Mark A. Schuster

Adjunct Researcher

Off Site Office

Education

Ph.D. in policy analysis, RAND Graduate School (now the Pardee RAND Graduate School); M.D., Harvard Medical School; M.P.P., Harvard University; B.A., Yale University

One Page Bio

Overview

Mark Schuster is an adjunct researcher at the RAND Corporation. He is the founding dean and CEO of the Kaiser Permanente Bernard J. Tyson School of Medicine and previously served as the William Berenberg Professor of Pediatrics at Harvard Medical School and Chief of General Pediatrics and Vice Chair for Health Policy in the Department of Medicine at Boston Children's Hospital. Before that, he served as the Director of Health Promotion and Disease Prevention at RAND and held the RAND Distinguished Chair in Health Promotion.
Schuster is an internationally recognized leader on child, adolescent, and family issues, having conducted federally funded research on family leave, quality of care, adolescent sexual health, children with HIV-infected parents, obesity prevention, bullying, and the health of sexual minority youth.
Schuster is an elected member of the National Academy of Medicine and has served as president of the Academic Pediatric Association. He is a recipient of the St. Geme Leadership Award for leadership in pediatrics, the Barger Excellence in Mentoring Award from Harvard Medical School, and the Richardson Award for lifetime achievement from the Society for Pediatric Research. Schuster has been named among Modern Healthcare’s 100 Most Influential People in Healthcare and Modern Healthcare’s 50 Most Influential Clinical Executives.
Schuster received his B.A. summa cum laude from Yale, his M.D. from Harvard Medical School, his M.P.P. from the Harvard Kennedy School of Government, and his Ph.D. from the Pardee RAND Graduate School.

Research Focus

Recent Projects

Center of Excellence for Pediatric Quality Measurement
Students for Nutrition and Exercise
Paid Family Leave for Parents with Chronically Ill Children
Healthy Passages

Selected Publications

Schuster MA, Fuentes-Afflick E, "Caring for children by supporting parents," New England Journal of Medicine, 376, 2017

Schuster MA, Onorato SE, Meltzer DO, "Measuring the cost of quality measurement: a missing link in quality strategy," JAMA, 318(13), 2017

Schuster MA, Reisner SL, "Beyond bathrooms—meeting the health needs of transgender people," New England Journal of Medicine, 375, 2016

Schuster MA, Chung PJ, "Time off to care for a sick child—why family-leave policies matter," New England Journal of Medicine, 371, 2014

Schuster, Mark A.; Elliott, Marc N.; Kanouse, David E.; Wallander, Jan L.; Tortolero, Susan R.; Ratner, Jessica A.; Klein, David J.; Cuccaro, Paula M.; Davies, Susan L.; Banspach, Stephen W., "Racial and Ethnic Health Disparities among Fifth-graders in Three Cities," New England Journal of Medicine, 367, 2012

Commentary

Health Costs of Katrina
"Published commentary by RAND staff: Health Costs of Katrina in United Press International.
Oct 11, 2005 United Press International
Talking to Your Child About Kobe
Published commentary by RAND staff.
Sep 8, 2003 Los Angeles Times

Publications

Journal Article
Using Ancillary Sociodemographic Data to Identify Sexual Minority Adults Among Those Responding "Something Else" or "Don't Know" to Sexual Orientation Questions
Using National Health Interview Survey data, this article compares three analytic strategies for using "something else" and "don't know" responses to estimate health disparities for sexual minorities.
Sep 19, 2019
Journal Article
Evaluation of the Dissemination of SNaX, a Middle School-Based Obesity Prevention Intervention, Within a Large US School District
This evaluation found that that the Students for Nutrition and eXercise ("SNAX") was acceptable to schools, but only a handful had the capacity to maintain the program, and it did not affect eating behaviors in schools.
Apr 11, 2018
Journal Article
Associations Between Parental SES and Children's Health-Related Quality of Life: The Role of Objective and Subjective Social Status
For children in 5th grade, objective measures of parents' social status were more strongly associated with health-related quality of life than subjective measures.
Dec 15, 2017
Journal Article
Unequal Interactions: Examining the Role of Patient-Centered Care in the Inequitable Diffusion of a Medical Innovation, the Human Papillomavirus (HPV) Vaccine
This study found significant association between low ratings of providers' patient-centeredness and racial/ethnic disparities in providers' recommendations to vaccinate for HPV and likelihood of parents deciding to vaccinate.
Nov 2, 2017
Journal Article
Health-Related Issues in Latina Youth: Racial/Ethnic, Gender, and Generational Status Differences
Most health disparities between Latina and white female youth disappear after taking into account sociodemographic differences.
Aug 25, 2017
Journal Article
Peer Victimization, Depressive Symptoms, and Substance Use: A Longitudinal Analysis
Youth who are victimized more frequently by peers in 5th grade are more likely to use alcohol, marijuana, and tobacco in the tenth grade.
Jul 14, 2017
Journal Article
Variation in Family Experience of Pediatric Inpatient Care As Measured by Child HCAHPS
Development of the Child Hospital Consumer Assessment of Healthcare Providers and Systems Survey has made it possible to compare family experience with inpatient pediatric care.
Apr 26, 2017
Journal Article
Chronic Physical Health Conditions and Emotional Problems From Early Adolescence Through Midadolescence
Screening youth with chronic health conditions for symptoms of depression or anxiety may help reduce adverse outcomes from these conditions.
Apr 26, 2017
Journal Article
Home Sweet Home: Parent and Home Environmental Factors in Adolescent Consumption of Sugar-Sweetened Beverages
Targeting parents' consumption of soda—and the availability of soda at home—may be an important step in reducing youth consumption of soda.
Mar 14, 2017
Journal Article
Generational Status and Social Factors Predicting Initiation of Partnered Sexual Activity Among Latino/a Youth
Social factors such as generational status, parental monitoring, and peer norms affected the timing of initial sexual activity differently in Latinas and Latinos in the Healthy Passages study.
Dec 9, 2016
Journal Article
The Association Between Familial Homelessness, Aggression, and Victimization Among Children
Even brief periods of homelessness increase the likelihood that a child will be a victim-aggressor or an aggressor, compared to youth who were never homeless.
Oct 10, 2016
Journal Article
Barriers to HPV Immunization Among Blacks and Latinos: A Qualitative Analysis of Caregivers, Adolescents, and Providers
National vaccination rates for the human papilloma virus (HPV) among 11-12 year olds remain low, especially among Black and Latino youth.
Oct 5, 2016
Journal Article
Racial and Ethnic Disparities in ADHD Diagnosis and Treatment
African-American and Latino children are less likely to be diagnosed with or receive medication for attention-deficit/hyperactivity disorder than their white peers.
Sep 22, 2016
Journal Article
Firearm Ownership and Acquisition Among Parents with Risk Factors for Self-Harm or Other Violence
Families with risk factors such as parental mental illness and substance use have a modestly greater probability of having a firearm in the home compared with families without risk factors.
Jul 14, 2016
Journal Article
Perceived Physical Appearance: Assessing Measurement Equivalence in Black, Latino, and White Adolescents
Compared with white and Latino adolescents, black adolescents reported a more positive perception of their own physical appearance; however, the difference may actually be an artifact of the measurement instrument.
Jul 6, 2016
Journal Article
Two-year BMI Outcomes from a School-Based Intervention for Nutrition and Exercise: A Randomized Trial
School-based interventions can contribute to long-term reductions in body-mass index (BMI) among students who are obese.
May 4, 2016
Journal Article
Cost and Cost-Effectiveness of Students for Nutrition and Exercise (SNaX)
A middle school–based obesity-prevention intervention combining school-wide environmental changes, multimedia, encouragement to eat healthy cafeteria foods, and peer-led education, increased participation in school lunch programs and selection of fruit dishes, and reduced snack sales.
Apr 28, 2016
Journal Article
Relationship Between Adolescent Report of Patient-Centered Care and of Quality of Primary Care
This study supports the use of patient-centered care, self-reported by adolescents, as a measure of primary care quality for adolescents.
Apr 21, 2016
Journal Article
Relationship of Age for Grade and Pubertal Stage to Early Initiation of Substance Use
This study examines whether age, grade, or pubertal stage are associated with early substance use.
Dec 3, 2015
Journal Article
Lunchtime School Water Availability and Water Consumption Among California Adolescents
A total of 2,665 Californian adolescents aged 12-17 years were interviewed regarding their water consumption and availability of free water during lunchtime at their school.
2016
Journal Article
Unmet Health Care Need in US Adolescents and Adult Health Outcomes
Provide abstract text to pubcat@rand.org alias if you wish to add optional text to this extra tag for this metadata record.
Sep 4, 2015
Journal Article
The Development of a Pediatric Inpatient Experience of Care Measure: Child HCAHPS®
Child HCAHPS was developed to be a publicly available standardized survey of pediatric inpatient experience of care.
Jul 30, 2015
Journal Article
Do Social Resources Protect Against Lower Quality of Life Among Diverse Young Adolescents?
We examined whether social resources from the family and the community moderate the risk associated with low socioeconomic status (SES) for reduced quality of life (QL) among youth across racial/ethnic groups.
Jun 10, 2015
Journal Article
The Abbreviated Dimensions of Temperament Survey: Factor Structure and Construct Validity Across Three Racial/Ethnic Groups
The factor structure, reliability, and construct validity of an abbreviated version of the Revised Dimensions of Temperament Survey (DOTS-R) were evaluated across Black, Hispanic, and White early adolescents.
May 18, 2015
Journal Article
DISC Predictive Scales (DPS): Factor Structure and Uniform Differential Item Functioning Across Gender and Three Racial/Ethnic Groups for ADHD, Conduct Disorder, and Oppositional Defiant Disorder Symptoms
The factor structure and potential uniform differential item functioning (DIF) among gender and three racial/ethnic groups of adolescents were evaluated for attention deficit/hyperactivity disorder (ADHD), conduct disorder (CD), and oppositional defiant disorder (ODD) symptom scores of the DISC Predictive Scales.
Apr 29, 2015
Journal Article
Gender Role Orientation Is Associated with Health-Related Quality of Life Differently Among African-American, Hispanic, and White Youth
This study examined the association between gender role orientation (GRO) and health-related quality of life in youth, and how this relationship may differ between males and females as well as among African-American, White, and Hispanic individuals.
Mar 9, 2015
Journal Article
Common Versus Specific Correlates of Fifth-Grade Conduct Disorder and Oppositional Defiant Disorder Symptoms: Comparison of Three Racial/Ethnic Groups
The extent to which risk profiles or correlates of conduct disorder (CD) and oppositional defiant disorder (ODD) symptoms overlap among youth continues to be debated.
2015
Journal Article
Media Violence Exposure and Physical Aggression in Fifth-Grade Children
Exposure to media violence is strongly linked to physical aggression among youth 10-11 years old.
2015
Journal Article
Regular Physical Activity Has Differential Association with Reduced Obesity Among Diverse Youth in the United States
This study examined whether daily or almost daily lower-intensity physical activity was associated with reduced obesity, among 4,824 African American, Hispanic, and White youth assessed in 5th and 7th grades.
Dec 9, 2014
Journal Article
Middle School Student Attitudes About School Drinking Fountains and Water Intake
Students have negative attitudes about school fountains. To increase overall water intake, it may be important to promote and improve drinking water sources not only at school but also at home and in other community environments.
Sep 1, 2014
Journal Article
Using Medicaid and CHIP Claims Data to Support Pediatric Quality Measurement: Lessons from 3 Centers of Excellence in Measure Development
We sought to explore the claims data-related issues relevant to quality measure development for Medicaid and the Children's Health Insurance Program (CHIP)
Sep 1, 2014
Journal Article
Time Off to Care for a Sick Child: Why Family-Leave Policies Matter
There is substantial unmet need for parental leave to care for chronically ill children.
Aug 1, 2014
Journal Article
Well-child Care Clinical Practice Redesign for Serving Low-Income Children
Our objective was to conduct a rigorous, structured process to create a new model of well-child care (WCC) in collaboration with a multisite community health center and 2 small, independent practices serving predominantly Medicaid-insured children.
Jul 1, 2014
Journal Article
Prevalence and Correlates of Firearm Ownership in the Homes of Fifth Graders: Birmingham, AL, Houston, TX, and Los Angeles, CA
Firearms in the home are associated with increased injury risk, especially when loaded and unlocked. In this study, 5,010 fifth-graders and their caregivers in three U.S. metropolitan areas participated in the 2004-2006 Healthy Passages study on adolescent health.
Jun 1, 2014
Journal Article
A Randomized Controlled Trial of Students for Nutrition and Exercise: A Community-Based Participatory Research Study
Multilevel school-based interventions may promote healthy adolescent dietary behaviors.
May 16, 2014
Journal Article
Peer Victimization in Fifth Grade and Health in Tenth Grade
Both chronic and current bullying are associated with substantially worse health. Clinicians who recognize bullying when it first starts could intervene to reverse the downward health trajectory experienced by youth who are repeated targets.
Mar 1, 2014
Journal Article
Rehospitalization for Childhood Asthma: Timing, Variation, and Opportunities for Intervention
Significant variation in asthma rehospitalization rates exists across children's hospitals from 7 to 365 days after an index admission.
Feb 1, 2014
Journal Article
Associations Among Body Size, Body Image Perceptions, and Weight Loss Attempts Among African American, Latino, and White Youth: A Test of a Mediational Model
Motivations to lose weight appear to differ among racial/ethnic groups, suggesting that interventions for healthy weight control in youth may need to target racial/ethnic groups differently.
2014
Journal Article
Associations Between Socioeconomic Status and Obesity in Diverse, Young Adolescents: Variation Across Race/Ethnicity and Gender
This study examined the association between socioeconomic status (SES) and obesity risk during early adolescence, ages 10–13 years, and whether this association is present in different racial/ethnic and gender groups during 2 time points in early adolescence.
2015
Journal Article
Changes in Obesity Between Fifth and Tenth Grades: A Longitudinal Study in Three Metropolitan Areas
Obese fifth-graders face challenges in reducing obesity, especially when they lack advantages associated with higher socioeconomic status or when they have a negative body image.
2014
Journal Article
Daily Violent Video Game Playing and Depression in Preadolescent Youth
In this study, we investigated whether daily violent video game playing over the past year is associated with a greater number of depressive symptoms among preadolescent youth, after controlling for several well-known correlates of depression among youth.
2014
Journal Article
Early Puberty, Negative Peer Influence, and Problem Behaviors in Adolescent Girls
Early puberty and friends' deviance may increase the risk of problem behavior in young adolescent girls. Although many of these associations dissipate over time, early-maturing girls are at risk of persistently higher delinquency and stronger negative peer influences.
2014
Journal Article
School Programs and Characteristics and Their Influence on Student BMI: Findings from Healthy Passages
Little is known about the contribution of school contextual factors to individual student body mass index (BMI). We set out to determine if school characteristics/resources: (1) are associated with student BMI; (2) explain racial/ethnic disparities in student BMI; and (3) explain school-level differences in student BMI.
2014
Journal Article
Sexual Minorities in England Have Poorer Health and Worse Health Care Experiences: A National Survey
Compares the health and healthcare experiences of sexual minorities with heterosexual people of the same gender, adjusting for age, race/ethnicity, and socioeconomic status.
2015
Journal Article
TV Viewing, Perceived Similarity Coviewing, and Mental Well-Being Among African American, Latino, and White Children
The purpose of the present study is to examine associations between TV viewing, perceived similarity, and coviewing and mental well-being in African American, Latino, and White children.
2014
Journal Article
Tobacco Use and Smoking Intentions Among U.S. Fifth-Grade Students
Racially/ethnically diverse preadolescent children share many of the same risk factors for smoking that have been found in studies of older children. Therefore, antismoking policies and programs might be more effective if designed for preadolescents as well as adolescents.
2014
Journal Article
Association Between Perceived Discrimination and Racial/Ethnic Disparities in Problem Behaviors Among Preadolescent Youths
We examined the contribution of perceived racial/ethnic discrimination to disparities in problem behaviors among preadolescent Black, Latino, and White youths.
May 22, 2013
Journal Article
Cost of Talking Parents, Healthy Teens: A Worksite-Based Intervention to Promote Parent-Adolescent Sexual Health Communication
To examine the cost and cost-effectiveness of implementing Talking Parents, Healthy Teens, a worksite-based parenting program designed to help parents address sexual health with their adolescent children.
Mar 5, 2013
Journal Article
Well-child Care Clinical Practice Redesign for Young Children: A Systematic Review of Strategies and Tools
Providing care in groups, using non-face-to-face formats, and adding a developmental specialist can increase the effectiveness and efficiency of well-child care.
Mar 1, 2013
Journal Article
Disparities in Unmet Need for Care Coordination: The National Survey of Children's Health
This study was a cross-sectional analysis of the 2007 National Survey for Children's Health, a nationally representative survey of 91 642 parents.
Feb 1, 2013
Journal Article
Access to Leave Benefits for Primary Caregivers of Children with Special Health Care Needs: A Double Bind
We examined whether access to benefits varies by level of childcare responsibilities among employed parents of children with special health care needs (CSHCN).
2013
Journal Article
Association of Discrimination-Related Trauma with Sexual Risk Among HIV-positive African American Men Who Have Sex with Men
Men who experienced discrimination-related interpersonal trauma in their lifetime were more likely than were those who had not experienced such trauma to have engaged in unprotected anal intercourse with a male partner.
2013
Journal Article
Bogart Et Al. Respond
The authors respond to questions about the implications of grouping together all discrimination sources.
2013
Journal Article
Did the Ugly Duckling Have PTSD? Bullying, Its Effects, and the Role of Pediatricians
Clinicians have a role to play not only in monitoring their own actions when counseling children with stigmatized characteristics, but also in helping other adults, especially parents, to recognize and address their own aggressive and bullying behaviors.
2013
Journal Article
Is Obesity Associated with Reduced Health-Related Quality of Life in Latino, Black and White Children in the Community?
Overweight, obese and extremely obese 5th graders on average experience worse HRQOL than normal weight children, especially in psychosocial domains including self-worth and peer relationships, regardless of race/ethnicity.
2013
Journal Article
Parental and Peer Factors Associated with Body Image Discrepancy Among Fifth-Grade Boys and Girls
Getting along with peers as well as fear of being viewed negatively by them may influence the discrepancy between how adolescents view their body size and what they think the ideal size should be. Adolescents who have warm and nurturing parents are more likely to have positive views about their body size.
2014
Journal Article
Racial/ethnic Disparities in Health-Related Quality of Life and Health in Children Are Largely Mediated by Family Contextual Differences
Racial/ethnic disparities in children's health status are substantial but may be mediated by corresponding disparities in SES and other family contextual variables.
Nov 1, 2012
Journal Article
Racial and Ethnic Health Disparities Among Fifth-Graders in Three Cities
Interventions that address potentially detrimental consequences of low socioeconomic status and adverse school environments may help reduce racial and ethnic differences in child health.
Aug 1, 2012
Journal Article
Marital Conflict and Fifth-Graders' Risk for Injury
Injuries are the leading cause of morbidity and mortality for American children.
Jul 1, 2012
Journal Article
Unmet Eye Care Needs Among U.S. 5th-Grade Students
Policies targeting socioeconomically disadvantaged groups and those without insurance may be needed to reduce disparities in access to appropriate eye care.
Jul 1, 2012
Journal Article
Employment, Family Leave, and Parents of Newborns or Seriously Ill Children
Parents of newborns and seriously ill children often know about family leave options, but are too overwhelmed to apply for them. Most parents interviewed in this study wanted expert guidance and saw hospitals and clinics as promising information sources.
May 1, 2012
Journal Article
Self-competence Among Early and Middle Adolescents Affected by Maternal HIV/AIDS
Adolescent children of mothers with HIV face a host of stressors that place them at increased risk for poor outcomes.
Mar 1, 2012
Journal Article
Pediatric Residents' Perspectives on Reducing Work Hours and Lengthening Residency: A National Survey
Pediatric residents who support further reductions in work-hours believe reductions have positive effects on patient care, education, and quality of life.
2012
Journal Article
Quality of Life Among Asian American Youth
The aims of the present study were to examine whether Asian American youth experience disparities in quality of life (QL) compared with Hispanic, African American, and white youth in the general population and to what extent socioeconomic status (SES) mediates any disparities among these racial/ethnic groups.
2014
Journal Article
Association of Externalizing Behavior Disorder Symptoms and Injury Among Fifth Graders
ADHD symptoms are associated with increased odds of injury in fifth graders.
Sep 1, 2011
Research Brief
Preventing Obesity and Its Consequences: Highlights of RAND Health Research
Summarizes key RAND studies on the causes of obesity, its economic and health consequences, and potential strategies for prevention, including work on health care costs, junk food, food deserts, school meals, and proximity of parks.
Aug 3, 2011
Journal Article
A History of the Academic Pediatric Association's Public Policy and Advocacy Initiatives
This article reviews the public policy and advocacy priorities of the Academic Pediatric Association over the last 50 years.
May 1, 2011
Journal Article
The Association of Activity Level, Parent Mental Distress, and Parental Involvement and Monitoring with Unintentional Injury Risk in Fifth Graders
Unintentional injuries in fifth graders are associated with both parent and child characteristics.
May 1, 2011
Journal Article
Increasing the Availability and Consumption of Drinking Water in Middle Schools: A Pilot Study
The authors assessed the acceptability, feasibility, and outcomes of a school-based intervention to improve drinking water consumption among adolescents.
May 1, 2011
Journal Article
Association of Family Stressful Life-Change Events and Health-Related Quality of Life in Fifth-Grade Children
Stressful events such as death of a family member, moving, or parental divorce significantly lower children's health related quality of life.
Apr 1, 2011
Research Brief
A Worksite Parenting Program That Works
Summarizes research on Talking Parents, Healthy Teens, a worksite-based parenting program designed by RAND and University of California at Los Angeles researchers that improves communication between parents and their adolescents on sexual health.
Mar 23, 2011
Journal Article
Preliminary Healthy Eating Outcomes of SNaX, a Pilot Community-Based Intervention for Adolescents
This project developed and designed Students for Nutrition and eXercise (SNaX), an intervention aimed at translating school obesity-prevention policies into practice with peer advocacy of healthy eating and school cafeteria changes.
Feb 1, 2011
Journal Article
The Patient-Centered Medical Home, Practice Patterns, and Functional Outcomes for Children with Attention Deficit/Hyperactivity Disorder
For children with ADHD, receiving care in a PCMH is associated with practice pattern change and better outcomes.
2011
Journal Article
HIV Risk and Perceptions of Masculinity Among Young Black Men Who Have Sex with Men
These interviews with young black men who have sex with men showed that perception of masculinity was the primary contextual factor influencing partner selection, risk assessment, and decision-making with regard to condom usage.
2012
Journal Article
Mediators of Maternal Depression and Family Structure on Child BMI: Parenting Quality and Risk Factors for Child Overweight
Family environment—including parenting quality—is an important factor in influencing children's leisure activities, and thus interventions for child obesity may be more successful if they focus on family environment and its effect on children's active and sedentary behaviors.
2011
Journal Article
Factor Structure and Psychometric Properties of the Brief Symptom Inventory-18 in Women: A MACS Approach to Testing for Invariance Across Racial/Ethnic Groups
This study used data from 3 sites to examine the invariance and psychometric characteristics of the Brief Symptom Inventory –18 across Black, Hispanic, and White mothers of 5th graders. Results showed that the instrument may be used for mean comparisons between Black and White women.
Dec 1, 2010
Journal Article
Improving Access to and Utilization of Adolescent Preventive Health Care: The Perspectives of Adolescents
Adolescents and parents reported that the most effective way to encourage preventive care utilization among teens was to directly address provider-level barriers related to the timeliness, privacy, confidentiality, comprehensiveness, and continuity of their preventive care.
Aug 1, 2010
Journal Article
Parenting Predictors of Early-Adolescents' Health Behaviors: Simultaneous Group Comparisons Across Sex and Ethnic Groups
This study examined whether specific parenting factors can be used to predict adolescent problem behaviors in intervention studies.
Jun 1, 2010
Research Brief
Perceived Effects of Paid Family Leave Among Parents of Children with Special Health Care Needs: California's Experience
California's Paid Family Leave Insurance program, the first of its kind, has not increased the percentage of parents who took leave to care for a sick child. Fewer than 15 percent of parents who were qualified for the program knew about it.
Apr 28, 2010
Research Brief
Are Adolescents Talking with Their Parents About Sex Before Becoming Sexually Active?
Examines parent-child discussions of sexual behavior. Finds consistency in the timing and content of such discussions; however, many parents and children do not discuss key topics, such as birth control, before adolescents become sexually active.
Mar 11, 2010
Journal Article
Association Between Adolescent Viewership and Alcohol Advertising on Cable Television
This study found that cable TV ad placements on for beer, spirits, and alcopops increased as adolescent viewership rose from 0% to 30%, especially for female viewers.
Mar 1, 2010
Journal Article
Neighborhood Characteristics Favorable to Outdoor Physical Activity: Disparities by Socioeconomic and Racial/Ethnic Composition
Poor and non-white neighborhoods have easier access for outdoor activities but parents think the neighborhoods are not safe for their children to play in.
2010
Journal Article
Parents' Disclosure of Their HIV Infection to Their Children in the Context of the Family
Findings from interviews with HIF-infected parents, their minor and adult children, and caregivers suggest that disclosure of HIV status should be done within a family context.
2010
Journal Article
Perceptions About Availability and Adequacy of Drinking Water in a Large California School District
This study of perceptions of drinking water in a California school district found that school staff and public health officials have a range of concerns about water quality and availability; as some schools move to replace sugary drinks in schools and develop policies to promote water consumption, they should explore ways of addressing these concerns.
2010
Journal Article
Predictors of Sexual Behavior Among Early and Middle Adolescents Affected By Maternal HIV
Sexual behavior among adolescents with HIV-positive mothers was less prevalent than among other adolescents, but was more likely to occur with adolescent alcohol use, lack of parental monitoring, and poorer physical functioning of HIV-positive mothers.
2010
Journal Article
Timing of Parent and Child Communication About Sexuality Relative to Children's Sexual Behaviors
Examine timing of parent-child discussions about sexual topics relative to child-reported sexual behavior.
2010
Journal Article
Using Community-Based Participatory Research to Identify Potential Interventions to Overcome Barriers to Adolescents' Healthy Eating and Physical Activity
Using a community-based participatory research approach, we explored adolescent, parent, and community stakeholder perspectives on barriers to healthy eating and physical activity, and intervention ideas to address adolescent obesity.
Oct 1, 2009
Research Brief
How Parental HIV Affects Children
Examines the unique challenges faced by children of HIV-infected parents and indicates how some of the negative effects of parental HIV on children could be ameliorated.
Jul 30, 2009
Journal Article
Brief Report: A Qualitative Analysis of Discussions About HIV in Families of Parents with HIV
Youths felt uncomfortable discussing HIV with their parent who has HIV because they worried about upsetting and reminding the parent of his/her illness. Adult children reported learning about HIV prevention by watching how the illness affected their parents. Few siblings reported talking with one another about HIV because they worried about upsetting their brother/sister and about their sibling unintentionally disclosing the parent's illness to others.
Jul 1, 2009
Journal Article
The Scientific Evidence for Child Health Insurance
Discusses two critical policy options related to child health insurance: reauthorization and potential expansion of the State Children's Health Insurance Program (SCHIP), and expansion of health insurance to all children.
Jan 15, 2009
Journal Article
Condom Use and High-Risk Sexual Acts in Adult Films: A Comparison of Heterosexual and Homosexual Films
The authors compared the prevalence of condom use during a variety of sexual acts portrayed in adult films produced for heterosexual and homosexual audiences to assess compliance with state Occupational Health and Safety Administration regulations.
2009
Journal Article
Development and Implementation of a School-Based Obesity Prevention Intervention: Lessons Learned from Community-Based Participatory Research
Describes lessons learned from developing and pilot testing a middle school-based obesity prevention intervention using Community-based participatory research (CBPR) in Los Angeles, California.
2009
Journal Article
Factors Influencing the Enrollment of Eligible Extremely-Low-Birth-Weight Children in the Part C Early Intervention Program
Moderate iodine deficiency in Mexican schoolchildren was associated with a 4.26 times higher risk of low IQ. More attention is needed to ensure effective salt iodination processes.
2009
Journal Article
Influences of Physical and Social Neighborhood Environments on Children's Physical Activity and Obesity
The authors investigated the association between physical and social neighborhood environments and fifth-grade students' physical activity and obesity.
2009
Journal Article
Perceived Effects of Leave from Work and the Role of Paid Leave Among Parents of Children with Special Health Care Needs
The authors examined the perceived effects of leave from work among employed parents of children with special health care needs.
2009
Journal Article
Perceived Racial/ethnic Discrimination Among Fifth-Grade Students and Its Association with Mental Health
The authors sought to describe the prevalence, characteristics, and mental health problems of children who experience perceived racial/ethnic discrimination.
2009
Journal Article
Prevalence, Characteristics, and Associated Health and Health Care of Family Homelessness Among Fifth-Grade Students
The authors describe the lifetime prevalence and associated health-related concerns of family homelessness among fifth-grade students.
2009
Journal Article
Racial/ethnic Disparities in the Mental Health Care Utilization of Fifth Grade Children
The aim of this study was to examine racial/ethnic differences in fifth grade children's mental health care utilization.
2009
Journal Article
Risk and Resilience in Latinos: A Community-Based Participatory Research Study
Latino young people living in a low-income housing complex identified self, family, and community as important facilitators of their success, although parents appeared to deemphasize community resources.
2009
Journal Article
School Site Visits for Community-Based Participatory Research on Healthy Eating
Site visits offer a useful means to evaluate the implementation of school district obesity-related policies and develop interventions to translate school food policies into practice.
2009
Journal Article
Substance Use and Delinquency Among Fifth Graders Who Have Jobs
Working for pay is associated with substance use and delinquency among older adolescents, although information is scant about younger youth who work. This study investigates associations between self-reports of having a job and substance use and delinquent behaviors in a sample of U.S. 5th graders.
2009
Journal Article
Teaching Community-Based Participatory Research Principles to Physicians Enrolled in a Health Services Research Fellowship
To improve health and reduce inequities through health services research, investigators are increasingly actively involving individuals and institutions who would be affected by the research.
2009
Journal Article
Weight Status, Quality of Life, and Self-Concept in African American, Hispanic, and White Fifth-Grade Children
This study examined the association between weight status and quality of life (QOL) in fifth-grade African American, Hispanic, and white children and the potential mediation of this relationship by self-concept.
2009
Testimony
Availability of Drinking Water in California Public Schools
Testimony presented before the California State Assembly Subcommittee on Education on April 2, 2008.
Apr 3, 2008
Journal Article
Age Cohort Differences in the Developmental Milestones of Gay Men
Gay male psychological and sexual behavior milestones (e.g., awareness of attraction to males) are slowly moving toward earlier chronological ages, whereas social milestones (e.g., coming out) are moving more rapidly in a similar direction.
2008
Journal Article
Awareness and Use of California's Paid Family Leave Insurance Among Parents of Chronically Ill Children
California's Paid Family Leave Insurance Program (PFLI), the first of its kind, has not increased the percentage of parents who took leave to care for a chronically ill child. Parents were generally unaware of PFLI and rarely used it.
2008
Journal Article
Beyond the "Big Talk": The Roles of Breadth and Repetition in Parent-Adolescent Communication About Sexual Topics
Adolescents whose sexual communication with their parents involved more repetition felt closer to their parents, felt more able to communicate with their parents in general and about sex, and perceived that discussions had greater openness.
2008
Journal Article
Determinants of Health Insurance Status for Children of Latino Immigrant and Other US Farm Workers: Findings from the National Agricultural Workers Survey
Thirty-two percent of all farm-worker parents reported that their children were uninsured. Programs that extend insurance coverage for children should consider the unique social barriers that characterize this vulnerable population of U.S. children.
2008
Journal Article
Does Having a Regular Primary Care Clinician Improve Quality of Preventive Care for Young Children?
For young children, having a regular clinician is associated with modest gains in interpersonal quality and no differences in content of anticipatory guidance. The benefit may primarily occur in interpersonal quality for subgroups of young children.
2008
Journal Article
Early and Middle Adolescents' Autonomy Development: Impact of Maternal HIV/AIDS
Children who had taken on more responsibility for instrumental caretaking roles because of their mother's HIV showed better autonomy development as early and middle age adolescents, so parentification may not negatively affect later autonomy.
2008
Journal Article
Evaluation of Talking Parents, Healthy Teens, a New Worksite Based Parenting Programme to Promote Parent-Adolescent Communication About Sexual Health: Randomised Controlled Trial
Finds that a work-based group discussion program for parents--Talking Parents, Healthy Teenshad substantial effects on communication at home between parents and adolescents about sexual health, including ability to communicate and number of topics.
2008
Journal Article
Fears About HIV Transmission in Families with an HIV-infected Parent: A Qualitative Analysis
Through education and counseling, pediatricians and other providers can correct misinformation and dispel fears about HIV transmission among families with an HIV-positive parent.
2008
Journal Article
HIV-related Stigma Among People with HIV and Their Families: A Qualitative Analysis
The authors examined the interconnectedness of stigma experiences in families living with HIV, from the perspective of multiple family members.
2008
Journal Article
Population-based Assessments of Ophthalmologic and Audiologic Follow-Up in Children with Very Low Birth Weight Enrolled in Medicaid: A Quality-of-Care Study
Finds a shortfall in provision of critical services for children with very low birth weight (<1500 g) at high risk for vision and hearing problems and enrolled in Medicaid. Findings support the importance of enrollment in Early Intervention Program.
2008
Journal Article
Positive Parenting and Early Puberty in Girls: Protective Effects Against Aggressive Behavior
Early puberty is a risk factor for delinquency, and early puberty combined with low parental nurturance, communication, or parental knowledge of the child's activities presents a risk for aggressive behavior in early adolescent girls.
2008
Journal Article
Psychosocial Correlates of Unprotected Sex Without Disclosure of HIV-positivity Among African-American, Latino, and White Men Who Have Sex with Men and Women
Examines psychosocial correlates of unprotected sex without disclosure of HIV status among men who have sex with men and women, including relationships of race/ethnicity and psychosocial variables to unprotected sex without disclosure of HIV status.
2008
Journal Article
The Relationship Between Spanish Language Use and Substance Use Behaviors Among Latino Youth: A Social Network Approach
Identifies Spanish language-sensitive attributes associated with substance use in Latino adolescents. Protective attributes included parental monitoring, more extended family members in the network, and less substance use among network members.
2008
Journal Article
The Quality of Ambulatory Care Delivered to Children in the United States
Little is known about the magnitude of deficits in the quality of care delivered to children, since comprehensive studies have been lacking.
Oct 11, 2007
Journal Article
Adolescent Participation in Preventive Health Behaviors, Physical Activity, and Nutrition: Differences Across Immigrant Generations for Asians and Latinos Compared with Whites
The authors investigated preventive health behaviors, physical activity, television viewing or video game playing, and nutrition, among Asian and Latino adolescents living in the United States; assessed trends across generations; and compared each generation with White adolescents.
Feb 1, 2007
Journal Article
Acculturation and Parent-Adolescent Communication About Sex in Filipino-American Families: A Community-Based Participatory Research Study
Acculturation may influence Filipino-American parent-adolescent communication about sex and, consequently, Filipino-American adolescent sexual health.
2007
Journal Article
Availability of High School Extracurricular Sports Programs and High-Risk Behaviors
Opportunities for participation in high school extracurricular sports are limited. Future studies should test whether increased opportunities will increase physical activity and impact the increasing overweight problem in youths.
2007
Journal Article
Body Image and Children's Mental Health Related Behaviors: Results from the Healthy Passages Study
Examined the relationship between body image discrepancy scores for actual versus ideal body image for children and indicators of child mental health.
2007
Journal Article
Children of HIV-Infected Parents: Custody Status in a Nationally Representative Sample
The purpose of this work was to determine the rates and predictors of custody status for children of HIV-infected parents.
2007
Journal Article
Guardianship Planning Among HIV-infected Parents in the United States: Results from a Nationally Representative Sample
The purpose of this work was to determine the rates and predictors of guardianship planning and preferred guardians among HIV-infected parents.
2007
Journal Article
Need for and Use of Family Leave Among Parents of Children with Special Health Care Needs
Parents of children with special health care needs are especially vulnerable to work-family conflicts that family leave benefits might help resolve.
2007
Journal Article
The Teen Photovoice Project: A Pilot Study to Promote Health Through Advocacy
How youth perceive health issues and how they can become advocates for health promotion in their communities.
2007
Research Brief
Disparities in Care for HIV Patients: Results of the HCSUS Study
This research brief summarizes the findings on access to care from the HIV Costs and Services Utilization Study (HCSUS), the first comprehensive U.S. survey of health care use among a nationally representative sample of HIV-positive patients.
Apr 3, 2006
Journal Article
Do Children Know Their Parent's HIV Status? Parental Reports of Child Awareness in a Nationally Representative Sample
HIV-infected parents often worry about the emotional consequences of disclosure to their children and that their children may tell others.
2006
Journal Article
Effects of Medicaid Managed Care Policies on Mental Health Service Use Among a National Probability Sample of Children in the Child Welfare System
Children in the child welfare system are dependent upon Medicaid to finance services for their considerable mental health needs. This study examines the effects of Medicaid policies on mental health service use among a national probability sample of children in the child welfare system.
2006
Journal Article
Nondisclosure of Sexual Orientation to a Physician Among a Sample of Gay, Lesbian, and Bisexual Youth
Little is known about whether lesbian, gay, and bisexual (LGB) youth hide their orientation from health care providers.
2006
Journal Article
Physical Health of Mothers with HIV/AIDS and the Mental Health of Their Children
A longitudinal study was conducted on the psychological well-being of 81 young children living with mothers with AIDS or HIV-infected mothers with symptomatic disease. The relationship between mothers' physical health and children's psychological well-being was investigated. The children were assessed at seven time points over approximately 6 years.
2006
Journal Article
Preventive Care for Children in the United States: Quality and Barriers
The authors provide several suggestions for relatively simple ways to help improve the quality of child preventive care, given the known barriers.
2006
Journal Article
Quality-of-care Indicators for the Neurodevelopmental Follow-Up of Very Low Birth Weight Children: Results of an Expert Panel Process
To develop a set of quality indicators for the neurodevelopmental follow-up care of very low birth weight (VLBW; <1500 g) children
2006
Report
Talking Parents, Healthy Teens: A Worksite-Based Program for Parents to Promote Adolescent Sexual Health
Describes Talking Parents, Healthy Teens, an intervention designed to help parents improve communication with their adolescent children, promote healthy adolescent sexual development, and reduce adolescent sexual risk behaviors.
2006
Journal Article
Health Costs of Katrina
The authors discuss financial aid measures that the federal government could take to help victims of Hurricanes Katrina and Rita.
2005
Journal Article
How Good Is the Quality of Health Care in the United States?
The authors provide examples to illustrate quality in diverse settings, for diverse conditions, and for diverse demographic groups.
2005
Journal Article
Hugs and Kisses: HIV-infected Parents' Fears About Contagion and the Effects on Parent-Child Interaction in a Nationally Representative Sample
Many parents feared transmitting HIV to their children or catching an infection from their children, but few were avoiding the most routine forms of physical affection.
2005
Journal Article
Parent-adolescent Communication About Sex in Filipino American Families: A Demonstration of Community-Based Participatory Research
Pregnancy rates among Filipino American adolescents exceed those of other Asian and Pacific Islander adolescents.
2005
Journal Article
Perceived Discrimination in Clinical Care in a Nationally Representative Sample of HIV-infected Adults Receiving Health Care
Many HIV-infected adults believe that their clinicians have discriminated against them.
2005
Journal Article
Psychotropic Medication Use in a National Probability Sample of Children in the Child Welfare System
This suggests a need to further understand the prescribing of psychotropic medications for child welfare children.
2005
Journal Article
Sexual Orientation in Child and Adolescent Health Care
Book review of: Ellen C. Perrin, Sexual Orientation in Child and Adolescent Health Care (New York: Kluwer Academic/Plenum Publishers, 2002).
2005
Journal Article
Worksite-based Parenting Programs to Promote Healthy Adolescent Sexual Development: A Qualitative Study of Feasibility and Potential Content
A worksite-based program designed to help parents of adolescents develop communication and parenting skills could provide a way to reach busy parents.
2005
Journal Article
Access and Quality in Child Health Services: Voltage Drops: Whether Access Is Approached Incrementally or Comprehensively, Children Will Not Fully Realize the Benefits Until Quality Is Addressed
Children require a health care system that promotes healthy development for all children while reaching out to the neediest.
2004
Journal Article
Continuity of Primary Care Clinician in Early Childhood
Only half of young children in the United States are reported to have a specific clinician for well-child care.
2004
Journal Article
The Emotional and Behavioral Impact of Terrorism on Children: Results from a National Survey
Significant differences in terrorism-related topics discussed and symptoms reported among different sociodemographic groups suggest that the impact of terrorism may be unevenly distributed across society, which has important implications for terrorism preparedness and response policies.
2004
Journal Article
Healthy Passages: A Multilevel, Multimethod Longitudinal Study of Adolescent Health
This research project could provide an empirical basis for effective social and educational policies and intervention programs.
2004
Journal Article
A National Longitudinal Study of the Psychological Consequences of the September 11, 2001 Terrorist Attacks: Reactions, Impairment, and Help-Seeking
This article examines the evolution of psychological and behavioral reactions following the September 2001 terrorist attacks in a nationally representative sample, and describes where people turned for support, information, and counseling.
2004
Journal Article
Overview of the Content of Health Supervision for Young Children: Reports from Parents and Pediatricians
Parents and pediatricians report high rates of discussion on many topics that are critical to healthy development in the first years of life.
2004
Journal Article
Routine Assessment of Family and Community Health Risks: Parent Views and What They Receive
Examine the prevalence of parent-provider discussions of family and community health risks during well-child visits and the gaps between which issues are discussed and which issues parents would like to discuss.
2004
Journal Article
Sexual Victimization Among a National Probability Sample of Adolescent Women
Health care providers, teachers and school counselors can play key roles in identifying adolescent women at high risk for sexual victimization.
2004
Research Brief
"Voltage Drops" in Children's Health Care: Barriers That Impede Children's Access to Quality Health Care
A study by RAND researchers identifies six areas in the pediatric health care system where major barriers -- termed "voltage drops" by several leading health services researchers -- lead to a breakdown in delivery of adequate quality care.
2004
Journal Article
Bullying Among Young Adolescents: The Strong, the Weak and the Troubled
To be able to intervene with bullying, it is important to recognize the unique problems of bullies, victims, and bully-victims.
2003
Journal Article
Developing Quality Indicators for Local Health Departments: Experience in Los Angeles County
Indicators addressing the delivery of LHD services can be locally developed to fill an important gap in public health quality-improvement efforts.
2003
Commercial Book
Everything You Never Wanted Your Kids to Know About Sex (But Were Afraid They'd Ask)
Smart, frank, and occasionally hilarious, this comprehensive guide offers practical and often surprising answers to the questions that bedevil parents at every stage in their children's coming-of-age. Packed with the latest research on parenting tech...
2003
Research Brief
After 9-11: Stress and Coping Across America
Events in recent years have taught us that individuals need not be present at a catastrophic event to experience stress symptoms.
2002
Testimony
After 9/11: Stress and Coping Across America
Testimony submitted to the United States Senate Committee on Health, Education, Labor and Pensions field hearing on "9/11 and NYC Children" June 10, 2002.
2002
Journal Article
Factors That Influence Receipt of Recommended Preventive Pediatric Health and Dental Care
This study examined the factors that affect children's receipt of recommended well-child and dental visits using nationally representative data.
2002
Report
How Good is the Quality of Health Care in the United States?
In September 1998, the Advisory Commission on Consumer Protection and Quality in the Health Care Industry released its final report on how to define, measure, and promote quality of health care.
2002
Journal Article
Introduction and Overview: Child Rearing in America : Challenges Facing Parents of Young Children
In their introduction and overview, the authors set the stage for the book's discussion of families with very young children.
2002
Journal Article
Introduction and Overview
The authors discuss families with very young children, and a unique survey conducted in 1995-96 by The Commonwealth Fund. A national sample of more than 2,000 mothers and fathers, the Commonwealth Survey of Parents of Young Children provided a snapshot of the condition of families with young children and the pressures and concerns faced by parents in shaping the home environments and lifestyles of those families.
2002
Journal Article
Public Health Quality Measurement: Concepts and Challenges
Conceptual framework for organizing quality assessment in the context of planning and delivery of programs and services.
2002
Journal Article
Quality of Breast Cancer Care: What Do We Know?
Review studies that describe patterns of care for breast cancer patients and to examine the data sources used for case identification.
2002
Periodical
RAND Review: Vol. 26, No. 2, Summer 2002
Surveys RAND research conducted since Sept. 11, 2001, that examines the dimensions of the terrorist threat and potential responses to it, and issues such as global priorities, oversees deployments, homeland security, and state and local initiatives.
2002
Journal Article
Reactions to the Events of September 11
Average number of daily outpatient visits during 19 days before and after September 11 in different clinical subgroups and geographic locations.
2002
Journal Article
Smoking Patterns of Household Members and Visitors in Homes with Children in the United States
Environmental tobacco smoke (ETS), also called passive smoking, has been shown to have adverse effects on the health of children.
2002
Research Brief
Understanding the Sexual Behavior of Adolescents
As part of an ongoing program of research on risk behavior, Mark Schuster and his colleagues examined the range of adolescent sexual activity.
2002
Journal Article
When and Where Do Youths Have Sex? The Potential Role of Adult Supervision
When and where youths have sex and whether there is a relationship between unsupervised time and sex, STDs, and substance use.
2002
Report
Anticipatory Guidance: What Information Do Parents Receive? What Information Do They Want?
Anticipatory Guidance: What Information Do Parents Receive? What Information Do They Want?
2001
Journal Article
Changes in Health-Promoting Behavior Following Diagnosis with HIV: Prevalence and Correlates in a National Probability Sample
Diet, exercise, smoking, and substance use patterns affect the course of illness and quality of life for people with HIV.
2001
Journal Article
End-of-life Discussions and Preferences Among Persons with HIV
Half of all persons infected with HIV are at risk of making end-of-life decisions without prior discussions with their health care practitioners.
2001
Research Brief
Guns in the Family: Firearm Storage Patterns in U.S. Homes with Children
Analysis of data regarding firearm ownership and storage patterns found that of the families in the United States with children and firearms, fewer than half store their firearms unloaded, locked, and away from ammunition.
2001
Journal Article
Health Reform for Children and Families
The system of care for children in the United States has yet to embody the principles of Bright Futures and other expert panels.
2001
Journal Article
A National Survey of Stress Reactions After the September 11, 2001, Terrorist Attacks
People who are not present at a traumatic event may experience stress reactions.
2001
Report
Promoting Adolescent Health: Worksite-Based Interventions with Parents of Adolescents
This article discusses the development and implementation of parenting programs for parents of adolescents.
2001
Report
Quality of Care for Children and Adolescents: A Review of Selected Clinical Conditions and Quality Indicators
This volume focuses on indicators for care of children and adolescents.
2000
Research Brief
Changing the Policy Toward Homosexuals in the U.S. Military
In January 1993, President Clinton mandated the end of sexual-orientation discrimination in the U.S. military. RAND was asked to provide a comprehensive analysis of the issues involved and evaluate different courses of action that could be taken to implement the president's objectives.
2000
Journal Article
Delays in Seeking HIV Care Due to Competing Caregiver Responsibilities
Women or individuals with a child in the household should be offered services that might allow them to avoid delays in seeking their own medical care.
2000
Report
Firearm Storage Patterns in US Homes With Children
This study determined the prevalence and storage patterns of firearms in US homes with children.
2000
Report
HIV-Infected Parents and Their Children in the United States
2000
Report
Improving the Quality of Healthcare for Children: Implementing the Results of the AHSR Research Agenda Conference
The objective of this study was to describe the rationale, development, content, and results of the AHSR-sponsored conference on developing a research agenda focused on improving the quality of care for children.
2000
Journal Article
Lesbians' Sexual Activities and Efforts to Reduce Risks for Sexually Transmitted Diseases
Little information is available regarding the specific sexual practices of lesbians, and whether these activities may carry an associated health risk.
2000
Journal Article
Propensity of HIV Patients to Seek Urgent and Emergent Care
Many patients would use the ED instead of same-day primary care for several common symptoms of HIV disease.
2000
Journal Article
Receipt of Preventive Health Care Services by Lesbians
It is important for providers to identify their lesbian patients' unmet needs for preventive health care.
2000
Report
Reducing Missed Opportunities to Vaccinate During Child Health Visits: How Effective Are Parent Education and Case Management?
Reducing Missed Opportunities to Vaccinate During Child Health Visits: How Effective Are Parent Education and Case Management?
2000
Report
Development of a quality of care measurement system for children and adolescents : methodological considerations and comparisons with a system for adult women
Development of a quality of care measurement system for children and adolescents : methodological considerations and comparisons with a system for adult women
1999
Journal Article
Lesbians' Sexual History with Men: Implications for Taking a Sexual History
Findings reinforce the need for providers to know their patients' sexual history regardless of their reported sexual orientation.
1999
Journal Article
Measuring the Quality of Care in Pediatrics
The field of quality of care measurement and improvement has been growing since the late 1980s.
1999
Journal Article
National Probability Samples in Studies of Low-Prevalence Diseases
Multistage probability sampling through providers can provide nationally representative data on persons receiving medical care for uncommon diseases.
1999
Research Brief
Taking the Pulse of Health Care in America
Their review of nearly 50 studies published over the past decade suggests that quality varies substantially across physicians, hospitals, geographical locations, types of care, and age groups.
1999
Report
Utilization of well-child care services for African-American infants in a low-income community : results of a randomized, controlled case management and home visiting intervention
Utilization of well-child care services for African-American infants in a low-income community : results of a randomized, controlled case management and home visiting intervention
1999
Report
African American mothers in south central Los Angeles : their fears for their newborn's future
African American mothers in south central Los Angeles : their fears for their newborn's future
1998
Research Brief
The Effect of Case Management on Immunization Rates and Well-Child Care
To determine whether case management could increase immunization rates and access to well-child care among high-risk populations, RAND tested a case management intervention among African-American families living in a low-income community in south central Los Angeles.
1998
Report
Impact of a High School Condom Availability Program on Sexual Attitudes and Behaviors
The condom availability program appears not to have produced an increase in sexual activity among high school students, and it appears to have led to improved condom use among males.
1998
Journal Article
Increasing Immunization Rates Among Inner-City, African American Children: A Randomized Trial of Case Management
The objective of this study was to assess the effectiveness of case management in raising immunization levels among infants of inner-city, African American families.
1998
Report
The Sexual Practices of Asian and Pacific Islander High School Students
This article describes the sexual behaviors, beliefs, and attitudes of Asian and Pacific Islander California high school students and compares them to other racial/ethnic groups.
1998
Report
Students' Acquisition and Use of School Condoms in a High School Condom Availability Program
Describes the impact of a condom availability program located in an urban high school that serves a racially and socioeconomically diverse community in Los Angeles County.
1998
Journal Article
Why the Quality of U.S. Health Care Must Be Improved
1997
Report
Communication Between Adolescents and Physicians About Sexual Behavior and Risk Prevention
For adolescents who knew that physicians in their state do not have to tell parents about sexually transmitted diseases or pregnancy, levels of trust rose, but only to 54%.
1996
Journal Article
Health Care Reform for Children and Families: Refinancing and Restructuring the U.S. Child Health System
Key issues underlying the discrepancies between the needs of children and families and the current and evolving structure of health services in U.S.
1996
Report
The Sexual Practices of Adolescent Virgins: Genital Sexual Activities of High School Students Who Have Never Had Vaginal Intercourse
The purpose of this study was to determine whether high school-aged virgins engage in sexual practices that can transmit sexually transmitted diseases, including the human immunodeficiency virus (HIV).
1996
Report
Sexual Orientation and U.S. Military Personnel Policy: Options and Assessment
This report presents the RAND study that resulted from a request to assist the Secretary of Defense in drafting an Executive Order to end discrimination on the basis of sexual orientation in the U.S. Armed Forces.
1993