Search Results

Author: Starfield, Barbara
Resulting in 2 citations.
1. Newacheck, Paul W.
Starfield, Barbara
Monitoring Changes in Health Care for Children and Families
In: Integrating Federal Statistics on Children: Report of a Workshop. Committee on National Statistics and Board on Children and Families, ed. Washington, DC: National Academy Press, 1995: pp. 156-191.
Also: http://www.nap.edu/books/0309052491/html
Cohort(s): Children of the NLSY79
Publisher: National Academy Press
Keyword(s): Child Health; Children, Illness; Health Care; Health Reform; Overview, Child Assessment Data

EXCERPT FROM INTRODUCTION: Monitoring and evaluating the changes that accompany health care and reforms for children, their families, and the health care system that serves them presents a formidable challenge. Fortunately, the United States possesses a system for collecting and disseminating health statistics that is the envy of most other developed countries. Even so, our health statistics programs were not designed for the purpose of monitoring and evaluating health care reform. Consequently, an assessment of their utility for this purpose is in order. In doing so, it is important to keep in mind that changes in the health care system will not affect all populations in the same manner. Children's health needs and provider networks differ from those of adults. Children's illnesses and injuries are diagnosed in the context of rapid growth and developmental processes that have no counterparts in adults. Their physiological, cognitive, and emotional maturation makes children uniquely vulnerable to certain illnesses. Their developmental vulnerabilities require heightened attention to preventative care and early diagnosis and treatment of their disorders (Jamesone and Wehr, 1993). Assessment of the current federal health statistics programs and the design of mechanisms for monitoring the effects of changes in the system must take into account these differences.
Bibliography Citation
Newacheck, Paul W. and Barbara Starfield. "Monitoring Changes in Health Care for Children and Families" In: Integrating Federal Statistics on Children: Report of a Workshop. Committee on National Statistics and Board on Children and Families, ed. Washington, DC: National Academy Press, 1995: pp. 156-191.
2. Starfield, Barbara
Shapiro, Sam
Weiss, Judith
Liang, Kung-Yee
Knut, Ra
Paige, David
Wang, Xiaobin
Race, Family Income, and Low Birth Weight
American Journal of Epidemiology 134,10 (November 1991): 1167-1174.
Also: http://aje.oxfordjournals.org/content/134/10/1167.abstract
Cohort(s): NLSY79
Publisher: Johns Hopkins University Press
Keyword(s): Age and Ageing; Birthweight; Cigarette Use (see Smoking); Education; Family Income; Fertility; Marital Status; Mothers, Education; Pregnancy and Pregnancy Outcomes; Racial Differences; Variables, Independent - Covariate; Women

The relations among race, family income, and low birth weight were examined using information obtained from the National Longitudinal Survey of Youth, which conducted yearly interviews with a nationally representative sample of young women identified in the late 1970s. Data were available for these women and their offspring from 1979 through 1988. Maternal education, maternal age, age/parity risk, marital status, and smoking during pregnancy served as covariates in cross-sectional and longitudinal analyses. The risk of low birth weight among births to black women and white women who were poor was at similarly high levels regardless of whether poverty was determined prior to study entrance or during the study period. Longitudinal analyses showed an exceptionally large increase in risk of low birth weight among children born to women whose prior pregnancy ended in a low-birth-weight infant. These two findings emphasize the importance of factors antecedent to the pregnancy in the genesis of low birth weight.
Bibliography Citation
Starfield, Barbara, Sam Shapiro, Judith Weiss, Kung-Yee Liang, Ra Knut, David Paige and Xiaobin Wang. "Race, Family Income, and Low Birth Weight." American Journal of Epidemiology 134,10 (November 1991): 1167-1174.