Children and Families

Paid family leave policies have the potential to reduce health disparities, yet access to paid leave remains limited and unevenly distributed in the United States. The US is the only OECD country that does not provide paid leave for new parents, and just 8 states and the District of Columbia have passed partially-paid family leave policies. In a new paper, Julia Goodman of the OHSU-PSU School of Public Health, Will Dow of UC Berkeley, and Holly Elser of Stanford University examine the impact of the 2017 San Francisco Paid Parental Leave Ordinance (PPLO), the first in the US to provide parental leave with full pay. 

The earned income tax credit (EITC) is the largest US poverty alleviation program for families with children, with well-documented positive effects on recipient health. In addition to the federal EITC, over half of US states have implemented supplemental EITC programs.

Paid family and medical leave has important health benefits for parents and their children, but access to job-protected leave is limited and highly disparate in the United States. Increasingly, state and local governments have established policies such as paid leave to support parents and other caregivers. While these policies have been crucial in enabling more workers to take leave, their effects have been weakened due to only partial coverage of job protection laws. As part of their ongoing work evaluating the 2017 San Francisco Paid Parental Leave Ordinance, investigators Julia M. Goodman (Oregon Health & Science University/Portland State University) and William H. Dow (University of California, Berkeley) published an issue brief examining paid leave protections in the California Bay Area.

Approximately 16 percent of children in the U.S. live in families with incomes below the federal poverty threshold. This early-life exposure to poverty may have negative long-term health effects. In a new working paper, Hansoo Ko, Renata Howland, and Sherry Glied of the P4A Research Hub at New York University Robert F. Wagner Graduate School of Public Service, estimate the causal impacts of the Supplemental Security Income program on child health outcomes and medical expenditures.

As shoppers prepare for the holidays with trips to the mall, supermarket, and big box stores, many workers who stock the shelves and work the registers are scrambling to piece together child care to match their unpredictable work schedules.

A unique partnership in Minnesota is linking data about health, human services, housing, and criminal justice to increase our understanding of risk factors and protective factors for children entering foster care. But how do we ensure we tailor our research approach to fit the complicated lives of real parents, caregivers, and children?

Low-income working parents often face routine uncertainty in their schedules because of “just-in-time” scheduling practices that offer workers little notice of when they will be expected to work. In a new working paper, Kristen Harknett, Daniel Schneider, and Sigrid Luhr of P4A’s Research Hub at University of California, Berkeley, examine the consequences of unstable and unpredictable work schedules on child care arrangements.

When it comes to supporting families through paid family and medical leave policies, the U.S. lags behind other developed nations. What explains the lack of policy action? Perhaps we have not acknowledged paid leave policy for what it really is: a critical backbone of support that follows workers through all the major moments of their lives.

At this time, little is known about the health consequences of growing up in gentrifying neighborhoods. Many observers worry that gentrification could heighten stress and undermine children’s health, but it may also bring changes to low-income areas that enhance health. Kacie Dragan, Ingrid Ellen, and Sherry A. Glied, representing P4A’s NYU Wagner Research Hub, explore these issues in a new paper, focusing on children’s physical and mental health.

In fall 2018, we launched a new Policies for Action Research Hub at Vanderbilt to examine barriers to the healthy development and success of low-income children in Tennessee. We knew that building a strong, policy-focused research agenda would require open communication and a cooperative spirit among our state agencies and community health and education organizations.

While Earned Income Tax Credit expansions are typically associated with improvements in maternal mental health, little is known about the mechanisms through which the program affects this outcome. Anuj Gangopadhyaya, Fredric Blavin, Jason Gates, and Breno Braga of the Urban Institute assess the impact of more than two decades of federal expansions in EITC credits and the implementation of state-specific EITC programs on maternal mental health in a new working paper.

Researchers at Brown University released a working paper analyzing the effects of the Supplemental Nutrition Assistance Program (SNAP) on nutritional quality of purchased foods. Examining seven years of transaction records at a large U.S. grocery chain, the team found that SNAP participation had only a small effect on the nutritional quality of purchased foods.