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Grit Difference in the Association Between Academic Stress and adolescents' Meaning in Life: The Roles of School Burnout and Self-Compassion 学业压力与青少年人生意义之间的勇气差异:学业倦怠和自我同情的作用。
IF 1.8 4区 医学 Q2 PEDIATRICS Pub Date : 2024-11-14 DOI: 10.1111/cch.70005
Zhiyou Wang, Chunkai Li, Zhe Xie, Oulin Hong

Background

Given the cultural and educational environment with Chinese characteristics, academic pressure on adolescents' meaning in life maybe weak or insignificant, which is contradictory with previous studies conducted in Western countries; yet the influencing mechanisms in the association of academic stress with the meaning in life is rarely explored.

Method

A questionnaire survey was carried out among 616 adolescents aging from 12 to 18 in Jiangsu Province, China. The Macro process method was conducted to test the proposed theoretical model.

Results

The direct effect of academic stress on adolescent meaning in life was not significant, whereas the indirect effects through school burnout and self-compassion were significant. Specifically, adolescents who suffer from academic stress are more likely to report increased school burnout and reduced self-compassion, which affects their meaning in life. Besides, grit significantly attenuated the influence of academic stress on school burnout.

Discussion

There are indeed some psychosocial mechanisms including school burnout, self-compassion, and grit in the relation between academic stress and the meaning in life. Those findings imply that the advancement and implementation of relevant intervention projects focusing on improving the meaning in life could be realized by reducing their academic stress and school burnout and promoting their ability of self-compassion and grit.

研究背景在具有中国特色的文化和教育环境下,学业压力对青少年人生意义的影响可能较弱或不明显,这与西方国家以往的研究相矛盾,但学业压力与人生意义相关的影响机制却鲜有探讨:方法:我们对江苏省 616 名 12 至 18 岁的青少年进行了问卷调查。方法:对江苏省 616 名 12 至 18 岁的青少年进行了问卷调查,并采用宏观过程法对所提出的理论模型进行了检验:结果:学业压力对青少年人生意义的直接影响不显著,而通过学业倦怠和自我同情产生的间接影响显著。具体而言,学业压力过大的青少年更有可能报告学业倦怠增加和自我同情减少,从而影响他们的人生意义。此外,勇气能明显减轻学业压力对学业倦怠的影响:学业压力与人生意义之间确实存在一些社会心理机制,包括学业倦怠、自我同情和勇气。这些发现意味着,可以通过减轻学生的学业压力和学校倦怠,提高他们的自我同情和勇气能力,来推进和实施以改善生活意义为重点的相关干预项目。
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引用次数: 0
Prevalence and Correlates of Meeting Physical Activity and Screen Time Guidelines Among Children of English- and Non-English-Speaking Backgrounds in Australia 澳大利亚英语和非英语背景儿童达到体育活动和屏幕时间指南要求的普遍性和相关性。
IF 1.8 4区 医学 Q2 PEDIATRICS Pub Date : 2024-11-12 DOI: 10.1111/cch.70007
Susan Paudel, Jenny Veitch, Gita D. Mishra, Leigh R. Tooth, Kylie D. Hesketh

Background

Limited evidence suggests inequality in the prevalence of physical activity and screen time for children of non-English-speaking backgrounds (NESB). However, factors associated with these behaviours are understudied. This study identified the prevalence and correlates of meeting guidelines (physical activity, screen time and combined) among children of English-speaking backgrounds (ESB) and NESB.

Methods

Participants were from the Mothers and their Children's Health Study, a sub-study of the Australian Longitudinal Study on Women's Health (1973–1978 cohort). Mothers provided information on physical activity and screen time behaviours of up to three children (aged 2–12 years). Age-specific Australian guidelines were used to classify children as meeting or not meeting physical activity and screen time guidelines. Those born in a non-English-speaking country or primarily speaking a non-English language at home were classified as ‘NESB’. Multivariable-adjusted logistic regression analyses accounting for family-level clustering were used for analysis.

Results

Data were from 4143 children (mean age 7.3 ± 2.9 years, 6.7% NESB). Around 17% children of NESB met physical activity guidelines (vs. 25% ESB, p = 0.002), 63% met screen time guidelines (vs. 58% ESB, p = 0.150), and 9% met combined physical activity and screen time guidelines (vs. 15% ESB, p = 0.011). Increasing age was inversely associated with meeting physical activity guidelines among children of both backgrounds (OR [95%CI]: NESB 0.81 [0.69–0.95], ESB 0.85 [0.82–0.87]). Family-level correlates (maternal education and physical activity level) were associated with meeting physical activity, screen time or combined guidelines among children of ESB only. A screen device in the child's bedroom was inversely associated with all outcomes among children of ESB. Children of NESB with a large yard at home had higher odds of meeting physical activity (4.14 [1.72–10.00]) and combined guidelines (4.48 [1.61–12.41]).

Conclusions

Children of NESB were less likely to meet physical activity and combined guidelines. Interventions may need to be tailored based on ESB background, with children of NESB (particularly older children and those with limited outdoor space at home) being a higher priority for intervention. Future large-scale studies examining a broader range of potential correlates, including cultural factors, are warranted.

背景:有限的证据表明,非英语背景(NESB)儿童在体育活动和屏幕时间方面存在不平等。然而,与这些行为相关的因素却未得到充分研究。本研究确定了英语背景儿童(ESB)和非英语背景儿童达到指导原则(体育活动、屏幕时间和综合)要求的普遍程度和相关因素:参与者来自 "母亲及其子女健康研究",这是 "澳大利亚妇女健康纵向研究"(1973-1978 年队列)的一项子研究。母亲们提供了最多三个孩子(2-12 岁)的体育活动和屏幕时间行为信息。根据澳大利亚特定年龄的指导方针,将儿童划分为符合或不符合体育活动和屏幕时间指导方针。出生在非英语国家或在家主要讲非英语语言的儿童被归类为 "NESB"。分析采用多变量调整逻辑回归分析,考虑了家庭层面的聚类:数据来自 4143 名儿童(平均年龄为 7.3 ± 2.9 岁,6.7% 为 NESB)。约 17% 的 NESB 儿童符合体育锻炼指南(与 25% 的 ESB 儿童相比,p = 0.002),63% 的 NESB 儿童符合屏幕时间指南(与 58% 的 ESB 儿童相比,p = 0.150),9% 的 NESB 儿童同时符合体育锻炼和屏幕时间指南(与 15% 的 ESB 儿童相比,p = 0.011)。在两种背景的儿童中,年龄的增长与达到体育锻炼指南的要求成反比(OR [95%CI]:NESB 0.81 [0.69-0.95],ESB 0.85 [0.82-0.87])。家庭层面的相关因素(母亲教育程度和体育锻炼水平)仅与 ESB 儿童的体育锻炼、屏幕时间或综合指南达标有关。在 ESB 儿童中,儿童卧室中的屏幕设备与所有结果都成反比。家中有大庭院的 NESB 儿童达到体育活动(4.14 [1.72-10.00] )和综合指南(4.48 [1.61-12.41] )要求的几率更高:结论:NESB 儿童达到体育锻炼标准和综合标准的几率较低。干预措施可能需要根据 ESB 背景进行调整,NESB 儿童(尤其是年龄较大的儿童和家中户外空间有限的儿童)更需要优先干预。未来有必要开展大规模研究,对包括文化因素在内的更广泛的潜在相关因素进行研究。
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引用次数: 0
Parenting Style and Children's Self-Care Ability: The Moderating Role of Executive Function 教养方式与儿童的自理能力:执行功能的调节作用。
IF 1.8 4区 医学 Q2 PEDIATRICS Pub Date : 2024-11-07 DOI: 10.1111/cch.70003
Zhonglian Yan, Wenqi Lin, Jing Ren, Ping Zhou, Yanling Qin

Background

Children's self-care ability (SCA) is a very important part of early development and school readiness. Previous studies have shown that parenting style is essential factor that influence young children's SCA. However, much less is known about the association between different types of parenting styles and children's SCA, let alone the moderating role of executive function (EF).

Methods

This study used measures such as parenting style, EF and SCA to survey children (N = 482) aged 3–7 years old and their parents.

Results

The results indicated that democratic parenting style was positively correlated with children's SCA, while other parenting styles were negatively correlated with children's SCA. Moreover, with the exception of inconsistent parenting style and authoritarian parenting style, the predictive effect of parenting styles on young children's SCA is moderated by young children's EF: Democratic parenting styles and children's SCA were significantly and positively correlated when children's EF was high rather than low; coddling and permissive parenting styles and children's SCA were significantly and negatively correlated when children's EF was high rather than low.

Conclusions

These findings suggest that democratic parenting styles are effective in promoting the development of SCA in children with high EF.

背景:儿童的自理能力(SCA)是儿童早期发展和入学准备中非常重要的一部分。以往的研究表明,养育方式是影响幼儿自理能力的重要因素。然而,人们对不同类型的养育方式与儿童自理能力之间的关系知之甚少,更不用说执行功能(EF)的调节作用了:本研究采用养育方式、执行功能和SCA等测量方法,对3-7岁的儿童(482人)及其父母进行了调查:结果表明,民主型教养方式与儿童的 SCA 呈正相关,而其他教养方式与儿童的 SCA 呈负相关。此外,除不一致的教养方式和专制的教养方式外,其他教养方式对幼儿 SCA 的预测作用受到幼儿 EF 的调节:当儿童的 EF 值高而不是低时,民主型教养方式与儿童的 SCA 呈显著正相关;当儿童的 EF 值高而不是低时,溺爱型和放任型教养方式与儿童的 SCA 呈显著负相关:这些研究结果表明,民主型教养方式能有效促进高EF儿童SCA的发展。
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引用次数: 0
Translation, Reliability and Development of a Calculator for the Brazilian Portuguese Version of the Family Empowerment Scale (FES) in Caregivers of Individuals With Cerebral Palsy 巴西葡萄牙语版脑瘫患者护理者家庭赋权量表 (FES) 计算器的翻译、可靠性和开发。
IF 1.8 4区 医学 Q2 PEDIATRICS Pub Date : 2024-11-03 DOI: 10.1111/cch.70001
Acsa Soares Santos, Luana Cristina da Silva, Maria Eduarda Muniz, Felipe Farah, Deisiane Oliveira Souto, Rithelly Barbosa de Almeida, Mariana Aguiar de Matos, Paula Silva de Carvalho Chagas, Hércules Ribeiro Leite

Introduction

Care for patients with cerebral palsy (CP) poses significant challenges, with emphasis on the crucial role of family involvement in patients' well-being. The Family Empowerment Scale (FES) assesses parents/caregivers' perception of their ability to promote and influence their children's development in three domains: family, service system and community.

Objectives

The objectives of this study were to translate the FES into Brazilian Portuguese, to develop a calculator for data transformation and analysis and to evaluate the psychometric properties of the scale with Brazilian caregivers of children and adolescents with CP.

Methods

Translation occurred in four stages: translation, synthesis, back-translation and review of the translated version. A calculator was then developed in the Excel program, to present data in absolute values and graphically for each subscale. Statistical analysis included Bland–Altman, Intraclass Correlation Coefficient (ICC), Internal Consistency, and Floor and Ceiling Effect.

Results

In total, 50 parents and caregivers participated to the measurement properties investigation, and the scale demonstrated good reliability for the family (ICC = 0.80) and services (ICC = 0.81) subscales, as well as for the overall scale (ICC = 0.88). The community subscale showed moderate reliability (ICC = 0.68), with an adequate Cronbach's alpha (0.89). The FES showed no ceiling or floor effects and a small limit of agreement. The data of all participants were analysed using the calculator.

Conclusion

The FES-Brazilian Portuguese presented good reliability for assessing family empowerment in caregivers of children and adolescents with CP in Brazil, offering insights into this construct and guiding family-centred interventions. In addition, the calculator could be viable for adequate management and dissemination of data.

导言:脑瘫(CP)患者的护理工作面临着巨大的挑战,重点是家庭参与在患者福祉中的关键作用。家庭赋权量表(FES)可评估父母/照顾者在家庭、服务系统和社区三个领域促进和影响子女发展的能力:本研究的目的是将 FES 翻译成巴西葡萄牙语,开发用于数据转换和分析的计算器,并对巴西 CP 儿童和青少年照顾者的心理测量特性进行评估:翻译分为四个阶段:翻译、综合、回译和审阅翻译版本。然后在 Excel 程序中开发了一个计算器,以绝对值和图表形式显示每个分量表的数据。统计分析包括Bland-Altman、同类相关系数(ICC)、内部一致性以及下限和上限效应:共有 50 名家长和照顾者参与了测量特性调查,量表的家庭分量表(ICC = 0.80)和服务分量表(ICC = 0.81)以及总量表(ICC = 0.88)均显示出良好的可靠性。社区分量表显示出中等程度的可靠性(ICC = 0.68),具有适当的 Cronbach's alpha(0.89)。FES 没有显示出上限或下限效应,一致性限制较小。所有参与者的数据均使用计算器进行了分析:巴西葡萄牙语 FES 在评估巴西患有脊柱侧弯症的儿童和青少年的照顾者的家庭赋权方面具有良好的可靠性,有助于深入了解这一概念并指导以家庭为中心的干预措施。此外,该计算器还可用于数据的适当管理和传播。
{"title":"Translation, Reliability and Development of a Calculator for the Brazilian Portuguese Version of the Family Empowerment Scale (FES) in Caregivers of Individuals With Cerebral Palsy","authors":"Acsa Soares Santos,&nbsp;Luana Cristina da Silva,&nbsp;Maria Eduarda Muniz,&nbsp;Felipe Farah,&nbsp;Deisiane Oliveira Souto,&nbsp;Rithelly Barbosa de Almeida,&nbsp;Mariana Aguiar de Matos,&nbsp;Paula Silva de Carvalho Chagas,&nbsp;Hércules Ribeiro Leite","doi":"10.1111/cch.70001","DOIUrl":"10.1111/cch.70001","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Care for patients with cerebral palsy (CP) poses significant challenges, with emphasis on the crucial role of family involvement in patients' well-being. The Family Empowerment Scale (FES) assesses parents/caregivers' perception of their ability to promote and influence their children's development in three domains: family, service system and community.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The objectives of this study were to translate the FES into Brazilian Portuguese, to develop a calculator for data transformation and analysis and to evaluate the psychometric properties of the scale with Brazilian caregivers of children and adolescents with CP.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Translation occurred in four stages: translation, synthesis, back-translation and review of the translated version. A calculator was then developed in the Excel program, to present data in absolute values and graphically for each subscale. Statistical analysis included Bland–Altman, Intraclass Correlation Coefficient (ICC), Internal Consistency, and Floor and Ceiling Effect.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In total, 50 parents and caregivers participated to the measurement properties investigation, and the scale demonstrated good reliability for the family (ICC = 0.80) and services (ICC = 0.81) subscales, as well as for the overall scale (ICC = 0.88). The community subscale showed moderate reliability (ICC = 0.68), with an adequate Cronbach's alpha (0.89). The FES showed no ceiling or floor effects and a small limit of agreement. The data of all participants were analysed using the calculator.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The FES-Brazilian Portuguese presented good reliability for assessing family empowerment in caregivers of children and adolescents with CP in Brazil, offering insights into this construct and guiding family-centred interventions. In addition, the calculator could be viable for adequate management and dissemination of data.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"50 6","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
School Experiences in the Disease Management of Children With Celiac Disease: A Qualitative Study. 学校在乳糜泻患儿疾病管理方面的经验:定性研究。
IF 1.8 4区 医学 Q2 PEDIATRICS Pub Date : 2024-11-01 DOI: 10.1111/cch.70010
Özlem Ozturk Sahın, Yeliz Tasdelen, Nesibe S Kutahyalıoglu, Emine Uzuntarla Guney, Kadriye Ozer

Background: This study was conducted to examine in depth the disease management experiences of school-age children with celiac disease and the effects of family, friends, and teachers on disease management at school.

Methods: The study employed a qualitative research method using the phenomenology design. Face-to-face, semi-structured, in-depth interviews were conducted with children (n = 14) with celiac disease. The transcripts were analysed using a phenomenological approach and an inductive process.

Results: Three main themes were identified: Individual, Institutional, and Environmental. It was observed that children adapted better to the celiac diet as they got older, but they had difficulty adjusting to the diet in the school environment. In addition, it was found that school-age children had challenges in diagnosing the disease and finding products suitable for the diet in a rural city with limited facilities. It was determined that the approaches of peers and teachers throughout the child's school life affected the disease management levels of children.

Conclusion: The study reveals the emotional, cognitive, and behavioural difficulties that children face while adapting to celiac disease and diet, especially in the school environment. The results emphasize that school-age children with celiac disease should not be ignored and that the school nurse plays an essential role in this process.

研究背景本研究旨在深入探讨患有乳糜泻的学龄儿童的疾病管理经验,以及家人、朋友和老师对学校疾病管理的影响:研究采用现象学设计的定性研究方法。对患有乳糜泻的儿童(14 人)进行了面对面、半结构化的深入访谈。采用现象学方法和归纳法对访谈记录进行分析:结果:确定了三大主题:结果:确定了三大主题:个人、机构和环境。据观察,随着年龄的增长,孩子们能更好地适应乳糜泻饮食,但他们很难适应学校环境中的饮食。此外,研究还发现,在设施有限的农村城市,学龄儿童在诊断疾病和寻找适合饮食的产品方面面临挑战。研究还发现,在儿童的整个学校生活中,同学和老师的做法影响了儿童的疾病管理水平:研究揭示了儿童在适应乳糜泻和饮食时所面临的情感、认知和行为方面的困难,尤其是在学校环境中。研究结果强调,患有乳糜泻的学龄儿童不应被忽视,校医在这一过程中发挥着至关重要的作用。
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引用次数: 0
Language Development of Japanese Children Raised in Institutional Care 在保育院长大的日本儿童的语言发展。
IF 1.8 4区 医学 Q2 PEDIATRICS Pub Date : 2024-10-27 DOI: 10.1111/cch.70000
Yuko Okumura, Hiroki Higuchi, Yuka Sakamoto, Yasuhiro Minami, Ryoko Mugitani, Kayoko Ito, Tessei Kobayashi

Background

Nurturing environments have a critical influence on children's language development. It is unclear to what extent nurturing environments in institutions influence children's language development.

Methods

The present study investigated the early lexical development in Japanese children raised in institutional care (IC) (N = 86; 10–33 months; 37 boys) and compared their lexical skills to a large sample of age peers being raised in biological family care (BFC) (N = 1897; 937 boys) using vocabulary checklists.

Results

Our results present three main findings: (1) Japanese IC children did not exhibit a delay in productive vocabulary compared with BFC children, although their comprehensive vocabulary was delayed; (2) IC children who experienced maltreatment showed poorer vocabulary scores than non-maltreated IC children; (3) both the duration at the institution and the number of books read to them significantly predicted children's vocabulary scores.

Conclusion

Our study suggests that the Japanese institutions included in the present study did not show a negative impact, at least on productive vocabulary, and may competently foster children's language development. We discussed the relationship between institutional environments and children's language development.

背景:养育环境对儿童的语言发展有着至关重要的影响。目前还不清楚机构中的养育环境在多大程度上影响儿童的语言发展:本研究调查了在机构保育(IC)中长大的日本儿童(人数=86;10-33 个月;37 名男孩)的早期词汇发展情况,并使用词汇检查表将他们的词汇技能与在亲生家庭保育(BFC)中长大的同龄儿童(人数=1897;937 名男孩)进行了大样本比较:我们的研究结果显示了三项主要发现:(1)与亲生家庭保育儿童相比,日本的 IC 儿童在生产性词汇方面没有表现出延迟,尽管他们的综合词汇量有所延迟;(2)与未受虐待的 IC 儿童相比,受过虐待的 IC 儿童的词汇量得分较低;(3)在保育机构的时间长短和为他们朗读的书籍数量都能显著预测儿童的词汇量得分:我们的研究表明,本研究中的日本机构至少对生产性词汇没有负面影响,而且可以有效促进儿童的语言发展。我们讨论了机构环境与儿童语言发展之间的关系。
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引用次数: 0
Early Childhood Education and Care Attendance and Its Association With Outdoor Play, Screen Time and Sleep Duration of Young Children: Findings From the CHAT Trial in Australia 幼儿教育和保育出席率及其与幼儿户外游戏、屏幕时间和睡眠时间的关系:澳大利亚 CHAT 试验的结果。
IF 1.8 4区 医学 Q2 PEDIATRICS Pub Date : 2024-10-22 DOI: 10.1111/cch.70002
Huilan Xu, Philayrath Phongsavan, Erin Kerr, Lisa Simone, Chris Rissel, Li Ming Wen

Background

Effects of attending early childhood education and care (ECEC) on health behaviours of young children remain unclear. This study aimed to investigate whether ECEC attendance was associated with outdoor play, screen time, sleep duration and family demographics of children aged 2 and 3 years.

Methods

Secondary analysis was conducted using data extracted from two linked trials conducted in Australia, 2017–2020. Telephone surveys were conducted with participating mothers for data collection. Multiple logistic and linear regression models were built to investigate the associations of ECEC attendance with outdoor play, screen time, sleep duration and family demographics among young children.

Results

At ages 2 and 3 years, 797 and 537 mothers completed surveys, respectively. Of respondents, 65% and 72% of children attended ECEC, respectively. Children who attended ECEC had 17 min (95% CI 3.8–30.5) and 28 min (95% CI 14.1–41.9) more daily outdoor playtime and had 13 min (95% CI 4.0–21.5) and 19 min (95% CI 6.4–30.7) less daily screen time at home at 2 and 3 years, respectively. Although ECEC attendance was not associated with sleep duration, children who attended ECEC were more likely to meet all three recommendations (outdoor play, screen time and sleep) with adjusted odds ratio (AOR) 1.84 (95% CI 1.24–2.72) at age 2 and AOR 2.34 (95% CI 1.28–4.28) at age 3. Mothers who were employed, first-time mothers, spoke English at home or had a high household income were more likely to use ECEC services.

Conclusions

ECEC services may hold promise to influence outdoor play and screen time among young children. Children from lower socio-demographic background had a lower rate of ECEC attendance. Future health promotion programmes for young children need to also consider children who do not attend ECEC.

背景:参加早期儿童教育和保育(ECEC)对幼儿健康行为的影响仍不清楚。本研究旨在调查参加ECEC是否与2岁和3岁儿童的户外游戏、屏幕时间、睡眠时间和家庭人口统计学相关:利用从 2017-2020 年在澳大利亚进行的两项关联试验中提取的数据进行了二次分析。对参与试验的母亲进行了电话调查,以收集数据。建立了多元逻辑和线性回归模型,以调查幼儿参加幼儿保育和教育中心与户外游戏、屏幕时间、睡眠时间和家庭人口统计学之间的关联:2岁和3岁时,分别有797名和537名母亲完成了调查。在受访者中,分别有 65% 和 72% 的儿童参加了幼儿保育和教育中心。参加幼儿保育和教育中心的儿童在2岁和3岁时,每天的户外游戏时间分别增加了17分钟(95% CI 3.8-30.5)和28分钟(95% CI 14.1-41.9),每天在家的屏幕时间分别减少了13分钟(95% CI 4.0-21.5)和19分钟(95% CI 6.4-30.7)。虽然参加幼儿保育和教育中心与睡眠时间长短无关,但参加幼儿保育和教育中心的儿童更有可能满足所有三项建议(户外游戏、屏幕时间和睡眠),2 岁时调整后的几率比(AOR)为 1.84(95% CI 1.24-2.72),3 岁时调整后的几率比(AOR)为 2.34(95% CI 1.28-4.28)。有工作、初为人母、在家讲英语或家庭收入高的母亲更有可能使用幼儿保育和教育服务:结论:ECEC 服务有望影响幼儿的户外游戏和屏幕时间。社会人口背景较低的儿童参加幼儿保育和教育中心的比率较低。未来的幼儿健康促进计划也需要考虑未参加幼儿保育和教育中心的儿童。
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引用次数: 0
Beyond the First Child: Unveiling the Reasons Behind Stopping Childbearing in Iran 超越第一胎:揭示伊朗停止生育的原因
IF 1.8 4区 医学 Q2 PEDIATRICS Pub Date : 2024-10-14 DOI: 10.1111/cch.13335
Naeemeh Sadeghi-Dinani, Maryam Moeeni, Mostafa Amini-Rarani

Background

The determinants of the intention to stop childbearing tend to differ over time and contexts. This allows the issue of families' childbearing intentions to continually remain on the research agenda. As societal context and temporal variability will matter for second childbearing intentions, this study aimed at uncovering the reasons behind the intentions to stop childbearing from one-child mothers' perspective.

Method

A qualitative descriptive study in Isfahan City, Iran, was used to scrutinize reasons behind the unwillingness to have a second pregnancy. A purposeful sampling with maximum variation was used to select one-child mothers. Until reaching saturation, 48 semistructured interviews were conducted. A thematic analysis was used to analyse the qualitative data.

Results

Five themes and 19 subthemes emerged from the data analysis as structural attributes (economic, social and political conditions), parental attributes (parental (dis)agreements, childrearing troubles, having impatience and being at the inappropriate age for childbearing), husband attributes (having the intention to stop parenting, financially and emotionally nonsupportive and being busy by working), maternal attributes (health-related problems, adverse experience during former pregnancy, being employed, self-compassion, the fear of parity progression and being pessimistic) and child attributes (having a naughty child and having the physical or mental distress of the first child).

Conclusion

Overall, findings highlight the multifaceted nature of factors influencing second childbearing intentions. Structural reasons at macro level, intrafamily relationship, mothers' self-related factors and challenges of raising the first child all play distinct roles in discouraging mothers from a second child intention. Understanding these key reasons can help policymakers, researchers and individuals alike to comprehend the complexities involved in family planning and fertility decisions.

背景 停止生育意愿的决定因素往往因时间和环境而异。这使得家庭的生育意愿问题一直停留在研究议程上。由于社会环境和时间变化对第二次生育意愿有影响,本研究旨在从独生子女母亲的角度揭示停止生育意愿背后的原因。 方法 在伊朗伊斯法罕市开展了一项定性描述性研究,以仔细研究不愿再怀孕的原因。在选择独生子女母亲时,采用了最大差异的有目的抽样法。在达到饱和之前,共进行了 48 次半结构式访谈。对定性数据进行了主题分析。 结果 数据分析得出了 5 个主题和 19 个次主题,分别是结构属性(经济、社会和政治条件)、父母属性(父母(不)同意、育儿烦恼、缺乏耐心和处于不适当的生育年龄)、丈夫属性(有停止养育子女的意图、母亲属性(与健康有关的问题、前次怀孕期间的不良经历、有工作、自我同情、对均等进展的恐惧和悲观)和孩子属性(孩子淘气、头胎孩子的身体或精神状况不佳)。 结论 总体而言,研究结果凸显了影响二胎生育意愿因素的多面性。宏观层面的结构性原因、家庭内部关系、母亲的自我相关因素以及抚养第一个孩子所面临的挑战,都在阻碍母亲的二胎生育意愿方面发挥着不同的作用。了解这些关键原因有助于政策制定者、研究人员和个人理解计划生育和生育决定所涉及的复杂性。
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引用次数: 0
Quality of Life in Children With Chronic Health Conditions and Its Contribution to Unmet Supportive Care Needs of Families 慢性病患儿的生活质量及其对未满足家庭支持性护理需求的影响。
IF 1.8 4区 医学 Q2 PEDIATRICS Pub Date : 2024-10-09 DOI: 10.1111/cch.13336
Sangeetha Thomas, Nicholas P. Ryan, Linda K. Byrne, Christel Hendrieckx, Victoria White

Background

While theoretical models have established the bidirectional relationship between health and wellbeing of parents and children with chronic health conditions (CHCs), previous work has predominantly emphasised the impact of parent functioning on child outcomes. This study examines how quality of life (QoL) domains in children with CHCs are associated with unmet supportive care needs (SCN) of their parents and explores whether these associations vary by health condition.

Method

Parents of children with congenital heart disease (CHD), type 1 diabetes (T1D) and cancer diagnosed before the age of 12 years and receiving treatment within the last 5 years were eligible. Parents recruited through charity organisations and social media platforms completed a secure, online survey via Qualtrics. The PedsQL examined child QoL across four dimensions: physical, emotional, social and school functioning. A 34-item survey assessed parents' unmet SCN in the previous month across six need domains (e.g., care and informational). Linear regressions examined associations between child QoL and unmet SCN domains and moderation analyses determined whether associations varied as a function of CHC.

Results

The study included 186 parents (age range 25–56 years) of children diagnosed with various CHCs (52% CHD; 27% T1D, 21% cancer). The child's emotional functioning was inversely related to all unmet SCN domains, social functioning was inversely related to three domains (physical and social; support; financial), school functioning was inversely related to two domains (physical and social; care), and child's physical functioning was not associated with any SCN domains. Only the association between child school functioning and unmet care needs was significantly moderated by CHC type (p < 0.05).

Conclusion

Poorer emotional functioning in children with a CHC is a key factor in determining parents unmet SCN. Larger studies are required to replicate these findings and inform design of interventions addressing QoL and unmet SCN in families of children with common CHCs.

背景:虽然理论模型已经确立了父母与患有慢性疾病(CHC)儿童的健康和福祉之间的双向关系,但以往的工作主要强调父母的功能对儿童结果的影响。本研究探讨了慢性病患儿的生活质量(QoL)领域与其父母未满足的支持性护理需求(SCN)之间的关系,并探讨了这些关系是否因健康状况而异:先天性心脏病 (CHD)、1 型糖尿病 (T1D) 和癌症患儿的父母在 12 岁前确诊并在过去 5 年内接受过治疗。通过慈善组织和社交媒体平台招募的家长通过 Qualtrics 完成了一项安全的在线调查。PedsQL 从身体、情感、社交和学校功能四个方面考察了儿童的 QoL。一项由 34 个项目组成的调查评估了父母上个月在六个需求领域(如护理和信息)未得到满足的 SCN。线性回归分析了儿童 QoL 与未满足的 SCN 领域之间的关联,调节分析确定了关联是否随 CHC 的变化而变化:研究对象包括186名被诊断患有各种CHC(52%为慢性阻塞性肺病;27%为T1D,21%为癌症)的儿童的家长(年龄在25-56岁之间)。儿童的情绪功能与所有未满足的 SCN 领域成反比,社会功能与三个领域(身体和社会;支持;经济)成反比,学校功能与两个领域(身体和社会;护理)成反比,而儿童的身体功能与任何 SCN 领域均无关联。只有儿童的学校功能与未满足的护理需求之间的关系受到社区保健中心类型的显著调节(p 结论:儿童的学校功能与未满足的护理需求之间的关系受到社区保健中心类型的显著调节:CHC儿童较差的情绪功能是决定父母未满足SCN的关键因素。需要进行更大规模的研究来复制这些发现,并为设计干预措施提供信息,以解决常见 CHC 儿童家庭的 QoL 和未满足的 SCN 问题。
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引用次数: 0
Knowledge and Misconceptions About the Causes of Disabilities and Functioning in Children and Preadolescents: Mixed-Models Analyses 关于儿童和青少年残疾和功能障碍原因的知识和误解:混合模型分析》。
IF 1.8 4区 医学 Q2 PEDIATRICS Pub Date : 2024-10-06 DOI: 10.1111/cch.13333
Maria Cristina Ginevra, Maria Anna Donati, Isabella Valbusa, Caterina Primi, Sara Santilli, Laura Nota

Background

Accurate knowledge of disabilities is connected to social acceptance and a high chance of initiating and facilitating meaningful social interactions with students with disabilities. The present study investigated the effect of type of disability and school grade level on knowledge of the causes of four disabilities (i.e., hearing, visual, motor and intellectual), misconceptions about the causes of these disabilities and knowledge of the functioning of peers with disabilities.

Methods

A sample of 868 Italian students (Mage = 9.92, SD = 2.33; school grade levels 1–8; 436 boys and 432 girls) was interviewed about their knowledge of causes of four disabilities, potential misconceptions and the knowledge of functioning of peers with disabilities. Mixed-effects models were applied with the GAMLj module of the JAMOVI statistical platform. The effects of type of disability and school grade level and their interaction were estimated as fixed effects, and gender was introduced as a control variable.

Results

Mixed-model analyses found a main effect of type of disability for knowledge and misconceptions about the causes of disabilities and knowledge of the functioning of peers with disabilities. A main effect for school grade level was also found, showing a progressive growth trend in knowledge of the causes of disabilities and of the functioning of peers with disabilities and a decrease in misconceptions with the increase in school grade levels. Lastly, a significant interaction effect of Type of Disability × School Grade Level was found for knowledge and misconceptions about the causes of disabilities, suggesting that the effect of school grade level varied across the type of disability.

Conclusion

Overall, the study found that children and preadolescents have a rudimentary and limited understanding of disabilities, suggesting the necessity for a specific formal education about disabilities during the school years for children and preadolescents.

背景:对残疾的准确了解关系到社会对残疾学生的接受程度,以及与残疾学生开展和促进有意义的社会交往的可能性。本研究调查了残疾类型和学校年级对四种残疾(即听力残疾、视力残疾、运动残疾和智力残疾)成因的了解、对这些残疾成因的误解以及对残疾同学功能的了解的影响:对 868 名意大利学生(平均年龄 = 9.92,平均标准偏差 = 2.33;1-8 年级;436 名男生和 432 名女生)进行了抽样调查,以了解他们对四种残疾原因的认识、可能存在的误解以及对残疾同学功能的认识。使用 JAMOVI 统计平台的 GAMLj 模块建立了混合效应模型。残疾类型和学校年级的影响及其交互作用作为固定效应进行估计,性别作为控制变量:混合模型分析发现,在对残疾原因的了解和误解以及对残疾同伴功能的了解方面,残疾类型具有主效应。学校年级也存在主效应,表明随着学校年级的增加,对残疾成因和残疾同龄人功能的了解呈逐步增长趋势,而对残疾同龄人功能的误解则有所减少。最后,在对残疾成因的了解和误解方面,残疾类型 × 学校年级存在明显的交互效应,这表明学校年级对不同残疾类型的影响是不同的:总之,研究发现,儿童和学龄前儿童对残疾的了解是粗浅和有限的,这表明有必要在学龄期对儿童和学龄前儿童进行专门的正规残疾教育。
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引用次数: 0
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Child Care Health and Development
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