Child poverty in the United States: Difference between revisions

From Wikipedia, the free encyclopedia
Content deleted Content added
No edit summary
Created a new article and removed the redirect
Tags: Removed redirect nowiki added Visual edit
Line 1: Line 1:
[[File:Children_dancing.jpg|thumb|Children dancing]]
#REDIRECT [[Poverty_in_the_United_States#Child_poverty]]
'''Child Poverty in the United States''' is a prevalent problem experienced by kids in the country who do not have enough resources or opportunities to have necessities and are in families below the poverty threshold. Children are now the largest age group living below the [[Poverty in the United States|poverty]] line,<ref name=":10">{{Cite journal |last=Korbin |first=Jill E. |date=Jan/Feb 1992 |title=Introduction Child Poverty in the United States |journal=The American Behavioral Scientist |volume=35 |issue=3 |pages=213 |via=ProQuest}}</ref> and around 1 in 5 children are affected by this issue<ref name=":0">{{Cite journal |last=Dreyer |first=Benard |last2=Chung |first2=Paul J. |last3=Szilagyi |first3=Peter |last4=Wong |first4=Shale |date=2016-04-01 |title=Child Poverty in the United States Today: Introduction and Executive Summary |url=https://www.academicpedsjnl.net/article/S1876-2859(16)00067-X/abstract |journal=Academic Pediatrics |language=English |volume=16 |issue=3 |pages=S1–S5 |doi=10.1016/j.acap.2016.02.010 |issn=1876-2859 |pmid=27044686}}</ref>. [[Child poverty]] is measured using absolute and relative methods. It is caused by many factors, including race, education, and [[Family structure in the United States|family structure]], but ultimately [[Race and poverty in the United States|race]] encompasses these and other factors. There are multiple effects of child poverty; effects on health and development cause lifelong problems and lower educational outcomes, and food insecurity is also caused by child poverty.<ref name=":0" /><ref name=":1">{{Cite journal |last=Smeeding |first=Timothy |last2=Thévenot |first2=Céline |date=2016-04-01 |title=Addressing Child Poverty: How Does the United States Compare With Other Nations? |url=https://www.academicpedsjnl.net/article/S1876-2859(16)00027-9/abstract |journal=Academic Pediatrics |language=English |volume=16 |issue=3 |pages=S67–S75 |doi=10.1016/j.acap.2016.01.011 |issn=1876-2859 |pmc=PMC6087662 |pmid=27044705}}</ref><ref name=":4">{{Cite journal |last=McCarty |first=Alyn T. |date=2016-07 |title=Child Poverty in the United States: A Tale of Devastation and the Promise of Hope: Child Poverty in the United States |url=https://onlinelibrary.wiley.com/doi/10.1111/soc4.12386 |journal=Sociology Compass |language=en |volume=10 |issue=7 |pages=623–639 |doi=10.1111/soc4.12386 |pmc=PMC5589198 |pmid=28890733}}</ref> In order to counteract child poverty, the United States government has put in place programs to reduce child poverty using [[Tax credit|tax credits]] and transfers. There are also community programs that have impacted specific communities that have high child poverty rates.<ref name=":14">{{Cite journal |last=Anthony |first=Elizabeth K. |last2=King |first2=Bryn |last3=Austin |first3=Michael J. |date=2011-10 |title=Reducing child poverty by promoting child well-being: Identifying best practices in a time of great need |url=https://linkinghub.elsevier.com/retrieve/pii/S0190740911002076 |journal=Children and Youth Services Review |language=en |volume=33 |issue=10 |pages=1999–2009 |doi=10.1016/j.childyouth.2011.05.029}}</ref> For future policies, greater investment directed to children and families in poverty and connections between healthcare providers and financial services can lower the child poverty rate.<ref name=":1" /><ref name=":16">{{Cite journal |last=Marcil |first=Lucy E. |last2=Hole |first2=Michael K. |last3=Jackson |first3=Jasmyne |last4=Markowitz |first4=Molly A. |last5=Rosen |first5=Laura |last6=Sude |first6=Leslie |last7=Rosenthal |first7=Alice |last8=Bennett |first8=Mary Beth |last9=Sarkar |first9=Sonia |last10=Jones |first10=Nicholas |last11=Topel |first11=Kristin |last12=Chamberlain |first12=Lisa J. |last13=Zuckerman |first13=Barry |last14=Kemper |first14=Alex R. |last15=Solomon |first15=Barry S. |date=2021-11-01 |title=Anti-Poverty Medicine Through Medical-Financial Partnerships: A New Approach to Child Poverty |url=https://www.academicpedsjnl.net/article/S1876-2859(21)00155-8/abstract |journal=Academic Pediatrics |language=English |volume=21 |issue=8 |pages=S169–S176 |doi=10.1016/j.acap.2021.03.017 |issn=1876-2859 |pmc=PMC9053836 |pmid=34740425}}</ref>
{{R to section}}

== Measurement ==
In the United States, there are two main measures of poverty supported by the federal government: absolute and relative.<ref name=":12">{{Cite journal |last=Pac |first=Jessica |last2=Nam |first2=Jaehyun |last3=Waldfogel |first3=Jane |last4=Wimer |first4=Chris |date=2017-03 |title=Young child poverty in the United States: Analyzing trends in poverty and the role of anti-poverty programs using the Supplemental Poverty Measure |url=https://linkinghub.elsevier.com/retrieve/pii/S0190740916303942 |journal=Children and Youth Services Review |language=en |volume=74 |pages=35–49 |doi=10.1016/j.childyouth.2017.01.022 |pmc=PMC5484166 |pmid=28659652}}</ref> The absolute method of measuring poverty is by the definition set by the government in the 1960s for its [[War on poverty|War on Poverty]] measures.<ref name=":12" /> It measures poverty based on all monetary income before taxes are subtracted, and it compares total income to a [[Poverty threshold|threshold]] three times the cost associated with a nutritious diet that is the minimum acceptable for a certain family size.<ref name=":11">{{Cite book |last=Office. |first=United States. Congressional Budget |url=http://worldcat.org/oclc/622558759 |title=Reducing poverty among children. |date=1985 |publisher=Congress of the U.S., Congressional Budget Office |oclc=622558759}}</ref><ref name=":7">{{Cite journal |last=Eggebeen |first=David J. |last2=Lichter |first2=Daniel T. |date=1991-12 |title=Race, Family Structure, and Changing Poverty Among American Children |url=http://www.jstor.org/stable/2096257?origin=crossref |journal=American Sociological Review |volume=56 |issue=6 |pages=801 |doi=10.2307/2096257}}</ref><ref>{{Cite journal |last=Minujin |first=Alberto |last2=Delamonica |first2=Enrique |last3=Davidziuk |first3=Alejandra |last4=Gonzalez |first4=Edward D |date=2006-10 |title=The definition of child poverty: a discussion of concepts and measurements |url=http://journals.sagepub.com/doi/10.1177/0956247806069627 |journal=Environment and Urbanization |language=en |volume=18 |issue=2 |pages=481–500 |doi=10.1177/0956247806069627 |issn=0956-2478}}</ref> This measure is widely used, but it has weaknesses. Critics say that these thresholds, though adjusted for [[inflation]], age of householder, and composition of family, do not accurately display current patterns of poverty.<ref name=":4" /><ref name=":7" /> In the 1960s, one-third of a family's consumption was used for food. However, that is no longer reflected today due to the rising costs of living with housing being the largest expenditure and food only making up one-sixth of the consumption.<ref name=":12" /><ref name=":10" /> The initial agreement to base the threshold on the relationship of income to food is based on a survey taken in the 1950s, and many argue that it should not be the main factor anymore.<ref name=":11" /> This measure also does not adjust for the [[Spatial inequality|geographical location of a family]] in the United States.<ref name=":4" /> Because of this, certain populations may not be accurately reflected by this measurement due to the differences in the cost of living around the country.<ref name=":12" /> Other people say that adjusting for inflation overestimates the cost of living which causes higher rates of poverty due to the high threshold.<ref name=":11" />The measure does not take into account benefits and [[Tax credit|tax-credits]] that are designed to target poverty, and it does not include expenses like childcare, work expenses, or out-of-pocket payments.<ref name=":4" />

Due to the many criticisms of the official measure of poverty, the government now reports a relative measure of poverty, the Supplemental Poverty Measure (SPM). SPM gives a bigger and more accurate picture of poverty.<ref name=":4" /><ref name=":12" /> It accounts for more sources of income and takes out taxes and non-discretionary expenses. The additional income that is accounted for in this measure includes government benefits like [[Supplemental Nutrition Assistance Program|SNAP]], [[WIC]], welfare, tax credits, and [[Subsidy|subsidies]]. SPM is also adjusted for current standards of living and housing costs depending on geographical location.<ref name=":4" /><ref name=":12" /> SPM is based on a core basket of goods that encompass basic necessities plus a little more to account for other necessities.<ref name=":0" /> The poverty threshold is also updated regularly rather than having a set poverty line.<ref name=":4" /> For most populations, SPM provides higher rates than the official measure, but for child poverty, the rates are actually lower because it reflects the anti-poverty policies of the government that target child poverty.<ref name=":4" />

== Causes ==

=== Education ===
The education levels of the parents are shown to have an effect on the likelihood of child poverty.<ref name=":2">{{Cite journal |last=Curtis |first=Katherine J. |last2=Voss |first2=Paul R. |last3=Long |first3=David D. |date=2012-01-01 |title=Spatial variation in poverty-generating processes: Child poverty in the United States |url=https://www.sciencedirect.com/science/article/pii/S0049089X11001372 |journal=Social Science Research |language=en |volume=41 |issue=1 |pages=146–159 |doi=10.1016/j.ssresearch.2011.07.007 |issn=0049-089X |pmc=PMC3613221 |pmid=23017703}}</ref> Parents who have an education only up to a high school diploma or less are much more likely to be poor due to the lack of high-paying jobs for low-skilled workers.<ref name=":2" /> This population may have a lower quality education as well if they grew up in a poor community, and this also causes them to be less skilled and desirable to employers.<ref name=":7" /> Due to their lower level of education, these people are likely to have lower incomes which translates into a lack of material needs like food and electricity.<ref name=":0" /> This population may also have more health problems. This can be due to genetics or malnutrition, and they are likely to work more physical jobs that may cause health problems in the future.<ref name=":0" />

=== Family Structure ===
The structure of a household affects the likelihood of child poverty.<ref name=":7" /><ref name=":15">{{Cite journal |last=Ranjith |first=Sri |last2=Rupasingha |first2=Anil |date=2012-03 |title=Social and Cultural Determinants of Child Poverty in the United States |url=https://www.tandfonline.com/doi/full/10.2753/JEI0021-3624460105 |journal=Journal of Economic Issues |language=en |volume=46 |issue=1 |pages=119–142 |doi=10.2753/JEI0021-3624460105 |issn=0021-3624}}</ref> Since the 1960s, the [[Family structure in the United States|structure of a family]] has changed, and there are many more single-parent households, especially households headed by a mother. More specifically, there was an increase in black households with single parents, and about 30% of the gap between black and white households in poverty is because of the likelihood of black families headed by single mothers.<ref name=":7" /><ref name=":15" /> Studies show that single-parent households are likely to be in poverty, and this is especially true for households headed by single mothers. In single-mother households, 30.6% are poor compared to only 6.2% for married families.<ref name=":4" /> Unlike most of the world, in the United States, all single-parent households have a higher risk for poverty.<ref name=":1" />

The amount of earners present in a household also contributes to child poverty. Families with 2 or more earners will have more income and are less likely to have child poverty, and this is a trend seen globally.<ref name=":1" /> Single-parent households, therefore, are at a disadvantage because the revenue of only one person is present which is a reason for the greater amounts of child poverty, and households with no earners face the most risk of poverty. <ref name=":8">{{Cite journal |last=Baker |first=Regina S. |date=2015-10 |title=The Changing Association Among Marriage, Work, and Child Poverty in the United States, 1974-2010: Marriage, Work, and Child Poverty |url=https://onlinelibrary.wiley.com/doi/10.1111/jomf.12216 |journal=Journal of Marriage and Family |language=en |volume=77 |issue=5 |pages=1166–1178 |doi=10.1111/jomf.12216}}</ref>

=== Race ===
Child poverty and race have a distinct correlation with each other. There is a history of racism in the United States with the institution of the [[History of slavery|slave trade]], [[Jim Crow laws|Jim Crow Laws]], and the [[War on Crime]] that incarcerated black men disproportionately.<ref name=":6">{{Cite journal |last=Heard-Garris |first=Nia |last2=Boyd |first2=Rhea |last3=Kan |first3=Kristin |last4=Perez-Cardona |first4=Leishla |last5=Heard |first5=Nevin J. |last6=Johnson |first6=Tiffani J. |date=2021-11 |title=Structuring Poverty: How Racism Shapes Child Poverty and Child and Adolescent Health |url=https://linkinghub.elsevier.com/retrieve/pii/S1876285921002783 |journal=Academic Pediatrics |language=en |volume=21 |issue=8 |pages=S108–S116 |doi=10.1016/j.acap.2021.05.026 |pmc=PMC8574214 |pmid=34740417}}</ref><ref name=":5">{{Cite book |last=author. |first=Madrick, Jeffrey G., |url=http://worldcat.org/oclc/1310438581 |title=Invisible Americans the tragic cost of child poverty |isbn=978-0-451-49419-1 |oclc=1310438581}}</ref> The effects of racism continue to be prevalent in the disparities found in the country and affect minority communities in many different institutions.<ref name=":6" /> In fact, poverty in minority communities was not addressed until the 1960s, and until then, the image of poverty was only represented by poor whites.<ref name=":5" /> Because racism affects so many aspects of life, the aforementioned effects are also in part caused by it.<ref name=":7" /><ref name=":6" /> Black and white children have a huge gap in poverty rates due to the greater risk of poverty in black communities.<ref>{{Cite journal |last=Kim |first=Hyunil |last2=Drake |first2=Brett |date=2018-06-01 |title=Child maltreatment risk as a function of poverty and race/ethnicity in the USA |url=https://academic.oup.com/ije/article/47/3/780/4829682 |journal=International Journal of Epidemiology |language=en |volume=47 |issue=3 |pages=780–787 |doi=10.1093/ije/dyx280 |issn=0300-5771}}</ref> As of 2014, around 38% of African-American children were in poverty, compared to only 13% of white children, and minority communities like American Indian and Hispanic/Latino follow closely behind with rates of 36% and 32%, respectively.<ref name=":4" /> Compared to white children, African-American children are more likely to be in persistent poverty due to multiple generations of discrimination.<ref name=":10" /> When accounting for differences in family structure and income levels, black children still persist in higher poverty rates which is evidence that child poverty is driven by racism. <ref name=":7" />
[[File:Apl-demographics-segregation-milwaukee-redlining-holc-map-crop.jpg|thumb|Example of redlining map in Milwaukee]]
House ownership is a very important factor in child poverty. It provides stability and a path to wealth accumulation.<ref name=":6" />However, for minority communities, especially black families, house ownership is not a realistic possibility due to the high rates and historic discrimination.<ref name=":6" /> From the 1930s to the 1970s, the practice of [[redlining]] was common. This was used to designate certain neighborhoods as desirable or risky for mortgage lenders.<ref name=":6" /> White neighborhoods were almost always rated highly, while non-white communities like immigrants, [[Jews|Jewish]] people, [[Latinx]], and blacks were labeled as risky and had a yellow or red label. African-American communities were especially discriminated against because the red label was often only for black neighborhoods.<ref name=":6" /> This caused many black communities to have fewer opportunities to move to better housing because the prices would be hiked up to discourage them and lenders would not give money at reasonable rates. In fact, while white Americans have house ownership rates of 73%, minority communities have much less around 50-60%, and only 42.1% of black Americans have houses.<ref name=":6" /> Because white Americans have had longer and more available house ownership, they accrued wealth over time which is part of the reason for the wealth gap that is present today. This residential divide that has continued throughout history also affects the quality of education available.<ref name=":6" /> The [[Public school funding in the United States|public school plan in the United States]] involves having the community a school serves to provide resources for the school. However, when a community has lower property values and lower income, like many of the previously redlined areas are, their schools are underresourced to provide quality education. As mentioned in the previous section, this causes a cycle of poverty to occur.<ref name=":6" />

The "War on Crime" in the 1960s and the subsequent "[[War on drugs|War on Drugs]]" in the 1980s caused greater incarceration of black Americans at disproportional rates.<ref name=":6" /> [[Racial profiling in the United States|Racial profiling]] played a role in excessive arrests and incarcerations due to drug offenses that majorly impacted black and Latinx communities. This caused many children to grow up in single-parent households, and they were more likely to experience the [[Incarceration in the United States|juvenile and carceral system]].<ref name=":6" /> This also continues the cycle of poverty by restricting opportunities in the future.

== Effects ==

=== Health ===
[[File:Gray_matter_thickness_of_multiple_cortical_areas_correlates_with_IQ.png|thumb|Shows locations of gray matter]]
Due to poverty, many children suffer from health problems.<ref name=":4" /> The [[Infant mortality|infant mortality rate]] is higher, and children have lower birth weights. This is usually a signal of the in utero environment and the nutrition the fetus gets, and it also may predict future health.<ref name=":4" /> The United States is one of the only developed countries that has a high mortality rate. This mortality rate is caused, though, by poor minority births because white, college-educated, and married mothers do have rates that are comparable to Europe's.<ref name=":1" /><ref name=":4" /> Many children have developmental problems, and [[Grey matter|gray matter]] is a crucial part of processing information and regulating behavior.<ref name=":0" /> A study done by neuroscientists shows that children with high socioeconomic status have more gray matter than children in low socioeconomic circumstances. Interestingly enough, this difference was only seen after nine months which indicates that it was not affected in utero but, rather, by circumstances after birth.<ref name=":3">{{Cite book |last=editor. |first=Duncan, Greg J., editor. Le Menestrel, Suzanne, |url=http://worldcat.org/oclc/1286771169 |title=A roadmap to reducing child poverty |isbn=978-0-309-48401-5 |oclc=1286771169}}</ref>This may also affect learning and processing in school which would then affect their future to get a job.<ref name=":1" /> Poor children are more likely to have severe [[Chronic condition|chronic diseases]] like asthma, diabetes, and hearing/vision problems.<ref name=":0" /><ref name=":9">{{Cite book |url=https://www.worldcat.org/oclc/27810481 |title=Malnourished children in the United States : caught in the cycle of poverty |date=1993 |publisher=Springer Pub. Co |others=Robert J. Karp |isbn=0-8261-7330-6 |location=New York |oclc=27810481}}</ref> They may also have [[Food insecurity in the United States|food insecurity]] and a lack of access to nutritional and fresh foods. This may cause malnutrition which contributes to a weaker immune system and less growth.<ref name=":0" /> <ref name=":9" /> A weaker immune system is also caused by the delayed and lower immunization rates found in children in poverty. [[Obesity in the United States|Obesity]] is also a common effect of children in poverty, most probably due to less access to nutritional foods, and this can have complications in the future.<ref name=":0" /><ref name=":4" /> Childhood poverty also affects susceptibility to diseases, like cardiovascular disease and cancer, as an adult. These effects of child poverty ultimately contribute to keeping those in poverty where it is difficult for them to break out of the cycle due to the burden of health problems.

Physical health problems are not the only problems children in poverty experience. Often, children in poverty have trauma, and it can cause greater [[mental health problems]] like [[ADHD]] and mood and anxiety disorders.<ref name=":4" /> Mental health disorders in patients in child poverty are actually more prevalent and can affect their life on an everyday spectrum because it may restrict how they interact with others and their opportunities to learn.<ref name=":4" />

=== Other effects ===
There are many effects of child poverty that may or may not coincide with health effects. Food insecurity is an effect that affects many children in poverty. As mentioned before, children may not have access to nutritional food causing [[malnutrition]].<ref name=":0" /> They also are shown to have lower educational outcomes, and children from lower [[Socioeconomic status|socioeconomic backgrounds]] do worse overall at school.<ref name=":1" /> A study shows that children below the poverty line do two years less of an education which causes a ripple effect of fewer opportunities and less income.<ref name=":3" /> Education is a direct correlation to future socioeconomic status, and without breaking the cycle of devaluing education, there will continue to be intergenerational poverty.<ref name=":7" /> Lower education levels also cause an increase in social effects. Children in poverty often have interactions with criminal activity as an adolescent that continues as an adult, and boys in poverty grow up to be twice as likely to be arrested as adults.<ref name=":0" /><ref name=":3" /> Teenage pregnancy is also common for girls who grew up in poverty and are six times as likely to have a child without marriage.<ref name=":0" /><ref name=":3" />

== Efforts against Child Poverty ==

=== Government Intervention ===
[[File:Supplemental_Nutrition_Assistance_Program_logo.svg|thumb|SNAP logo]]
For most of the history of the United States, aid for the poor was mostly through private charities until the [[Great Depression in the United States|Great Depression]] hit and poverty increased exponentially.<ref name=":11" /> At that time, welfare policies began to take place and the role of the federal government in poverty reduction increased.<ref name=":11" /> In the 1960s, the [[Economic Opportunity Act of 1964|Economic Opportunity Act]], also known as the [[War on poverty|War on Poverty]], was passed and since then many programs have targeted poverty, especially child poverty.<ref name=":6" /> To cover basic needs, the government has provided assistance programs and [[Tax credit|tax credits]] that lower the burden on families.<ref name=":11" /> [[Aid to Families with Dependent Children|Aid to Families with Dependent Children (AFDC)]] gives aid in the form of cash.<ref name=":11" /> Later replaced by the [[Temporary Assistance for Needy Families|Temporary Assistance for Needy Families (TANF)]], the program is based on income levels and assets.<ref name=":13">{{Cite journal |last=Bitler |first=Marianne |last2=Hoynes |first2=Hilary |last3=Kuka |first3=Elira |date=2017-03 |title=Child Poverty, the Great Recession, and the Social Safety Net in the United States: Child Poverty, the Great Recession, and the Social Safety Net |url=https://onlinelibrary.wiley.com/doi/10.1002/pam.21963 |journal=Journal of Policy Analysis and Management |language=en |volume=36 |issue=2 |pages=358–389 |doi=10.1002/pam.21963}}</ref> The [[Supplemental Nutrition Assistance Program|Supplemental Nutritional Assistance Program (SNAP)]], once known as food stamps, is a program that provides vouchers for families to spend on food at grocery stores. This decreases [[Food security|food insecurity]] and is one of the best examples of anti-poverty programs. SNAP is means-tested which means it is based on lower income levels. It is a nearly universal program that benefits everyone meeting income thresholds, including those who do not work.<ref name=":13" /> Similar to SNAP benefits, tax credits like the [[Earned income tax credit|Earned Income Tax Credits (EITC)]] and the [[Child tax credit (United States)|Child Tax Credit (CTC)]] come as in-kind benefits as well.<ref name=":4" /> EITC is for low-income households that do have income coming in. If a family's combined income is too low to take taxes out of, they receive refunds from the Internal Revenue Service.<ref name=":13" /> The CTC is similar to the EITC, but it does not target low-income families as much. Up to $1000 per child is available as a nonrefundable credit, and single-parent, two-kid households with incomes up to $115,000 and two-parent, two-kid households with incomes up to $150,000 are eligible for this credit.<ref name=":13" />Both SNAP and tax credits have helped reduce child poverty, have better educational outcomes, and have better employment levels.<ref name=":0" /> [[Medicaid]] and the [[Children's Health Insurance Program|Children's Health Insurance Program (CHIP)]] have provided greater access to healthcare for low-income children, and these programs are a joint effort of the federal and state government. Public health insurance is shown to have lasting effects through adulthood.<ref name=":0" /><ref name=":11" /> Along with SNAP, the [[School meal programs in the United States|free or reduced school breakfast and lunch programs]] and the [[WIC|Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)]]<nowiki/>give more access to healthy, nutritional foods for at-risk populations and during development.<ref name=":14" /> In terms of educational policies, [[Head Start (program)|Head Start]] is a federal program that targets early childhood learning and development and stronger parent-child relationships.<ref name=":4" /><ref name=":14" /> These government programs and more have been shown to lower child poverty.<ref name=":4" />

=== Community Intervention ===
Community intervention is an effective tool to combat child poverty.<ref name=":4" /> Community programs often target families and children to lower child poverty.<ref name=":14" /><ref name=":4" /> They strive to impact different factors that play into a child's life by addressing the family component.<ref name=":4" /> Families that build strong social connections with those around them and similar to them have more resources to utilize.<ref name=":4" /> For example, they can use connections to their advantage by having conversations, receiving advice, providing transportation, and getting information about government programs.<ref name=":4" /> One example of this is Families and Schools Together (FAST). The program connects families in a school, and it is proven to increase skills in social, academic, and emotional behavior.<ref name=":4" /> Making Connections (MC) and Children's Services Council (CSC) are also a program that targets families to decrease child poverty.<ref name=":14" /> MC strives to increase a family's income, networks, access to child health, etc., and the CSC aims to facilitate better development of kids through reducing [[Child abuse|child neglect and abuse]], more opportunities for education, and increasing healthy births.<ref name=":14" /> A focus on greater educational opportunities combined with family services is also seen in community groups.<ref name=":14" /> [[Harlem Children's Zone]] addresses child poverty in Harlem by providing educational services like afterschool programs and early childhood education for children and parenting classes and support for families.<ref name=":14" /> In healthcare, pediatricians partner with the community to provide services and reach children in Missouri, Colorado, and New York, and there is training for pediatric residents to build community partnerships.<ref>{{Cite journal |last=Plax |first=Katie |last2=Donnelly |first2=Jeanine |last3=Federico |first3=Steven G. |last4=Brock |first4=Leonard |last5=Kaczorowski |first5=Jeffrey M. |date=2016-04-01 |title=An Essential Role for Pediatricians: Becoming Child Poverty Change Agents for a Lifetime |url=https://www.academicpedsjnl.net/article/S1876-2859(16)00025-5/abstract |journal=Academic Pediatrics |language=English |volume=16 |issue=3 |pages=S147–S154 |doi=10.1016/j.acap.2016.01.009 |issn=1876-2859}}</ref>From a religious standpoint, organizations affiliated with a religion can also provide services to children and families in poverty. Often, values from a religion support this work by promoting taking care of the poor and providing shelter.<ref name=":15" />

=== Future Steps ===
Proper and proportional investment in poor children is important in reducing child poverty.<ref name=":15" /> The United States continues to be distinct from similar countries when it comes to child poverty. It consistently spends less on programs targeted at helping children and families.<ref name=":1" /> Policies that increase the opportunity to work and generate income are present in countries with similar economic status, but public child care, an example of this, was 0.3% of [[Gross domestic product|GDP]] in the United States compared to the 0.5% average in the [[OECD|Organization for Economic Co-operation and Development (OECD)]].<ref name=":1" /> The progress that had been made during the [[Great Recession in the United States|Great Recession]] for educational investment and income support has been cut back due to fiscal restraint. By increasing support for these investment programs, child poverty could be significantly impacted.<ref name=":1" />Cash transfers/monthly allowances could also cut child poverty in half quickly by providing $300-400 monthly transfers for each child.<ref name=":5" /> Critics oppose this due to the idea that transfers disincentivize working, but examples of similar programs in Britain and Canada have shown to be successful.<ref name=":5" /> Along with cash transfers, other aims should include childcare support, [[vocational education]], the creation of jobs, increased [[Subsidized housing|housing subsidies]], etc.<ref name=":5" /> Restructuring the current system in the United States may also be a worthwhile effort, and this can be accomplished by keeping the major elements but changing specifics like target population, quantity of assistance, and delivery process.<ref name=":11" /> Some suggest the federal government provide an income floor for families with children which could happen with the federalization of [[Medicaid]] and [[Aid to Families with Dependent Children|Aid to Families with Dependent Children (AFDC)]]. Others, however, favor less government intervention by shifting responsibilities like education completely to the state.<ref name=":11" /> Reforming the current tax system could also help poor families, and it has been debated in the Senate.<ref name=":11" /> Medical-financial partnerships (MFP) have recently gained traction and have the potential to impact the health of poor children.<ref name=":16" /> Financial stress affects a large portion of the population with over half of families being income or asset poor. MFPs connect healthcare to broad financial services like financial coaching and tax preparation.<ref name=":16" /> Other services can also be considered if it provides information for financial stability. An example of this is food pantries that provide information about financial stability.<ref name=":16" /> Because healthcare providers reach 90% of the families of preschool -age children, compared to only 12% in daycare, MFPs can decrease child poverty in a larger audience by increasing financial stability which will increase positive health outcomes.<ref name=":16" />

== References ==
<references />

Revision as of 18:35, 2 November 2022

Children dancing

Child Poverty in the United States is a prevalent problem experienced by kids in the country who do not have enough resources or opportunities to have necessities and are in families below the poverty threshold. Children are now the largest age group living below the poverty line,[1] and around 1 in 5 children are affected by this issue[2]. Child poverty is measured using absolute and relative methods. It is caused by many factors, including race, education, and family structure, but ultimately race encompasses these and other factors. There are multiple effects of child poverty; effects on health and development cause lifelong problems and lower educational outcomes, and food insecurity is also caused by child poverty.[2][3][4] In order to counteract child poverty, the United States government has put in place programs to reduce child poverty using tax credits and transfers. There are also community programs that have impacted specific communities that have high child poverty rates.[5] For future policies, greater investment directed to children and families in poverty and connections between healthcare providers and financial services can lower the child poverty rate.[3][6]

Measurement

In the United States, there are two main measures of poverty supported by the federal government: absolute and relative.[7] The absolute method of measuring poverty is by the definition set by the government in the 1960s for its War on Poverty measures.[7] It measures poverty based on all monetary income before taxes are subtracted, and it compares total income to a threshold three times the cost associated with a nutritious diet that is the minimum acceptable for a certain family size.[8][9][10] This measure is widely used, but it has weaknesses. Critics say that these thresholds, though adjusted for inflation, age of householder, and composition of family, do not accurately display current patterns of poverty.[4][9] In the 1960s, one-third of a family's consumption was used for food. However, that is no longer reflected today due to the rising costs of living with housing being the largest expenditure and food only making up one-sixth of the consumption.[7][1] The initial agreement to base the threshold on the relationship of income to food is based on a survey taken in the 1950s, and many argue that it should not be the main factor anymore.[8] This measure also does not adjust for the geographical location of a family in the United States.[4] Because of this, certain populations may not be accurately reflected by this measurement due to the differences in the cost of living around the country.[7] Other people say that adjusting for inflation overestimates the cost of living which causes higher rates of poverty due to the high threshold.[8]The measure does not take into account benefits and tax-credits that are designed to target poverty, and it does not include expenses like childcare, work expenses, or out-of-pocket payments.[4]

Due to the many criticisms of the official measure of poverty, the government now reports a relative measure of poverty, the Supplemental Poverty Measure (SPM). SPM gives a bigger and more accurate picture of poverty.[4][7] It accounts for more sources of income and takes out taxes and non-discretionary expenses. The additional income that is accounted for in this measure includes government benefits like SNAP, WIC, welfare, tax credits, and subsidies. SPM is also adjusted for current standards of living and housing costs depending on geographical location.[4][7] SPM is based on a core basket of goods that encompass basic necessities plus a little more to account for other necessities.[2] The poverty threshold is also updated regularly rather than having a set poverty line.[4] For most populations, SPM provides higher rates than the official measure, but for child poverty, the rates are actually lower because it reflects the anti-poverty policies of the government that target child poverty.[4]

Causes

Education

The education levels of the parents are shown to have an effect on the likelihood of child poverty.[11] Parents who have an education only up to a high school diploma or less are much more likely to be poor due to the lack of high-paying jobs for low-skilled workers.[11] This population may have a lower quality education as well if they grew up in a poor community, and this also causes them to be less skilled and desirable to employers.[9] Due to their lower level of education, these people are likely to have lower incomes which translates into a lack of material needs like food and electricity.[2] This population may also have more health problems. This can be due to genetics or malnutrition, and they are likely to work more physical jobs that may cause health problems in the future.[2]

Family Structure

The structure of a household affects the likelihood of child poverty.[9][12] Since the 1960s, the structure of a family has changed, and there are many more single-parent households, especially households headed by a mother. More specifically, there was an increase in black households with single parents, and about 30% of the gap between black and white households in poverty is because of the likelihood of black families headed by single mothers.[9][12] Studies show that single-parent households are likely to be in poverty, and this is especially true for households headed by single mothers. In single-mother households, 30.6% are poor compared to only 6.2% for married families.[4] Unlike most of the world, in the United States, all single-parent households have a higher risk for poverty.[3]

The amount of earners present in a household also contributes to child poverty. Families with 2 or more earners will have more income and are less likely to have child poverty, and this is a trend seen globally.[3] Single-parent households, therefore, are at a disadvantage because the revenue of only one person is present which is a reason for the greater amounts of child poverty, and households with no earners face the most risk of poverty. [13]

Race

Child poverty and race have a distinct correlation with each other. There is a history of racism in the United States with the institution of the slave trade, Jim Crow Laws, and the War on Crime that incarcerated black men disproportionately.[14][15] The effects of racism continue to be prevalent in the disparities found in the country and affect minority communities in many different institutions.[14] In fact, poverty in minority communities was not addressed until the 1960s, and until then, the image of poverty was only represented by poor whites.[15] Because racism affects so many aspects of life, the aforementioned effects are also in part caused by it.[9][14] Black and white children have a huge gap in poverty rates due to the greater risk of poverty in black communities.[16] As of 2014, around 38% of African-American children were in poverty, compared to only 13% of white children, and minority communities like American Indian and Hispanic/Latino follow closely behind with rates of 36% and 32%, respectively.[4] Compared to white children, African-American children are more likely to be in persistent poverty due to multiple generations of discrimination.[1] When accounting for differences in family structure and income levels, black children still persist in higher poverty rates which is evidence that child poverty is driven by racism. [9]

Example of redlining map in Milwaukee

House ownership is a very important factor in child poverty. It provides stability and a path to wealth accumulation.[14]However, for minority communities, especially black families, house ownership is not a realistic possibility due to the high rates and historic discrimination.[14] From the 1930s to the 1970s, the practice of redlining was common. This was used to designate certain neighborhoods as desirable or risky for mortgage lenders.[14] White neighborhoods were almost always rated highly, while non-white communities like immigrants, Jewish people, Latinx, and blacks were labeled as risky and had a yellow or red label. African-American communities were especially discriminated against because the red label was often only for black neighborhoods.[14] This caused many black communities to have fewer opportunities to move to better housing because the prices would be hiked up to discourage them and lenders would not give money at reasonable rates. In fact, while white Americans have house ownership rates of 73%, minority communities have much less around 50-60%, and only 42.1% of black Americans have houses.[14] Because white Americans have had longer and more available house ownership, they accrued wealth over time which is part of the reason for the wealth gap that is present today. This residential divide that has continued throughout history also affects the quality of education available.[14] The public school plan in the United States involves having the community a school serves to provide resources for the school. However, when a community has lower property values and lower income, like many of the previously redlined areas are, their schools are underresourced to provide quality education. As mentioned in the previous section, this causes a cycle of poverty to occur.[14]

The "War on Crime" in the 1960s and the subsequent "War on Drugs" in the 1980s caused greater incarceration of black Americans at disproportional rates.[14] Racial profiling played a role in excessive arrests and incarcerations due to drug offenses that majorly impacted black and Latinx communities. This caused many children to grow up in single-parent households, and they were more likely to experience the juvenile and carceral system.[14] This also continues the cycle of poverty by restricting opportunities in the future.

Effects

Health

Shows locations of gray matter

Due to poverty, many children suffer from health problems.[4] The infant mortality rate is higher, and children have lower birth weights. This is usually a signal of the in utero environment and the nutrition the fetus gets, and it also may predict future health.[4] The United States is one of the only developed countries that has a high mortality rate. This mortality rate is caused, though, by poor minority births because white, college-educated, and married mothers do have rates that are comparable to Europe's.[3][4] Many children have developmental problems, and gray matter is a crucial part of processing information and regulating behavior.[2] A study done by neuroscientists shows that children with high socioeconomic status have more gray matter than children in low socioeconomic circumstances. Interestingly enough, this difference was only seen after nine months which indicates that it was not affected in utero but, rather, by circumstances after birth.[17]This may also affect learning and processing in school which would then affect their future to get a job.[3] Poor children are more likely to have severe chronic diseases like asthma, diabetes, and hearing/vision problems.[2][18] They may also have food insecurity and a lack of access to nutritional and fresh foods. This may cause malnutrition which contributes to a weaker immune system and less growth.[2] [18] A weaker immune system is also caused by the delayed and lower immunization rates found in children in poverty. Obesity is also a common effect of children in poverty, most probably due to less access to nutritional foods, and this can have complications in the future.[2][4] Childhood poverty also affects susceptibility to diseases, like cardiovascular disease and cancer, as an adult. These effects of child poverty ultimately contribute to keeping those in poverty where it is difficult for them to break out of the cycle due to the burden of health problems.

Physical health problems are not the only problems children in poverty experience. Often, children in poverty have trauma, and it can cause greater mental health problems like ADHD and mood and anxiety disorders.[4] Mental health disorders in patients in child poverty are actually more prevalent and can affect their life on an everyday spectrum because it may restrict how they interact with others and their opportunities to learn.[4]

Other effects

There are many effects of child poverty that may or may not coincide with health effects. Food insecurity is an effect that affects many children in poverty. As mentioned before, children may not have access to nutritional food causing malnutrition.[2] They also are shown to have lower educational outcomes, and children from lower socioeconomic backgrounds do worse overall at school.[3] A study shows that children below the poverty line do two years less of an education which causes a ripple effect of fewer opportunities and less income.[17] Education is a direct correlation to future socioeconomic status, and without breaking the cycle of devaluing education, there will continue to be intergenerational poverty.[9] Lower education levels also cause an increase in social effects. Children in poverty often have interactions with criminal activity as an adolescent that continues as an adult, and boys in poverty grow up to be twice as likely to be arrested as adults.[2][17] Teenage pregnancy is also common for girls who grew up in poverty and are six times as likely to have a child without marriage.[2][17]

Efforts against Child Poverty

Government Intervention

SNAP logo

For most of the history of the United States, aid for the poor was mostly through private charities until the Great Depression hit and poverty increased exponentially.[8] At that time, welfare policies began to take place and the role of the federal government in poverty reduction increased.[8] In the 1960s, the Economic Opportunity Act, also known as the War on Poverty, was passed and since then many programs have targeted poverty, especially child poverty.[14] To cover basic needs, the government has provided assistance programs and tax credits that lower the burden on families.[8] Aid to Families with Dependent Children (AFDC) gives aid in the form of cash.[8] Later replaced by the Temporary Assistance for Needy Families (TANF), the program is based on income levels and assets.[19] The Supplemental Nutritional Assistance Program (SNAP), once known as food stamps, is a program that provides vouchers for families to spend on food at grocery stores. This decreases food insecurity and is one of the best examples of anti-poverty programs. SNAP is means-tested which means it is based on lower income levels. It is a nearly universal program that benefits everyone meeting income thresholds, including those who do not work.[19] Similar to SNAP benefits, tax credits like the Earned Income Tax Credits (EITC) and the Child Tax Credit (CTC) come as in-kind benefits as well.[4] EITC is for low-income households that do have income coming in. If a family's combined income is too low to take taxes out of, they receive refunds from the Internal Revenue Service.[19] The CTC is similar to the EITC, but it does not target low-income families as much. Up to $1000 per child is available as a nonrefundable credit, and single-parent, two-kid households with incomes up to $115,000 and two-parent, two-kid households with incomes up to $150,000 are eligible for this credit.[19]Both SNAP and tax credits have helped reduce child poverty, have better educational outcomes, and have better employment levels.[2] Medicaid and the Children's Health Insurance Program (CHIP) have provided greater access to healthcare for low-income children, and these programs are a joint effort of the federal and state government. Public health insurance is shown to have lasting effects through adulthood.[2][8] Along with SNAP, the free or reduced school breakfast and lunch programs and the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)give more access to healthy, nutritional foods for at-risk populations and during development.[5] In terms of educational policies, Head Start is a federal program that targets early childhood learning and development and stronger parent-child relationships.[4][5] These government programs and more have been shown to lower child poverty.[4]

Community Intervention

Community intervention is an effective tool to combat child poverty.[4] Community programs often target families and children to lower child poverty.[5][4] They strive to impact different factors that play into a child's life by addressing the family component.[4] Families that build strong social connections with those around them and similar to them have more resources to utilize.[4] For example, they can use connections to their advantage by having conversations, receiving advice, providing transportation, and getting information about government programs.[4] One example of this is Families and Schools Together (FAST). The program connects families in a school, and it is proven to increase skills in social, academic, and emotional behavior.[4] Making Connections (MC) and Children's Services Council (CSC) are also a program that targets families to decrease child poverty.[5] MC strives to increase a family's income, networks, access to child health, etc., and the CSC aims to facilitate better development of kids through reducing child neglect and abuse, more opportunities for education, and increasing healthy births.[5] A focus on greater educational opportunities combined with family services is also seen in community groups.[5] Harlem Children's Zone addresses child poverty in Harlem by providing educational services like afterschool programs and early childhood education for children and parenting classes and support for families.[5] In healthcare, pediatricians partner with the community to provide services and reach children in Missouri, Colorado, and New York, and there is training for pediatric residents to build community partnerships.[20]From a religious standpoint, organizations affiliated with a religion can also provide services to children and families in poverty. Often, values from a religion support this work by promoting taking care of the poor and providing shelter.[12]

Future Steps

Proper and proportional investment in poor children is important in reducing child poverty.[12] The United States continues to be distinct from similar countries when it comes to child poverty. It consistently spends less on programs targeted at helping children and families.[3] Policies that increase the opportunity to work and generate income are present in countries with similar economic status, but public child care, an example of this, was 0.3% of GDP in the United States compared to the 0.5% average in the Organization for Economic Co-operation and Development (OECD).[3] The progress that had been made during the Great Recession for educational investment and income support has been cut back due to fiscal restraint. By increasing support for these investment programs, child poverty could be significantly impacted.[3]Cash transfers/monthly allowances could also cut child poverty in half quickly by providing $300-400 monthly transfers for each child.[15] Critics oppose this due to the idea that transfers disincentivize working, but examples of similar programs in Britain and Canada have shown to be successful.[15] Along with cash transfers, other aims should include childcare support, vocational education, the creation of jobs, increased housing subsidies, etc.[15] Restructuring the current system in the United States may also be a worthwhile effort, and this can be accomplished by keeping the major elements but changing specifics like target population, quantity of assistance, and delivery process.[8] Some suggest the federal government provide an income floor for families with children which could happen with the federalization of Medicaid and Aid to Families with Dependent Children (AFDC). Others, however, favor less government intervention by shifting responsibilities like education completely to the state.[8] Reforming the current tax system could also help poor families, and it has been debated in the Senate.[8] Medical-financial partnerships (MFP) have recently gained traction and have the potential to impact the health of poor children.[6] Financial stress affects a large portion of the population with over half of families being income or asset poor. MFPs connect healthcare to broad financial services like financial coaching and tax preparation.[6] Other services can also be considered if it provides information for financial stability. An example of this is food pantries that provide information about financial stability.[6] Because healthcare providers reach 90% of the families of preschool -age children, compared to only 12% in daycare, MFPs can decrease child poverty in a larger audience by increasing financial stability which will increase positive health outcomes.[6]

References

  1. ^ a b c Korbin, Jill E. (Jan/Feb 1992). "Introduction Child Poverty in the United States". The American Behavioral Scientist. 35 (3): 213 – via ProQuest. {{cite journal}}: Check date values in: |date= (help)
  2. ^ a b c d e f g h i j k l m n Dreyer, Benard; Chung, Paul J.; Szilagyi, Peter; Wong, Shale (2016-04-01). "Child Poverty in the United States Today: Introduction and Executive Summary". Academic Pediatrics. 16 (3): S1–S5. doi:10.1016/j.acap.2016.02.010. ISSN 1876-2859. PMID 27044686.
  3. ^ a b c d e f g h i j Smeeding, Timothy; Thévenot, Céline (2016-04-01). "Addressing Child Poverty: How Does the United States Compare With Other Nations?". Academic Pediatrics. 16 (3): S67–S75. doi:10.1016/j.acap.2016.01.011. ISSN 1876-2859. PMC 6087662. PMID 27044705.{{cite journal}}: CS1 maint: PMC format (link)
  4. ^ a b c d e f g h i j k l m n o p q r s t u v w x y McCarty, Alyn T. (2016-07). "Child Poverty in the United States: A Tale of Devastation and the Promise of Hope: Child Poverty in the United States". Sociology Compass. 10 (7): 623–639. doi:10.1111/soc4.12386. PMC 5589198. PMID 28890733. {{cite journal}}: Check date values in: |date= (help)CS1 maint: PMC format (link)
  5. ^ a b c d e f g h Anthony, Elizabeth K.; King, Bryn; Austin, Michael J. (2011-10). "Reducing child poverty by promoting child well-being: Identifying best practices in a time of great need". Children and Youth Services Review. 33 (10): 1999–2009. doi:10.1016/j.childyouth.2011.05.029. {{cite journal}}: Check date values in: |date= (help)
  6. ^ a b c d e Marcil, Lucy E.; Hole, Michael K.; Jackson, Jasmyne; Markowitz, Molly A.; Rosen, Laura; Sude, Leslie; Rosenthal, Alice; Bennett, Mary Beth; Sarkar, Sonia; Jones, Nicholas; Topel, Kristin; Chamberlain, Lisa J.; Zuckerman, Barry; Kemper, Alex R.; Solomon, Barry S. (2021-11-01). "Anti-Poverty Medicine Through Medical-Financial Partnerships: A New Approach to Child Poverty". Academic Pediatrics. 21 (8): S169–S176. doi:10.1016/j.acap.2021.03.017. ISSN 1876-2859. PMC 9053836. PMID 34740425.{{cite journal}}: CS1 maint: PMC format (link)
  7. ^ a b c d e f Pac, Jessica; Nam, Jaehyun; Waldfogel, Jane; Wimer, Chris (2017-03). "Young child poverty in the United States: Analyzing trends in poverty and the role of anti-poverty programs using the Supplemental Poverty Measure". Children and Youth Services Review. 74: 35–49. doi:10.1016/j.childyouth.2017.01.022. PMC 5484166. PMID 28659652. {{cite journal}}: Check date values in: |date= (help)CS1 maint: PMC format (link)
  8. ^ a b c d e f g h i j k Office., United States. Congressional Budget (1985). Reducing poverty among children. Congress of the U.S., Congressional Budget Office. OCLC 622558759.
  9. ^ a b c d e f g h Eggebeen, David J.; Lichter, Daniel T. (1991-12). "Race, Family Structure, and Changing Poverty Among American Children". American Sociological Review. 56 (6): 801. doi:10.2307/2096257. {{cite journal}}: Check date values in: |date= (help)
  10. ^ Minujin, Alberto; Delamonica, Enrique; Davidziuk, Alejandra; Gonzalez, Edward D (2006-10). "The definition of child poverty: a discussion of concepts and measurements". Environment and Urbanization. 18 (2): 481–500. doi:10.1177/0956247806069627. ISSN 0956-2478. {{cite journal}}: Check date values in: |date= (help)
  11. ^ a b Curtis, Katherine J.; Voss, Paul R.; Long, David D. (2012-01-01). "Spatial variation in poverty-generating processes: Child poverty in the United States". Social Science Research. 41 (1): 146–159. doi:10.1016/j.ssresearch.2011.07.007. ISSN 0049-089X. PMC 3613221. PMID 23017703.{{cite journal}}: CS1 maint: PMC format (link)
  12. ^ a b c d Ranjith, Sri; Rupasingha, Anil (2012-03). "Social and Cultural Determinants of Child Poverty in the United States". Journal of Economic Issues. 46 (1): 119–142. doi:10.2753/JEI0021-3624460105. ISSN 0021-3624. {{cite journal}}: Check date values in: |date= (help)
  13. ^ Baker, Regina S. (2015-10). "The Changing Association Among Marriage, Work, and Child Poverty in the United States, 1974-2010: Marriage, Work, and Child Poverty". Journal of Marriage and Family. 77 (5): 1166–1178. doi:10.1111/jomf.12216. {{cite journal}}: Check date values in: |date= (help)
  14. ^ a b c d e f g h i j k l m Heard-Garris, Nia; Boyd, Rhea; Kan, Kristin; Perez-Cardona, Leishla; Heard, Nevin J.; Johnson, Tiffani J. (2021-11). "Structuring Poverty: How Racism Shapes Child Poverty and Child and Adolescent Health". Academic Pediatrics. 21 (8): S108–S116. doi:10.1016/j.acap.2021.05.026. PMC 8574214. PMID 34740417. {{cite journal}}: Check date values in: |date= (help)CS1 maint: PMC format (link)
  15. ^ a b c d e author., Madrick, Jeffrey G.,. Invisible Americans the tragic cost of child poverty. ISBN 978-0-451-49419-1. OCLC 1310438581. {{cite book}}: |last= has generic name (help)CS1 maint: extra punctuation (link) CS1 maint: multiple names: authors list (link)
  16. ^ Kim, Hyunil; Drake, Brett (2018-06-01). "Child maltreatment risk as a function of poverty and race/ethnicity in the USA". International Journal of Epidemiology. 47 (3): 780–787. doi:10.1093/ije/dyx280. ISSN 0300-5771.
  17. ^ a b c d editor., Duncan, Greg J., editor. Le Menestrel, Suzanne,. A roadmap to reducing child poverty. ISBN 978-0-309-48401-5. OCLC 1286771169. {{cite book}}: |last= has generic name (help)CS1 maint: extra punctuation (link) CS1 maint: multiple names: authors list (link)
  18. ^ a b Malnourished children in the United States : caught in the cycle of poverty. Robert J. Karp. New York: Springer Pub. Co. 1993. ISBN 0-8261-7330-6. OCLC 27810481.{{cite book}}: CS1 maint: others (link)
  19. ^ a b c d Bitler, Marianne; Hoynes, Hilary; Kuka, Elira (2017-03). "Child Poverty, the Great Recession, and the Social Safety Net in the United States: Child Poverty, the Great Recession, and the Social Safety Net". Journal of Policy Analysis and Management. 36 (2): 358–389. doi:10.1002/pam.21963. {{cite journal}}: Check date values in: |date= (help)
  20. ^ Plax, Katie; Donnelly, Jeanine; Federico, Steven G.; Brock, Leonard; Kaczorowski, Jeffrey M. (2016-04-01). "An Essential Role for Pediatricians: Becoming Child Poverty Change Agents for a Lifetime". Academic Pediatrics. 16 (3): S147–S154. doi:10.1016/j.acap.2016.01.009. ISSN 1876-2859.