title: Rapid changes in American family life: consequences for child health and pediatric practice.
abstract: Pediatricians are in the unique position of being on the front line of care for children and having access to their families. This article presents both a rationale and the evidence base for identifying the family characteristics and processes that affect child health and suggests approaches that pediatricians can implement to improve the care of children, using data from 3 recent reports of the Institute of Medicine and National Research Council, as well as other recent family research. Evidence regarding the impact on child health of 3 family factors in particular (family composition and living arrangements, family routines, and parental depression) is highlighted, and implications for pediatric practice are described.
authors.affiliation: Department of Human and Community Development, University of Illinois at Urbana-Champaign, Champaign, IL, USA.
authors.forename: Barbara H
authors.initials: BH
authors.lastname: Fiese
authors.forename: Holly G
authors.initials: HG
authors.lastname: Rhodes
authors.forename: William R
authors.initials: WR
authors.lastname: Beardslee
mesh_terms: D000223:Adaptation, Psychological; D002648:Child; D015362:Child Nutrition Disorders / Q000523:psychology; D002669:Child Welfare / Q000523:psychology* / Q000639:trends*; D016241:Child of Impaired Parents / Q000523:psychology; D003299:Cooperative Behavior; D003866:Depressive Disorder / Q000523:psychology; D004522:Educational Status; D005190:Family / Q000523:psychology*; D005191:Family Characteristics; D054541:Family Conflict / Q000523:psychology; D005192:Family Health / Q000193:education; D006801:Humans; D033183:Interdisciplinary Communication; D017533:Marital Status; D010287:Parent-Child Relations; D010348:Patient Care Team / Q000639:trends; D010372:Pediatrics / Q000639:trends*; D011368:Professional-Family Relations; D011599:Psychopathology; D015406:Single Parent / Q000523:psychology; D012922:Social Change; D012959:Socioeconomic Factors; D014481:United States
keywords: child health status; depression; families; patient–doctor communication; prevention
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