8 Low-Income Parents and Caregivers of Children Affected by Health Challenges

One-session oral-health workshop was targeted at 770 parents and 60 caregivers of 0-5-year-old low-income children. Lower plaque scores (Silness & Löe-modified index) were observed in test-group-(TG) children after 1 and 6-months (Median=0) than control-group-(CG) (Median=1)(p<0.05), with a significant improvement from baseline among the TG (p<0.05). The questionnaire showed improvement in the TG parents/caregivers' knowledge after 1- 6-months regarding white-spot lesion visual recognition; with respect to the practices, these improved after 1-6, but decreased after 6-months.

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The Line Between Medicaid and Marketplace: Coverage Effects from Wisconsin’s Partial Expansion

Journal of Health Politics Policy and Law ◽

10.1215/03616878-9626852 ◽

2021 ◽

Author(s):

Laura Dague ◽

Marguerite Burns ◽

Donna Friedsam

Keyword(s):

Health Insurance ◽

Low Income ◽

Medicaid Expansion ◽

Poverty Level ◽

Claims Database ◽

Medicaid Coverage ◽

Medicaid Enrollment ◽

Medicaid Eligibility ◽

Balanced Budget ◽

Parents And Caregivers

Abstract Context: States have sought to experiment with the income eligibility threshold between Medicaid coverage and access to subsidized Marketplace plans in an effort to increase coverage for low-income adults while meeting other state priorities, particularly a balanced budget. In 2014, Wisconsin opted against adoption of an ACA Medicaid expansion, instead setting the Medicaid eligibility threshold at 100% of the poverty level—a state-funded partial expansion. Childless adults gained new eligibility, while parents and caregivers with incomes between 101–200% of poverty lost existing eligibility. Methods: We use Wisconsin’s all-payer claims database to assess health insurance gains, losses, and transitions among low-income adults affected by this partial expansion. Findings: We find that less than one third of adults who lost Medicaid eligibility definitely took up commercial coverage, and many returned to Medicaid. Among those newly Medicaid eligible, there was little evidence of crowd-out. Both groups experienced limited continuity of coverage. Overall, new Medicaid enrollment of childless adults was offset by coverage losses among parents and caregivers, rendering Wisconsin’s overall coverage gains similar to non-expansion states. Conclusions: Wisconsin’s experience demonstrates the difficulty in relying on the Marketplace to cover the near poor and suggests that full Medicaid expansion more effectively increases coverage.

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Resources and Barriers to Health of Low-Income Parents and Caregivers

PsycEXTRA Dataset ◽

10.1037/e572192014-001 ◽

2014 ◽

Author(s):

Elizabeth W. Cotter ◽

Natia S. Hamilton ◽

Megan B. Harney ◽

Lashaun Greene ◽

Suzanne E. Mazzeo

Keyword(s):

Low Income ◽

Barriers To Health ◽

Parents And Caregivers

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Cooking Matters Mobile Application: a meal planning and preparation tool for low-income parents

Public Health Nutrition ◽

10.1017/s1368980019001101 ◽

2019 ◽

Vol 22 (12) ◽

pp. 2220-2227 ◽

Cited By ~ 1

Author(s):

Teresa M Garvin ◽

Alethea Chiappone ◽

Lisa Boyd ◽

Katie Stern ◽

Jill Panichelli ◽

...

Keyword(s):

Low Income ◽

Mobile Application ◽

Reasoned Action ◽

Health Behaviours ◽

Telephone Interviews ◽

Shopping List ◽

Explanatory Mixed Methods ◽

Cost Efficient ◽

Meal Planning ◽

Parents And Caregivers

Abstract Objective: To describe low-income parents’ and caregivers’ perceptions of the Cooking Matters Mobile Application (CM App) meal planning and preparation features. Design: Explanatory mixed-methods design where data were gathered via online surveys based on the Theory of Planned Behaviour and the Theory of Reasoned Action, followed by telephone interviews. Setting: CM App, a mobile phone-based resource geared towards low-income parents and caregivers of young children (pregnancy/infant to age 5 years) for meal planning and preparation, with features based on skills taught in the Cooking Matters course: recipes, shopping list and meal planning. Participants: Low-income parents and caregivers (survey participants, n 461; interview participants, n 20) who had downloaded the CM App to their smartphone and agreed to participate in the current evaluation. Results: Attitudes and self-efficacy related to CM App’s subject matter and functions (meal planning; recipe use; creating and using a shopping list) were measured via surveys and interviews. Mean (sd) responses were positive towards ‘meal planning’ and ‘shopping and cooking’ (4·17 (0·63) and 3·49 (0·86) on a 5-point Likert scale, respectively). Interviewees described meal planning and preparation behaviours as intrinsic, based on habit, and influenced by family preference and food costs. Early adopters of the CM App may already be engaged in and/or are motivated to engage in the targeted health behaviours. Conclusions: Users may benefit most from incorporating into their routines new ways to prepare easy, cost-efficient, healthy meals at home that their families will enjoy.

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A View of the Lexical–Grammatical Link in Young Latinos With Specific Language Impairment Using Language-Specific and Conceptual Measures

Journal of Speech Language and Hearing Research ◽

10.1044/2019_jslhr-l-18-0315 ◽

2019 ◽

Vol 62 (6) ◽

pp. 1775-1786 ◽

Cited By ~ 2

Author(s):

Lucía I. Méndez ◽

Gabriela Simon-Cereijido

Keyword(s):

Low Income ◽

Language Impairment ◽

Specific Language Impairment ◽

L2 Acquisition ◽

Cross Sectional ◽

Specific Language ◽

Vocabulary Skills ◽

In The Beginning ◽

Study Participants ◽

L1 And L2

Purpose This study investigated the nature of the association of lexical–grammatical abilities within and across languages in Latino dual language learners (DLLs) with specific language impairment (SLI) using language-specific and bilingual measures. Method Seventy-four Spanish/English–speaking preschoolers with SLI from preschools serving low-income households participated in the study. Participants had stronger skills in Spanish (first language [L1]) and were in the initial stages of learning English (second language [L2]). The children's lexical, semantic, and grammar abilities were assessed using normative and researcher-developed tools in English and Spanish. Hierarchical linear regressions of cross-sectional data were conducted using measures of sentence repetition tasks, language-specific vocabulary, and conceptual bilingual lexical and semantic abilities in Spanish and English. Results Results indicate that language-specific vocabulary abilities support the development of grammar in L1 and L2 in this population. L1 vocabulary also contributes to L2 grammar above and beyond the contribution of L2 vocabulary skills. However, the cross-linguistic association between vocabulary in L2 and grammar skills in the stronger or more proficient language (L1) is not observed. In addition, conceptual vocabulary significantly supported grammar in L2, whereas bilingual semantic skills supported L1 grammar. Conclusions Our findings reveal that the same language-specific vocabulary abilities drive grammar development in L1 and L2 in DLLs with SLI. In the early stages of L2 acquisition, vocabulary skills in L1 also seem to contribute to grammar skills in L2 in this population. Thus, it is critical to support vocabulary development in both L1 and L2 in DLLs with SLI, particularly in the beginning stages of L2 acquisition. Clinical and educational implications are discussed.

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