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Objectives: To examine associations between state-level public investments in programming for children and parents' reports of their children's kindergarten readiness.
Methods: We use regression approaches with publicly available, nationally representative data to examine how time and state variation in public spending on children relates to parents' concerns about children's development. We link data on annual state-level spending on health and early learning from the Urban Institute's State-by-State Spending on Kids Dataset and the National Institute for Early Education Research to child-level data from the 2003/2004, 2007/2008, and 2011/2012 waves of the National Survey of Children's Health (NCHS), focusing on a subsample of parents with one or more children under age six (N = 56,736).
Results: Child-related public spending on both health and early education is associated with decreases in parents' concerns about their children's physical health and motor development. A 15% increase in average health spending and early education spending per child per year is associated with a reduction in parents' concerns about children's health and motor development of about 3% and 2% of a standard deviation (SD), respectively. Associations between spending and concerns about early learning and social-emotional development are negative but not significant. Among socioeconomically disadvantaged or racial and ethnic minority parents, spending is associated with smaller reductions in concerns.
Conclusions For Practice: Public spending on children is associated with fewer parents' concerns about their children's development, but less so among disadvantaged families. It is possible that public spending levels are not adequate to narrow disparities in early opportunity and outcomes.
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http://dx.doi.org/10.1007/s10995-025-04068-9 | DOI Listing |
J Safety Res
September 2025
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States; Johns Hopkins Center for Injury Research and Policy, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States. Electronic address:
Background: An estimated 44,680 people died in motor-vehicle crashes in the United States in 2024. A disproportionate share of these deaths involved young people. In 2023 alone, these crashes cost the U.
View Article and Find Full Text PDFCien Saude Colet
August 2025
Departamento de Ginecologia e Obstetrícia, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista "Júlio de Mesquita Filho". Av. Prof. Montenegro s/n, Botucatu. 18618-687 Botucatu SP Brasil.
Timely access to prenatal care is necessary to improve perinatal outcomes. The scope of this study was to assess how funding is distributed among sociodemographic groups and if funding impacted the adequacy of antenatal care usage. A retrospective cohort study was conducted.
View Article and Find Full Text PDFLang Speech Hear Serv Sch
September 2025
Purpose: Reviews of evidence have shown that elementary school students show enhanced speech, language, and/or literacy outcomes when speech-language pathologists (SLPs) and classroom teachers collaborate in planning and delivery of services. However, such collaboration is uncommon. The purpose of this qualitative interview study was to examine the experiences and views of elementary SLPs and classroom teachers in collaborating with one another.
View Article and Find Full Text PDFFront Public Health
September 2025
Department of Environmental Health, Harvard T. H. Chan School of Public Health, Boston, MA, United States.
The frequency and severity of heat waves are expected to worsen with climate change. Exposure to extreme heat, or prolonged unusually high temperatures, are associated with increased morbidity and mortality. The fetus, infant, and young child are more sensitive to higher temperatures than older children and most adults given that they are rapidly developing.
View Article and Find Full Text PDFHealth Policy Plan
September 2025
Department of Global Health and Development, London School of Hygiene & Tropical Medicine, London, UK.
The COVID-19 pandemic had significant widespread financial impacts, resulting in decreased household income, increased unemployment, and disrupted health services. Despite the higher prevalence of infections of tuberculosis (TB) and human immunodeficiency virus (HIV) in poorer populations, research on the financial challenges faced by these populations during the pandemic is still limited. Indonesia recorded the highest COVID-19 cases in Southeast Asia (6,815,156) while contending with the dual burden of HIV and TB.
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