Elsevier

World Development

Volume 12, Issue 3, March 1984, Pages 339-364
World Development

The world economic crisis and the children: A United States case study

https://doi.org/10.1016/0305-750X(84)90069-XGet rights and content

Abstract

This is a review of the United States experience with issues of child health and services, as they relate to changes in economic trends. No existing data systems are entirely adequate for reporting on the current health status of children, an important consideration for the monitoring of children's health in the United States is the focus on subgroups such as those who are disadvantaged for reasons of poverty, discrimination or geographic isolation. Ample evidence exists that children living in poverty suffer adverse health consequences and that the proportion of children living in poverty in the United States has increased steadily since 1975 and dramatically since 1981. Most measures of health status and health risks for children show steady improvements througout the 1970s. The exercise of public responsibility for financing and providing essential services and supports held constant or improved during this recession period, especially during the recession of 1974–1975. The health status and risks for children since 1981 appear to be adversely affected which must be attributed to a combination of circumstances that include serious recession, increased poverty rates for households with children and diminished health benefits and social support services. These findings suggest that when either local or widespread economic reversals are anticipated, health services and social supports for children need to be expanded rather than contracted.

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  • Cited by (0)

    Prepared by C. Arden Miller, Professor and Chairman, Department of Maternal and Child Health, School of Public Health, University of North Carolina at Chapel Hill, with the collaboration of Elizabeth J. Coulter, Professor, Department of Biostatistics, School of Public Health, University of North Carolina at Chapel Hill, and assisted by: Lisbeth B. Schorr, Adjunct Professor, Department of Maternal and Child Health, School of Public Health, University of North Carolina at Chapel Hill; Edward Brooks, Associate Director, Health Services Research Center, University of North Carolina at Chapel Hill; Amy Fine, Project Director, Child Health Outcomes Project, Department of Maternal and Child Health, School of Public Health, University of North Carolina at Chapel Hill. The views expressed in this paper are those of the authors and not necessarily those of UNICEF.

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