The effects of poverty, race, and family structure on US children's health: data from the NHIS, 1978 through 1980 and 1989 through 1991.
OBJECTIVE
This study investigated the independent and relative effects of family structure, race, and poverty on the health of US children and youth under 20 years of age at two time periods, 1978 through 1980 and 1989 through 1991.


METHODS
Data were from the National Health Interview Surveys. Multivariate logit regression methods were used to analyze the effects of family structure, poverty, and race on children's health.


RESULTS
Children in families headed by single mothers, Black children, and those living below 150% of the poverty index were much more likely to be in poor or fair health than children in two-parent families, White children, or those in more affluent families. Poverty had the strongest effect on child health in both time periods.


CONCLUSIONS
The association between children's health and living below 150% of the poverty index is not explained by race or family structure. The disparity in child health by family income has serious consequences for both the child and society.
Montgomery
L E
LE
National Center for Health Statistics, Hyattsville, MD 20782, USA.
Kiely
J L
JL
Pappas
G
G
D000293:Adolescent; D000328:Adult; D001741:Black or African American; D002648:Child; D002669:Child Welfare / Q000706:statistics & numerical data / Q000639:trends*; D002675:Child, Preschool; D005190:Family; D006306:Health Surveys; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D015999:Multivariate Analysis; D011203:Poverty; D015406:Single Parent; D013997:Time Factors; D014481:United States; D044465:White People