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1

Ern, Tun Ju, Zarinah Arshat, and Nellie Ismail. "Predictors of Emotional Intelligence among Preschool Children in Kuala Lumpur, Malaysia." 11th GLOBAL CONFERENCE ON BUSINESS AND SOCIAL SCIENCES 11, no. 1 (December 9, 2020): 40. http://dx.doi.org/10.35609/gcbssproceeding.2020.11(40).

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Emotional intelligence is emerging as a relatively important and growing area of behavioural investigation in education, psychology, learning and development. Negative effects may arise and affect children's lives when emotional intelligence deficits. Nowadays, electronic devices have become common and hence it is undeniable that screen time of electronic devices among preschool children is gradually increasing because they have more opportunities to use it in anywhere and anytime. Playfulness is an essential element of childhood that could promote children's emotional intelligence and future mental health. Besides, parents play the main roles in monitoring their children's screen time, in forming children's playfulness traits and in promoting their emotional intelligence. Certain previous researches revealed that the frequency of electronic device usage or screen time was higher for children with lower socioeconomic status families (Dashti & Yateem, 2018; Certain & Kahn, 2002). Low socioeconomic status would affect parenting practices like monitoring and also parental investment (Dashti & Yateem, 2018). This could be supported by previous studies which mentioned parents from low SES families would engage in less responsive ways when interacting or playing with their kids (Conger & Donnellan, 2007; Grant et al., 2003). Moreover, financial difficulties would affect children's socio-emotional development and also parenting strategies like monitoring because low-income parents preferred to use restrictive strategies when monitoring their kids (Hosokawa & Katsura, 2017; Nikken & Jansz, 2006; Conger & Conger, 2002). Nevertheless, higher SES families would use more active and involved interaction style with their kids (Fujioka & Austin, 2002; Linver, Brooks-Gunn & Kohen, 2002; Mayer, 1997). This study sought to determine the relationship between mother's characteristics (age, mothers' education level and employment status), child's characteristics (age), family characteristics (family total monthly income and number of children), screen time, playfulness and parental monitoring with emotional intelligence among Chinese preschool children. Next, the research aims to determine the unique predictors of EI. Keywords: Emotional intelligence, Parental monitoring, Playfulness, Preschool children, Screen time
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Rajevska, Feliciana, and Katrine Reima. "INVESTING IN PRESCHOOL AGE CHILDREN – A CASE STUDY OF VIDZEME REGION (LATVIA)." SOCIETY. INTEGRATION. EDUCATION. Proceedings of the International Scientific Conference 4 (May 26, 2017): 353. http://dx.doi.org/10.17770/sie2017vol4.2247.

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Social investments are important for a child’s development and future success. Parental leaves and Early Childhood Education and Care services (ECEC) are among main forms of social investment, contributing to child poverty reduction and increasing equality, as well as underpinning the potential for skilled workers in the future. The aim of the paper is to analyse availability of the main forms of social investment in preschool age children - early childhood education services and parental leaves, in Vidzeme region (Latvia) for a case study. An analysis of policy documents, parents’ surveys at pre-school institutions, interviews with education institution representatives and local authorities regarding education and social matters were conducted in the research. The support system for parents is still dominated by the “passive” form of support system. However, social investment policies are becoming increasingly more important. This is achieved by supporting parents' access to social investment services and by increasing the amount of parental leave benefits. In 2013-2015 funding for child-care and family policy has increased. Expenditure growth was mostly affected by an increase in the allowance for childcare and the minimum parental allowance. The availability of ECEC is moderate, but since 2009 private institutions and since 2013 babysitting services have been co-funded at the national level till May 31, 2016 to improve it. Since September 2015 a 3-year innovative project “Vouchers for the provision of child minder services to workers with nonstandard work schedules” has been introduced too, to promote parental employment and work and family balance. In Vidzeme region, for example, service availability is additionally stimulated by free transport services, ECEC fee discounts for poor, low-income and large families, etc. Results show that the availability of ECEC has been improved and there has been signs of positive changes in children’s development. Nevertheless, the availability of ECEC is moderate, and in some poorer municipalities in Latvia Matthew effects can be spotted – the middle and highest strata of society use services to a higher extend then the low-income society.
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Olivetti, Claudia, and Barbara Petrongolo. "The Economic Consequences of Family Policies: Lessons from a Century of Legislation in High-Income Countries." Journal of Economic Perspectives 31, no. 1 (February 1, 2017): 205–30. http://dx.doi.org/10.1257/jep.31.1.205.

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By the early 21st century, most high-income countries have put into effect a host of generous and virtually gender-neutral parental leave policies and family benefits, with the multiple goals of gender equity, higher fertility, and child development. What have been the effects? Proponents typically emphasize the contribution of family policies to the goals of gender equity and child development, enabling women to combine careers and motherhood, and altering social norms regarding gender roles. Opponents often warn that family policies may become a long-term hindrance to women's careers because of the loss of work experience and the higher costs to employers that hire women of childbearing age. We draw lessons from existing work and our own analysis on the effects of parental leave and other interventions aimed at aiding families. We present country- and micro-level evidence on the effects of family policy on gender outcomes, focusing on female employment, gender gaps in earnings, and fertility. Most estimates range from negligible to a small positive impact. But the verdict is far more positive for the beneficial impact of spending on early education and child care.
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Fuller, Bruce, Stephen W. Raudenbush, Li-Ming Wei, and Susan D. Holloway. "Can Government Raise Child-Care Quality? The Influence of Family Demand, Poverty, and Policy." Educational Evaluation and Policy Analysis 15, no. 3 (September 1993): 255–78. http://dx.doi.org/10.3102/01623737015003255.

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The quality of child-care centers and preschools—situated in a mixed market—varies enormously. Advocates for higher quality urge higher subsidies and stricter central regulation. Market advocates argue instead that local demand and parental-choice remedies will spark quality gains while ensuring competitive prices. Federal and state governments have responded with an array of policy interventions: targeting subsidies on preschools serving low-income families; enacting statewide quality standards; creating tax credits and vouchers for the “working poor” and middle-class families. This article assesses the influence of these alternative policies on preschool quality, based on a national survey of 1,805 centers in 36 states. Discrete policy effects are assessed after taking into account the influence of contextual sources of family demand: statewide levels of wealth, maternal employment, and poverty rates. Contrary to K–12 patterns, we find that center quality is higher in centers receiving greater subsidies. However, the subsidy effect depends on the particular indicator of quality being observed; effects are also conditioned by state-level contexts. Statewide sources of family demand, antecedent to policy interventions, help to raise certain facets of preschool quality. Tax credits hold no discernible influence on quality. Implications for building policy strategies in “managed choice” school settings are discussed.
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Gennetian, Lisa A., Natasha Cabrera, Danielle Crosby, Lina Guzman, Julia Mendez Smith, and Elizabeth Wildsmith. "A Strength-Based Framework for Realizing Latino Young Children’s Potential." Policy Insights from the Behavioral and Brain Sciences 8, no. 2 (September 11, 2021): 152–59. http://dx.doi.org/10.1177/23727322211033618.

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Hispanic children experience poverty at rates two to three times higher than white children. Latino households with children, in general, have high parental employment coupled with low levels of parental education and stagnant parental earnings relative to non-Latino peers. While many Latino children live in neighborhoods that do not have access to high-quality early education, Latino children, on average, are raised in a home environment that offers economic stability and security, the presence of two parents, and socially supported family and community networks. Furthermore, though Hispanic children’s school achievement outcomes lag behind those of their peers, their socio-emotional developmental outcomes are on the same level or better. Latino children are raised in environments with the ingredients needed to achieve their potential. We use this foundation to propose a strength-based framework for guiding policy investment on Latino children and families.
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Marynissen, Leen, Jonas Wood, and Karel Neels. "Mothers and Parental Leave in Belgium: Social Inequalities in Eligibility and Uptake." Social Inclusion 9, no. 2 (June 11, 2021): 325–37. http://dx.doi.org/10.17645/si.v9i2.3834.

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In recent decades, many Western European countries introduced parental leave policies to support the work–family combination in families with young children. However, these parental leave schemes often exhibit employment‐based eligibility criteria, so the question arises to which extent social inequalities emerge in the access to parental leave, and as a result thereof also in the uptake of parental leave. Although research on parental leave increasingly addresses the issue of inclusiveness, only a limited number of studies has yet examined individual‐level differentials in parents’, and especially mothers’, eligibility. Using detailed register data, we develop an individual‐level indicator of eligibility in Belgium and deploy it to document differentiation in mothers’ eligibility by age at first birth, partnership status, migration background and education. In addition, we examine to what extent differential eligibility can explain inequalities in parental leave uptake. Our results show that a considerable share of mothers—specifically very young, single, low educated mothers and mothers with a migration background—do not meet the eligibility criteria and thus are structurally excluded from parental leave in Belgium. Furthermore, differential eligibility can account for a large part of the age and educational gradients in parental leave use, as well as differences by migration background. Eligibility cannot (fully) account for lower parental leave use by single mothers and mothers with a Moroccan or Turkish migration background. Our findings suggest that a reconsideration of eligibility criteria may be instrumental in increasing the inclusiveness of parental leave policies.
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Taylor, B. W. "Demography of pediatric emergency care in Halifax, Canada." CJEM 8, no. 04 (July 2006): 269–74. http://dx.doi.org/10.1017/s1481803500013828.

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ABSTRACT Objectives: Demography affects emergency department (ED) utilization and influences the health care needs of patients, yet the demographics of the caregivers who accompany children to pediatric EDs are not well described. The objective of this study was to provide a demographic description of this population. The hypothesis was that single parent status, annual income less than $20 000, and education no greater than high school constitute a social triad that might reduce the ability to provide health care for a sick child. Methods: Over a 1-month period, a convenience survey of caregivers who brought children to a pediatric ED was conducted. Twelve hundred surveys were distributed to 1733 eligible subjects. Social and economic determinants were captured, including age, gender, visible minority status, income group, employment, single parent status and education level. Results: In total, 1018 (85%) of 1200 surveys were returned — a population response rate of 59%. Single parent status, income less than $20 000/yr, and education no greater than high school were found to be risk factors for altered delivery of health care. Overall, 40.9% of caregivers had at least one risk factor, including 43.2% of women, 63.4% of those under 30 years of age, 65.1% of those with visible minority status, and 71.6% of women who were from a visible minority. In addition, 41.7% of single parents had no more than a high school education, and 75.7% of single parent families had incomes of less than $40 000 per year. Conclusions: It was found that a high level of educational, social and financial disadvantage in our population. These factors may adversely affect parental capability to provide health care at home for their child. The extent of this problem in other regions is not well defined and should be a focus of future research. It is recommended that inquiry into parental income, education and single parent status be a routine part of the history in pediatric emergency populations.
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Chetty, Raj, Nathaniel Hendren, Frina Lin, Jeremy Majerovitz, and Benjamin Scuderi. "Childhood Environment and Gender Gaps in Adulthood." American Economic Review 106, no. 5 (May 1, 2016): 282–88. http://dx.doi.org/10.1257/aer.p20161073.

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We show that differences in childhood environments shape gender gaps in adulthood by documenting three facts using population tax records for children born in the 1980s. First, gender gaps in employment rates, earnings, and college attendance vary substantially across the parental income distribution. Notably, the traditional gender gap in employment rates is reversed for children growing up in poor families: boys in families in the bottom quintile of the income distribution are less likely to work than girls. Second, these gender gaps vary substantially across counties and commuting zones in which children grow up. The degree of variation in outcomes across places is largest for boys growing up in poor, single-parent families. Third, the spatial variation in gender gaps is highly correlated with proxies for neighborhood disadvantage. Low-income boys who grow up in high-poverty, high-minority areas work significantly less than girls. These areas also have higher rates of crime, suggesting that boys growing up in concentrated poverty substitute from formal employment to crime. Together, these findings demonstrate that gender gaps in adulthood have roots in childhood, perhaps because childhood disadvantage is especially harmful for boys.
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Gennetian, Lisa A., A. Rupa Datta, Robert Goerge, Wladimir Zanoni, Richard Brandon, Ann Witte, and Parvati Krishnamurty. "How Much of Children’s Time in Nonparental Care Coincides with Their Parents’ Time at Work?" Socius: Sociological Research for a Dynamic World 5 (January 2019): 237802311989484. http://dx.doi.org/10.1177/2378023119894848.

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Nonparental care (NPC) for children before they enter kindergarten has had two primary purposes for American families since the start of the twentieth century: supporting parental employment and providing children developmentally enriching out-of-home experiences. Today’s policy makers are increasingly expanding publicly funded opportunities for children in low-income families to experience center-based care. Yet parents’ work commitments often occur on evenings, weekends, and other times outside of the traditional school day. Understanding parental work schedules vis-à-vis NPC timing is essential to informing public expansions of accessible and affordable nonparental care options. Using a 7-day calendar from the 2012 National Survey of Early Care and Education, the authors uncover new patterns in the temporal synchronization of parental work and children’s time in various NPC settings and for households of varying incomes. Across all income groups and types of care, center-based care overlaps least with parental work hours. Children living in poverty have the lowest rates of NPC occurring during parental work time. The uncoupling of parental work status from children’s time in nonparental care suggests potential shifts in parents’ choices to expose children to care settings for the purpose of children’s development.
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STANDING, KAY. "Lone Mothers and ‘Parental’ Involvement: A Contradiction in Policy?" Journal of Social Policy 28, no. 3 (June 1999): 479–95. http://dx.doi.org/10.1017/s0047279499005668.

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At the same time as the number of lone mother families has been increasing, education policy has demanded more involvement in children's schooling from ‘parents’ (i.e., mothers). Social policy in this area is inherently contradictory, encouraging lone mothers into paid employment on the one hand, whilst imploring mothers to ‘help’ in (and out of) the classroom on the other. Whilst lone mothers become scapegoats for all societal ills, parental involvement schemes are seen to solve society's ‘problems’. Drawing on data from a research project, this article begins to examine the contradictions within and between these policies for low income lone mothers.
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McWayne, Christine M., Jacqueline S. Mattis, and Lok-Wah Li. "Parenting Together: Understanding the Shared Context of Positive Parenting Among Low-Income Black Families." Journal of Black Psychology 46, no. 4 (May 2020): 312–39. http://dx.doi.org/10.1177/0095798420931653.

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This study examined the relations between family demographics and positive parenting dimensions among urban-residing, low-income, Black caregiving dyads. Participants were 100 co-caregivers affiliated with a Head Start program and reporting on 50 preschool-aged children. Given that the parenting context for the caregiver pairs was not independent, multilevel dyadic analysis was employed to determine demographic predictors of positive parenting dimensions as measured by the emically derived Black Parenting Strengths in Context scale. Findings illuminated associations between combinations of adult/child characteristics (e.g., nativity, parental employment status, child gender) and the five dimensions of positive parenting measured (i.e., Fostering Connectedness; Racial and Cultural Pride; Involvement at School; Religious and Spiritual Practices; Behavioral Responsiveness and Guidance). Findings suggest implications for future research and theory involving Black family life—specifically the need to examine parenting by considering the combined effects of individual and shared family characteristics—and for designing parent support efforts that recognize family roles and heritages, and that leverage the strengths of and heterogeneity among the multiple caregivers in the lives of young children.
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Kubacki, Konrad, and Marcin Bągard. "Female Employment and Parental Leave: The Case of Poland." International Journal of Management and Economics 40, no. 1 (October 17, 2014): 155–78. http://dx.doi.org/10.2478/ijme-2014-0033.

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Abstract With the use of the Polish Social Security's administrative data for the period 1999-2011, nonparametric and Cox models, the author assesses the role of the means-tested child-raising allowance in shaping an effective period for parental leave and the impact of parental leave duration on the subsequent (continued) job tenure. The results suggest low income level (an eligibility criterion for child-raising allowance) loses any significant negative effect on the intensity of returning to a job as soon as the eligibility period for the allowance expires. Long periods of parental leave increase the intensity of transition to unemployment soon after the return to the interrupted job but they have only a minor impact on the intensity of transition to other jobs. The intensity of transition from the continued job to unemployment is also related to employment in the private/public sector, unemployment history and length of service.
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Ahmad, A., A. Anjum, M. Hussain, A. A. Rasul, A. Mushtaq, and A. S. Ahmad. "Socio-Economic Challenges in Childhood Cancer Care in a Low-Middle-Income Country." Pakistan Journal of Medical and Health Sciences 15, no. 6 (June 30, 2021): 1234–36. http://dx.doi.org/10.53350/pjmhs211561234.

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Background: Each year, it is estimated that over 200 000 children and adolescents are diagnosed with cancer, and 80% of these reside in low-middle-income countries, with 90% mortality. There are enormous psychosocial needs of these patients, families, and care-givers, which are primarily affected by the communities' social, economic, cultural, and religious factors. Aim: To elucidate the significant psychosocial and socio-economic issues faced by the caregivers of children suffering from different types of cancer at the Children's Hospital Lahore. Study design: Prospective cohort study Place and duration of study: Department of Paediatric Hematology and Oncology, Children's Hospital Lahore Pakistan from 1st January 2018 to 30th June 2018 Methodology: Two hundred family members/caregivers of the patients were enrolled with ages ranging from <1 to 15 years (43% <5 years and 57% >5years old). Results: Male to female ratio was 1.2:1. 52% belonged to hematological malignancies and 48% from solid tumor groups. Most of these children had malnutrition with anemia (81% with Hb <10g%) and small weight forage in 63% cases at presentation. 80% of families had more than three children, with the youngest child being less than five years in 75%. 95% of families relied on public transport, with 65% of them traveling 100-500Km with 2-10 hours duration to reach the primary treatment center. 80% had a monthly income of less than USD150. 68% of these families had to borrow money for trip to hospital (p-Value=0.003), and 58% took a loan for treatment course. Conclusion: The significant socio-economic challenges faced by these families and caregivers included large family size with low incomes increasing their financial difficulties, logistic burden like traveling long distances to access health care, and parental employment and family dynamics disruptions. Keywords: Socioeconomic Challenges, Childhood Cancer, Low-Middle-Income Countries
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Chereches-Panta, Paraschiva. "The Impact of Socio-Economical Status on the Quality of Life of Children with Asthma." Emergency Medicine, Trauma and Surgical Care 7, no. 2 (October 31, 2020): 1–5. http://dx.doi.org/10.24966/ets-8798/100054.

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Low socioeconomic level may contribute to the severity of asthma, frequency of exacerbation, and hospitalization and affects the quality of life. The aim of the study was to evaluate the impact of socioeconomic status (SES) on general score of quality of life (GSQL). Methods: The study group included children aged between 8-16 years with persistent asthma, and we followed them up 12 months. We analyzed the location and the size of the household, educational level, and employment status of parents and family income. The GSQL was obtained based on the questionnaire of quality of life in children with asthma. According to the SES, we divided the study group into high income and low-income groups. Results: Half of the patients belonged to families with low income. There were no significant differences in GSQL regarding the living area, educational level, and parents' employment status. The general score of quality of life was higher in patients from the high-income group than those with lower income at the beginning of the study (5.04±1.09 versus 4.43±0.97; p=0.0101). Alter 12 months GSQL increased significantly in both groups (6.57±0.57 versus 6.49±0.56; p=0.3167). The quality of life was not affected by atopic status. Conclusions: The low income has a negative impact on children GSQL. The educational level and employment status of parents, rural area, and the association of other allergic diseases do not affect the quality of life.
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Posey-Maddox, Linn, and Anna Haley-Lock. "One Size Does Not Fit All: Understanding Parent Engagement in the Contexts of Work, Family, and Public Schooling." Urban Education 55, no. 5 (July 22, 2016): 671–98. http://dx.doi.org/10.1177/0042085916660348.

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We examined how parents and educators in a low-income school conceptualize parental engagement, and how school, work, and family domains together shape these parties’ practices as well as understandings of how and why parents engage. From interviews with the principal, five teachers, and 17 mothers of children at a Title I elementary school, we observed mothers’ varied approaches to juggling employment and caregiving responsibilities with desires to be involved in their children’s education, strategies often unknown and mismatched to the focuses of school staff. The study suggests the value of engagement opportunities tailored to families’ unique circumstances and assets.
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Ask, Torunn Alise, and Solveig Sagatun. "Frontline Professionals Performing Collaborative Work with Low-Income Families: Challenges across Organizational Boundaries." Nordic Journal of Social Research 11, no. 1 (March 24, 2020): 66–85. http://dx.doi.org/10.7577/njsr.2223.

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This article discusses certain challenges relating to interagency collaboration between the Norwegian Labour and Welfare Administration (NAV) and Child Welfare Services (CWS). We have asked what obstacles to holistic work with low-income families who receive measures from NAV and CWS simultaneously can be identified. The departure point is collaboration on a local project at the municipal level. The differences between the views of the individual services (and the mandates based on these views) with regard to parental obligations have proved challenging. Using the theory of institutional logic, we have explored how different logics have influenced these services’ approaches to parenthood and the significance of these influences for interagency collaboration. We have also investigated how caseworkers in the two services have managed to create reflective spaces for negotiating and bridging various understandings to create new ways of working together. In addition to collecting and analysing data, our task as researchers has been to facilitate joint working processes in the project. The article is based on interviews with caseworkers from both services, discussions during two workshops, and a subsequent dialogue seminar with employees from the two services.
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Lin, Yi-Ching, Yi-Fan Li, and Tung-liang Chiang. "Healthy living practices in families and child health: 5-year follow-up of Taiwan Birth Cohort Study." BMJ Open 10, no. 7 (July 2020): e033613. http://dx.doi.org/10.1136/bmjopen-2019-033613.

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ObjectivesWe have previously developed the Child Healthy Living Practices in Family (CHLPF) Index and found that the CHLPF Index was concurrently associated with the health of children at age 3. In this follow-up study, we aimed to examine whether healthy living practices in family at age 3 predicted health of children at school age.Design and settingData came from the Taiwan Birth Cohort Study designed to assess the development and health of 24 200 children born in 2005.ParticipantsA total of 18 553 cohort members whose mothers or primary caregivers had completed 6-month, 3-year, 5-year and 8-year surveys were included for analysis, representing a response rate of 87.3%.Outcome measuresA multiple logistic regression model was used to test the relationship between mother-rated children’s health at age 8 and the CHLPF Index level, after controlling for sex, birth outcomes, family structure, parental education, residential area, family income and mother-rated child’s health at age 3.ResultsThe percentage of mother-rated good health at age 8 was 79.7%. Compared with the low CHLPF level, the adjusted OR of mother-rated good health was 1.38 (95% CI 1.19 to 1.60), 1.21 (95% CI 1.10 to 1.35) and 1.17 (95% CI 1.07 to 1.29), respectively, for high, high–low and mid-low CHLPF levels. Moreover, the prevalence of mother-rated good health at age 8 with high-level CHLPF Index in the low-income group was similar to that of the high-income group (83.72% vs 84.18%); the prevalence with low-level CHLPF Index in the low-income group was much lower than that of the high-income group (70.21% vs 78.98%).ConclusionsOur study underscores that high level of healthy living practices in early childhood is positively associated with good health at school age, particularly for children from disadvantaged families.
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Binder, Ariel J. "Rising Inequality in Mothers' Employment Statuses: The Role of Intergenerational Transmission." Demography 58, no. 4 (July 16, 2021): 1223–48. http://dx.doi.org/10.1215/00703370-9398597.

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Abstract During the late twentieth century, U.S. mothers' propensities to hold full-time jobs became increasingly unequal across the distribution of socioeconomic status (SES). Consequently, daughters in high-SES households became more likely to be raised by working mothers than daughters in low-SES households. To what extent did this unequal exposure further shape maternal employment inequality in the twenty-first century—when these daughters had grown into adults and begun to raise their own children? Leveraging the genealogical structure of the Panel Study of Income Dynamics, this article estimates intergenerational employment coefficients on a sample of late twentieth century mothers and their daughters. It documents a much stronger intergenerational relationship in high-SES families than in low-SES families. Supplementary analyses reveal that being raised by a working mother significantly reduces the motherhood employment penalty among high-SES women but not among low-SES women. Unequal rates of mother-daughter employment transmission by SES can account for 36% of growing inequality in maternal employment across SES groups, observed in the Current Population Survey, between 1999 and 2016. These findings indicate that family-level transmission processes magnify the effects of structural forces on maternal employment inequality.
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Fowler, William J., and Herbert J. Walberg. "School Size, Characteristics, and Outcomes." Educational Evaluation and Policy Analysis 13, no. 2 (June 1991): 189–202. http://dx.doi.org/10.3102/01623737013002189.

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To investigate school size effects for secondary schools, 18 school outcomes, including the average scores on state-developed tests, student retention, suspensions, postschool employment, and college attendance for 293 public secondary schools in New Jersey were regressed on 23 school characteristics, including district socioeconomic status and percentages of students from low-income families; school size and number of schools within each district; and teacher characteristics encompassing salaries, degree status, and years of experience. District socioeconomic status and the percentage of students from low-income families in the school were the most influential and consistent factors related to schooling outcomes. School size was the next most consistent and was negatively related to outcomes. This finding corroborates previous research conducted primarily on public elementary school and suggests that smaller school districts and smaller schools, regardless of socioeconomic status and grade level, may be more efficient at enhancing educational outcomes.
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Foley, M. A., A. J. Spencer, R. Lalloo, and L. G. Do. "A Causative Approach to Demographic and Socioeconomic Factors Affecting Parental Ratings of Child Oral Health." JDR Clinical & Translational Research 6, no. 1 (March 16, 2020): 68–76. http://dx.doi.org/10.1177/2380084420914248.

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Introduction: Many studies have investigated associations between demographic, socioeconomic status (SES), behavioral, and clinical factors and parental ratings of child oral health. Caries experience, pain, missing teeth, malocclusions, and conditions and treatments likely to negatively affect the child or family in the future have been consistently associated with poorer parental ratings. In contrast, effect sizes for associations between demographic and SES indicators (race/ethnicity, country of birth, family structure, household income, employment status, and parental education levels) and parental ratings vary greatly. Objectives: The primary objectives of this study were to estimate effect sizes for associations between demographic and SES variables and parental ratings of child oral health and then to consider possible causal implications. Methods: This article uses a nationally representative data set from 24,664 Australian children aged 5 to 14 y, regression analyses guided by a directed acyclic graph causal model, and sensitivity analyses to investigate effects of demographic and SES factors on parental ratings of oral health. Results: One in 8 children had oral health rated as fair or poor by a parent. Indigenous children, older boys, young children with a migrant parent, children from single-parent families, low-income households and families where no parent worked full-time, and children whose parents had lower education levels were much more likely to receive a fair or poor parental oral health rating in crude and adjusted models. Conclusion: This cross-sectional study helps to clarify inconsistent findings from previous research and shows many demographic and SES variables to be strong determinants of parental ratings of child oral health, consistent with the effects of these variables on other health outcomes. Sensitivity analyses and consideration of the potential for chance and bias to have affected these findings suggest that many of these associations may be causal. Knowledge Transfer Statement: Based on regression analyses driven by a directed acyclic graph causal model, this research shows a strong impact of demographic and socioeconomic determinants on parental ratings of child oral health, consistent with associations between these variables and other oral and general health outcomes. Many of these associations may be causal. We demonstrate the value of causal models and causal thinking when analyzing complex multilevel observational data.
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Youngblut, JoAnne M., Lynn T. Singer, Elizabeth A. Madigan, Leslie A. Swegart, and Willard L. Rodgers. "Mother, Child, and Family Factors Related to Employment of Single Mothers With LBW Preschoolers." Psychology of Women Quarterly 21, no. 2 (June 1997): 247–63. http://dx.doi.org/10.1111/j.1471-6402.1997.tb00111.x.

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The purpose of this study was to identify maternal, child, and family factors related to the employment status and employment history of single mothers of low-birth-weight (LBW) and full-term preschoolers. A sample of 121 female-headed, single-parent families with 3-, 4-, and 5-year-old LBW and full-term children was recruited through admission records to three Level III neonatal intensive care units (NICUs) and birth records of two normal newborn nurseries. Results show that the birth of an LBW infant was not related to employment status, number of hours employed per week, or employment history for single mothers. Employed mothers had significantly more education and more positive attitudes toward employment. Controlling for other factors, never being married, and having more children, more federal income, and less positive employment attitudes were predictive of nonemployment. Both employed and nonemployed women expressed preference for employment.
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Mohammed, N. A., V. Eapen, and A. Bener. "Prevalence and correlates of childhood fears in Al-Ain, United Arab Emirates." Eastern Mediterranean Health Journal 7, no. 3 (September 15, 2001): 422–27. http://dx.doi.org/10.26719/2001.7.3.422.

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The prevalence of fear was explored in 340 adolescents in Al-Ain, United Arab Emirates. More than 50% reported feeling extremely frightened of 6 out of 60 fear items surveyed. These items were: someone dying in the family [66.5%], parents getting divorced [65.3%], the devil [63.8%], breaking a religious law [61.5%], being kidnapped [53.2%] and being adopted [49.9%]. The level of fear showed a significant positive correlation with female gender, parental death/divorce, living with a single parent/relatives, living in low income families and an adverse home environment. Nearly half of the children reported that the fear caused considerable distress and interfered with daily activities.
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Freshwater, David. "The Importance of Improving Incentives and Employment Opportunities for Farm Households in Poland." Wieś i Rolnictwo, no. 3 (176) (September 20, 2017): 11–33. http://dx.doi.org/10.53098/wir032017/01.

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Poland is experiencing the first stages of a period where its active labour force will decline steadily over time. This has raised important concerns with how well labour markets in Poland function, especially those in rural areas where there are still large numbers of households on small farms that have only limited engagement with formal work, and whose farm income is too low to provide an acceptable family income. The result is a high level of rural under-employment that imposes a growing burden on the economy and society, both in terms of unproductive labour and in high transfer payments to these families. There is a clear understanding that reducing the number of small full-time family farms in Poland is desirable as a way to: improve household incomes, address the need for more workers in other sectors, and further enhance the competitiveness of farming. Achieving this goal has been problematic, largely because to date there have been few incentives for these farm families to alter their behaviour. Simply put, the vast majority of small farm households do not perceive that they would be better off by engaging in formal employment. This largely reflects limited job opportunities in rural areas and a significant skill mismatch in local labour markets. But, it also reflects the continued existence of a variety of Polish policies that provide considerable financial benefits to these farm households, including a highly subsidized medical and retirement plan and exemption from income taxes, that significantly reduce the incentive to change behaviour. With a shrinking work force the cost of holding these potential workers in their current situation will only increase over time, but changing these longstanding policies remains a major challenge for the government.
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Kelle, Nadiya. "Combining employment and care-giving: how differing care intensities influence employment patterns among middle-aged women in Germany." Ageing and Society 40, no. 5 (November 3, 2018): 925–43. http://dx.doi.org/10.1017/s0144686x18001423.

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AbstractGiven an ageing population and increased participation by women in the labour force, the relationship between unpaid care and the availability of women to the labour force is gaining in importance as an issue. This article assesses the impact of unpaid care on transitions into employment by women aged between 45 and 59 years. It uses the German Socio-Economic Panel (SOEP) from the years 2001–2014 to estimate Cox regression models for 6,201 employed women. The results indicate that women with higher caring responsibilities and women with lower caring responsibilities are heterogeneous in terms of the socio-economic characteristics that they exhibit: higher-intensity care providers tend to have a lower level of educational attainment and a weaker attachment to the labour force than women with less-intensive caring responsibilities. Furthermore, while women with more-intensive caring roles are highly likely to exit the labour market altogether, female carers with less-intensive roles seem to be able to combine work and care better. These results highlight the importance of providing more affordable institutional and professional care services, especially for low- and medium-income families.
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Friis Abrahamsen, Christina, Jette Møller Ahrensberg, and Peter Vedsted. "Utilisation of primary care before a childhood cancer diagnosis: do socioeconomic factors matter?: A Danish nationwide population-based matched cohort study." BMJ Open 8, no. 8 (August 2018): e023569. http://dx.doi.org/10.1136/bmjopen-2018-023569.

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ObjectivesEarly diagnosis of childhood cancer is critical. Nevertheless, little is known about the potential role of inequality. This study aims to describe the use of primary care 2 years before a childhood cancer diagnosis and to investigate whether socioeconomic factors influence the use of consultations and diagnostic tests in primary care.DesignA national population-based matched cohort study.Setting and participantsThis study uses observational data from four Danish nationwide registers. All children aged 0–15 diagnosed with cancer during 2008–2015 were included (n=1386). Each case was matched based on gender and age with 10 references (n=13 860).Primary and secondary outcome measuresThe primary outcome was additional rates for consultations and for invoiced diagnostic tests for children with cancer according to parental socioeconomic factors. Furthermore, we estimated the association between socioeconomic factors and frequent use of consultations, defined as at least four consultations, and the odds of receiving a diagnostic test within 3 months of diagnosis.ResultsChildren with cancer from families with high income had 1.46 (95% CI 1.23 to 1.69) additional consultations 3 months before diagnosis, whereas children from families with low income had 1.85 (95% CI 1.60 to 2.11) additional consultations. The highest odds of frequent use of consultations was observed among children from low-income families (OR: 1.94, 95% CI 1.24 to 3.03). A higher odds of receiving an invoiced diagnostic test was seen for children from families with mid-educational level (OR: 1.46, 95% CI 1.09 to 1.95).ConclusionWe found a socioeconomic gradient in the use of general practice before a childhood cancer diagnosis. This suggests that social inequalities exist in the pattern of healthcare utilisation in general practice.
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Kim, Taeeung, Minju Kim, Chang-Yong Jang, and Nam-Gyeong Gim. "Effects of the Head Start Program on Socioecological Obesogenic Factors in American Children." International Journal of Environmental Research and Public Health 18, no. 9 (April 29, 2021): 4779. http://dx.doi.org/10.3390/ijerph18094779.

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Head Start is a nationwide developmental program for low-income families. This study aimed to investigate the association between the Head Start program and children’s BMI status, as well as their quality of life with respect to socioecological obesogenic factors. This cross-sectional study employed the Early Childhood Longitudinal Study-Kindergarten cohort (ECLS-K) in which the data were collected in 2007 and analyzed in 2019. Propensity-score matching analysis was performed to examine the association between the Head Start program and children’s BMI status, as well as the quality of life, controlling for socioecological obesogenic factors. A total of 3753 children (representing 1,284,209 at the population level) were recruited in this study (mean age: 13.69 years; girls: 49.42%). In the final matched model, the program did not have a statistically significant effect on children’s obesity. Fewer African American children participated in school-sponsored activities, perceived themselves as overweight, lived in a household with fewer family members, had less strict TV regulations, and were more likely to be overweight than their counterparts. Outcomes suggest that multiple dimensions of sociological obesogenic factors including individual, parental, familial, and community support factors affect the weight of children from low-income families and should be considered when establishing behavioral and policy interventions to thwart the childhood obesity epidemic.
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Marchand, Wouter. "Students from all Layers of Society. Study Grants, Parents and the Education of their Children, 1815-2015." Historical Life Course Studies 3 (May 12, 2016): 66–84. http://dx.doi.org/10.51964/hlcs9354.

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This paper investigates how the system of government grants affected individual life chances for students in the Netherlands from 1815 to today, focusing on the accessibility of academic education and opportunities for social mobility. Study grants for adolescents from lower class or low-income families can promote upward intergenerational social mobility, since they remove the financial barriers of continuing education and can lead to occupations of a higher standing. By investigating the social background and careers of a sample of grant students compared to the overall student populations, this paper uncovers to what extent study grants had an effect on an individual and societal scale. During the two centuries under study the aims and size of the grant system changed, causing concerns about the effectiveness of the grants. In the entire nineteenth century grants for university students were restricted to those already enrolled, minimizing the appeal for newcomers from low-income families. The limited number of grants available prevented the system from influencing the composition of the student population fundamentally. However, this changed when the grant system was extended in 1919, and again after 1945 when grant allocation was connected to parental income level. The rapid increase of educational participation and connected democratisation from the 1960s made the grant system influential, however costly. The grant system has been a subject of ongoing political debate during the last few decades, since the grants’ effect on upward social mobility has been called into question.
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Akilandeeswari, S. V., and C. Pitchai. "PROSPEROUS OF POTTERY INDUSTRY AND THE ARTISANS OF MANAMADURAI." International Journal of Research -GRANTHAALAYAH 4, no. 5SE (May 31, 2016): 44–52. http://dx.doi.org/10.29121/granthaalayah.v4.i5se.2016.2723.

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In India, over 260 million live in poverty. Poverty is because of high level unemployment, underemployment, low level of income and increase in debt. Developing rural economy is a prime concerns for every developing country. Continuously efforts were made for improving the social and economic well-being of rural people. The Department of Rural Development within the Ministry of Rural Development has been organized for upliftment of the rural people. Many programmes and schemes have been implemented for the development of rural economy. The schemes aim at generating employment, eliminating poverty, developing infrastructure, social security to the rural mass. Pottery is one of the oldest industries which provide employment to rural people. This sector is characterized by low investment, operational flexibility, local resources and domestic and export opportunity. An object of art made of a composition of clay and sand and baked with earthen color, is Pottery. A cottage industrial society in Manamadurai, more than 120 families of artisans are producing pottery crafts. The economy of this village largely depends on pottery industry. So a study has been made in Manamadurai Pottery Workers Cooperative society to analyze the problem of artisans and rejuvenate the industry.
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Povlsen, Lene, Susann Regber, Elisabeth Fosse, Leena Eklund Karlsson, and Hrafnhildur Gunnarsdottir. "Economic poverty among children and adolescents in the Nordic countries." Scandinavian Journal of Public Health 46, no. 20_suppl (February 2018): 30–37. http://dx.doi.org/10.1177/1403494817743894.

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Aims: This study aimed to identify applied definitions and measurements of economic poverty and to explore the proportions and characteristics of children and adolescents living in economic poverty in Denmark, Finland, Iceland, Norway and Sweden during the last decade and to compare various statistics between the Nordic countries. Methods: Official data from central national authorities on statistics, national reports and European Union Statistics of income and living conditions data were collected and analysed during 2015–2016. Results: The proportion of Nordic children living in economic poverty in 2014 ranged from 9.4% in Norway to 18.5% in Sweden. Compared with the European Union average, from 2004 to 2014 Nordic families with dependent children experienced fewer difficulties in making their money last, even though Icelandic families reported considerable difficulties. The characteristics of children living in economic poverty proved to be similar in the five countries and were related to their parents’ level of education and employment, single-parent households and – in Denmark, Norway and Sweden – to immigrant background. In Finland, poverty among children was linked in particular to low income in employed households. Conclusions:This study showed that economic poverty among Nordic families with dependent children has increased during the latest decade, but it also showed that poverty rates are not necessarily connected to families’ ability to make their money last. Therefore additional studies are needed to explore existing policies and political commitments in the Nordic countries to compensate families with dependent children living in poverty.
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Bizzego, Andrea, Mengyu Lim, Dagmara Dimitriou, and Gianluca Esposito. "The Role of the Family Network When Raising a Child with a Disability in Low- and Middle-Income Countries." Disabilities 1, no. 1 (March 19, 2021): 58–68. http://dx.doi.org/10.3390/disabilities1010005.

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Family plays a role in supporting child development, by facilitating caregiving and other parental practices. Low- and middle-income families typically have a complex structure with many relatives living together in the same household. The role of family and family complexity in the caregiving of children with disabilities is still unknown. In this study, we use data from N = 22,405 children with severe (N = 876) and mild or no disability (N = 21,529) from a large dataset collected in the 2005–2007 Multiple Indicator Cluster Survey. In particular, we adopt PageRank, a well-known algorithm used by search engines, to quantify the importance of each child in the family network. We then analyze the level of caregiving the child received in light of the child’s importance and developmental status, using a generalized linear model. Results show a main effect of child’s importance and of the interaction of child’s importance and developmental status. Post hoc analysis reveals that higher child importance is associated with a better caregiving outcome only for children with mild or no disability.
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Edwards Jr., D. Brent, Taeko Okitsu, and Peggy Mwanza. "Low-fee private schools, the state, and globalization: A market analysis within the political sociology of education and development." education policy analysis archives 27 (October 21, 2019): 133. http://dx.doi.org/10.14507/epaa.27.4534.

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This study investigates the emergence and supply-demand dynamics of a market for low-fee private schools (LFPS) at the level of early childhood care and education (ECCE) in a slum of Lusaka, Zambia. Based on data collection over 1.5 years, the study reveals that, despite a government policy to support ECCE, over 90% of ECCE centers are private; that school operators tend to be former teachers, businessmen/women, and religious leaders; and that LFPSs charge, on average, 2.5 times as much as government ECCE centers for tuition, not including additional indirect costs. The paper discusses how teachers in LFPSs are caught in the middle, making less than the average income earned by others in the surrounding slum, and are unable to afford LFPS fees themselves. Importantly, the paper highlights that lower income quintiles spend a greater percentage of their income on ECCE, and that a majority of families in the study must make tradeoffs between ECCE, food, housing, and other basic expenditures in order to afford private ECCE, which is a necessity given the inadequate supply of government ECCE centers. In addition to addressing school strategies for keeping costs down, this study reports on parental decision-making when it comes to school selection. Finally, beyond a straight market analysis of LFPSs at the ECCE level in Zambia, this article also comments on how this market fits into the dialectical nature of local and global contexts. That is, it draws attention to the workings of the Zambian state and its precarious position in the global capitalist economy.
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Yang-Huang, Junwen, Amy van Grieken, Lu Wang, Wilma Jansen, and Hein Raat. "Clustering of Sedentary Behaviours, Physical Activity, and Energy-Dense Food Intake in Six-Year-Old Children: Associations with Family Socioeconomic Status." Nutrients 12, no. 6 (June 9, 2020): 1722. http://dx.doi.org/10.3390/nu12061722.

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This study examined the clustering of lifestyle behaviours in children aged six years from a prospective cohort study in the Netherlands. Additionally, we analysed the associations between socioeconomic status and the lifestyle behaviour clusters that we identified. Data of 4059 children from the Generation R Study were analysed. Socioeconomic status was measured by maternal educational level and net household income. Lifestyle behaviours including screen time, physical activity, calorie-rich snack consumption and sugar-sweetened beverages consumption were measured via a parental questionnaire. Hierarchical and non-hierarchical cluster analyses were applied. The associations between socioeconomic status and lifestyle behaviour clusters were assessed using logistic regression models. Three lifestyle clusters were identified: “relatively healthy lifestyle” cluster (n = 1444), “high screen time and physically inactive” cluster (n = 1217), and “physically active, high snacks and sugary drinks” cluster (n = 1398). Children from high educated mothers or high-income households were more likely to be allocated to the “relatively healthy lifestyle” cluster, while children from low educated mothers or from low-income households were more likely to be allocated in the “high screen time and physically inactive” cluster. Intervention development and prevention strategies may use this information to further target programs promoting healthy behaviours of children and their families.
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Christiani, Yoseveline, Robi Irawan, and Yunisa Astiarani. "Demographic and Household Characteristics Related to Childhood Obesity in Public Elementary Schools in Penjaringan." Jurnal Ilmu Kesehatan Masyarakat 12, no. 1 (March 31, 2021): 12–20. http://dx.doi.org/10.26553/jikm.2021.12.1.12-20.

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Indonesia is experiencing the rise of childhood obesity prevalence, and the majority profound in low socioeconomic areas, which may aggravate the harmful impacts on the children's growth and health. This study was conducted to find significant factors of childhood obesity in low socioeconomic areas. A cross-sectional study design was carried out at two public elementary schools in Penjaringan subdistrict, North Jakarta. All students in both schools participated in the study and were selected based on inclusion criteria. A total of 731 students (grades 1 to 6) were eligible. The nutritional status was assessed by trained staff by calculating the Body Mass Index (BMI) for age and classifying the outcome based on the WHO z-scores chart. Parents filled a demographic and socioeconomic questionnaire to collect children's birthdate, parents' educational level, employment status, income, and health insurance. Logistic regression was performed to evaluate the association. The prevalence of obesity among students was 13.41%. The regression showed that male and younger students were likely to be obese. The students whose mothers were in secondary level of education, have an unemployed father, or in the low-income family (p<0.05) were more likely to be obese. The study shows that male and younger students were associated with childhood obesity. Besides, educated mothers, unemployed fathers, and families with low income tend to have obese children. The school needs to have a specific program for male and younger age students to increase healthy habits. Nutrition assessment, recommendation, and parents' involvement in school-based health programs need to be enhanced.
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Scott, M. J., and S. G. Stradling. "Evaluation of a Group Programme for Parents of Problem Children." Behavioural and Cognitive Psychotherapy 15, no. 3 (July 1987): 224–39. http://dx.doi.org/10.1017/s0141347300012313.

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A behaviourally based Programme was developed to assist parents with problem children. The Programme was intended for the typical social service clientele of single parent, low income or state benefit families and may be administered by social workers or assistants conversant with the Programme Manual. The Programme consists of six 90 min sessions run at weekly intervals during which a variety of behavioural techniques are taught, largely through role play, with a seventh follow up session a month later.The Programme was evaluated by a range of before and after measures on both a treatment group and a waiting list control group and maintenance of treatment gains was tested at three and, for some measures, six months interval. The Programme significantly reduced: the perceived number and intensity of child behaviour problems; parental depression, inward irritability and outward irrirability; and the level of perceived chlid conduct problems, impulsivity and anxiety. It significantly improved parents' chlid management skills. Improvement in parental depression and irritability was maintained at three months and reduction in chlid beviour problems was tested for and found at both three and six months.
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Ahuja Parikh, Divya, Meera Vimala Ragavan, Debeshi Maitra, Sangeeta Aggarwal, and Manali I. Patel. "Financial toxicity of cancer treatment at a diverse county hospital." Journal of Clinical Oncology 36, no. 30_suppl (October 20, 2018): 76. http://dx.doi.org/10.1200/jco.2018.36.30_suppl.76.

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76 Background: The rising costs of cancer care increasingly results in financial distress for patients and their families. Low-income patients face a greater burden of financial toxicity, but few studies have characterized what factors contribute to this, and what interventions can relieve toxicity. Methods: From October 2017 to December 2017, we used a validated COST survey tool to understand the extent of financial burden that patients with cancer experience. We surveyed patients who receive their oncology care in a medical system that serves predominantly minority and low-income patients in Santa Clara County. We collected demographic information including sex, education level, ethnicity, income, insurance status, monthly out of pocket costs (OOPC) and employment status prior to diagnosis. We used a multivariable linear regression to study the association between the patient factors and financial burden as demonstrated by the COST score. All data were analyzed using Stata 14. Results: Demographic information is presented in Table 1. A total of 152 patients completed all 11 items of the COST survey. In the multivariate model, there was no significant difference in COST score by sex, education level, or ethnicity. However, income ≤$25,000 was associated with higher COST scores (p = 0.019), as was higher monthly OOPC (p = 0.003). Medicare patients and patients who were employed prior to diagnosis tended to have higher COST scores although not quite statistically significant (p = 0.057, p = 0.083). Conclusions: Patient-reported financial toxicity is an unmet concern among patients in this single institution study with a high proportion of underinsured patients. Higher OOPC and low income was associated with a higher financial burden. These findings suggest that patients would benefit from targeted interventions to mediate out of pocket costs of cancer care.[Table: see text]
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Grätz, Michael, Kieron J. Barclay, Øyvind N. Wiborg, Torkild H. Lyngstad, Aleksi Karhula, Jani Erola, Patrick Präg, Thomas Laidley, and Dalton Conley. "Sibling Similarity in Education Across and Within Societies." Demography 58, no. 3 (April 21, 2021): 1011–37. http://dx.doi.org/10.1215/00703370-9164021.

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Abstract The extent to which siblings resemble each other measures the omnibus impact of family background on life chances. We study sibling similarity in cognitive skills, school grades, and educational attainment in Finland, Germany, Norway, Sweden, the United Kingdom, and the United States. We also compare sibling similarity by parental education and occupation within these societies. The comparison of sibling correlations across and within societies allows us to characterize the omnibus impact of family background on education across social landscapes. Across countries, we find larger population-level differences in sibling similarity in educational attainment than in cognitive skills and school grades. In general, sibling similarity in education varies less across countries than sibling similarity in earnings. Compared with Scandinavian countries, the United States shows more sibling similarity in cognitive skills and educational attainment but less sibling similarity in school grades. We find that socioeconomic differences in sibling similarity vary across parental resources, countries, and measures of educational success. Sweden and the United States show greater sibling similarity in educational attainment in families with a highly educated father, and Finland and Norway show greater sibling similarity in educational attainment in families with a low-educated father. We discuss the implications of our results for theories about the impact of institutions and income inequality on educational inequality and the mechanisms that underlie such inequality.
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Kartseva, Marina A., and Polina O. Kuznetsova. "The economic consequences of the coronavirus pandemic: which groups will suffer more in terms of loss of employment and income?" Population and Economics 4, no. 2 (April 22, 2020): 26–33. http://dx.doi.org/10.3897/popecon.4.e53194.

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The paper estimates the scale of the possible impact of the coronavirus epidemic on the Russian labor market and household incomes. We consider vulnerable employment, which includes workers with increased risks of job loss, wage cuts and other negative events that reduce labor incomes. The analysis shows that every second Russian worker can be classified as vulnerable employee. The highest risks for reducing labor incomes as a result of the epidemic are faced by young people, workers with a low level of education, as well as residents of regional centers. About a third of vulnerable employees experience complex vulnerability, i.e. meet several criteria of vulnerability. A decrease in labor incomes could also affect the wealth of about 40% of Russian households. The worst situation is for younger families, whose incomes are much more dependent on the labor market. Most of the households in which vulnerable workers live do not receive social benefits, and therefore it would be rather difficult for them to count on prompt assistance from the social protection system. Currently Russia is actively developing a set of measures to support employment. In particular, government decided to provide support for the most affected by COVID sectors, the size of unemployment benefits has been increased for citizens who have lost their jobs due to the epidemic. However, it is obvious that this list should be extended and account for various forms of deterioration of employment.
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Vu, Thanh-Huyen T., Allison Groom, Joy L. Hart, Hy Tran, Robyn L. Landry, Jennie Z. Ma, Kandi L. Walker, et al. "Socioeconomic and Demographic Status and Perceived Health Risks of E-Cigarette Product Contents Among Youth: Results From a National Survey." Health Promotion Practice 21, no. 1_suppl (January 2020): 148S—156S. http://dx.doi.org/10.1177/1524839919882700.

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Background. The prevalence of e-cigarette use among youth is rising and may be associated with perceptions of health risks for these products. We examined how demographic factors and socioeconomic status (SES) are correlated with the perceived health risks of e-cigarette product contents among youth. Method. Data were from a national online survey of youth aged 13 to 18 between August and October 2017, weighted to be representative of the overall U.S. population in age, sex, race/ethnicity, and region. Survey analysis procedures were used. Results. Of 1,549 e-cigarette users and 1,451 never-e-cigarette users, 20.9% were Hispanic, 13.7% Black, 21.7% LGBTQ (lesbian/gay/bisexual/transgender/queer), and 49.3% in low-income families. With adjustment for e-cigarette use status, perceived health risks of nicotine and toxins/chemicals in e-cigarettes significantly differed by gender, race, sexual orientation, and SES ( ps < .05). For example, adjusted odds of perceiving harm from nicotine were 60% higher in girls versus boys, 34% lower in non-Hispanic Blacks versus non-Hispanic Whites, 33% lower in urban versus suburban residents, 40% higher in LGBTQ versus straight-identifying individuals, and 28% lower in low-income versus high-income families. Lower parental education level also was associated with children’s lower health risk perception of e-cigarette product contents. Conclusions. For youth, the perceived health risks of e-cigarette product contents were associated with demographics, sexual orientation, and SES. The findings may have relevance for developing communication and education strategies addressing specific youth audiences, especially those in vulnerable groups. These strategies could improve awareness among youth concerning the health risks of e-cigarettes, helping to prevent or reduce e-cigarette uptake and continued use.
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Muggli, Zélia, Thierry Mertens, Silva -Sá, Regina Amado, Ana L. Teixeira, Dora Vaz, and Maria Rosário O. Martins. "Migration as a Determinant in the Development of Children Emotional and Behavior Problems: A Quantitative Study for Lisbon Region, Portugal." International Journal of Environmental Research and Public Health 18, no. 2 (January 6, 2021): 375. http://dx.doi.org/10.3390/ijerph18020375.

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The role of migration as a determinant in child mental health has been demonstrated in a number of studies. However, results are not always consistent, and the research continues to be scarce, especially in Portugal. We examined the association between sociodemographic profiles and the chance for the development of emotional and behavioral difficulties in a group of 420 children, immigrant (n = 217) and born in Portugal to Portuguese born parents (n = 203). We used a structured questionnaire to obtain sociodemographic information and the Strength and Difficulties Questionnaire (SDQ). Descriptive statistics were used to characterize children and their families; variables were compared between groups using the Chi-squared, Fisher’s Exact Test, or the Mann–Whitney U test and logistic regression was used to analyze the association between socio-demographic factors and emotional and behavioral difficulties. Results showed a pattern of social and mental health inequalities with immigrant children at a disadvantage: they are more often part of families with low income and where parents had low skilled jobs. Internalizing behaviors are more frequent in immigrants than in children born in Portugal to Portuguese-born parents (p = 0.001) whereas a high total SDQ difficulties score (p = 0.039) and externalizing behaviors were more frequent in 1st generation immigrant children (p = 0.009). A low family income (aOR 4.5; 95% CI: 1.43–13.95), low parental education level (aOR 2.5; 95% CI: 1.11–5.16), and being a first-generation immigrant child (aOR 2.2; 95% CI: 1.06–4.76) increased significantly the chance of developing emotional and behavioral difficulties. This study contributes to the identification of children vulnerable to mental health problems who can benefit from monitoring, early detection and preventive interventions in order to mitigate possible negative outcomes in the future.
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Arbie, Fitri Yani, and Rahma Labatjo. "Examining the nutrition levels and stunting problem in Indonesian children." AcTion: Aceh Nutrition Journal 4, no. 2 (December 19, 2019): 89. http://dx.doi.org/10.30867/action.v4i2.126.

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Stunting is recognised as a critical issue in the developing countries like Indonesia that arises due to nutritional deficiencies. The present research paper is aimed at examining the problem of stunting among the Indonesian children of age group 0 to 5 years. Methods, qualitative study with interpretivism philosophy and descriptive research design. Data analysing is using meta-analysis method. Results, the level of nutrition among the children belonging to poor and rural families is lower as compared to the children belonging to urban and rich families in Indonesia. The key reasons behind increasing rate of stunting problem among the children are insufficient nutrition level, low paternal education and less hygienic living conditions. Conclusions, the major reason for stunting is found to be the low level of proper nutrition provision to the children of 0-5 years within Indonesia. It is proposed that proper nutrition should be provided to the Indonesian children and for this purpose, the rural and low-income families should be provided with proper education, employment and financial support. Stunting harus diakui sebagai masalah kritis pada negara berkembang seperti Indonesia yang muncul akibat kekurangan gizi. Penelitian bertujuan untuk meneliti masalah stunting pada anak-anak Indonesia dari kelompok umur 0 hingga 5 tahun. Metode, penelitian kualitatif dengan filosofi interpretivisme dan desain penelitian deskriptif. Analisis data menggunakan metode meta-analisis. Hasil penelitian menemukan, status gizi pada anak-anak dari keluarga miskin dan pedesaan lebih rendah dibandingkan dengan anak-anak dari keluarga perkotaan dan kaya di Indonesia. Alasan utama dibalik meningkatnya masalah stunting di pada anak-anak adalah asupan gizi yang tidak memadai, rendahnya pendidikan orang tua dan lingkungan yang kurang higienis. Kesimpulan, alasan utama banyak stunting ditemukan karena rendahnya tingkat pemberian nutrisi yang tepat untuk anak-anak 0-5 tahun di Indonesia. Saran, nutrisi yang tepat harus diberikan kepada anak-anak Indonesia supaya permasalahan stunting teratasi, selain itu masyarakat di pedesaan dan berpenghasilan rendah harus diberikan pendidikan yang layak, pekerjaan dan dukungan ekonomi yang memadai.
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Ghosh, Nayantara, Ramanan Aiyadurai, and Sloane Freeman. "ATTENTION-DEFICIT/HYPERACTIVITY DISORDER (ADHD) IN SCHOOL-AGED CHILDREN AT TWO SCHOOL BASED HEALTH CENTERS (SBHCS): A DESCRIPTIVE STUDY." Paediatrics & Child Health 23, suppl_1 (May 18, 2018): e6-e6. http://dx.doi.org/10.1093/pch/pxy054.015.

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Abstract BACKGROUND The number of school-aged children diagnosed with ADHD in Canada has been on the rise over the past three decades. Evidence suggests that children with ADHD dealing with risk factors, such as poverty and prolonged wait-times are more likely to have poorer outcomes due to challenges in accessing healthcare services. Schools are ideal for the early identification of children with ADHD, as they are often the setting in which attention and behavioural issues come to light. School-Based Health Centres (SBHCs) are embedded within the school system and are an ideal entry point for children with ADHD into the healthcare system. OBJECTIVES To examine the prevalence of ADHD and as well as demographic characteristics and time to assessment of children at two inner-city SBHCs in Toronto. DESIGN/METHODS A retrospective chart review was performed on 869 children from November 2010- March 2016 from two SBHCs. Frequency measures were used to determine the proportion of children that received a new diagnosis of ADHD. Within this population, the patient’s age, gender, ethnicity, parental income, home arrangement, parental education and newcomer status were described. Diagnostic wait-times within the SBHC were calculated using two specific data points – a child’s first clinic visit data and the clinic date they saw a general paediatrician, who would provide the ADHD diagnosis. RESULTS Of the 869 children, 9.6% of children received a new diagnosis of ADHD. The mean age of diagnosis was 7.6 years and 80% of the children were male. 74.6% of children’s families identified them as an ethnicity other than white. 60.2% of the patients’ household income was <$30,000/year. 44.5% of the families were composed of single-parent households. 52.8% of the patients’ mothers and 47.6% of fathers had completed a high school level of education or less. 34% of the children were not born in Canada, and of those, 57% had been in the country for only 0–3 years. The average wait time for a child to see a general paediatrician for a developmental assessment from initial visit date was 62.3 days. CONCLUSION The prevalence of ADHD at 2 SBHCs was higher than that reported in the general population. A number of barriers to health care access were identified in this cohort of children including low income, single parent homes and newcomer status. SBHCs serve as an accessible health care model that can provide timely diagnosis and management to vulnerable children with ADHD which may improve outcomes.
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Tilaye, Sintayehu. "Exploratory Research on Protective Factors Associated with Youth Offending: The Case of East Gojjam Zone, Ethiopia." International Journal of Social Work 4, no. 2 (October 9, 2017): 15. http://dx.doi.org/10.5296/ijsw.v4i2.11967.

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The youths have consistently been hypothesized to be disproportionately responsible for crime and are more vulnerable to violence than any other age group which is costing the community billions of dollars per year, creates a sense of fear and lowers the quality of life for many people. In the first section of this paper, risk factors of youth offending were studied. This research deals on protective factors of youth offending in East Gojjam Zone which is located in Amhara Regional state of Ethiopia. Led by constructionist approach, this research used qualitative exploratory case study strategy. In-depth interview with youth offenders and non-offenders, key informant interview with officials mainly from police and correctional center were the central data collection technique. In addition, document review was also used to get any supportive data from various offices and researches. Generally sixteen youth offenders and thirteen key informants, a total of twenty eight participants were participated. None probability sampling method of purposive sampling technique was employed to select the research participants. Age, gender, and social setting of rural vs. urban were considered to select research participants and get comprehensive information. The finding of the study shows that economic improvement including employment opportunities, increased level of awareness, affiliation to law-abiding youths, consistent parental supervision, family stability and free familial relationship, proper family socialization, adequate income of the family, youth’s steady enrollment to school, and provision of extra circular activities are protective factors of youth offending. In addition, separated rehabilitation center for adolescent and adult, , economic development of the community, limiting the accessibility of alcohol and guns, strong culture against crime, strengthening traditional conflict resolution mechanism, expansion of youth centers with possible services, well equipped lawyers and police officials, strong organized community policing strategy, and improved rehabilitation service are also another opportunities found that reduce the risk factor of youth offending behavior. The finding shows that those multi-level personal, peer, familial, school, cultural, and community level opportunistic factors are not exclusive rather interdependent. Therefore, in order to reduce youths’ involvement in offending behavior, stockholders could work collaboratively.
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Batychenko, Svitlana. "FEATURES OF FAMILY POLICY IN EUROPE." GEOGRAPHY AND TOURISM, no. 60 (2020): 65–72. http://dx.doi.org/10.17721/2308-135x.2020.60.65-72.

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Goal. Analysis of the peculiarities of family policy in European countries, such as France, Sweden, Germany, Great Britain. Method. The study is based on general scientific methods, namely, analysis and synthesis, descriptive, analytical. And also socio-geographical - comparative-geographical. Results. Family policy in European countries focuses on the life position of young people, promotes gender equality, creates opportunities to combine work, education and family activities through a well-developed infrastructure. The establishment of the modern family model in which both parents work and the expansion of public education and services for children and families reduce relatively high child poverty, create new jobs in services, and reduce social inequality. Although European countries pursue a common family-gender strategy, they also have their own traditional model of family protection. The Scandinavian model is characterized by comprehensive support for working parents with young children (under the age of three) through a combination of material mechanisms, holidays and wide access to childcare facilities. An important aspect is the policy of gender equality and women's integration in the labor market. The main source of funding for family policy - taxes. Anglo-Saxon - is characterized by deliberately less financial support from families by the state, giving priority to low-income families. The main idea is the non-interference of the state in family and marriage processes and ensuring the well-being of families through the general development of the welfare of society. "Napoleonic" - use intangible forms of support: tax benefits, targeted loans. France has the highest level of state support for families with children and support for working women. The principle of subsidiary security is professed. Taxes and financial contributions are used. The German fiscal system does not encourage couples to work equally, as the tax burden on domestic work is much higher for two full-time employees. Parental leave allows mothers to leave the labor market for up to three years for one child. Scientific novelty. Analysis and comparison of family policy features in European countries. Practical significance. Implementation of family policy measures in domestic practice based on the experience of European countries, choosing the most successful option. The best option is to improve the demographic situation in the country.
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Assari, Shervin. "Dimensional Change Card Sorting of American Children: Marginalization-Related Diminished Returns of Age." Children and Teenagers 3, no. 2 (November 23, 2020): p72. http://dx.doi.org/10.22158/ct.v3n2p72.

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Background: While age is associated with an increase in cognitive flexibility and executive functioning as a result of normal development during childhood, less is known about the effect of racial variation in children’s age-related cognitive development. The Marginalization-related Diminished Returns (MDRs) phenomenon suggests that, under racism, social stratification, segregation, and discrimination, individual-level economic and non-economic resources and assets show weaker effects on children’s development for marginalized, racialized, and minoritized families. Aim: We conducted this study to compare racial groups of children for age-related changes in their card sorting abilities. Methods: This cross-sectional study included 10,414 9-10-year-old American children. Data came from the Adolescent Brain Cognitive Development (ABCD) study. The independent variable was age, a continuous variable measured in months. The dependent variable was Dimensional Change Card Sort (DCCS) score, which reflected cognitive flexibility, and was measured by the NIH Dimensional Change Card Sort. Ethnicity, sex, parental education, and marital status were the covariates. Results: Older age was associated with higher DCCS score, reflecting a higher card-sorting ability and cognitive flexibility. However, age showed a weaker association with DCCS for Black than for White children. This was documented by a significantly negative interaction between race and age on children’s DCCS scores. Conclusion: Age shows a weaker correlation with the cognitive flexibility of Black than of White children. A similar pattern can be seen when comparing low-income with high-income children. Conceptualizing race as a social factor that alters normal childhood development is a finding that is in line with MDRs. Marginalization due to social stratification and racism interfere with the normal age-related cognitive development of American children.
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Suryati, Suryati, Supriyadi Supriyadi, and Eka Oktavianto. "GAMBARAN BALITA STUNTING BERDASARKAN KARAKTERISTIK DEMOGRAFI IBU DI WILAYAH KERJA PUSKESMAS PUNDONG BANTUL YOGYAKARTA." Medika Respati : Jurnal Ilmiah Kesehatan 15, no. 1 (February 15, 2020): 17. http://dx.doi.org/10.35842/mr.v15i1.256.

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Background: Stunting is still a children’s nutrition problem at this time. The percentage of cases of stunting children’s is increasing. Stunting can affect children in the long run, that is, disrupt health, education and productivity in the future. Maternal demographic factors are thought to be a factor that plays a role in the occurrence of stunting children.Purpose: provide an overview and discussion of stunting based on maternal demographic characteristics.Method: This research is a non-experimental research with an observational descriptive approach. Data was collected using a demographic characteristics questionnaire. The sample in this study was 90 stunting toddlers in the working area of the Pundong Community Health Center, Bantul, Yogyakarta. The sampling technique in this study uses simple random sampling. Data analysis uses percentage formulasResults: in stunting toddlers, the majority of maternal’s aged less than 30 years were 52 people (58%), the majority of maternal’s' education was low education (junior high school and elemtary school) which was 60 people (66%), the number of family members was more than 4 people were as many as 64 respondents (66.7%), the majority of mother who did not work were 52 people (57.8%), had incomes that were less than district minimum wage, which were 63 people (70%).Conclusion: there are several parental demographic factors that have a role in the occurrence of stunting under five, such as: maternal’s age, level of education, number of family members, employment status, and family income.
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Herke, Max, Katharina Rathmann, and Matthias Richter. "Trajectories of students’ well-being in secondary education in Germany and differences by social background." European Journal of Public Health 29, no. 5 (March 29, 2019): 960–65. http://dx.doi.org/10.1093/eurpub/ckz049.

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Abstract Background Subjective well-being (SWB) is an important indicator of quality of life, but prior research mostly analyzed adolescents’ subjective well-being in cross-sectional studies. There is a lack of studies examining changes in subjective well-being throughout adolescence using longitudinal panel data. This study examined trajectories of subjective well-being of adolescents in Germany throughout secondary education and differences by socioeconomic position, gender and family structure. Methods We use the German National Educational Panel Study and combine data from annual survey waves of two of its cohorts. These were first surveyed in 2010 and cover 5th to 10th and 9th to 12th grade level. Using growth curve modelling based on multilevel models, differences in levels and trajectories of subjective well-being overall and differentiated by school type, parental education, household income, gender and family structure were identified. The analyses include 34 504 observations of 12 564 students. Results Subjective well-being decreased from 5th to 12th grade. Students attending lower track schools showed lower subjective well-being, but also a lesser decrease over time. Students living in low-income households or in single-parent or step-families showed lower subjective well-being. Female students showed higher subjective well-being than males in 5th grade, but also a higher decrease over time, leading to lower subjective well-being than males by 12th grade. Conclusion This study provides a comprehensive picture of subjective well-being throughout secondary education. Adolescents’ subjective well-being is linked to social factors regarding family and living conditions as well as school features. Overall, disadvantaged adolescents experience longer periods of lower subjective well-being, thus accumulating the effects of worse psychosocial health opportunities over time.
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Kaoje, Aminu U., Ladan Haliru, Mansur O. Raji, Umar M. Ango, and Jessica T. Ango. "Knowledge, Perception and Practice of Safety Measures Related to Workplace Hazards among Manual Stone Crushing Workers in Sokoto, Nigeria." International Journal of Occupational Safety and Health 8, no. 1 (January 31, 2018): 8–18. http://dx.doi.org/10.3126/ijosh.v8i1.22923.

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Background: Although manual stone crushing activities provide income to families, the working conditions are often unhealthy and dangerous and employees are ignorantly exposed to different hazardous materials particularly dust particles. Objectives: To assess Knowledge, perception, and Practice of occupational safety measures related to workplace hazards among manual stone crushing workers. Methods: A descriptive cross-sectional study was conducted among 156 informal small-scale quarries for construction materials workers in Sokoto metropolis. The respondents were selected using a simple random sampling technique and data collected using interviewer-administered questionnaires. Descriptive, bivariate and binary logistic regression analyses were performed using Statistical Package for Social Sciences version 23 and results presented in tables. Results: Respondents median age was 23 years, interquartile range: 18.3 – 28.0. Adolescents and young adults accounted for 54.4% of the workforce. All the respondents were males and 69.9% had no formal education. Only 25% had good knowledge of workplace hazard and as high as 63% have a low-risk perception of the hazards. Very few (7.7%) reported the use of personal protective equipment. Only awareness of disease risk (aOR =5.25, P <0.001) was the predictor of respondents’ knowledge of workplace hazards. Predictors for risk perception level of workplace hazards were respondents’ knowledge (aOR = 0.33, p˂0.01); Aware of risk of disease (aOR =2.92, P <0.01); and employment status (aOR = 0.31, p˂0.03). Conclusions: Poor knowledge and low-risk perception of workplace hazards are very prevalent among workers and very few reported use of personal protective equipment. Training and awareness creation on workplace hazards are highly recommended.
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Castro, Cindy, Margaret Jones, Daisy Posada, Robyn Mehlenbeck, and Sina Gallo. "Predictors of Attendance and Attrition Among Participants of Vidas Activas y Familias Saludables (VALÉ), a Pediatric Weight Management Program for Latino Families." Current Developments in Nutrition 4, Supplement_2 (May 29, 2020): 1615. http://dx.doi.org/10.1093/cdn/nzaa063_013.

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Abstract Objectives To assess the demographic predictors of attrition and attendance among Latino children and their families participating in a family-based, culturally-adapted pediatric weight management program. Methods Latino children, ages 5–9 with a BMI-for-age ≥85th percentile were recruited from local schools and clinics serving low-income populations. Families met weekly as a group for ∼120 minutes for 10 consecutive weeks. The VALÉ program was designed to address nutrition, physical activity, and health behavior modification. The current analysis included data from four cohorts that participated in the VALÉ program between 2017 and 2019. Demographic variables were collected from families at baseline. Family attendance was recorded at each session and categorized (as ≤80% and &gt;80% of sessions attended). Attrition was defined the % of participants who returned for follow-up immediately post program completion. Differences in demographics between attendance and attrition groups were compared using X2 or T-Test and an alpha of 0.05 was used as the cutoff for significance. Results Participants (n = 88) had an average age of 7.6 years, 66% were male, and the majority of parents were born in Central America (78% of mothers, 74% of fathers). Average household size was 5.7 with 88% reported being &lt;185% of the federal poverty level. Overall, 18% attended &gt;80% of all sessions and 61% returned for follow-up. Both maternal and paternal age were significantly higher for those completed &gt;80% of sessions (P = 0.12 and 0.17, respectively) and returned for follow-up (P &lt; 0.01 and P = 0.05, respectively). The proportion of mothers who were employed was higher among those who completed &gt;80% of sessions (69%) compared with those attending fewer sessions (39%, P = 0.03). Total number of children in the household was lower among those who returned for follow-up (P = 0.04). Conclusions Among a Latino sample of children and their families participating in a pediatric weight management program, maternal and paternal age, number of children in the household, and maternal employment were important predictors of either program attendance and/or attrition. Funding Sources George Mason University, Potomac Health Foundation.
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Oteshova, Almagul, Natalia Prodanova, Aigul Niyazbayeva, Natalia Savina, and Vadim Dikikh. "MODERN PROBLEMS AND ASSESSMENT OF THE EFFECTIVENESS OF THE STATE SOCIAL POLICY AND SOCIAL SECURITY OF THE POPULATION." Humanities & Social Sciences Reviews 8, no. 4 (October 4, 2020): 1482–93. http://dx.doi.org/10.18510/hssr.2020.84136.

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Purpose of the study: This article aims to analyze the theoretical and practical issues of public administration in the social sphere in a market economy; to consider the implementation of social programs of the Republic of Kazakhstan. Recommendations were also made to assess areas for improving the social system. Special attention is paid to the analysis of political activities and policies in all spheres of society. Methodology: The study was based on the analysis of the development of social sectors in a market economy and evaluated the directions for improving the system of social sectors in a market economy. General scientific methods of cognition-dialectical, analysis, synthesis, system and functional approaches, generalization, comparison, analogy; methods of empirical research have been employed for this study. Main Findings: In the article were studied and suggested ways to support the poor and low-income segments of the population, help them find employment in society, reduce the level of crime in society, develop social spheres (education, health, science, culture, residential homes, etc.), and ensure the country's environmental security. Applications of this study: The results of the study can be used by public authorities in the development and implementation of policies in the field of social protection and income regulation, population and development, gender, and family policy. Novelty/Originality of this study: The study includes the development of theoretical foundations of social protection of the population, taking into account the current rules of economic social dynamics; the development of a model for the implementation of social protection of the population related to the justification of parameters of its demographic effectiveness and the justification of new directions and practical recommendations in the development of methodological approaches for the development of social protection of young families.
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Harris, Kelly M., Taniya Varughese, Anna Bauer, Seth Howdeshell, Cecelia Calhoun, Regina Abel, and Allison A. King. "The Relationship between Mental Health, Educational Attainment, Employment Outcomes, and Pain in Sickle Cell Disease." Blood 134, Supplement_1 (November 13, 2019): 419. http://dx.doi.org/10.1182/blood-2019-129874.

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Sickle cell disease (SCD) is the most common genetic condition in the world and disproportionately affects African Americans in families with lower household incomes. SCD is characterized by a variety of complications including episodes of severe pain, chronic anemia, and end-organ damage. Morbidity from SCD begins in infancy and increases in frequency and severity with age. Complications during childhood and adolescence, both critical learning periods for youth, substantially impact educational attainment and life outcomes. SCD-related hospitalizations are associated with social determinants of health, such as socioeconomic status (SES), depression, health literacy, and educational outcomes. In youth with SCD, family and neighborhood SES are predictors of pain level, pain frequency, and overall quality of life. In addition to the physiological impacts of SCD, individuals with SCD experience emotional and stress related effects of the disease that may impact daily quality of life and frequency and severity of pain. Studies have found that hospital admission frequency has limited or no impact on academic outcomes in youth with SCD. Few studies have explicitly examined the relationship between SCD-related pain and educational, socioeconomic, and mental health outcomes. This is a cross-sectional study of patient survey data from a single site in the Sickle Cell Disease Implementation Science Consortium (SCDIC). The primary objective was to identify a relationship between educational attainment, employment status, mental health, and the frequency, severity, or length of pain crises for individuals with SCD. Multivariate analysis was used to assess the impact of patients' educational attainment, employment status, annual household income (low = less than $25,000, high = $75,001 and above), and self-reported depression on the frequency, length, and severity of SCD-related pain. Our central hypothesis was that individuals with a history of depression, lower educational attainment, periods of unemployment, and lower incomes experience more frequent, more severe, and longer pain crises. A total of 307 participants were included. The mean age was 27.4 years (range 15 to 45), 58.3% were female, and 99% were African American. Sixty-two percent had Hgb SS, the most severe form of SCD. About half of all patients (50.5%) reported they take pain medication every day for SCD and majority were on some form of disease modification (64.2% on hydroxyurea (HU), 20.2% on chronic blood transfusion). Slightly less than half (48.9%) reported their highest level of education as a high school diploma or lower. Most were unemployed (15.3%), students (22.8%), or disabled (21.5%), and 59.2% reported an average annual household income less than $25,000. Univariate analysis revealed statistically significant associations between employment status as unemployed or disabled and frequency of pain (p &lt; .001), employment status as unemployed or disabled and severity of pain (p &lt; .001), and employment status as disabled and length of pain &gt; 4 days. Relationships between depression and frequency and severity of pain were statistically significant at the p &lt; .001 level, and between depression and length of pain &gt; 1 week at the p &lt; .01 level. Multivariate analysis revealed positive statistically significant relationships between depression and high pain frequency (p &lt; .001), employment status as disabled and severe pain (p &lt; .01), depression and severe pain (p &lt; .01), and employment status as disabled and length of pain &gt;4 days (p &lt; .05), Table 1. Educational attainment did not demonstrate statistically significant relationships with pain outcomes. No variables demonstrated statistically significant relationships with length of pain &gt; 1 week and length of pain &gt; 2 weeks. The only significant association with pain outcomes was that HU users were less likely to take daily opioids. Individuals with SCD who are disabled or have a history of depression are more likely to report more severe and frequent pain. No relationship emerged between educational attainment and pain outcomes. As the results are limited to the cross-sectional design, we cannot make statements of causality. For now, we know that people with SCD and these risk factors need further study for interventions. We plan to further assess study participants across all eight SCDIC sites in the next phase of this work. Disclosures King: Bioline: Consultancy; Amphivena Therapeutics: Research Funding; Incyte: Consultancy; Cell Works: Consultancy; Celgene: Consultancy; Magenta Therapeutics: Membership on an entity's Board of Directors or advisory committees; Novimmune: Research Funding; RiverVest: Consultancy; Tioma Therapeutics (formerly Vasculox, Inc.):: Consultancy; WUGEN: Equity Ownership.
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