Uruguay, have increased the availability of early childhood education and care (ECEC) services. These developments have received little scholarly attention so far, resulting in the (surely unintended) impression that Latin American social policy is tied to a familialist track, when in reality national and regional trends are more varied and complex. This article looks at recent efforts to expand ECEC services in Chile and Mexico. In spite of similar concerns over low female labour force participation and child welfare, the approaches of the two countries to service expansion have differed significantly. While the Mexican programme aims to kick-start and subsidize home- and community-based care provision, with a training component for childminders, the Chilean programme emphasizes the expansion of professional ECEC services provided in public institutions. By comparing the two programmes, this article shows that differences in policy design have important implications in terms of the opportunities the programmes are able to create for women and children from low-income families, and in terms of the programmes' impacts on gender and class inequalities. It also ventures some hypotheses about why the two countries may have chosen such different routes.

The role of international remittances in health outcomes in Ecuador: prevention and response to shocks.

This article evaluates the impact of remittances on health outcomes in Ecuador using an instrumental-variables approach. Although we do not find significant impacts on long-term child health variables, we find that remittances do have an impact on health expenditures, and on some preventive issues such as de-worming and vaccination. In addition, we find significant effects of remittances on medicine expenditures when illness occurs. In this regard, remittances are used for both preventive and emergency situations. Interestingly, we also find a significant and positive effect of remittances on health knowledge.

The effect of early interventions in health and nutrition on on-time school enrollment: evidence from the Oportunidades Program in rural Mexico.

This article assesses whether early intervention to improve children's health and nutrition increases the probability of enrolling in primary school on time. Using experimental data from the Mexican conditional cash transfer (CCT) program, Oportunidades, a cross-sectional double-difference estimator on observations from two age cohorts of children is used to identify the impact of early intervention. The results indicate that early health and nutrition interventions can have a positive impact on the timing of enrollment and that caregiver characteristics affect the magnitude of the impact. Early intervention also appears to decrease days of school missed. Overall the results indicate that the full impact of CCT programs on education cannot be measured in the short run as benefits of early health and nutrition interventions may be also felt in the distant future.

Do family policy regimes matter for children's well-being?

Researchers have studied the impact of different welfare state regimes, and particularly family policy regimes, on gender equality. Very little research has been conducted, however, on the association between different family policy regimes and children's well-being. This article explores how the different family policy regimes of twenty OECD countries relate to children's well-being in the areas of child poverty, child mortality, and educational attainment and achievement. We focus specifically on three family policies: family cash and tax benefits, paid parenting leaves, and public child care support. Using panel data for the years 1995, 2000, and 2005, we test the association between these policies and child well-being while holding constant for a number of structural and policy variables. Our analysis shows that the dual-earner regimes, combining high levels of support for paid parenting leaves and public child care, are strongly associated with low levels of child poverty and child mortality. We find little long-term effect of family policies on educational achievement, but a significant positive correlation between high family policy support and higher educational attainment. We conclude that family policies have a significant impact on improving children's well-being, and that dual-earner regimes represent the best practice for promoting children's health and development.

Preschool and maternal labor market outcomes: evidence from a regression discontinuity Design.

In developing countries, employment rates for mothers with young children are relatively low. This study analyzes how maternal labor market outcomes in Argentina are affected by the preschool attendance of their children. Using pooled household surveys, we show that 4-year-olds with birthdays on June 30 have sharply higher probabilities of preschool attendance than children born on July 1, given enrollment-age rules. Regression-discontinuity estimates using this variation suggest that preschool attendance of the youngest child in the household increases the probability of full-time employment and weekly hours of maternal employment. We find no effect of preschool attendance on maternal labor outcomes for children who are not the youngest in the household.

Is child labor harmful? The impact of working earlier in life on adult earnings.

This paper explores the question: is working as a child harmful to an individual in terms of adult outcomes in earnings? Although this is an extremely important question, little is known about the effect of child labor on adult outcomes. Estimations of an instrumental variables earnings model on data from Brazil show that child labor has a large negative impact on adult earnings for male children even when controlling for schooling and that the negative impact of starting to work as a child reverses at around ages 12­14.

Household shocks, child labor, and child schooling: evidence from Guatemala.

Using data from the National Survey of Standards of Living conducted in Guatemala in 2000, this article tests the hypothesis that Guatemalan households use child labor and reduce child schooling to cope with household shocks. First, the authors use factor analysis to estimate the latent household propensity to natural disasters and socioeconomic shocks. Then, they estimate bivariate probit models to identify the determinants of child labor and schooling, including household propensity to natural disasters and socioeconomic shocks. Results suggest that households use child labor to cope with natural disasters and socioeconomic shocks. In contrast, the authors found no evidence that suggests that households reduce child schooling to cope with shocks. Findings also indicate that poor households are more likely to use child labor and schooling reduction as strategies to cope with socioeconomic shocks.

A child's house: social memory, identity, and the construction of childhood in early postclassic Mexican households.

Despite the recent attention given to the archaeology of childhood, households continue to be treated by archaeologists as the product of adult behavior and activities. Yet children shaped the decisions and motivations of adults and influenced the structure and organization of daily activities and household space. Further, children's material culture serves to both create and disrupt social norms and daily life, making children essential to understanding broader mechanisms of change and continuity. Thus, archaeologists should reconceptualize houses as places of children. This research brings together multiple lines of evidence from the Early Postclassic site of Xaltocan, Mexico, including ethnohistory, burials, and figurines to reconstruct the social roles and identities of children and to problematize our understanding of households. I argue that thinking of houses as places of children enables us to see that children were essential to daily practice, the construction and transmission of social identity, and household economic success.

Outsourcing care: how Peruvian migrants meet transnational family obligations.

Migration from Peru has increased dramatically over the past decade, but the social and relational repercussions of these transnational movements have not yet been fully explored. Examination of the way migrants manage their responsibilities to dependent kin in Peru reveals that child fostering makes it possible for adults to migrate in search of better work opportunities by ensuring care for their children and company for their older relatives. For Peruvians engaging in labor migration, child fostering tempers some of the challenges of continuing to participate in established social networks from a distance.

Does money matter? The effects of cash transfers on child development in rural Ecuador.

A large body of research indicates that child development is sensitive to early-life environments, so that poor children are at higher risk for poor cognitive and behavioral outcomes. These developmental outcomes are important determinants of success in adulthood. Yet, remarkably little is known about whether poverty-alleviation programs improve children's developmental outcomes. We examine how a government-run cash transfer program for poor mothers in rural Ecuador influenced the development of young children. Random assignment at the parish level is used to identify program effects. Our data include a set of measures of cognitive ability that are not typically included in experimental or quasi-experimental studies of the impact of cash transfers on child well-being, as well as a set of physical health measures that may be related to developmental outcomes. The cash transfer program had positive, although modest, effects on the physical, cognitive, and socioemotional development of the poorest children in our sample.

Child participation in disaster risk reduction: the case of flood-affected children in Bangladesh.

Children are particularly vulnerable to the effects of natural disasters. This article aims to gain a deeper understanding of the specific effects of natural disasters on children and how they could better be involved in the disaster risk reduction (DRR) process. The article begins with a review of the literature published on the Child-led Disaster Risk Reduction (CLDRR) approach and describes the key issues. Then it identifies the effects of floods on children in Bangladesh and analyses the traditional coping mechanisms developed by communities, highlighting where they could be improved. Finally, it analyses how DRR stakeholders involve children in the DRR process and identifies the opportunities and gaps for the mainstreaming of a CLDRR approach in Bangladesh. This should contribute to a better understanding of how key DRR stakeholders can protect children during natural disasters. Encouraging the building of long-term, child-sensitive DRR strategies is an essential part of this process.

Double risk: immigrant mothers, domestic violence and public child welfare services in New York City.

This paper examines the experiences of Mexican immigrant mothers living in New York City who become involved with public child welfare services because of domestic violence and makes recommendations for evaluation of program services to immigrant mothers. A case study and the results of a focus group interview will be presented to illustrate the often conflicting cultural, social and political issues confronted by immigrant mothers as they negotiate the organization of services designed to address specific forms of domestic violence, i.e., the protection of children and the protection of women. Emergent themes point to the double risk faced by immigrant women-first at the hands of their partners and then by service providers who do not understand the cultural issues that surround domestic violence nor the implications that immigration status has for victims of abuse. After intervention, participants in this research study describe feeling both like 'bad mothers' who fail to protect their children and 'bad women' who turn family members over for deportation. Evaluation of services to immigrant mothers requires consideration not only of cultural and social issues that affect program outcomes but must also consider the larger implications that immigration status has on utilization of services by immigrant women. Immigrant women often face multiple risks when seeking help for family problems.

Exploring the meaning of excess child weight and health: shared viewpoints of Mexican parents of preschool children.

In the United States, the prevalence of childhood overweight and obesity has reached epidemic levels, with U.S. Hispanic children, a sub-group mainly composed of children of Mexican decent, disproportionately affected. Prior research has suggested that Mexican parents may view overweight in early childhood as desirable; however, it is unclear if this is still the case. Therefore, this qualitative study explored the beliefs of 11 Mexican parents of preschoolers regarding weight and health. Following coding and clustering of themes from the transcribed audio-recorded meetings, six patterns were identified: (a) meanings and relationships about excess weight in childhood and child health, (b) causes of overweight and obesity, (c) uncertainty about knowing and not knowing, (d) from Mexico to America: enticements of a new land and time as a commodity, (e) the effects of society on personal and parental goals: the work of parenting in the United States, and (f) identified needs and action strategies. In summary, parents involved in this group discussion readily associated overweight/obesity with poor mental and physical health; however, they were uncertain how they would "know" if their children were overweight.

Child health promotion and protection among Mexican mothers.

For numerous reasons, children of Mexican descent experience many health disparities. One strategy for addressing these disparities is to increase health promotion and protection behaviors that mothers use with their preschool children. Limited literature is available on such practices used by mothers of Mexican descent with their healthy preschool children. This study explored child health promotion and protection practices used by mothers of Mexican descent. A naturalistic design, guided by Spradley's ethnographic interview techniques, was selected for this study. The sample included 9 Mexican-descent mothers from an urban U.S. community with healthy preschool children. Despite significant challenges, participants promoted and protected the health of their preschool children by al cuidado (taking care) and by being al pendiente (being mindful) of balancing the health of their children's bodies, minds, and souls. Understanding these mothers' approaches allows the creation of culturally sensitive health programs that can build on existing maternal strengths.

[A remedy against delinquency: child labour in lock-up institutions in post-revolutionary Mexico City]. / Un remedio contra la delincuencia: el trabajo infantil en las instituciones de encierro de la Cuidad de México durante la posrevolución.

In post-revolutionary Mexico City, work therapy prevailed over other treatments used to correct what was considered a social disease: child delinquency. Thousands of children took up the fields of farm schools as well as workshops in reformatories and industrial schools. The manual labor carried out by children of the popular sectors was used in childhood establishments as a way to make up for what they received in those places. Based on the logic that work as regenerator of a sick body and an ill mind, the Mexican state tried to turn the young delinquents into the future workers.

[Dona Amélia Queen Reformatory: a sanatorium for weak children]. / Preventório Rainha Dona Amélia: um sanatório para crianças enfraquecidas.

This article intends to examine the conditions of the city of Rio de Janeiro, regarding the city's health safety of the living and housing condition of its workers, which helped bringing about the spread of tuberculosis in the end of the 19th century and beginning of the 20th century. Evidencing the high incidence of tuberculosis at this time, it intends to verify the reasons for creating the Brazilian League Against Tuberculosis and its purpose, analyzing its project of assistance to children's health and its intervention to discipline, which resulted in the creation of the Dona Amélia Queen Reformatory.

Malnutrition among children younger than 5 years-old in conflict zones of Chiapas, Mexico.

We performed a cross-sectional, community-based survey, supplemented by interviews with community leaders in Chiapas, Mexico, to examine the prevalence and predictors of child malnutrition in regions affected by the Zapatista conflict. The prevalence rates of stunting, wasting, and underweight were 54.1%, 2.9%, and 20.3%, respectively, in 2666 children aged younger than 5 years. Stunting was associated with indigenous ethnicity, poverty, region of residence, and intracommunity division. The results indicate that malnutrition is a serious public health problem in the studied regions.