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Published on: March 1, 2019
Health and Self-Regulation among School-Age Children Experiencing Family Homelessness.
Andrew J Barnes1, Theresa L Lafavor2, J J Cutuli3
1Developmental-Behavioral Pediatrics, Division of General Pediatrics and Adolescent Health, Department of Pediatrics, University of Minnesota Medical School, Minneapolis, MN 55455, USA. DrBarnes@umn.edu.
Homeless children face adversity impacting health and behavior. Their self-regulation skills, including executive function, are linked to physical health outcomes, suggesting a resilience factor for health promotion.
Area of Science:
- Child Health
- Developmental Psychology
- Social Determinants of Health
Background:
- Homeless children experience significant adversity, increasing risks for behavioral issues and chronic health conditions.
- Limited understanding exists regarding the connection between self-regulation and health in school-aged homeless children.
- High psychosocial risk characterizes the environment for homeless families and their children.
Purpose of the Study:
- To investigate the relationship between cognitive-emotional self-regulation and physical health in school-aged homeless children.
- To identify specific self-regulation aspects that predict health outcomes in this vulnerable population.
- To explore the role of executive function and emotional-behavioral regulation in the health of homeless children.
Main Methods:
- Assessed 86 school-aged children residing in shelters.
- Evaluated child health status, family stress and adversity, emotional-behavioral regulation, nonverbal intellectual abilities, and executive function.
- Utilized statistical analyses to determine unique predictors of physical health.
Main Results:
- Vision problems were the most common health condition, followed by chronic respiratory issues.
- Cumulative risk, child executive function, and self-regulation difficulties were uniquely associated with physical health.
- Homeless children exhibited challenges in cognitive, emotional, and behavioral regulation alongside physical health problems.
Conclusions:
- Self-regulation, encompassing executive function and emotional-behavioral regulation, is a significant factor in the physical health of homeless children aged 9-11.
- Individual differences in children's self-regulation can serve as a resilience factor.
- Health promotion initiatives for homeless families should incorporate strategies addressing children's self-regulation development.
Related Concept Videos
Self-Regulation
Sources of Self-Esteem I: Family Experience
Self-Evaluation: Self-Enhancement and Self-Verification
Self-Discrepancy Theory
Social Foundations of Self II: The Generalized Other
Sources of Self-Esteem II: Performance Feedback

