Child Care Health and Development最新文献_第9页

Comparing Social Needs of Readmitted and Non-Readmitted Paediatric Patients at a Free-Standing Children's Hospital 某独立儿童医院患儿再入院与非再入院的社会需求比较

IF 2 4区医学 Q2 PEDIATRICS

Child Care Health and Development

Pub Date : 2025-09-02 DOI: 10.1111/cch.70158

Merritt ten Hope, Jennifer Hall, Sandra Gage, M'hamed Temkit, Nehal Thakkar

Background

Hospital readmissions are costly for both patients and hospitals and can be affected by social needs. Little is known about whether social needs differ between paediatric patients who require readmission within 30 days and those who do not.

Methods

Using the results of a social needs screening tool, this retrospective, observational study aimed to compare (1) the average number of social needs per patient and (2) the proportion of patients with specific social needs between paediatric patients readmitted to the hospital and a matched number of randomly selected non-readmitted paediatric patients. The screening tool was administered electronically and completed within 180 days of the studied encounter.

Results

Of 240 patients studied, 120 had been readmitted within 30 days, and 120 had not. There were no significant differences in demographic parameters between the two groups. Nearly 27% of all patients had one or more needs identified, although there were no significant differences between readmitted and non-readmitted patients in the proportion with social needs in general or with any specific need. Food (14.2%) and childcare (13.8%) needs were identified most frequently. While the average number of needs was higher for readmitted than for non-readmitted patients, the difference was not statistically significant (0.65 vs. 0.38; p = 0.066).

Conclusions

In this study, readmission status was not linked to a higher proportion of any individual social need or average number of needs; however, more than 25% of all patients had one or more needs. This suggests the importance of screening during all admissions, as hospitalization provides an opportunity to address needs for those who may not have consistent access to health care.

再入院对患者和医院来说都是昂贵的，并且可能受到社会需求的影响。对于需要在30天内再入院的儿童患者和不需要再入院的儿童患者之间的社会需求是否存在差异，我们知之甚少。方法利用社会需求筛选工具的结果，本回顾性观察性研究旨在比较(1)每个患者的平均社会需求数量和(2)再次入院的儿科患者与随机选择的匹配数量的非再次入院的儿科患者之间具有特定社会需求的患者比例。筛选工具以电子方式进行，并在研究遇到的180天内完成。结果在研究的240例患者中，120例在30天内再次入院，120例没有。两组间的人口学参数无显著差异。近27%的患者有一种或多种需求，尽管再入院和非再入院患者在一般社会需求或任何特定需求的比例上没有显著差异。食物（14.2%）和儿童保育（13.8%）需求是最常见的。虽然再入院患者的平均需求次数高于非再入院患者，但差异无统计学意义（0.65 vs. 0.38; p = 0.066）。在本研究中，再入院状态与任何个体社会需求或平均需求数量的较高比例无关；然而，超过25%的患者有一种或多种需求。这表明在所有入院期间进行筛查的重要性，因为住院为那些可能无法始终获得卫生保健的人提供了解决需求的机会。

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引用次数: 0

Identifying Components of a Comprehensive Parent-Mediated Early Intervention for Children With ASD: A Thematic Analysis 一项主题分析：确定自闭症儿童家长介入的综合早期干预的组成部分

IF 2 4区医学 Q2 PEDIATRICS

Child Care Health and Development

Pub Date : 2025-08-27 DOI: 10.1111/cch.70115

Adel Mohamadzade, Salar Faramarzi

Background

Parent-mediated early interventions (PMEIs) benefit children with autism spectrum disorder (ASD) by improving social communication skills and enhancing parent–child interactions. However, the characteristics of a comprehensive intervention have not yet been established, and further research is necessary to identify its essential components. Therefore, the current study aimed to identify the pivotal factors of parent-mediated early intervention for children with ASD.

Methods

This qualitative study employs thematic analysis method to analyse the data collected from semistructured interviews. The participants included 14 parents and eight educators of children aged 2–7 with ASD, who were interviewed in focus groups.

Results

Overall, four themes were identified that need to be included in parent-based programmes to improve the communication skills of children with ASD. These themes include child-related factors, parents-related factors, environment-related factors and the use of appropriate communication strategies. These results underscore the importance of adopting a multifaceted approach to early interventions for children with ASD.

Conclusion

Effective PMEIs strategies must be tailored to the unique characteristics of the child, the temperament of the parents and the specific characteristics of their living environment. By considering these multiple dimensions, interventions can be optimized to support the developmental needs of children with ASD.

背景父母介导的早期干预（PMEIs）可以改善自闭症谱系障碍儿童的社会沟通技能，增强亲子互动。然而，综合干预的特征尚未确定，需要进一步研究以确定其基本组成部分。因此，本研究旨在确定父母介导的ASD儿童早期干预的关键因素。方法采用主题分析方法对半结构化访谈数据进行定性研究。参与者包括14名2-7岁自闭症儿童的家长和8名教育工作者，他们以焦点小组的形式接受了采访。结果总体而言，确定了四个主题，需要纳入以家长为基础的计划，以提高自闭症儿童的沟通技巧。这些主题包括与儿童有关的因素、与父母有关的因素、与环境有关的因素和使用适当的传播战略。这些结果强调了采用多方面方法对自闭症儿童进行早期干预的重要性。结论有效的PMEIs策略必须根据孩子的独特特点、父母的气质和生活环境的具体特点量身定制。通过考虑这些多个维度，可以优化干预措施，以支持自闭症儿童的发展需求。

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引用次数: 0

Reliability of Static and Dynamic Balance Tests and Their Interrelationships in Children With Cochlear Implants 植入人工耳蜗儿童静、动平衡测试的可靠性及其相互关系

IF 2 4区医学 Q2 PEDIATRICS

Child Care Health and Development

Pub Date : 2025-08-24 DOI: 10.1111/cch.70159

Fatma Kübra Çekok, Ayşenur Gökşen, Özgül Akın Şenkal, Turhan Kahraman

Background

Children with cochlear implants are at increased risk of vestibular dysfunction and balance impairments, yet the reliability of commonly used static and dynamic balance assessments has not been thoroughly evaluated in this population. This study aimed to assess the reliability of static balance tests (single-leg stance test [SLST] and tandem Romberg test [RT], performed with eyes open [EO] and eyes closed [EC]), dynamic balance tests (timed up and go test [TUG] and figure-of-eight walk test [F8WT]) and Paediatric Balance Scale (PBS), which includes both static and dynamic components, and to examine relationships among these tests in children with cochlear implants.

Methods

Sixty-two children with cochlear implants, aged 7–13 years, performed all the balance tests. Two test sessions were conducted by the same physiotherapist on separate days within the same week.

Results

All balance tests demonstrated excellent intrarater reliability, with ICCs ranging from 0.906 to 0.985. The PBS showed excellent internal consistency (Cronbach's alpha = 0.88). Strong correlations were observed among static balance tests, and moderate correlations were found among dynamic tests. Correlations between static and dynamic tests were weaker. The PBS correlated strongly with static tests and moderately with dynamic tests.

Conclusion

All tests demonstrated excellent intrarater reliability, with PBS also showing excellent internal consistency. While these findings confirm the reliability of the assessments, validity was not examined and should be addressed in future research to establish their clinical utility in this population.

背景植入人工耳蜗的儿童前庭功能障碍和平衡障碍的风险增加，但常用的静态和动态平衡评估的可靠性尚未在该人群中得到充分评估。本研究旨在评估静态平衡测试（单腿站立测试[SLST]和串联Romberg测试[RT]，分别在睁眼和闭眼时进行[EO]和[EC]）、动态平衡测试（计时行走测试[TUG]和八字形行走测试[F8WT]）和儿科平衡量表（PBS）的可靠性，其中包括静态和动态成分，并研究这些测试在人工耳蜗植入儿童中的关系。方法对62例7 ~ 13岁的人工耳蜗植入儿童进行平衡测试。两次测试由同一名物理治疗师在同一周内的不同日子进行。结果所有平衡试验均具有良好的内部信度，ICCs范围为0.906 ~ 0.985。PBS具有良好的内部一致性（Cronbach’s alpha = 0.88）。静态平衡试验之间存在强相关性，动态试验之间存在中度相关性。静态和动态测试之间的相关性较弱。PBS与静态试验相关性强，与动态试验相关性中等。结论所有试验均具有良好的内部信度，PBS也具有良好的内部一致性。虽然这些发现证实了评估的可靠性，但有效性尚未得到检验，应在未来的研究中加以解决，以确定其在该人群中的临床应用。

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引用次数: 0

Impact of Smartphone and Device Usage in Children Between 18- and 60-Months Old on the Development of Social Communication: Observational and Cross-Sectional Approaches in Kolkata, West Bengal, India 智能手机和设备使用对18至60个月大的儿童社会沟通发展的影响：在印度西孟加拉邦加尔各答的观察和横断面方法

IF 2 4区医学 Q2 PEDIATRICS

Child Care Health and Development

Pub Date : 2025-08-23 DOI: 10.1111/cch.70157

Nicola Judith Flynn, Arunima Datta

Objective

The rapidly increasing use of smartphones/other devices has raised significant concern for parents, clinicians and teachers, especially during and after the global pandemic situation. The study hypothesized that children between the ages of 18 and 60 months might have delayed communication development compared to those in the same age group who did not have any delays because of excessive screen time and the types of content they usually view on their smartphones/other electronic devices.

Method

507 (Group A) children with communication delays and 388 (Group B) children without delays, both boys and girls, aged 18 to 60 months, were included in this observational and cross-sectional study. The developmental milestone of social communication was evaluated using the Bayley scale. Smartphone/other electronic device viewing variables among participants were interviewed. The odds ratio established whether screen time and content typically viewed influence delayed social communication development or not.

Result

In Group A, 71% of children used smartphones or other electronic devices. Group A and Group B had significantly different scores on the Bayley scale, with a p-value of < 0.005. With a p-value of < 0.005, the content that children accessed on their smartphones and other electronic devices was statistically significantly linked to delayed communication.

Conclusion

Our research stated that screen time and content that is typically viewed may be a contributing factor; it is not the sole cause of communication delays because other aspects of a child's environment, including the number of caregivers, the length of time spent with parent–child interaction, the scope of social interaction and the scope of outdoor activities, play a significant role in frequent activities on smartphones/other electronic devices.

智能手机/其他设备使用的迅速增加引起了家长、临床医生和教师的极大关注，特别是在全球大流行期间和之后。该研究假设，与同龄的孩子相比，年龄在18到60个月之间的孩子可能会延迟沟通发展，因为他们看屏幕的时间太长，而且他们通常在智能手机/其他电子设备上看的内容类型太多。方法选取18 ~ 60月龄有交流迟缓儿童507例（A组）和无交流迟缓儿童388例（B组）进行观察性横断面研究。采用Bayley量表对社会交际发展里程碑进行评价。受访者对智能手机/其他电子设备的观看变量进行了采访。比值比确定了屏幕时间和通常观看的内容是否会延迟社会沟通的发展。结果A组71%的儿童使用智能手机或其他电子设备。A组和B组在Bayley量表上得分有显著差异，p值为<； 0.005。p值为<； 0.005，儿童在智能手机和其他电子设备上访问的内容与延迟沟通有统计学上显著的联系。我们的研究表明，屏幕时间和通常观看的内容可能是影响因素；这并不是导致沟通延迟的唯一原因，因为儿童环境的其他方面，包括照顾者的数量、亲子互动的时间长短、社交互动的范围和户外活动的范围，都在频繁使用智能手机/其他电子设备方面发挥着重要作用。

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引用次数: 0

Health Literacy and Adherence to Age-Appropriate Childcare Recommendations Among Parents in Northeast Thailand 泰国东北部家长的健康素养和对适龄儿童保育建议的依从性

IF 2 4区医学 Q2 PEDIATRICS

Child Care Health and Development

Pub Date : 2025-08-21 DOI: 10.1111/cch.70156

Kanyanee Wedchakama, Rosawan Areemit

Background

Children of parents who have higher health literacy (HL) have better outcomes. Most studies on parents' generic HL focus on the capability to manage their own health, rather than the capability to manage their child's health.

Methods

Parents of children 0–5 years at the paediatric outpatient department at a university hospital participated in this cross-sectional study by answering a self-administered questionnaire. We used (1) Generic Health Literacy (GHL) Scale for Thais, (2) parent's management and awareness of their child's health-PMATCH, an instrument, which was developed to explore HL, which pertains to the capability to manage their child's health and (3) parents' health promotive practices on age-appropriate childcare recommendations. Cronbach's alpha was used to analyse the internal consistency of HL scales (HL = 0.97 and PMATCH = 0.94) and confirmatory factor analysis was used to analyse the PMATCH scale. Logistic regressions were used to identify associations between HL, PMATCH and parents' practices including dentist visits, exclusive breastfeeding, sleeping on the back, self-feeding and screen time.

Results

Of the 144 parents, 82.8% were female; most parents had fair HL (low 4.9%, fair 56.9% and high 38.2%) and high PMATCH. Confirmatory factor analysis standardized loadings and inter-factor correlations for the PMATCH instrument were highly significant. Parents' HL was found to mediate PMATCH on specific outcomes. Although total HL was not significantly associated with parent outcome behaviours, PMATCH-Practice was significantly positively associated with bringing the child to the dentist regularly (AOR 1.74) and negatively associated with the child sleeping on the back (AOR 0.52). We did not find a significant association between total HL, PMATCH and breast feeding, self-feeding or screentime.

Conclusions

There is a complex interplay between parental health promotive practices, HL and PMATCH. Future studies should invest in further understanding the relationship between HL and PMATCH, and the causes of non-adherence to formulate better-targeted preventive interventions.

父母健康素养（HL）越高，其子女的预后越好。大多数关于父母非专利HL的研究关注的是管理自己健康的能力，而不是管理孩子健康的能力。方法某大学附属医院儿科门诊0 ~ 5岁儿童家长自行填写问卷，进行横断面研究。我们使用了(1)泰国人的一般健康素养（GHL）量表，(2)父母对孩子健康的管理和意识- pmatch，这是一种用于探索HL的工具，它与管理孩子健康的能力有关，(3)父母在适龄儿童保育建议方面的健康促进实践。采用Cronbach's alpha分析HL量表的内部一致性（HL = 0.97, PMATCH = 0.94），采用验证性因子分析分析PMATCH量表。使用Logistic回归来确定HL、PMATCH与父母习惯（包括牙医就诊、纯母乳喂养、仰卧睡觉、自我喂养和屏幕时间）之间的关联。结果144例父母中，女性占82.8%；多数家长为中等HL（低4.9%，高56.9%，高38.2%）和高PMATCH。PMATCH仪器的验证性因子分析、标准化负荷和因子间相关性非常显著。发现父母的HL介导PMATCH对特定结果的影响。尽管总HL与父母结局行为无显著相关，但PMATCH-Practice与定期带孩子去看牙医显著正相关（AOR为1.74），与孩子仰卧睡觉显著负相关（AOR为0.52）。我们没有发现HL总量、PMATCH与母乳喂养、自我喂养或屏幕时间之间存在显著关联。结论父母健康促进行为、HL和PMATCH之间存在复杂的相互作用。未来的研究应进一步了解HL与PMATCH之间的关系，以及不依从的原因，以制定更有针对性的预防干预措施。

{"title":"Health Literacy and Adherence to Age-Appropriate Childcare Recommendations Among Parents in Northeast Thailand","authors":"Kanyanee Wedchakama, Rosawan Areemit","doi":"10.1111/cch.70156","DOIUrl":"https://doi.org/10.1111/cch.70156","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Children of parents who have higher health literacy (HL) have better outcomes. Most studies on parents' generic HL focus on the capability to manage their own health, rather than the capability to manage their child's health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Parents of children 0–5 years at the paediatric outpatient department at a university hospital participated in this cross-sectional study by answering a self-administered questionnaire. We used (1) Generic Health Literacy (GHL) Scale for Thais, (2) parent's management and awareness of their child's health-PMATCH, an instrument, which was developed to explore HL, which pertains to the capability to manage their child's health and (3) parents' health promotive practices on age-appropriate childcare recommendations. Cronbach's alpha was used to analyse the internal consistency of HL scales (HL = 0.97 and PMATCH = 0.94) and confirmatory factor analysis was used to analyse the PMATCH scale. Logistic regressions were used to identify associations between HL, PMATCH and parents' practices including dentist visits, exclusive breastfeeding, sleeping on the back, self-feeding and screen time.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 144 parents, 82.8% were female; most parents had fair HL (low 4.9%, fair 56.9% and high 38.2%) and high PMATCH. Confirmatory factor analysis standardized loadings and inter-factor correlations for the PMATCH instrument were highly significant. Parents' HL was found to mediate PMATCH on specific outcomes. Although total HL was not significantly associated with parent outcome behaviours, PMATCH-Practice was significantly positively associated with bringing the child to the dentist regularly (AOR 1.74) and negatively associated with the child sleeping on the back (AOR 0.52). We did not find a significant association between total HL, PMATCH and breast feeding, self-feeding or screentime.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>There is a complex interplay between parental health promotive practices, HL and PMATCH. Future studies should invest in further understanding the relationship between HL and PMATCH, and the causes of non-adherence to formulate better-targeted preventive interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144885328","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

Exploring Clinicians' Suggestions for Addressing Discrimination Towards Children and Youth With Disabilities With Multiple Minoritized Identities 探讨临床医生对具有多重少数民族身份的残疾儿童和青少年歧视的建议

IF 2 4区医学 Q2 PEDIATRICS

Child Care Health and Development

Pub Date : 2025-08-14 DOI: 10.1111/cch.70155

Sally Lindsay, Janice Phonepraseuth, Nicole Thomson, Jennifer N. Stinson, Sharon Smile

Background

Clinicians can help address the discrimination that children and youth with disabilities often encounter. However, they commonly report lacking training and experience in addressing multiple forms of discrimination, such as ableism and racism. A lack of knowledge could lead to stigma and inequities within healthcare. This study explores clinicians' suggestions for addressing multiple forms of discrimination among children and youth with disabilities.

Methods

This qualitative study involved in-depth interviews with a purposive sample of 15 paediatric rehabilitation clinicians and community service providers working with disabled youth who have multiple minoritized identities. We applied an inductive thematic analysis to the interview transcripts.

Results

Our findings highlighted the following four themes: (1) disability awareness and anti-ableism training and education; (2) enhancing inclusive programming, services and policies; (3) building connections to supports and resources; and (4) advocacy and incorporating lived experience perspectives.

Conclusion

The results underscore the need for clinicians to engage in more training and to facilitate access to resources for multiply minoritized youth with disabilities. Dedicated funding, resources and commitment at organizational, systems and policy levels are needed to address discrimination.

临床医生可以帮助解决残疾儿童和青少年经常遇到的歧视问题。然而，他们通常报告缺乏处理多种形式歧视的培训和经验，例如残疾歧视和种族主义。缺乏知识可能会导致医疗保健中的耻辱和不公平。本研究探讨临床医生的建议，以解决多种形式的歧视儿童和残疾青少年。方法对15名儿童康复临床医生和社区服务提供者进行深度访谈，这些儿童康复临床医生和社区服务提供者为具有多种少数民族身份的残疾青少年提供服务。我们对访谈笔录进行了归纳性主题分析。结果：(1)残障意识与反残障歧视培训与教育；(2)加强包容性规划、服务和政策；(3)建立与支持和资源的联系；(4)倡导和结合生活经验的观点。结论研究结果强调临床医生需要参与更多的培训，并促进多少数民族残疾青年获得资源。需要在组织、制度和政策层面提供专门的资金、资源和承诺，以解决歧视问题。

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引用次数: 0

Adolescent, Parent and Clinician Perspectives on Time Alone in Chronic Illness Visits at a Single Children's Hospital 青少年、家长和临床医生在单一儿童医院慢性病单独访问时间的观点

IF 2 4区医学 Q2 PEDIATRICS

Child Care Health and Development

Pub Date : 2025-08-05 DOI: 10.1111/cch.70147

Eleanor Lustig, Alfonso L. Floyd Jr., Elizabeth A. Friedrich, Morgan Snyder, Victoria A. Miller

Background

Time alone between adolescents with chronic illnesses and their clinicians may contribute to patient-centred care and transition readiness within this population. Shifts in the adolescent–parent–clinician relationship underpin this contribution; as such, this qualitative study explored adolescent, parent and clinician perspectives on time alone in routine visits for paediatric chronic illness.

Methods

Semi-structured interviews with English-speaking adolescents (ages 12–17, n = 65) and their parents (n = 63) were conducted after follow-up visits for inflammatory bowel disease (IBD), juvenile idiopathic arthritis (JIA), sickle cell disease (SCD) or type 1 diabetes (TID) at specialty clinics affiliated with the Children's Hospital of Philadelphia. Clinicians (n = 16) at the same clinics were also interviewed for this cross-sectional qualitative study. Interviews were transcribed, and thematic analysis was performed using an inductive approach.

Results

Qualitative analysis yielded six themes: (1) Clinician, parent and adolescent factors influence provision of time alone; (2) some adolescents communicate more openly with their clinician during time alone; (3) some adolescents do not share new information during time alone; (4) time alone facilitates the development of the clinician-adolescent relationship and helps prepare the adolescent for the transition to adult care; (5) clinicians continuously re-negotiate the parent–adolescent–clinician relationship to meet adolescents' needs; and (6) time alone can raise challenges for clinicians.

Conclusion

Time alone can affect information sharing and relationship building between adolescents with chronic illnesses and their clinicians. By fostering open communication and trust in the adolescent–clinician relationship, time alone may help prepare adolescents with chronic illnesses for the transition to adult care.

患有慢性疾病的青少年与其临床医生之间的单独时间可能有助于在这一人群中以患者为中心的护理和过渡准备。青少年-父母-临床医生关系的转变支持了这一贡献；因此，本定性研究探讨了青少年，家长和临床医生对儿科慢性病常规就诊时间的看法。方法在费城儿童医院附属专科门诊随访炎性肠病（IBD）、青少年特发性关节炎（JIA）、镰状细胞病（SCD）或1型糖尿病（TID）后，对12-17岁青少年（n = 65）及其父母（n = 63）进行半结构化访谈。同一诊所的临床医生（n = 16）也接受了横断面定性研究的访谈。采访记录下来，并使用归纳方法进行专题分析。结果定性分析得出六个主题：(1)临床医生、父母和青少年因素影响独处时间的提供；(2)部分青少年在独处时间与临床医生的沟通更加开放；(3)部分青少年在独处时不分享新信息；(4)独处时间有利于临床-青少年关系的发展，并有助于青少年为过渡到成人护理做好准备；(5)临床医生不断重新协商家长-青少年-临床医生的关系，以满足青少年的需求；(6)时间本身也会给临床医生带来挑战。结论独处时间会影响青少年慢性病患者与临床医生之间的信息共享和关系建立。通过在青少年与临床医生的关系中培养开放的沟通和信任，独处的时间可以帮助患有慢性疾病的青少年为过渡到成人护理做好准备。

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引用次数: 0

Healthy Lifestyle Matters: A Network Analysis of Urban Chinese Pre-School Children's Adiposity, Sleep Health, Mental Health, Child Functioning and Health Behaviours 健康生活方式：中国城市学龄前儿童肥胖、睡眠健康、心理健康、儿童功能和健康行为的网络分析

IF 2 4区医学 Q2 PEDIATRICS

Child Care Health and Development

Pub Date : 2025-08-05 DOI: 10.1111/cch.70144

Yuan Fang, Jing Liu, Mengge Zhang, Zixin Wang, Siyu Chen, Chen Zheng, Simon B. Cooper, Fenghua Sun

Background

In the Chinese context, a greater emphasis is placed on academic skills rather than healthy lifestyles among pre-school children. To promote well-being as a whole, a comprehensive interpretation of multivariant relationships between health, functioning and well-being is necessary for children in this age group.

Methods

The current study adopted a network analysis among 422 urban Chinese pre-school children (57.8 ± 9.7 months, 54.2% boys) to detect the inter-relationships between the variables from nine domains, including demographics, adiposity, physical activity levels, executive function, motor coordination, sleep disturbance, diet health and mental strengths and difficulties. Data was obtained through both questionnaires completed by parents and direct assessment among children.

Results

Findings indicated that poor well-being outcomes were prevalent among the participating children, including risk of central obesity (18.9%), global sleep disturbance (38.4%) and moderate-to-severe mental difficulties (42.6%). The network analysis demonstrated that age fully/partially mediated the associations among child functioning such as executive function and motor coordination. Mental strength, mental difficulties and sleep health had mutual correlations, however, none of them had a significant relationship with age. Furthermore, sex played little role in the network.

Conclusion

This study supports that healthy lifestyle is crucial for Chinese pre-school children to learn and practice. Results of network analysis implies that education on child's mental health are warranted for children, parents and teachers. A balance between academic achievement and child's health well-being should be prioritized in child care and early childhood education.

在中国，学前儿童更重视学习技能，而不是健康的生活方式。为了促进整体福祉，有必要对这一年龄组儿童的健康、功能和福祉之间的多种关系进行全面解释。方法采用网络分析方法，对422名中国城市学龄前儿童（57.8±9.7个月，男孩占54.2%）进行人口统计学、肥胖、身体活动水平、执行功能、运动协调、睡眠障碍、饮食健康、心理力量和困难等9个领域变量的相互关系进行分析。数据通过家长填写问卷和儿童直接评估两种方式获得。结果表明，参与研究的儿童普遍存在健康状况不佳的情况，包括中心性肥胖（18.9%）、整体睡眠障碍（38.4%）和中度至重度精神障碍（42.6%）的风险。网络分析表明，年龄完全/部分调节了儿童执行功能和运动协调等功能之间的关联。精神力量、精神困难和睡眠健康之间存在相互关系，但与年龄之间没有显著关系。此外，性在网络中起的作用很小。结论健康的生活方式对中国学龄前儿童的学习和实践至关重要。网络分析的结果表明，儿童、家长和教师都有必要进行儿童心理健康教育。在儿童保育和幼儿教育中，应优先考虑学业成绩与儿童健康福祉之间的平衡。

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引用次数: 0

Effect of Maternal Pregnancy Intention on Neonatal and Infant Healthcare Across the Continuum of Care in Ethiopia: A National Longitudinal Study Using Propensity Score Methods 在埃塞俄比亚的连续护理中，孕产妇妊娠意向对新生儿和婴儿保健的影响：一项使用倾向评分方法的国家纵向研究

IF 2 4区医学 Q2 PEDIATRICS

Child Care Health and Development

Pub Date : 2025-08-05 DOI: 10.1111/cch.70151

Birye Dessalegn Mekonnen, Vidanka Vasilevski, Ayele Geleto Bali, Linda Sweet

Background

Completion of the newborn and infant healthcare practices across the continuum of care, including essential newborn care, exclusive breastfeeding from birth to 6 months of age and immunisation, remains low in Ethiopia. Therefore, this study aimed to determine the impact of maternal pregnancy intention on the newborn and infant continuum of care in Ethiopia.

Methods

The analysis used data from the Performance Monitoring for Action Ethiopia longitudinal survey. This nationally representative survey was conducted from 2019 to 2021. The impact of maternal pregnancy intention on the newborn and infant continuum of care was assessed using propensity score methods. Essential newborn and infant care practices were examined as outcome variables, with pregnancy intention as the exposure variable. Adjusting for potential covariates, the impact of exposure on outcomes was determined using a logistic regression model with an odds ratio at 95% CI based on the inverse probability of treatment weights.

Results

Women with intended pregnancies had 28% higher odds of early initiation of breastfeeding (AOR = 1.28, 95% CI: 1.03–1.59) and 34% higher odds of exclusive breastfeeding from birth to 6 months of age (AOR = 1.34, 95% CI: 1.08–1.66) compared with women with unintended pregnancies. Similarly, the odds of full infant immunisation were 39% higher among women with intended pregnancies compared with women with unintended pregnancies (AOR = 1.39, 95% CI: 1.03–1.87). However, there was no statistically significant difference in the odds of essential newborn care practices between women with intended and unintended pregnancies (AOR = 0.83, 95% CI: 0.53–1.31).

Conclusion

Pregnancy intention significantly impacts the newborn and infant healthcare practices across the continuum of care. Therefore, prioritising interventions for preventing unintended pregnancies by providing family planning services, early identification of women with unintended pregnancies and ensuring they receive appropriate healthcare services is essential.

背景：在埃塞俄比亚，新生儿和婴儿保健实践的完成率仍然很低，包括基本的新生儿护理、从出生到6个月的纯母乳喂养和免疫接种。因此，本研究旨在确定孕产妇妊娠意向对埃塞俄比亚新生儿和婴儿连续护理的影响。方法采用埃塞俄比亚行动绩效监测纵向调查数据进行分析。这项具有全国代表性的调查于2019年至2021年进行。使用倾向评分法评估孕妇妊娠意向对新生儿和婴儿连续护理的影响。基本的新生儿和婴儿护理实践作为结果变量进行了检查，怀孕意图作为暴露变量。调整潜在协变量后，使用logistic回归模型确定暴露对结果的影响，基于治疗权重的负概率，比值比为95% CI。结果与意外怀孕妇女相比，计划怀孕妇女早期开始母乳喂养的几率高28% (AOR = 1.28, 95% CI: 1.03-1.59)，从出生到6个月的纯母乳喂养的几率高34% （AOR = 1.34, 95% CI: 1.08-1.66）。同样，与意外怀孕的妇女相比，计划怀孕的妇女获得婴儿全面免疫的几率高出39% （AOR = 1.39, 95% CI: 1.03-1.87）。然而，在有意怀孕和意外怀孕的妇女之间，基本新生儿护理实践的几率没有统计学上的显著差异（AOR = 0.83, 95% CI: 0.53-1.31）。结论妊娠意向对新生儿和婴儿保健行为有显著影响。因此，必须优先采取干预措施，提供计划生育服务，及早发现意外怀孕妇女，并确保她们获得适当的保健服务，以预防意外怀孕。

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引用次数: 0

Exploring Mental Health, Self-Compassion and Support in New Parents of Children With Disabilities vs. Nondisabled Children 探索残疾儿童与非残疾儿童的新父母的心理健康、自我同情和支持

IF 2 4区医学 Q2 PEDIATRICS

Child Care Health and Development

Pub Date : 2025-08-04 DOI: 10.1111/cch.70150

Monika Skura, Grażyna Dryżałowska, Anna Steinhagen, Weronika Lorens-Rosa

Background

The study aimed to determine whether the type of disability (intellectual, motor, hearing, or autism spectrum) differentiates mental health, parental stress, self-compassion and perceived support among parents of children aged 0–7 years.

Methods

The study took place anonymously from February to May 2023 using online questionnaires. Instruments such as GHQ-12, PSS-10, PSI-4-SF, Self-Compassion Scale (SCS) and MSPSS were used to assess mental health, parental stress, self-compassion and social support. Tools were translated, adapted and reliability tested for Polish conditions.

Results

While no significant differences in mental health symptoms were observed across disability types, parents of children with autism and intellectual disabilities reported higher stress related to daily life and personal problems. They also faced more conflicts, lower parental competence and less support from friends, particularly those with children on the autism spectrum.

Conclusion

Parents of children with autism spectrum disorders experience the highest stress levels and lowest parental competence. Specialists should prioritize teaching self-compassion and social support utilization while continuously monitoring the mental health of these parents to improve their well-being and caregiving.

本研究旨在确定残疾类型（智力、运动、听力或自闭症谱系）是否在0-7岁儿童的父母中区分心理健康、父母压力、自我同情和感知支持。方法该研究于2023年2月至5月匿名进行，采用在线问卷调查。采用GHQ-12、PSS-10、PSI-4-SF、自我同情量表（SCS）和MSPSS评估心理健康、父母压力、自我同情和社会支持。工具经过翻译、调整和可靠性测试，以适应波兰的条件。结果不同残疾类型的儿童在心理健康症状上没有显著差异，但自闭症和智力残疾儿童的父母报告的日常生活和个人问题相关的压力更高。他们还面临着更多的冲突、更低的父母能力和更少的朋友支持，尤其是那些孩子患有自闭症的人。结论自闭症谱系障碍患儿家长压力水平最高，家长能力最低。专家应该优先教授自我同情和社会支持的利用，同时持续监测这些父母的心理健康，以提高他们的幸福感和照顾能力。

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引用次数: 0