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This Article Full Text Full Text (PDF) All Versions of this Article: AJPH.2007.110239v1 AJPH.2007.110239v2 98/12/2223    most recent Submit a response View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Stone, S. I. Articles by Jung, S. Search for Related Content PubMed PubMed Citation Articles by Stone, S. I. Articles by Jung, S. Related Collections Social Science Other Child and Adolescent Health Surveys

Susan I. Stone, PhD and Sunyoung Jung, MSW

Susan I. Stone is with the School of Social Welfare, University of California, Berkeley. Sunyoung Jung is a doctoral student at the School of Social Welfare, University of California, Berkeley.

Correspondence: Requests for reprints should be sent to Susan I. Stone, PhD, School of Social Welfare, University of California at Berkeley, 120 Haviland Hall—MC 7400, Berkeley, CA 94720 (email: sistone{at}berkeley.edu).

Objectives. We examined the association between county-level estimates of children's health status and school district performance in California.

Methods. We used 3 data sources: the California Health Interview Survey, district archives from the California Department of Education, and census-based estimates of county demographic characteristics. We used logistic regression to estimate whether a school district's failure to meet adequate yearly progress goals in 2004 to 2005 was a function of child and adolescent's health status. Models included district- and county-level fixed effects and were adjusted for the clustering of districts within counties.

Results. County-level changes in children's and adolescent's health status decreased the likelihood that a school district would fail to meet adequate yearly progress goals during the investigation period. Health status did not moderate the relatively poor performance of predominantly minority districts.

Conclusions. We found empirical support that area variation in children's and adolescent's health status exerts a contextual effect on school district performance. Future research should explore the specific mechanisms through which area-level child health influences school and district achievement.