State-Level Spending on Children Associated with Unequal Benefits to School Readiness.

IF 1.7 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Maternal and Child Health Journal Pub Date : 2025-04-01 Epub Date: 2025-02-14 DOI:10.1007/s10995-025-04068-9
Taryn W Morrissey, Katherine Engel, Margot I Jackson
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引用次数: 0

Abstract

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.

各州在儿童身上的支出与入学准备的不平等利益有关。
目的:研究州级公共投资对儿童的规划和家长的报告,他们的孩子的幼儿园准备之间的联系。方法:我们使用回归方法和公开的、具有全国代表性的数据来检验时间和州对儿童的公共支出变化与父母对儿童发展的关注之间的关系。我们将城市研究所各州儿童支出数据集和国家早期教育研究所的年度州一级健康和早期学习支出数据与2003/2004年、2007/2008年和2011/2012年全国儿童健康调查(NCHS)的儿童水平数据联系起来,重点关注有一个或多个6岁以下儿童的父母的子样本(N = 56,736)。结果:在健康和早期教育方面与儿童有关的公共支出与父母对儿童身体健康和运动发展的关注减少有关。每名儿童每年平均卫生支出和早期教育支出增加15%,父母对儿童健康和运动发育的担忧就会分别减少约3%和2%的标准差(SD)。对早期学习和社交情感发展的关注与支出之间存在负相关,但并不显著。在社会经济上处于不利地位或种族和少数民族的父母中,支出与担忧的减少幅度较小有关。实践结论:在儿童方面的公共支出与父母对孩子发展的关注较少相关,但在贫困家庭中则较少。公共支出水平可能不足以缩小早期机会和结果方面的差距。
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来源期刊
Maternal and Child Health Journal
Maternal and Child Health Journal PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.20
自引率
4.30%
发文量
271
期刊介绍: Maternal and Child Health Journal is the first exclusive forum to advance the scientific and professional knowledge base of the maternal and child health (MCH) field. This bimonthly provides peer-reviewed papers addressing the following areas of MCH practice, policy, and research: MCH epidemiology, demography, and health status assessment Innovative MCH service initiatives Implementation of MCH programs MCH policy analysis and advocacy MCH professional development. Exploring the full spectrum of the MCH field, Maternal and Child Health Journal is an important tool for practitioners as well as academics in public health, obstetrics, gynecology, prenatal medicine, pediatrics, and neonatology. Sponsors include the Association of Maternal and Child Health Programs (AMCHP), the Association of Teachers of Maternal and Child Health (ATMCH), and CityMatCH.
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