Whitney P Witt

Whitney P Witt
Lehigh University

PhD, MPH

About

115
Publications
17,798
Reads
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3,037
Citations
Introduction
Dr. Witt is a health services and population health researcher with over 20 years of experience in designing and carrying out studies of the health of women, children, and families. She applies a life course approach to her research, investigating early life exposures, their long-term effects on health, and how family relationships affect health.
Additional affiliations
September 2001 - July 2013
Harvard Medical School
Position
  • PostDoc Position
June 2013 - December 2013
University of Wisconsin–Madison
Position
  • Associate Professor (with tenure) of Population Health Sciences, Obstetrics and Gynecology, and Pediatrics
September 2007 - June 2013
University of Wisconsin–Madison
Position
  • Professor (Assistant)
Description
  • Courses Taught: Principles of Population Health Science (PHS 795); Introduction to Life Course Epidemiology and Family Health Services Research (PHS 711); Public Health and Human Rights: The Case of Vulnerable Children (PHS 650-026)
Education
July 2001 - June 2003
Harvard University, School of Medicine
Field of study
  • Pediatric Health Services Research
September 1998 - May 2001
Johns Hopkins University, School of Hygiene and Public Health, Department of Health Policy and Management
Field of study
  • outcomes and quality
July 1995 - May 1997
Johns Hopkins University School of Hygiene and Public Health, Department of Health Policy and Management
Field of study
  • Concentration in AIDS policy reformation and women’s health

Publications

Publications (115)
Article
Full-text available
Physical comorbidities associated with mental health conditions contribute to high health care costs. This study examined the impact of having a usual source of care (USC) for physical health on health care utilization, spending, and quality for adults with a mental health condition using Medicaid administrative data. Having a USC decreased the pro...
Article
Objective: To determine the influence of a usual source of care (USC) on health care utilization, expenditures, and quality for Medicaid-insured children and adolescents with a serious emotional disturbance (SED). Methods: Administrative claims data for 2011-2012 were extracted from the Truven Health MarketScan® Multi-State Medicaid Research Dat...
Article
Objective: To examine the role of patient, hospital, and community characteristics on racial and ethnic disparities in in-hospital postsurgical complications. Data sources: Healthcare Cost and Utilization Project, 2011 State Inpatient Databases; American Hospital Association Annual Survey of Hospitals; Area Health Resources Files; Centers for Me...
Article
Full-text available
The purpose of this study was to determine the relationships among preconception stressful life events (PSLEs), women's alcohol and tobacco use before and during pregnancy, and infant birthweight. Data were from the Early Childhood Longitudinal Study-Birth Cohort (n = 9,350). Data were collected in 2001. Exposure to PSLEs was defined by indications...
Article
Background: The life course perspective suggests a pathway may exist among maternal exposure to stressful life events prior to conception (PSLEs), infant birth weight and subsequent offspring health, whereby PSLEs are part of a 'chains-of-risk' that set children on a certain health pathway. No prior study has examined the link between PSLEs and of...
Article
Full-text available
To determine the impact of children's cognitive delay and behavior on maternal depressive symptoms using a large national cohort of US families. Data were drawn from 2 waves of the nationally representative Early Childhood Longitudinal Study, Birth Cohort (n = 7550). Cognitive delay was defined at age 24 months by the lowest 10th percentile of the...
Article
We sought to determine whether the effects of preconception stressful life events (PSLEs) on birth weight differed by neighborhood disadvantage. We drew our data from the Early Childhood Longitudinal Study, Birth Cohort (2001-2002; n = 9300). We created a neighborhood disadvantage index (NDI) using county-level data from the 2000 US Census. We grou...
Article
The purpose of the study was to understand the association between stressful life events prior to conception (PSLEs) and women's alcohol and tobacco use prior to and during pregnancy, and the continuation of such use through pregnancy. Data were from the Early Childhood Longitudinal Study-Birth Cohort (n = 9,350). Data were collected in 2001. Expos...
Article
Full-text available
In order to better understand how family caregiving may contribute to poor health outcomes, this study sought to determine (1) if and to what extent caregiving characteristics were associated with caregiver strain and health-related quality of life (HRQoL), and (2) whether caregiver strain mediated this association. Data were from the 2008-2010 Sur...
Conference Paper
Background: It is unknown how exposure to stressful life events prior to conception (PSLEs) influences alcohol and tobacco use in the perinatal period. The goal of this study was to understand the association between PSLEs and women’s alcohol and tobacco use prior to and during pregnancy, and with the continuation of use through the final three mon...
Conference Paper
Background: Previous studies have demonstrated that exposure to preconception stressful life events (PSLEs) increases the risk for having adverse obstetric outcomes; however it is unclear whether neighborhood conditions influence this relationship. This study determined whether the effect of PSLEs on birth weight is stronger among women living in d...
Conference Paper
Background: The goal of this study was to determine the relationships among preconception stressful life events (PSLEs), women’s use of alcohol and tobacco prior to and during pregnancy, and infant birth weight. Methods: Data were from the Early Childhood Longitudinal Study-Birth Cohort (n=9,350). Survey data determined women’s exposure to any PS...
Conference Paper
Background: Neighborhood factors are associated with children's behavioral outcomes in the general population, but this relationship has not been examined among children with cognitive delay (CD). We investigated the relationships among CD, neighborhood factors, and behavior problems over a two-year period in early childhood using a national sample...
Article
Full-text available
To determine the effect of exposure to multiple social risks on cognitive delay at 9 months of age; and whether obstetric factors mediate the relationship between cumulative social risk and cognitive delay. Data were from 8950 mother-child dyads participating in the first wave of the Early Childhood Longitudinal Study, Birth Cohort. Cognitive delay...
Article
Objective To develop and validate a theoretically based and empirically driven objective measure of financial burden for U.S. families with children.Data SourcesThe measure was developed using 149,021 families with children from the National Health Interview Survey, and it was validated using 18,488 families with children from the Medical Expenditu...
Article
Objectives: We investigated relationships among cognitive delay, community factors, and behavior problems over 2 years in early childhood with a national sample of US families. Methods: Data were from 3 waves of the Early Childhood Longitudinal Study, Birth Cohort (2001-2005; n = 7650). We defined cognitive delay as the lowest 10% of mental scor...
Article
Full-text available
Objective: To investigate the relationship between cognitive delay (CD) and behavior problems between ages 9 months and 5 years, while adjusting for covariates related to CD. Methods: Data were from 4 waves of the Early Childhood Longitudinal Study, Birth Cohort (n = 8000). Children were classified as typically developing (TD) or as having resol...
Article
Full-text available
The pathophysiological consequences of caregiving have not been fully elucidated. We evaluated how caregiving, stress, and caregiver strain were associated with shorter relative telomere length (RTL), a marker of cellular aging. Caregivers (n = 240) and some noncaregivers (n = 98) in the 2008–2010 Survey of the Health of Wisconsin, comprising a rep...
Article
This study takes a lifecourse approach to understanding the factors contributing to delivery methods in the US by identifying preconception and pregnancy-related determinants of medically indicated and non-medically indicated cesarean section (C-section) deliveries. Data are from the Early Childhood Longitudinal Study-Birth Cohort, a nationally rep...
Article
Improved parental awareness of human papillomavirus (HPV) vaccines could increase uptake of vaccines early in the life course, thereby reducing adolescents' later risk for HPV infection and cancer. As such, we sought to determine factors related to parental awareness of HPV vaccines, using a nationally representative population-based sample. We exa...
Article
Objectives: We sought to determine if and to what extent a woman's exposure to stressful life events prior to conception (PSLEs) were associated with subsequent infant birth weight by using a nationally representative sample of US women. Methods: We examined 9350 mothers and infants participating in the first wave of the Early Childhood Longitud...
Article
Objectives: We determined whether and to what extent a woman's exposure to stressful life events prior to conception (PSLEs) was associated with preterm birth and whether maternal age modified this relationship. Methods: We examined 9350 mothers and infants participating in the first wave of the Early Childhood Longitudinal Study, Birth Cohort,...
Article
Full-text available
Informal caregivers play a critical role in the care of individuals who are aging or have disabilities and are at increased risk for poor health outcomes. This study sought to determine whether and to what extent: (1) global stress and health-related quality of life (HRQoL) differed between caregivers and non-caregivers; (2) global stress mediated...
Conference Paper
OBJECTIVE: To determine if and to what extent maternal exposure to stressful life events (SLEs) prior to conception was associated with subsequent infant birthweight using a nationally representative sample of U.S. women. METHODS: We examined 8,700 mothers and infants participating in the Early Childhood Longitudinal Study-Birth Cohort. We define...
Conference Paper
Background. This study sought to: (1) determine the sociodemographic and health correlates of cognitive limitations (CLs) at nine-months of age; and (2) identify if and to what extent obstetric factors mediate the relationship between CL status and sociodemographic risk. Methods. Data are from 8,950 infants and their parents participating in the...
Conference Paper
Objective: This study aimed to determine the relationships among stress, immune function, and aging among parents of children with and without cancer or brain tumors. Methods: Parents of children ages 2-18 with (n=71; cases) and without (n=124) cancer or brain tumors completed in-person interviewer-assisted surveys assessing sociodemographics and...
Conference Paper
BACKGROUND: It is unknown how the 9/11 attacks affected toddler self-regulation in the context of preconception stressful life events (PSLEs). This study examined: 1) if and to what extent women's PSLEs moderated the effect of in utero exposure of 9/11 on toddler self-regulation; and, 2) if these relationships were stronger closer to the epicenter...
Conference Paper
OBJECTIVE: To evaluate the association among preconception stressful life events, pregnancy-related risk factors, and preterm birth. METHODS: Data are from the Early Childhood Longitudinal Study-Birth Cohort, a nationally representative, population-based survey of women delivering a live baby in 2001 (n=9,350). Preterm births were defined as deli...
Conference Paper
BACKGROUND: It is unknown how the 9/11 attacks affected infant birthweight in the context of preconception stressful life events (PSLEs). This study examined: 1) if and to what extent women's PSLEs moderated the effect of in utero exposure to 9/11 on birthweight; and, 2) if these relationships were stronger closer to the epicenter of the attacks....
Conference Paper
Ambulatory care sensitive (ACS) emergency room and inpatient utilization is costly and may contribute to worse individual health. We sought to determine if unmet healthcare need was associated with ACS utilization among children in the US, using a nationally representative, population-based sample. We examined data on 22,581 children (age 0-17) fro...
Conference Paper
Ambulatory care sensitive (ACS) emergency room and inpatient utilization is costly and may contribute to worse health outcomes. We sought to determine if unmet healthcare need was associated with ACS utilization among children in the US, using a nationally representative, population-based sample. We examined data on 22,581 children (age 0-17) from...
Conference Paper
OBJECTIVE: To evaluate preconception and pregnancy-related determinants of birth delivery methods in the US. METHODS: Data are from the Early Childhood Longitudinal Study-Birth Cohort, a nationally representative, population-based survey of women delivering a live baby in 2001 (n=9,350). Delivery methods included: 1) vaginal delivery (reference);...
Conference Paper
Background. This is the first national study to examine the development of behavior problems among children with and without cognitive limitations (CLs) during early childhood in the U.S. Methods. We examined 7,800 children participating in the Early Childhood Longitudinal Study-Birth Cohort. Data were collected when the child was nine-months, tw...
Article
Many women with depression are untreated or undertreated for their condition. The quality of patient-provider communication may impact the receipt of depression treatment. We examine the relationship between patient-provider communication and receipt of adequate treatment for depression among women. The study sample consisted of women with depressi...
Article
Research suggests a relationship between caring for a child with cancer and psychological distress in caregivers. Less evident is the role which financial difficulties might play in this relationship. We sought to determine if caring for a child with cancer was related to clinically relevant depressive symptoms among parents, whether or not financi...
Article
Little is known about the relationships between sociodemographic characteristics and ratings of provider communication behavior among women with depression in the United States. This study uses the Andersen Behavioral Model to examine the relationships among predisposing, enabling, and need factors and ratings of perceived patient-provider communic...
Article
Full-text available
Stress during pregnancy is a salient risk factor for adverse obstetric outcomes. Personal capital during pregnancy, defined as internal and social resources that help women cope with or decrease their exposure to stress, may reduce the risk of poor obstetric outcomes. Using data from the 2007 Los Angeles Mommy and Baby study (N = 3,353), we examine...
Article
This study aimed to determine if and to what extent (i) socioeconomic disparities exist in the health-related quality of life (QOL) of children with cancer or brain tumors and healthy children; and (ii) family functioning and burden mediate the relationship between socioeconomic status and children's QOL. In this cross-sectional study, parents of c...
Article
Full-text available
While maternal socioeconomic status and health predict in part children's future health and socioeconomic prospects, it is possible that the intergenerational association flows in the other direction such that child health affects maternal outcomes. Previous research demonstrates that poor child health increases the risk of adverse maternal physica...
Article
Full-text available
The objectives of this study were to determine if racial and ethnic differences in personal capital during pregnancy exist and to estimate the extent to which any identified racial and ethnic differences in personal capital are related to differences in maternal sociodemographic and acculturation characteristics. Data are from the 2007 Los Angeles...
Article
Mounting evidence from clinic and convenience samples suggests that stress is an important predictor of adverse obstetric outcomes. Using a proposed theoretical framework, this review identified and synthesized the population-based literature on the measurement of stress prior to and during pregnancy in relation to obstetric outcomes. Population-ba...
Article
Objective: First, we sought to determine if parents of children with cancer or a brain tumor had greater stress compared to parents of healthy children and to evaluate the correlates of stress among parents of children with cancer or brain tumors. Second, we sought to examine the relationship between perceived stress and symptoms of stress and how...
Article
Full-text available
Background: We sought to determine how health care-related financial burden, childhood activity limitations, health insurance, and other access-related factors predict delayed or forgone care for families with children, using a nationally representative, population-based sample. Methods: Our sample included families with children aged 0 to 17 ye...
Conference Paper
OBJECTIVE: To examine the association between the maternal Stress to Resiliency Ratio (SRR) and postpartum depression (PPD). METHODS: We used data from the Los Angeles Mommy and Baby (LAMB) study, a mailed survey based on a multistage clustered design with telephone follow-up for non-respondents. Analyses were based on the responses of 706 women...
Conference Paper
OBJECTIVE: To examine the association between the maternal Stress to Resiliency Ratio (SRR) and breastfeeding initiation. METHODS: We used data from the Los Angeles Mommy and Baby (LAMB) study, a mailed survey based on a multistage clustered design with telephone follow-up for non-respondents. Analyses were based on the responses of 3,148 women w...
Conference Paper
OBJECTIVE: To examine the associations between the maternal stress to resiliency ratio (SRR) and unhealthy behaviors during pregnancy. METHODS: We used data from the Los Angeles Mommy and Baby (LAMB) study, a mailed survey based on a multistage clustered design with telephone follow-up for non-respondents. Analyses were based on the responses of...
Conference Paper
Objective/Background: We sought to determine the factors related to parental knowledge of the human papillomavirus (HPV) vaccination, using a nationally representative population-based sample. Methods: Data on 5,932 parents of children ages 8-17 years were from the 2010 National Health Interview Survey. Parents were asked if they had ever heard of...
Conference Paper
Background: Research has shown better health among recent American immigrants. Healthcare expense has been linked to bankruptcy. However, the connections between generational status, health, and bankruptcy have not been assessed. Methods: Using data from the National Longitudinal Survey of Youth (NLSY79) (N=6,749), we explored if generational statu...
Conference Paper
Objective/Background: We sought to determine the factors related to receipt of human papillomavirus (HPV) vaccination, using a nationally representative population-based sample of US children and adolescents. Methods: We examined data on 5,932 preadolescents and adolescents ages 8-17 years from the 2010 National Health Interview Survey. Parents wer...
Conference Paper
We sought to determine time trends and disparities in the risk of unmet healthcare need among families in the US over the past ten years, using a nationally representative, population-based sample. We examined data on 347,526 families from the 2001-2010 National Health Interview Survey. Unmet healthcare need was defined as delayed or forgone health...
Conference Paper
Background: School-aged children and adolescents with intellectual disability (ID) are more likely to have psychosocial and behavioral problems; however, it is unknown when these disparities emerge. This study sought to identify behavioral disparities among young children with and without ID using a nationally-representative, population-based conte...
Conference Paper
OBJECTIVE: To examine the association between the maternal stress to resiliency ratio (SRR) and delayed prenatal care (PNC) initiation. METHODS: We used data from the Los Angeles Mommy and Baby (LAMB) study, a mailed survey based on a multistage clustered design with telephone follow-up for non-respondents. Analyses were based on the responses of...
Conference Paper
Background: Women's nutrition and dietary practices are vital, daily personal behaviors with important implications for their own health and the health and development of their children. We sought to examine the eating behaviors and weight-loss strategies of mothers in the United States, and how these behaviors vary by measures of mothers' psycholo...
Conference Paper
Families of children with special health care needs (CSHCN) are particularly vulnerable to experiencing elevated financial burden as a result of high health care utilization. We sought to determine how subjective and objective health care related financial burden are related to delayed or forgone care for CSHCN, using a nationally representative, p...
Conference Paper
Experts recommend that all pregnant women get a flu shot, however the nasal spray flu vaccine is not approved for pregnant women. Getting the flu shot while a woman is pregnant has also been shown to prevent influenza and flu-related hospitalizations in their infants up to 6 months of age. We sought to determine the predictor of receipt of flu shot...
Conference Paper
Background: The Centers for Disease Control recommend the implementation of Prescription Monitoring Programs (PMPs) as a way to combat the misuse of prescription medications. Studies have shown that the implementation of PMPs can lead to a decrease in diversion as well as an increase in substance abuse treatment admissions. However, no study to dat...
Conference Paper
Background: Many women with depression are untreated or undertreated for their condition. The quality of patient-provider communication may impact the receipt of depression treatment. We examine the relationship between patient-provider communication and receipt of adequate treatment for depression among women. Methods: The sample consisted of wome...
Conference Paper
Background: We examined if and to what extent women's preconception mental health status impacted subsequent pregnancy-related healthcare use and expenditures. Methods: We examined 4,084 women using data from the 1996-2006 Medical Expenditure Panel Survey (MEPS), a national, population-based panel survey. Preconception mental health was defined a...
Conference Paper
Background: Childhood intellectual disability (ID) affects long-term child health and can place substantial burden on the family. This study sought to assesses the health and family characteristics of young children with and without ID and identify risk factors for ID in early childhood using a nationally-representative cohort. Methods: Data are...
Conference Paper
The importance of childhood preventive care, including vaccinations, is well known; however, less than half of all children and adolescents in the US receive the preventive care recommended by professional guidelines. We sought to determine if unmet healthcare need was associated with receipt of influenza vaccinations among children and adolescents...
Conference Paper
Previous research suggests that children with special health care needs (CSHCN) face more access problems than other children, and their families report more problems paying medical bills. We sought to investigate the impact of health insurance cost-sharing and generosity of benefits on delayed or forgone care for CSHCN, using a nationally represen...
Conference Paper
Background: Accurately estimating the prevalence and impact of informal caregiving (unpaid care provided by family members or friends) is essential for planning and evaluating interventions and support programs in the state of Wisconsin. Little state-specific information about caregiving exists. Methods: Data were from the 2008-2010 Survey of the H...
Conference Paper
Background: Childhood intellectual disability (ID) affects long-term child health and can place substantial burden on the family. This study sought to assesses the health and family characteristics of young children with and without ID and identify risk factors for ID in early childhood using a nationally-representative cohort. Methods: Data are...
Article
Purpose: This review sought to identify and summarize the instruments adapted or developed for measuring HRQoL among young children (<8 years) living in resource-limited settings. Methods: A review of the literature was conducted in two phases. Phase one searched the PubMed, PsycInfo, Web of Knowledge (Web of Science), African Index Medicus, and...
Article
Full-text available
Psychological distress among cancer survivors is common. It is unknown if symptoms predate diagnosis or differ from patients without cancer because studies are limited to patient follow-up. Linked cohort (Wisconsin Longitudinal Study) and tumor registry records were used to assess the psychological distress response pre- to post-cancer diagnosis. A...
Article
Full-text available
Although 64% of cancer survivors are expected to live at least 5 years beyond diagnosis, the receipt of cancer screening by this population is unclear. The objective of this study was to assess the relation between a cancer diagnosis and future cancer screening, exploring provider-, patient-, and cancer-specific factors that explain observed relati...
Article
Full-text available
Objective: This study sought to examine the relationship among the amount of stress, the perception that stress affects health, and health and mortality outcomes in a nationally representative sample of U.S. adults. Methods: Data from the 1998 National Health Interview Survey were linked to prospective National Death Index mortality data through...
Article
This study aimed to determine the health-related quality of life (HRQoL) in mothers of 5-year-old very low birth weight (VLBW) and normal birth weight (NBW) children, with a focus on the role of stress. This cohort study is ancillary to the Newborn Lung Project. A telephone interview collected information on symptoms of stress and HRQoL from 297 mo...
Article
Full-text available
Pregnancy complications and poor birth outcomes can affect the survival and long-term health of children. The preconception period represents an opportunity to intervene and improve outcomes; however little is known about women's mental health prior to pregnancy as a predictor of such outcomes. We sought to determine if and to what extent women's p...
Conference Paper
Purpose: We sought to determine if and to what extent women's preconception mental health status impacted subsequent pregnancy complications, non-live birth, and birth weight using a nationally representative population-based sample. Methods: Data are from the 1996-2006 Medical Expenditure Panel Survey (MEPS), a national, population-based panel s...
Conference Paper
We sought to determine how health care related financial burden, having a child with an activity limitation and other factors are related to delayed or forgone care for families with children, using a nationally representative population-based sample. We examined data on 6,273 families from five full panels of the 2001-2006 Medical Expenditure Pane...
Conference Paper
Background: The relationship between low socioeconomic status and adverse child health outcomes has been well established. The purpose of this study was to evaluate whether family functioning mediated this relationship for children with and without cancer. Methods: In this cross-sectional study, parents of 71 children with and 135 children withou...
Article
Full-text available
This study examined the impact of childhood activity limitations on family financial burden in the U.S. We used ten complete panels (1996-2006) of the Medical Expenditure Panel Survey (MEPS) to evaluate the burden of out-of-pocket healthcare expenditures for 17,857 families with children aged 0-17 years. Multivariate generalized linear models were...
Article
Full-text available
To determine whether trends in psychological distress exist in the United States and whether trends in healthcare expenditures and outpatient visits were associated with psychological distress. Sequential cross-sectional study of nationally representative data. We examined data from the National Health Interview Survey (NHIS) from 1997 to 2004 link...
Article
Full-text available
Understanding the impact of childhood cancer on the family is increasingly important. This study aimed to (1) examine the relationship between child clinical characteristics and health-related quality of life (QOL) among parents of children with cancer or brain tumors, and (2) determine how parental psychosocial factors impact this relationship. Us...
Article
Mental health problems disproportionately affect women, particularly during the childbearing years. However, there is a paucity of research on the determinants of postpartum mental health problems using representative US populations. Taking a life course perspective, we determined the potential risk factors for postpartum mental health problems, wi...
Conference Paper
Background: Little is understood about the long term impact of caring for a very low birth weight (VLBW) child. The primary aim of this study was to compare health-related quality of life (QOL) and symptoms of stress between parents caring for surviving VLBW children and parents of normal birth weight (NBW) children; and to determine the extent to...
Conference Paper
Background: The relationship between stress and health has been well established. However, less is known about the perceived effect of stress on health. We sought to determine the sociodemographic, health behavior, and healthcare factors associated with perceiving that stress affects health. Methods: Data are from the 1998 National Health Intervi...
Article
Full-text available
Mental health problems disproportionately affect women, particularly during childbearing years. We sought to estimate the prevalence of antepartum mental health problems and determine potential risk factors in a representative USA population. We examined data on 3,051 pregnant women from 11 panels of the 1996-2006 Medical Expenditure Panel Survey....
Article
Full-text available
To determine if caring for a child with cancer or a brain tumor affects parental health and mental health and if and to what extent stress mediates the relationship between case status and parental quality of life. In person interviewer-assisted surveys were administered to 74 case dyads (children diagnosed with cancer or a brain tumor and their pa...
Article
Full-text available
To explore factors that influence how informal caregivers manage medications as part of caring for hospice patients. Semistructured, open-ended interviews were conducted with 23 informal caregivers and 22 hospice providers from 4 hospice programs in the Chicago metropolitan areas. Qualitative analysis was conducted consistent with the grounded theo...
Article
Full-text available
Maternal depression is often untreated, resulting in serious consequences for mothers and their children. Factors associated with receipt of adequate treatment for depression were examined in a population-based sample of 2,130 mothers in the USA with depression using data from the 1996–2005 Medical Expenditure Panel Survey. Chi-squared analyses wer...
Conference Paper
Serious mental health problems disproportionately affect women, and are particularly prevalent during childbearing years. However there is a paucity of research on the prevalence and determinants of antepartum mental health problems in representative US populations. We examined data on 1,107 pregnant women from five panels of the 1996-2000 Medica...
Article
Research during the past 20 years on families of children with developmental disabilities has yielded a rich body of knowledge about the stress of parenting a child with DD, and the risk and protective factors that result in profiles of family resilience vs. vulnerability at various stages of the family life course. Virtually all of this research h...
Article
Full-text available
To examine the role of psychological distress in accessing routine periodic health examinations among U.S. women of reproductive age, we examined data on 9,166 women aged 18-49 years from the 1998 National Health Interview Survey. In multivariate regression, women with psychological distress were more likely than non-distressed women to report dela...
Article
Full-text available
This paper makes the case for a family perspective on population health and specifically focuses on how children's health can impact family health and well-being. To review and synthesize the diverse set of papers that has examined the associations and linkages between children's health and family health. Based on the synthesis o