Complex Living Arrangements and Child Health: Examining Family Structure Linkages with Children's Health Outcomes

Abstract

Using data on 67,558 children (age 0 to 17) from the 1999 and 2002 rounds of the National Survey of America's Families, the association between complex living arrangements and children's health is examined. The authors consider children residing in a wide range of living arrangements, including with stepparents, single fathers, custodial grandparents, and nonkin foster parents. Findings suggest that children's health varies by family structure. The authors find a key role for living with a biological father when predicting children's health. Children living with a single father are less likely to have poor health outcomes than most other groups, whereas those with a stepfather have reduced health outcomes. The same is not true for those living with a single mother or stepmother. Children being raised by a grandparent and those in foster care have particularly poor health outcomes. Mediation analysis suggests income and health insurance status do not explain these relationships.