Race, urban community stressors, and behavioral and emotional problems of children with special health care needs

Kim D. Jaffee, Gilbert C. Liu, Janie Canty-Mitchell, Rong Amy Qi, Joan Austin, Nancy Swigonski

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

Objectives: This study examined the relationship of community-level stressors to behavioral and emotional problems among African-American and white children with special health care needs. Methods: The authors interviewed 257 low-income caregivers of children with special health care needs in an urban Midwestern city who brought their child for a primary health care visit to a community health center between September 2001 and May 2002. Sociodemographic characteristics as well as information about the children's behavioral and emotional problems, the health status of the children, perceptions of urban community stress, access to health care, and satisfaction with health care were collected to determine racial differences in the impact of urban stress on behavioral and emotional problems. Results: Urban community stressors, race, and child's health status were significantly associated with behavioral and emotional problems among children with special health care needs. The association between urban stress and total behavioral problems did not differ by race. Conclusions: When caring for children with special health care needs, especially those with emotional or behavioral problems, primary care providers may be better able to identify important aggravating factors if they also assess urban stress. Systems of care are needed that can assist in addressing urban community-level stressors.

Original languageEnglish (US)
Pages (from-to)63-69
Number of pages7
JournalPsychiatric Services
Volume56
Issue number1
DOIs
StatePublished - Jan 2005
Externally publishedYes

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health care
Delivery of Health Care
community
Health Status
Primary Health Care
health status
Community Health Centers
Health Services Accessibility
Problem Behavior
African Americans
Caregivers
caregiver
low income
health

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Health Professions(all)

Cite this

Race, urban community stressors, and behavioral and emotional problems of children with special health care needs. / Jaffee, Kim D.; Liu, Gilbert C.; Canty-Mitchell, Janie; Qi, Rong Amy; Austin, Joan; Swigonski, Nancy.

In: Psychiatric Services, Vol. 56, No. 1, 01.2005, p. 63-69.

Research output: Contribution to journalArticle

Jaffee, Kim D. ; Liu, Gilbert C. ; Canty-Mitchell, Janie ; Qi, Rong Amy ; Austin, Joan ; Swigonski, Nancy. / Race, urban community stressors, and behavioral and emotional problems of children with special health care needs. In: Psychiatric Services. 2005 ; Vol. 56, No. 1. pp. 63-69.
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