DOCUMENT RESUME ED 424 015 PS 026 986 AUTHOR Hernandez, Donald J., Ed.; Charney, Evan, Ed. TITLE From Generation to Generation: The Health and Well-Being of Children in Immigrant Families. INSTITUTION National Academy of Sciences National Research Council, Washington, DC. Board on Children, Youth, and Families.; Institute of Medicine (NAS), Washington, DC. SPONS AGENCY Department of Education, Washington, DC. Planning and Evaluation Service.; National Inst. of Child Health and Human Development (NIH), Bethesda, MD.; National Inst. on Early Childhood Development and Education (ED/OERI), Washington, DC.; Carnegie Corp. of New York, NY.; Grant (W.T.) Foundation, New York, NY.; Rockefeller Foundation, New York, NY.; California Wellness Foundation. ISBN ISBN-0-309-06561-5 PUB DATE 1998-00-00 NOTE 334p. CONTRACT 282-95-0020; N01-HD-63253; B6347; 94160394; S19522; 9700139 AVAILABLE FROM National Academy Press, 2101 Constitution Avenue, N.W., Washington, DC 20418; Tel: 800-624-6242 (Toll Free), 202-334-3313; Web site: http://www.nap.edu PUB TYPE Books (010) Reports Research (143) EDRS PRICE MF01/PC14 Plus Postage. DESCRIPTORS *Adolescents; At Risk Persons; Child Development; *Child Health; *Child Welfare; *Childhood Needs; Demography; Health Needs; Health Services; *Immigrants; *Minority Group Children; Public Health; Public Policy; Social Science Research; Social Services; Socioeconomic Background; Well Being ABSTRACT One of every five children under age 18 living in the United States is an immigrant or has immigrant parents. The majority of these children are of Hispanic or Asian origin and, as such, are contributing to the growing racial and ethnic diversity of the U.S. child and youth population. Because of the long-term importance of children in immigrant families to the American economy and society, the Committee on the Health and Adjustment of Immigrant Children and Families was appointed to conduct a study intended to:(1) synthesize and supplement the relevant research literature and provide a demographic description of children in immigrant families;(2) clarify what is known about the development of children in immigrant families regarding the risk and protective factors associated with differential health and well-being of different immigrant groups and the delivery of health and social services to these groups; and (3) assess the adequacy of existing data and make recommendations for new data collection and research needed to inform and improve public policy and programs. Following an executive summary, Chapter 1 of this resulting report, "Children in Immigrant Families," discusses the charge and scope of the study, the policy and scientific contexts, terminology and analytical distinctions, and the organization of the report. Chapter 2, "Socioeconomic and Demographic Risk," describes general childhood risk factors and risk factors specific to children in immigrant families. Chapter 3, "Health Status and Adjustment," includes discussions of birth weight and infant mortality, chronic health +++++ ED424015 Has Multi-page SFR---Level=1 +++++ conditions, environmental toxins, and adolescent health. Chapter 4, "Public Policies," includes discussions of public benefits and health coverage and access. Chapter 5, "Conclusions and Recommendations," discusses the study's findings and makes recommendations for future research and data collection. The book's appendices are: (1) "Workshop Participants"; (2) "Socioeconomic and Demographic Indicators"; (3) "Glossary"; and (4)"Biographical Sketches." Contains 341 references. (Author/LPP) ******************************************************************************** Reproductions supplied by EDRS are the best that can be made from the original document. ******************************************************************************** U.S. ULFAH I MEN1 01- EUUUAI IUN Office of Educational Research and Improvement EDUCATIONAL RESOURCES INFORMATION CENTER (ERIC) This document has been reproduced as eceived from the person or organization originating it. 0 Minor changes have been made to improve reproduction quality. Points of view or opinions stated in this document do not necessarily represent official OEM position or policy. FROM GENERATION The Health and Well-Being of Children in Immigrant Families 0-0 G\I iW I ° 1 PERMISSION TO REPRODUCE AND DISSEMINATE THIS MATERIAL IN MICROFICHE, AND IN ELECTRONIC MEDIA FOR ERIC NATIONAL RESEARCH COUNCIL COLLECTION SUBSCRIBERS ONLY. HAS BEEN GRANTED BY INSTITUTE OF MEDICINE ST COP ti AVAILABLE TO THE EDUCATIONAL RESOURCES 2 2A INFORMATION CENTER (ERIC) FROM GENERATION TO GENERATION The Health and Well-Being of Children in Immigrant Families Donald J. Hernandez and Evan Charney, Editors Committee on the Health and Adjustment of Immigrant Children and Families Board on Children,Youth, and Families National Research Council Institute of Medicine NATIONAL ACADEMY PRESS Washington, D.C. 1998 3 National Academy Press 2101 Constitution Avenue, N.W. Washington, D.C. 20418 NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance. This study was supported by the U.S. Department of Health and Human Services through the Office of the Assistant Secretary for Planning and Evaluation (OASPE) under contract number 282-95-0020 and the National Institute of Child Health and Human Development (NICHD) under cooperative agreement number NO1-HD-6- 3253, by the Office of Educational Research and Improvement (OERI) in the National Institute on Early Childhood Development and Education of the U.S. Department of Education, the Carnegie Corporation of New York under grant number B6347, the W.T. Grant Foundation under grant number 94160394, the Rockefeller Foundation under grant number SI9522, and the California Wellness Foundation under grant num- ber 9700139. Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the author(s) and do not necessarily reflect the view of the organizations or agencies that provided support for this project. Library of Congress Cataloging-in-Publication Data From generation to generation : the health and well-being of children in immigrant families / Donald J. Hernandez and Evan Chamey, editors ; Committee on the Health and Adjustment of Immigrant Children and Families, Board on Children, Youth, and Families, National Research Council and Institute of Medicine. p. cm. Includes bibliographical references and index. ISBN 0-309-06561-5 (cloth) 1. Children of immigrantsUnited States. 2. Children of immigrantsHealth and hygieneUnited States. 3. Children of immigrantsServices forUnited States. 4. Child welfareUnited States. I. Hernandez, Donald J. II. Charney, Evan. III. Committee on the Health and Adjustment of Immigrant Children and Families (U.S.) HV741 .F845 1998 305.23'086'910973ddc21 98-25472 CIP Additional copies of this report are available from: National Academy Press 2101 Constitution Avenue, N.W. Washington, D.C. 20418 Call 800-624-6242 or 202-334-3313 (in the Washington Metropolitan Area). This report is also available on line at http://www.nap.edu Printed in the United States of America Copyright 1998 by the National Academy of Sciences. All rights reserved. COMMI1TEE ON THE HEALTH AND ADJUSTMENT OF IMMIGRANT CHILDREN AND FAMILIES EVAN CHARNEY (Chair), Department of Pediatrics, University of Massachusetts Medical Center KATHLEEN GAINOR ANDREOLI, Rush-Presbyterian-St. Luke's Medical Center, Rush University E. RICHARD BROWN, School of Public Health, University of California, Los Angeles DONALD J. COHEN, Child Study Center, Yale University JANET CURRIE, Economics Department, University of California, Los Angeles MICHAEL FIX, Population Studies Center, Urban Institute BILL ONG HING, School of Law, University of California, Davis ARTHUR KLEINMAN, Harvard Medical School, Harvard University ALAN KRAUT, Department of History, American University NANCY S. LANDALE, Department of Sociology, Pennsylvania State University ANTONIO McDANIEL, Population Studies Center, University of Pennsylvania FERNANDO S. MENDOZA, School of Medicine, Stanford University VICTOR NEE, Department of Sociology, Cornell University MARY L. de LEON SIANTZ, School of Nursing, University of Washington DAVID R. SMITH, Health Sciences Center, Texas Tech University ALEX STEPICK, Department of Anthropology and Sociology, Florida International University SYLVIA FERNANDEZ VILLARREAL, Department of Pediatrics, University of California, San Francisco General Hospital DAVID L. FEATHERMAN (Liaison), Institute for Social Research, University of Michigan FERNANDO GUERRA (Liaison), Board on Children, Youth, and Families iii 5 DONALD J. HERNANDEZ, Study Director KATHERINE DARKE, Research Assistant NANCY GEYELIN, Research Assistant KAREN AUTREY, Senior Project Assistant 6 iv BOARD ON CHILDREN, YOUTH, AND FAMILIES JACK P. SHONKOFF (Chair), Heller Graduate School, Brandeis University DAVID V.B. BRITT, Children's Television Workshop, New York City LARRY BUMPASS, Center for Demography and Ecology, University of Wisconsin FERNANDO A. GUERRA, San Antonio Metropolitan Health District, Texas BERNARD GUYER, Department of Maternal and Child Health, The Johns Hopkins University ALETHA C. HUSTON, Department of