Children’s Health

Children in the States – NEW JERSEY

“Although the majority of New Jersey’s children have access to health coverage, that does
not guarantee enrollment in coverage, which can jeopardize their education and their future.
In 2013, 89.2 percent of eligible children participated in NJ FamilyCare or FamilyCare, New
Jersey’s Children’s Health Insurance Program (CHIP). In FY2013, a total of 662,198 New Jersey
children ages 0 -18 were enrolled in NJ FamilyCare, and 206,761 in FamilyCare.
More than 112,000 New Jersey children ages 0 -17 (5.6 percent) were uninsured in 2013. The
state had the 21 st lowest rate of uninsured children among states.”

Bronfenbrenner believed that a person’s development is affected by everything in their
surrounding environment. He divided the person’s environment into five different levels: the
microsystem, the mesosystem, the exosystem, the macrosystem, and the chronosystem. Per this
theoretical construction, each system contains rules which may shape psychological

Our data shows that there are many children without health insurance in New Jersey.
Health is a very important factor in a child development. Both Microsystem and Macrosystem
are influenced by the level of health care we provide for our children and affect children’s
psychological development.

The microsystem is the system closest to the child, like home, school, and daycare. A
microsystem typically includes family and caregivers. This is the most influential level of the
ecological systems theory. For a child this includes his interactions with his parents, siblings,
school interactions like the teacher and the other children in his class. Children’s health is
determined by these interactions and vice versa, children’s emotions, behaviors, and cognitive
abilities affect their health. Loving interactions with family and caregivers affect children’s
health. For example, we all know that stress affects the immune system. External events
perceived as stressful by a child may function as triggers for an asthma or inflammatory bowel
disease flare. (Rietveld and Prins, 1998; Santos et al., 2001). Another example is of a child’s
emotional arousal states, which in turn result in physiological changes, such as increased pulse
and elevated blood pressure, glycemic, and immune responses. (McEwen, 1998; Seeman et
al.,1997). Not infrequently, depression, anxiety, low self-esteem, or other adjustment difficulties
may occur as a result of the underlying illness.

The macrosystem is the actual culture of an individual. The cultural contexts involve the
socioeconomic status of the person and his family. Health influences can act in very different
ways because of the differing cultural interpretations that families attach to them. Parenting style
and family traditions affect children behaviors, such as participation in health prevention
programs or compliance with certain treatments by both parents and children. For example, in
many cultures, flu is considered to be a normal part of growth and development and thus parents
will not show health-seeking behavior or adherence to treatment regimens for the flu.
In conclusion, health insurance is a very important factor in a person’s psychological
development, as health issues must be addressed as soon as possible.


Children’s Defense Fund. (n.d.). Retrieved from

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