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Author: Garbarski, Dana
Resulting in 9 citations.
1. Garbarski, Dana
Comparing Self and Maternal Reports of Adolescents' General Health Status: Do Self and Proxy Reports Differ in their Relationships with Covariates?
Quality of Life Research 23,7 (September 2014): 1953-1965.
Also: http://link.springer.com/article/10.1007/s11136-014-0649-0
Cohort(s): NLSY97
Publisher: Springer
Keyword(s): Adolescent Health; Body Mass Index (BMI); Child Health; Health/Health Status/SF-12 Scale; Mothers

Permission to reprint the abstract has not been received from the publisher.

Purpose: Given that mothers often--but do not always--report children's health status in surveys, it is essential to gain an understanding of whether the relationship between children's general health status and relevant covariates depends on who reports children's general health status.

Methods: Using data from the first wave of the National Longitudinal Study of Youth 1997 cohort (N = 6,466), a nationally representative sample of adolescents in the United States ages 12 to 17 in 1997, the study first examined the concordance between self and maternal reports of adolescents' general health status. Then, self and maternal reports of adolescents' general health status were each regressed on health-relevant covariates, and tests of differences in coefficients across the models were estimated.

Results: Self and maternal reports of adolescents' general health status are moderately concordant. Furthermore, the associations of adolescents' general health status with adolescent BMI and the adolescent being female significantly differ across reporters, such that the negative relationships are even more negative with self compared to maternal reports of adolescents' general health status. The associations of adolescents' general health status with the measures of adolescents' health limitations, maternal self-rated health, and certain sociodemographic covariates differ across reporters, such that each has a greater relationship with maternal compared to self-reports of adolescents' general health status.

Conclusion: The results are important for interpreting research on the causes and consequences of child and adolescent health, as results across studies may not be comparable if the reporter is not the same.

Bibliography Citation
Garbarski, Dana. "Comparing Self and Maternal Reports of Adolescents' General Health Status: Do Self and Proxy Reports Differ in their Relationships with Covariates?" Quality of Life Research 23,7 (September 2014): 1953-1965.
2. Garbarski, Dana
Cumulative Disadvantage and Racial and Ethnic Disparities in Health at Midlife
Presented: New Orleans LA, Population Association of America Annual Meeting, April 2013
Cohort(s): NLSY79
Publisher: Population Association of America
Keyword(s): Ethnic Differences; Health Factors; Health, Mental/Psychological; Health/Health Status/SF-12 Scale; Racial Differences

Permission to reprint the abstract has not been received from the publisher.

Previous research has focused on accounting for various health-relevant factors to explain racial and ethnic disparities in health outcomes. However, it is often unclear whether the disparities in health outcomes are due to differences across racial and ethnic groups in the composition of health-relevant factors or differences by race and ethnicity in the association between health-relevant factors and health outcomes. Using data from the over-40 health module of the NLSY 1979 cohort, this study uses regression decomposition techniques to delineate the contribution of each of these components in explaining racial and ethnic disparities in summary measures of mental and physical health for women and men. The analysis finds varying support for three different cumulative disadvantage mechanisms producing racial and ethnic disparities in health outcomes at midlife: status-resource interaction, cumulative exposure, and path-dependent early life exposure.
Bibliography Citation
Garbarski, Dana. "Cumulative Disadvantage and Racial and Ethnic Disparities in Health at Midlife." Presented: New Orleans LA, Population Association of America Annual Meeting, April 2013.
3. Garbarski, Dana
Dyadic and Dynamic Relationships: An Extension of the SES-Health Framework
Presented: Dallas, TX, Population Association of America Meetings, April 2010
Cohort(s): Children of the NLSY79, NLSY79
Publisher: Population Association of America
Keyword(s): Child Health; Health, Mental/Psychological; Health/Health Status/SF-12 Scale; Mothers; Mothers, Health; Mothers, Income; Socioeconomic Status (SES)

Permission to reprint the abstract has not been received from the publisher.

In order to fully explicate the relationship between individual socioeconomic status (SES) and health, the dyadic association between parent-child SES and health should be examined to account for how child health may affect parental SES and health. Prior research finds that poor child health may present an additional risk for maternal health, mental health, and SES. Using nationally representative longitudinal data of mother-child dyads from the NLSY 1979 cohort, this analysis expands upon prior research by using regression analyses to explore the extent to which child health modifies the effect of maternal SES on maternal health. This analysis also expands upon prior research by dynamically defining child health by using growth mixture modeling to explore how child health trajectories interact with maternal SES to affect maternal health, demonstrating whether child health has a cumulative exposure relationship to subsequent maternal outcomes.
Bibliography Citation
Garbarski, Dana. "Dyadic and Dynamic Relationships: An Extension of the SES-Health Framework." Presented: Dallas, TX, Population Association of America Meetings, April 2010.
4. Garbarski, Dana
Dynamic and Dyadic Relationships: An Extension of the Socioeconomic Status-Health Relationship
Presented: San Francisco CA, Population Association of America Meetings, May 2012
Cohort(s): Children of the NLSY79, NLSY79
Publisher: Population Association of America
Keyword(s): Children, Illness; Health, Chronic Conditions; Health/Health Status/SF-12 Scale; Labor Force Participation; Modeling, Growth Curve/Latent Trajectory Analysis; Mothers, Health; Poverty; Socioeconomic Factors; Socioeconomic Status (SES)

Permission to reprint the abstract has not been received from the publisher.

The prevalence of childhood chronic conditions has substantially increased over the last several decades, shifting the focus from survival to improving the quality of life of children and their families. This paper investigates the interrelationship of child health and maternal health and socioeconomic factors over time, focusing on the dynamic nature of maternal and child health and socioeconomic outcomes during childhood. Using a series of bivariate latent growth curve models, this paper examines the association between trajectories of child activity limitations and maternal health, labor force participation and household poverty status. There is evidence that child activity limitations and maternal health limitations have a positive contemporaneous association but do not have long-lasting effects on one another. However, maternal labor force participation at one point in time does appear to have a long-lasting effect on the trajectory of child activity limitations.
Bibliography Citation
Garbarski, Dana. "Dynamic and Dyadic Relationships: An Extension of the Socioeconomic Status-Health Relationship." Presented: San Francisco CA, Population Association of America Meetings, May 2012.
5. Garbarski, Dana
Dynamic and Dyadic Relationships: An Extension of the Socioeconomic Status-Health Relationship
Ph.D. Dissertation, University of Wisconsin-Madison, 2012
Cohort(s): Children of the NLSY79, NLSY79
Publisher: ProQuest Dissertations & Theses (PQDT)
Keyword(s): Children, Illness; Health, Chronic Conditions; Health/Health Status/SF-12 Scale; Labor Force Participation; Modeling, Growth Curve/Latent Trajectory Analysis; Mothers, Health; Poverty; Socioeconomic Factors; Socioeconomic Status (SES)

Permission to reprint the abstract has not been received from the publisher.

The prevalence of childhood chronic conditions has substantially increased over the last several decades, shifting the focus from survival to improving quality of life for children and their families. This dissertation draws attention to the importance of focusing on individual lives as linked lives when investigating stratification in health and socioeconomic outcomes, where the health and socioeconomic experiences of one family member are potentially formative life events for other members of the family.

While many studies use parental socioeconomic status and health to predict in part their children's future prospects, the first empirical chapter investigates the dynamic relationship of child health with maternal health and socioeconomic factors over time. Using a series of latent growth curve models, this study examines the association between trajectories--or intra-individual models of stability and change--of child activity limitations and trajectories of maternal limitations in work due to health, labor force participation and household poverty status. The second analytic chapter examines and accounts for potential methodological biases in the relationship of child health with maternal health and socioeconomic factors in three ways: autoregressive cross-lagged models that address the reciprocal relationship between child health and maternal outcomes, fixed effects analyses that control for individual characteristics that are constant over time to limit omitted variable bias, and a latent class analysis to address in part both omitted variable bias and measurement error. The third analytic chapter examines the concordance of mothers' and children's reports of children's general health status, the concurrent validity of both mothers' and children's reports of children's general health status, and whether the association between child and maternal health depends on who reports children's health status.

This dissertation unifies research on stratification in socioeconomic and health outcomes with the life course and stress process perspectives, by pushing traditional stratification research to take seriously the idea that individual lives are linked lives and applying unique methodological approaches that account for the linked lives of mothers and children at the point in the life course when the child lives at home.

Bibliography Citation
Garbarski, Dana. Dynamic and Dyadic Relationships: An Extension of the Socioeconomic Status-Health Relationship. Ph.D. Dissertation, University of Wisconsin-Madison, 2012.
6. Garbarski, Dana
Racial/Ethnic Disparities in Midlife Depressive Symptoms: The Role of Cumulative Disadvantage Across the Life Course
Advances in Life Course Research 23 (March 2015): 67-85.
Also: http://www.sciencedirect.com/science/article/pii/S1040260814000501
Cohort(s): NLSY79
Publisher: Elsevier
Keyword(s): Depression (see also CESD); Ethnic Differences; Health, Mental/Psychological; Life Course; Racial Differences; Socioeconomic Background

This study examines the role of cumulative disadvantage mechanisms across the life course in the production of racial and ethnic disparities in depressive symptoms at midlife, including the early life exposure to health risk factors, the persistent exposure to health risk factors, and varying mental health returns to health risk factors across racial and ethnic groups. Using data from the over-40 health module of the National Longitudinal Study of Youth (NLSY) 1979 cohort, this study uses regression decomposition techniques to attend to differences in the composition of health risk factors across racial and ethnic groups, differences by race and ethnicity in the association between depressive symptoms and health risk factors, and how these differences combine within racial and ethnic groups to produce group-specific levels of--and disparities in--depressive symptoms at midlife. While the results vary depending on the groups being compared across race/ethnicity and gender, the study documents how racial and ethnic mental health disparities at midlife stem from life course processes of cumulative disadvantage through both unequal distribution and unequal associations across racial and ethnic groups.
Bibliography Citation
Garbarski, Dana. "Racial/Ethnic Disparities in Midlife Depressive Symptoms: The Role of Cumulative Disadvantage Across the Life Course." Advances in Life Course Research 23 (March 2015): 67-85.
7. Garbarski, Dana
The Interplay between Child and Maternal Health: Reciprocal Relationships and Cumulative Disadvantage during Childhood and Adolescence
Journal of Health and Social Behavior 55,1 (March 2014): 91-106.
Also: http://hsb.sagepub.com/content/55/1/91.abstract
Cohort(s): Children of the NLSY79, NLSY79, NLSY79 Young Adult
Publisher: American Sociological Association
Keyword(s): Body Mass Index (BMI); Child Health, Limiting Condition(s); Depression (see also CESD); Health Factors; Health, Chronic Conditions; Health/Health Status/SF-12 Scale; Intergenerational Patterns/Transmission; Mothers, Health

Permission to reprint the abstract has not been received from the publisher.

While many studies use parental socioeconomic status and health to predict children’s health, this study examines the interplay over time between child and maternal health across childhood and adolescence. Using data from women in the National Longitudinal Study of Youth 1979 cohort and their children (N = 2,225), autoregressive cross-lagged models demonstrate a reciprocal relationship between child activity limitations and maternal health limitations in direct effects of child activity limitations on maternal health limitations two years later and vice versa—net of a range of health-relevant time-varying and time-invariant covariates. Furthermore, there are indirect effects of child activity limitations on subsequent maternal health limitations and indirect effects of maternal health limitations on subsequent child activity limitations via intervening health statuses. This study examines how the interplay between child and maternal health unfolds over time and describes how these interdependent statuses jointly experience health disadvantages.
Bibliography Citation
Garbarski, Dana. "The Interplay between Child and Maternal Health: Reciprocal Relationships and Cumulative Disadvantage during Childhood and Adolescence." Journal of Health and Social Behavior 55,1 (March 2014): 91-106.
8. Garbarski, Dana
Witt, Whitney
Child Health, Maternal Marital and Socioeconomic Factors, and Maternal Health
Journal of Family Issues 34,4 (April 2013): 484-509.
Also: http://jfi.sagepub.com/content/34/4/484.abstract
Cohort(s): Children of the NLSY79, NLSY79
Publisher: Sage Publications
Keyword(s): Body Mass Index (BMI); Child Health, Limiting Condition(s); Depression (see also CESD); Health, Chronic Conditions; Health/Health Status/SF-12 Scale; Marital Satisfaction/Quality; Maternal Employment; Mothers, Health; Poverty; Smoking (see Cigarette Use)

Permission to reprint the abstract has not been received from the publisher.

Although maternal socioeconomic status and health predict in part children’s future health and socioeconomic prospects, it is possible that the intergenerational association flows in the other direction such that child health affects maternal outcomes. Previous research demonstrates that poor child health increases the risk of adverse maternal physical and mental health outcomes. The authors hypothesize that poor child health may also increase the risk of poor maternal health outcomes through an interaction between child health and factors associated with health outcomes, such as marital status, marital quality, and socioeconomic status. Using data on women in the National Longitudinal Study of Youth 1979 cohort (N = 2,279), the authors find evidence that the effects of certain maternal marital quality and socioeconomic factors on maternal physical and mental health depend on child health status and vice versa.
Bibliography Citation
Garbarski, Dana and Whitney Witt. "Child Health, Maternal Marital and Socioeconomic Factors, and Maternal Health." Journal of Family Issues 34,4 (April 2013): 484-509.
9. Garbarski, Dana
Witt, Whitney
Direct and Indirect Pathways to the Long-Term Health, Mental Health, and Work-Related Outcomes for Mothers of Children With Chronic Illness
Presented: Detroit, MI, Population Association of America Meetings, April-May 2009.
Also: http://paa2009.princeton.edu/download.aspx?submissionId=91176
Cohort(s): Children of the NLSY79, NLSY79
Publisher: Population Association of America
Keyword(s): Behavior Problems Index (BPI); Body Mass Index (BMI); CESD (Depression Scale); Child Health; Depression (see also CESD); Health/Health Status/SF-12 Scale; Home Observation for Measurement of Environment (HOME); Mothers, Health

Permission to reprint the abstract has not been received from the publisher.

Investigating the determinants and consequences of various health and well-being statuses is a complex, multidisciplinary venture. Research has focused on a complex web of these determinants and consequences, such as the relation of individuals' socioeconomic status (SES) and health over the life course (Adler et al, 1994; Link and Phelan, 1995; House and Williams, 2000; Lynch, 2003; Palloni, 2006; Herd et al, 2007; Warren and Hernandez, 2007). Families are also an important component for investigating the determinants and consequences of one's health and well-being, with researchers investigating the relation of parents' health, well-being, and SES to child health, well-being, and SES (Elo and Preston, 1992; Conley and Bennett, 2000; Finch, 2003; Hayward and Gorman, 2004). One facet of this complex of relationships that has received less attention at the population level is how child health and well-being may affect parent's health, well-being, and even SES. We seek to determine the impact of caring for a chronically-ill child on the family, relative to caring for a healthy child. Because caring for a child with a chronic health illness can place physical, financial, time, and psychological burdens on the rest of the family, we expect that caring for a child with a chronic health condition may present an additional risk for parental health, mental health, and work-related outcomes beyond caring for a healthy child. We also expect that the worse health outcomes are due in part to the increased effect of family burdens on parental health outcomes, as children's health conditions have been shown to have a negative effect on parental role functioning that is further predictive of parental problems of psychological well-being (Waddington and Busch-Rossnagel, 1992). In particular, we propose to set up a multiple-group structural equation model (SEM), where the two groups being compared are mothers with children that have chronic health conditions and mothers with children that do not have these conditions. The multiple group SEM will allow us to investigate the extent to which having a child with chronic health conditions exacerbates or mitigates some of the relations among mothers' background and family characteristics with mother's health, mental health, and socioeconomic outcomes (see Figure 1 for conceptual model. Note that each variable listed in each category is its own latent construct, and will covary with the other latent constructs listed in that category as well as have direct effects on the latent constructs in other categories). About 13% of our proposed sample (see below) reports that they are caring for a child with a chronic health issue, and a recent study estimates that 15.6% of parents reported that they are caring for a child with an activity limitation, and (Witt et al, under review, 2008). We argue that a child's health is one component of parents' health and socioeconomic outcomes, and thus may be another small but "nonignorable" component of the feedback processes determining intergenerational mobility and the relations among SES and health for individuals and family systems across the lifecourse (Palloni, 2006).
Bibliography Citation
Garbarski, Dana and Whitney Witt. "Direct and Indirect Pathways to the Long-Term Health, Mental Health, and Work-Related Outcomes for Mothers of Children With Chronic Illness." Presented: Detroit, MI, Population Association of America Meetings, April-May 2009.