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Thu Dec 9 03:57:02 EST 2010


Teens get lots of advice from adults, but they usually aren't asked to
offer their own. That's why the National Campaign asked teens growing up
in foster care to tell us what they wanted to know about teen pregnancy
prevention and what advice they would give to their peers. This handy,
magazine-style brochure tells what teens have to say in their own words.
To download a free copy, go to
http://www.teenpregnancy.org/Default.asp?bhcp=1 

NEW! Cultural and Linguistic Competence Policy Assessment (CLCPA) The
Cultural Competence and Linguistic Competence Policy Assessment (CLCPA)
was developed by the National Center for Cultural Competence (NCCC) at
the request of the Bureau of Primary Health Care (BPHC), Health
Resources and Services Administration (HRSA), U.S. Department of Health
and Human Service (DHHS) to assist community health centers to advance
and sustain cultural and linguistic competence. The CLCPA is intended to
support health care organizations to: 
*	improve health care access and utilization 
*	enhance the quality of services within culturally diverse and
underserved communities 
*	promote cultural and linguistic competence as essential
approaches in the elimination of health disparities. 
The NCCC has also developed a companion Guide for Using the Cultural
and Linguistic Competence Policy Assessment Instrument that provides
step-by-step instructions on how to conduct an organizational
self-assessment process.
To access this new tool, go to http://www.clcpa.info/ 

LARGE RECALL: The U.S. Consumer Product Safety Commission,
Fisher-Price, of East Aurora, N.Y. announced a voluntary recall of about
500,000  *Laugh and Learn* Learning Bunny Toys. The pink pompom nose
can detach, posing a choking hazard to young children. The toy was made
in China and sold at discount department stores and toy stores
nationwide May 2006 through December 2006 for about $15.Consumers should
stop using recalled products immediately unless otherwise instructed. To
learn more or to view the toy, go to
http://www.cpsc.gov/cpscpub/prerel/prhtml07/07105.html   
Protect Children, Not Guns 2007 provides staggering statistics on the
cost of gun violence in America today. The Children*s Defense Fund
(CDF) offers its annual analysis of the latest data on child and teen
gun deaths from the Centers for Disease Control and Prevention and
action steps that  can be taken to stop the killing of children and
teens. CDF says that each and every day in America we continue to lose
far too many children to gun violence in towns, cities and rural areas
all across the United States. Data from the U.S. Centers for Disease
Control and Prevention in this report reveals that every day, nearly
eight children or teens are killed by gun violence in America - 235 each
month. To download the report, go to
http://www.childrensdefense.org/site/PageServer 

New Fact Sheet from the Institute for Women*s Policy Research: Women
and Paid Sick Days: Crucial for Family Well-Being
The Institute says balancing work with personal and family health-care
concerns is a major stressor for many working women. Women continue to
be overrepresented in part-time and low wage positions, those least
likely to offer employer benefits such as paid sick days.  Nevertheless,
working women remain our families* primary caregivers. For too many
women, being sick or having an ill family member presents an untenable
choice: stay at work when you shouldn*t, or lose pay (and perhaps a
job) by staying home.
More than 22 million working women lack basic sick days benefits
* More than 22 million working women (22,416,000) do not have paid
sick
days (Table 1).
* 47 percent of women working in the private sector have no paid sick
days.
* In the industries that employ the most women-retail trade and
accommodations/food service-55 percent and 78 percent of workers are
without paid sick days, respectively (Table 2). In those two industries
alone,
almost 9 million women (8,780,000) lack paid sick days.
* 27 percent of low-income women (with incomes below 200 percent of
the
poverty level) put off getting health-care because they cannot take
time off
from work. 18 percent of women at all income levels face this
situation.
Important Fact Sheet! To download it, go to
http://www.iwpr.org/index.cfm 

ARTICLES
Jacknowitz A et al. Special Supplemental Nutrition Program for Women,
Infants, and Children and Infant Feeding Practices PEDIATRICS Vol. 119
No. 2 February 2007, pp. 281-289
These researchers from the American University, the US Government
Accountability Office and the Economic Research Service, US Department
of Agriculture set out to examine the association between participation
in the Special Supplemental Nutrition Program for Women, Infants, and
Children (WIC) and adherence to 4 American Academy of Pediatrics
recommendations on infant feeding. 
They used data from the Early Childhood Longitudinal Study-Birth
Cohort, which is nationally representative of children born in 2001. The
authors assessed relationships between program participation and
adherence to American Academy of Pediatrics recommendations on exclusive
breastfeeding and the introduction of infant formula, cow's milk, and
solid foods. 
The authors found that that 
v	WIC participation was associated with a 5.9-percentage point
decrease in the likelihood of exclusive breastfeeding for  4 months and
a 1.9-percentage point decrease in the likelihood of exclusive
breastfeeding for  6 months. 
v	Program mothers were 8.5 percentage points less likely than
nonparticipants to adhere to the American Academy of Pediatrics
recommendation to delay introduction of infant formula until month 6. 
v	Program mothers were 2.5 percentage points more likely than
nonparticipants to delay the introduction of cow's milk until month 8. 
v	Program participants were 4.5 percentage points less likely than
nonparticipants to delay the introduction of solid foods for  4 months.
However, the difference between participants and nonparticipants
disappeared by month 6. 
The authors conclude that although program participants are less likely
to breastfeed exclusively than eligible nonparticipants,
program-provided infant formula is an important option for mothers who
do not breastfeed exclusively. The program faces the challenge to
encourage breastfeeding without undermining incentives to follow other
recommended infant feeding practices. The authors also say that recent
changes proposed to the food packages by the US Department of
Agriculture Food and Nutrition Service are consistent with the goal of
increasing adherence to recommended infant feeding practices among
participants. 
 
Nomura Y and Chemtob CM Conjoined Effects of Low Birth Weight and
Childhood Abuse on Adaptation and Well-being in Adolescence and
Adulthood Arch Pediatr Adolesc Med. 2007;161:186-192. 
The authors set out to characterize the conjoined effects of low birth
weight (LBW) and childhood abuse on impaired adaptation and illness in
adolescence and adulthood. They followed children (N = 1748) were
followed from birth to adulthood (mean age, 26 years) as part of the
Johns Hopkins Collaborative Perinatal Study. 
The authors found that participants with both LBW and subsequent
childhood abuse, relative to those with neither risk, were at a
substantially elevated risk for psychological problems: 10-fold for
depression; nearly 9-fold for social dysfunction, and more than 4-fold
for somatization. However, they were not at an elevated risk for medical
problems in adulthood. Those exposed to childhood abuse were more likely
to report delinquency, school suspension, repeating grades during
adolescence, and impaired well-being in adulthood, regardless of LBW
status. For those with LBW alone, the prevalence of those problems was
comparable with that of individuals without either risk factor. 
The authors conclude that children with LBW and childhood abuse are at
much greater risk for poor adaptation and psychiatric problems than
those with LBW alone and those with neither risk. Preventive
interventions should target families with LBW children who are at
greater risk for childhood abuse. 

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*Our lives begin to end the day we become silent about things that
matter.*
Rev. Martin Luther King, Jr




The National Fetal and Infant Mortality Review Program is a partnership
between ACOG and federal MCHB.

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