Frequent Family Research Articles

Relationship between fibrosis-4 index and new onset hypertension in the general population

Abstract Background/Introduction Non-alcoholic fatty liver disease (NAFLD) is a risk for cardiovascular events and malignant tumors as well as liver cirrhosis, and the risk increases with increasing fibrosis of the liver. Thus, the fibrosis-4 (FIB-4) index, developed as a noninvasive test to stage liver fibrosis, may predict the development of hypertension. Purpose The present study investigated the relationship of FIB-4 index with the prevalence and future development of hypertension in the general population. Methods A total of 16125 participants who visited our hospital for a physical check-up at least twice from 2008 to 2018 (male=9700, 52.0±12.3 year-old) were subjected for cross-sectional analysis. Among them, 3995 participants were hypertensive. The remaining 12111 normotensive participants (male=6984, 49.5±11.9 year-old) were followed up for the median of 1643 days with the endpoint being the development of hypertension, defined as systolic blood pressure ≥140mmHg, diastolic blood pressure ≥90mmHg or the use of antihypertensive medication. FIB-4 index was calculated as follows; (age×AST)/(platelet number×√ALT). Results Cross-sectional analysis revealed that FIB-4 index was higher in hypertensive than normotensive participants (1.40±0.74 vs. 1.09±0.54, p<0.001). During the follow-up, 2819 participants (45.7 per 1000 person-year) developed hypertension. The incidence was more frequent in male (55.6 per 1000 person-year) than female participants (32.7 per 1000 person-year, p<0.001). High level of FIB-4 index (≥2.67, n=194) showed a significant impact on the incident hypertension (80.5 per 1000 person-year) as compare with middle (≥1.30, <2.67, n=3082) or low level (<1.30, n=8835) of FIB-4 index (65.4 and 38.8 per 1000 person-year, respectively). Non-adjusted hazard ratio (HR) (95% confidence interval [CI]) of FIB-4 index for the new onset of hypertension was 1.483 (1.416-1.553). In multivariate Cox hazard analysis adjusted for sex, body mass index, systolic blood pressure, pulse rate, serum creatinine, uric acid, HbA1c, LDL-cholesterol, triglyceride, hemoglobin, current smoking, frequent alcohol consumption and family history of hypertension, FIB-4 index was an independent predictor of the development of hypertension (HR 1.321, 95%CI [1.213-1.438]). Similar results were obtained in analyses of male (HR 1.382, 95%CI [1.300-1.470]) and female subgroups (HR 1.369, 95%CI [1.230-1.524]). History of viral hepatitis or frequent alcohol consumption did not affect the results (data not shown). Conclusions FIB-4 index is a useful predictor of the development of hypertension in the general population. Increased risk of cardiovascular events in patients with NAFLD may partially be attributable to the development of or coexistence with hypertension.

C9orf72 gene repeat expansion phenotype profile of motor neurone disease in Portugal

BackgroundC9orf72 gene repeat expansion (C9RE) is the most frequent gene variant associated with amyotrophic lateral sclerosis (ALS). We aimed to study the phenotype of motor neurone disease (MND) patients with C9RE in a Portuguese cohort. MethodsDemographical and clinical data of MND patients with (C9RE+) and without C9RE were compared. ALS al Rating Scale-Revised (ALSFRS-R) and Edinburgh Cognitive and Behavioural ALS Screen (ECAS) were used to evaluate functional and cognitive performance, respectively. Survival analysis was performed using Kaplan Meier log-rank test and Cox proportional hazards model. ResultsWe included 761 patients of whom 61 (8.0 %) were C9RE+. C9RE+ patients had a higher frequency of ALS (95.1 vs 78.4 %, p = 0.002), and lower frequency of progressive muscular atrophy (3.3 vs 16.7 %, p = 0.006). C9RE+ was associated with earlier age of onset (58.1 vs 62.6 years, p = 0.003) and more frequent MND family history (65.5 vs 11.4 %, p < 0.001). Gender, ethnicity, onset site, diagnostic delay, disease progression rate until diagnosis (ΔF), ALSFRS-R and time until non-invasive ventilation did not differ between groups. Cognitive/behavioural symptoms and ECAS did not differ between groups, except a worse visuospatial score in C9RE+ group (p = 0.035). Death rate was 1.8 and 1.6 times higher in C9RE+ patients with MND and ALS, respectively. Significant survival prognostic factors in C9RE+ group were diagnosis delay (HR = 0.96, 95 %CI 0.92–0.99, p = 0.008) and ΔF (HR = 1.93, 95 %CI 1.26–2.96, p = 0.002). ConclusionOur study corroborates most previous cohorts' findings, but harbours some singularities regarding onset site, phenotype, and cognitive profile, that contribute to a better understanding of C9RE epidemiology.

Optimizing outcomes: Impact of palliative care consultation timing in the cardiovascular intensive care unit

BackgroundICU patients and their families experience significant stress due to illness severity and prognostic uncertainty, making palliative care (PC) integral for symptom management, family support, and end-of-life care goals. The impact of PC in the Cardiac Intensive Care Unit (CICU) remains unstudied. ObjectiveWe explore the impact of early palliative care consultation (PCC) on patient outcomes in the CICU, including mortality, length of stay, and family meeting frequency. MethodsThis retrospective study at MedStar Washington Hospital Center included 209 adult patients admitted to the CICU between December 2021 and June 2022 receiving PCC. We compared outcomes between those receiving early (<72 h) and late (>72 h) PCC, including mortality, length of stay, and family meeting frequency. Statistical analysis included Wilcoxon rank sum tests, Chi-squared tests, Fisher's exact test, and Poisson regression models. ResultsThe study included 209 patients admitted to the (M age = 68 years, SD = 14; 45 % female; 62 % Black, 30 % White) who received PCC, most (79 %) within 72 h. Early PCC was associated with shorter CICU stays (median, 3 vs. 5.5 days; p = 0.005). Early PCC patients had higher odds of family meetings (IRR=3.59; p < 0.001) and experienced a change in code status sooner (median 1 day vs. 3 days, p < 0.001). Late PCC patients were more likely to undergo tracheostomy (13.6% vs. 2.4 %; p = 0.007), cardioversion (9.1% vs. 1.8 %; p = 0.037), and have PEG tubes placed (13.6% vs. 2.4 %; p = 0.007). ConclusionsEarly PCC in the CICU is associated with shorter CICU stays, fewer procedures, and more frequent family meetings.

Family meals are associated with lower substance use in female adolescents.

Adolescents, especially female youth, who have more family meals tend to be at lower risk for substance use. The present study tested whether family meals relate to substance use count and frequency during high school, whether associations differ by gender, and whether other family-related variables explain these associations. A community sample of 316 adolescents (Mage = 16.40, SD = 0.74; 56.96% female; 41.77% Latine, 23.10% Asian American, 29.11% European American, 6.01% from other ethnic backgrounds including Middle Eastern and African American) reported the number of substances they have ever used and how often they used alcohol, marijuana, and cigarettes, and completed measures of parental support and family cohesion. Across 15 days, they reported whether they had a family meal, got along with parents, and spent leisure time with their family each day. Regression models tested associations between frequency of family meals and substance use, whether associations differed by gender, and whether associations were explained by other family-related variables. Results indicated that more frequent family meals were associated with lower substance use count and less frequent alcohol, marijuana, and cigarette use among female adolescents but not male adolescents. Other daily family experiences were unrelated to substance use, and family meal frequency was independently related to lower substance use after accounting for parental support and family cohesion. Taken together, more frequent family meals in high school may reduce substance use risk for female adolescents, and interventions could consider promoting family meals in addition to other positive family values.

A national research survey of childhood autism assessment services in the UK: empirical evidence of diagnostic practice, challenges and improvement opportunities

BackgroundThe UK National Health Service (NHS) Long Term Plan aims to reduce waiting times for childhood autism diagnostic assessment and improve parent and child satisfaction. This empirical research investigated current...

Longitudinal changes in anxiety and depression and their ameliorating lifestyle factors among community-dwelling older adults during the COVID-19 pandemic

BackgroundThe COVID-19 pandemic has affected the lifestyle and mental health of community-dwelling older adults. Physical activity and social interaction are healthy lifestyle factors that can reduce psychological distress among community-dwelling older adults, although their effect may vary by sex. However, it is unclear how the anxiety and depression of older adults living in the community changed when measures were implemented to limit social interactions to control infection, as in the early stages of COVID-19, and what lifestyle factors helped ameliorate psychological distress in each sex. MethodsThis study included 550 participants aged 65 and older, who visited a drug store in Daito, Osaka Prefecture, Japan. Baseline questionnaire surveys were conducted from January to April 2021. Follow-up surveys were conducted three months after the baseline survey. We collected data on participants’ anxiety and depression symptoms using the Kessler Psychological Distress Scale-6 (K6), as well as on their lifestyle factors that may have affected anxiety and depression symptoms. ResultsA total of 520 participants completed the baseline and follow-up surveys. K6 scores did not show a significant difference, while the frequency of social interactions with neighbors, family, and friends increased significantly between the two surveys. Among women participants, more frequent moderate-intensity exercise and family interactions were associated with improved K6 scores. ConclusionsWhen social interactions are restricted for infection control in community-dwelling older adults who are independent in activities of daily living including the ability to go out, social interactions recover over time, but anxiety and depressive symptoms persist. In women, lifestyle factors such as frequent moderate-intensity exercise may help reduce persisted anxiety and depression.

The impact of family communication patterns on parent-child attachment and child quality of life

IntroductionPrevious research has demonstrated stable patterns of family communication. The Revised Family Communication Pattern Instrument (RFCP) is a common measure of these patterns. It posits two orientations: conformity orientation, characterized by a tendency to seek agreement within the family and by authoritarian decision-making; and conversation orientation, characterized by shared decision-making with the child and frequent family discussion.ObjectivesThe primary aim of our research was to adapt the RFCP questionnaire to the Hungarian language. Based on previous research, we hypothesized a negative relationship of conversation orientation and a positive relationship of conformity orientation with parents’ mentalizing problems, parental stress and burnout. According to our hypothesis, conformity orientation would predict both attachment anxiety and avoidance, whereas conversation orientation would decrease attachment anxiety.MethodsParents of children aged 6–17 (N=269, female=86,2%, mean age=42,64 [SD=6,10] yrs) completed the following online questionnaires: Child Quality of Life Questionnaire (ILK) parent version, Reflective Function Questionnaire (RFQ-8), Experiences of Close Relationships Questionnaire (ECR-RS), Parent Burnout Questionnaire (PBA-HUN), Perceived Stress Questionnaire (PSS) and the RFCP instrument. We conducted a confirmatory factor analysis. Linear regression analyses predicting attachment anxiety and avoidance included two factors of the RFCP, the RFQ-8, the PBA-HUN, and the PSS total score, as predictors. In addition, two factors of the ECR-R were included in the linear regression analyses predicting quality of life.ResultsThe confirmatory factor analysis confirmed the original two-factor structure of RFCP (χ2=5482.21, df=325 p&lt; .001, χ2/df=16.86, CFI=0.91, TLI=0.90, RMSEA=0.075 (90% CI 0.068–0.082)) and their internal reliability (Cronbach’s alpha = .78 and .74). Attachment avoidance (R2=0.12, F(5)=7.38, p&lt; .001) was only predicted by conversation orientation (β=−0.28, p&lt; .001), while attachment anxiety was predicted (R2=25.2, F(5)=17.7, p&lt; .001) by conformity orientation (β=0.24, p&lt; .001), parental mentalization difficulties (ß=0.20, p&lt; .001) and parenting stress (β=0.15, p= .015). Parental report of the child’s quality of life was predicted most strongly by attachment anxiety (β=−0.28, p&lt; .001), followed by conversation orientation (β=0.21, p&lt; .001) and attachment avoidance (β=−0.18, p&lt; .001, R2=28.8, F(7)=15.17, p&lt; .001).ConclusionsThe Hungarian version of the RFCP questionnaire has proven to be a reliable questionnaire. The importance of family communication patterns is demonstrated by the fact that it explains both the quality of parent-child attachment and the parent’s report on the child’s quality of life.Disclosure of InterestNone Declared

Gathering voices and experiences of Australian military families: Developing family support resources

LAY SUMMARY Research has often overlooked the voices of children from Australian Defence Force families. Past research on how young children experience military family life relied heavily on parents’ perspectives alone, leaving children’s voices unheard. In this study, 19 young children were recognized as competent communicators and experts in their own lives while also valuing the insights of their parents and early childhood educators. Children’s unique perspectives, knowledge, and experiences were collected through shared stories, chats, observation, photographs, reflection, and the creative arts. The study found children of deployed parents experienced physical, social, emotional, and cognitive responses and difficulty with frequent relocations and family transitions, often related to parental deployment and training episodes. Risk and protective factors, and a shortage of resources that cater to their age and cultural backgrounds to support children in making sense of their experiences, were discovered. The authors co-created free online research-based resources to address this gap and build children’s strengths.

Disclosures 12: Request for mailing labels and legitimate educational interest

The most frequent Family Educational Rights and Privacy Act issue that occurs when disclosing education records internally to school officials is assuring that a legitimate educational interest exists before disclosing those education records. And it is important that, in making a disclosure to a school official, we are FERPA‐compliant.

Protective role of family mealtime frequency against disordered eating behaviors: Racial and ethnic differences

Family mealtimes have been recognized for their positive effect on child and adolescent health outcomes. Frequent family meals have been shown to have protective effects in reducing disordered eating behaviors, but the variability of these effects across different racial and ethnic backgrounds has been less explored. To address the gap, the current study utilizes a sample of 33,417 families with children (ages 6–17) in the United States who participated in the 2022 National Surveys of Children's Health (NSCH). Logistic regressions were conducted to examine the association between family mealtime frequency and the manifestation of disordered eating across youth from diverse racial/ethnic backgrounds. Our findings revealed that frequent family mealtimes are associated with a lower risk of engaging in disordered eating behaviors in youth. However, there were disparities in the associations between family mealtime frequency and the prevalence of disordered eating behaviors among children from different racial/ethnic backgrounds. Youth who never participated in family mealtimes were at a greater risk of engaging in disordered eating behaviors among those identifying as non-Hispanic Black or of ‘other’ racial groups. In youth identifying with multiple races, the frequency of family was not associated with the odds of disordered eating behaviors. The results provide insights into the nuanced influence of family mealtime frequency on disordered eating based on diverse racial/ethnic groups. This highlights the need for future studies to identify factors associated with racial/ethnic identities that may contribute to disordered eating behaviors in youth to identify the unique needs and challenges faced by families in leveraging the protective effect of family mealtimes.

Love, health, and robots: Automation, migration, and family responses in rural China

As industrial automation supplants labor, there are important consequences on the labor market, especially for the vast rural population in developing countries. This study investigates how industrial automation, particularly the use of robots, affects the employment and mobility of young rural workers and the decision-making of their elderly parents in China. Using longitudinal data from rural Chinese households and a shift-share approach, we find automation in urban areas decelerates the rural-to-urban migration. This slowdown is accompanied by a reduction in rural workers' employment opportunities and an increase in their propensity to co-reside with their elderly parents in their home counties, which in turn alters their parents' financial decisions, including labor supply, savings, and family transfers. Notably, rural workers' decision to stay and co-reside with their senior parents fosters more frequent family interactions, contributing to notable improvements in the elders' mental and physical health. Our study underscores the complex effects of automation on labor mobility, family relationships, and the overall well-being of the rural populace in the face of technological advancements.

Obesity-related parenting practices, styles, and family functioning: A natural experiment comparing pandemic and nonpandemic data.

The COVID-19 pandemic resulted in substantial changes to family life. This study examined associations between pandemic conditions and mothers' and fathers' food, physical activity, and media parenting practices and whether these associations were moderated by parenting styles and family functioning. Two independent samples of Canadian parents (nonpandemic n = 270; pandemic n = 357) self-reported their obesity-related parenting practices, styles, and family functioning. Covariate-adjusted regression models compared parenting practices between the samples. Interactions tested the moderating effects of family functioning and parenting styles on mothers' and fathers' parenting practices separately. Compared to nonpandemic mothers, pandemic mothers reported more frequent family meals, more screen time negotiation, and lower modeling of healthy screen time. Both pandemic mothers and fathers reported lower physical activity facilitation than nonpandemic parents. Parenting styles moderated some of these associations; for example, pandemic authoritative parents used less physical activity monitoring (mothers) and screen time negotiation (fathers) as opposed to uninvolved and permissive parents who reported higher use of these practices. The association between pandemic and parenting practices was also moderated by family functioning, especially among fathers. Among high-functioning families, pandemic fathers reported greater engagement in food monitoring, emotional feeding, coercive feeding, healthy screen time modeling, and emotional compensation with screens than nonpandemic fathers and low-functioning family fathers. Pandemic conditions may have negatively affected obesity-related parenting practices, but most associations were moderated by the familial context. The extent to which this will have long-lasting effects on adolescents' health needs to be further explored. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Changes in, and factors associated with family functioning: results of four cross-sectional household surveys from 2011 to 2017 in Hong Kong

BackgroundPrevious research has well-documented that family functioning is an important predictor of individuals’ physical and mental health. However, relatively little research has explored family functioning at the family and population levels, such as changes in family functioning across years and whether predictors of family functioning differ across different family structures. Understanding of the changes in family functioning across years and factors promoting family functioning will inform the development of preventive measures to enhance family health and resilience. Objectives of the study were: (1) to examine the changes in family functioning across a 6-year study period and (2) to study protective factors associated with family functioning and the extent to which the factors are the same or different across different family structures. Method: The study involved secondary data analysis of the biannual Family Survey carried out by the Family Council, an advisory body to the Hong Kong government. A series of ANOVA and regression analyses were conducted using data of four population-based cross-sectional household surveys conducted in Hong Kong in 2011, 2013, 2015, and 2017. Results: There were some fluctuations in overall family functioning scores across the study period, but no significant difference was found between the scores in 2011 and 2017. Different predictors of family functioning were found for different family types, and frequent family communication was a common protective factor for most family types, including never married, married/cohabiting with children, and married/cohabiting with no children. Conclusion: The study is among the first to examine changes in family functioning at the population level. Monitoring and addressing family functioning may help tackle various social problems and future public health crises. Interventions to promote family functioning should address both common and different protective factors of different family types.

Community Groups Co-Design Evidence-Based Docudramas to Communicate About Child Spacing in Bauchi State, Nigeria: A Qualitative Descriptive Study.

In Bauchi State, northern Nigeria, communities recognise short birth interval (kunika in the Hausa language) as harmful, but family planning is a sensitive topic. This paper describes the development of a culturally safe way to communicate about kunika in a conservative Muslim setting. The objective was to co-design culturally safe communication material, based on local knowledge about short birth interval, to share with women and men in households.Six community co-design groups of women and six of men (total 96 participants) reviewed summaries of their previously created maps of perceived local causes of kunika, categorised as frequent sex, family dynamics and non-use of contraception. They advised how these causes could be discussed effectively and acceptably with women and their husbands in households and suggested storylines for three short video docudramas about the prevention of kunika. The research team created the docudramas with a local producer and fieldworkers piloted their use in households.The design groups advised that communication materials should focus on child spacing rather than on limitation of family size. Even sensitive issues could be covered. People would not change their sexual behaviour but could be advised to use contraceptives to prevent kunika. The groups approved the final videos and six focus groups of visited women and men reported they were acceptable and helpful. Community co-design of communication about kunika was feasible and led to videos about a sensitive topic that were acceptable to ordinary men and women in communities in Bauchi.

Clinical characterization of coexisting ADHD symptoms in a sample of adults with cyclothymia: A preliminary observational study

BackgroundCyclothymia seems to be often associated with coexisting ADHD symptoms, although this comorbidity is understudied. Emotional dysregulation is a core symptom of both conditions. MethodsAdult subjects with cyclothymia were consecutively enrolled at the outpatient service of the Second Psychiatry Unit of the Pisa University Hospital (Italy). Screening for ADHD was performed using the Adult ADHD Self-Report Scale (ASRS). We analyzed differences in sociodemographic and clinical characteristics between subjects with and without ADHD symptomatology. ResultsOf the total sample of 107 subjects, 43 % screened positive for ADHD. ADHD+ subjects were significantly younger than ADHD- subjects, had a lower level of education, a higher prevalence of psychiatric comorbidity, and a more frequent family history for ADHD and alcohol use disorder. In addition, ADHD+ subjects scored higher than ADHD- subjects on the affective instability, negative emotionality, and emotional impulsivity subscales of the RIPoSt-40 questionnaire, as well as on the 40‐item version of Reactivity, Intensity, Polarity, and Stability questionnaire (RIPoSt-40) total score. They also showed a stronger association with the cyclothymic and depressive subscales of the Temperament Evaluation of Memphis, Pisa, Paris, and San Diego (TEMPS-M) scale. Limitationsthe small sample size, the cross-sectional nature of the study, the use of self-report questionnaires, and the use of a screening test to assess comorbidity with ADHD symptomatology. ConclusionsADHD symptomatology is very common in cyclothymic individuals, and emotional dysregulation blurs the diagnostic boundaries between the two disorders. Several clinical features suggest the need for systematic evaluation of ADHD in patients with cyclothymic disorder.

Risk of Stunting in Children: Links to Internal and Social Family Interactions in Central Buton District (a Case Study)

With a high prevalence of stunting in children in the Central Buton District. This study aims to explore the relationship between internal family dynamics and external social relationships affecting children's nutrition. The study was based on the hypothesis that more frequent and qualitative family interactions and involvement in social activities would correlate with a lower risk of stunting. This study used a cross-sectional study design. Analyzing secondary data from the 2021 Family Data Collection (PK21). The study included 6,586 target families as a sample, the analysis included family dynamics as an exposure variable and used the family happiness index formula to identify family interaction and social interaction. The study used logistic regression from Scikit-learn to evaluate the data in the final stage. Data analysis revealed that internal family interactions, although important, showed no statistically significant association with stunting risk (p=0.3699). However, social interaction had a highly significant association with reduced risk of stunting, with a regression coefficient of -1.9934 and Odds Ratio (AOR) of 0.1362 (95% CI: 0.0739 - 0.2510, p&lt;0.0001) in logistic regression analysis. These findings confirm that strong social engagement and community support are key factors in reducing the prevalence of stunting among children in the Mawasangka sub-district. This study concludes that engagement in community social activities has a significant impact on reducing the risk of stunting in children. The findings suggest that interventions aimed at reducing stunting should go beyond intra-family interventions and include increased social interaction and community support to achieve optimal outcomes in stunting prevention.

Вплив травми на психологічне здоров’я та насильство в Українi

During the past couple of years, Ukrainians have been experiencing major traumatic and stressful events, including the Russian annexation of Crimea and the war against Ukraine that started in 2014 and is ongoing. Moreover, in 2020, the whole world faced another disaster – the COVID-19 pandemic. Undoubtedly, such cumulative adverse events negatively influence life outcomes of this vulnerable population. Prior research has shown that pandemic and war-related stress can affect mental health and violent behaviour. However, there is a gap in the literature focusing on how various contemporary traumatic events, including war exposure and associated stressors, shape mental health and violence among Ukrainians. This study uses survey data recently collected among adults in Ukraine, which is a part of the larger project “A Cross-National Study of the Global Pandemic, Deviance and Health,” and conducts a series of regression analyses. It draws on two major theoretical perspectives in criminology and medical sociology, to examine how traumatic conditions, including exposure to war and pandemic-related stressors (contracting the virus and daily problems) influence depression and violence among Ukrainian people. First, using regression models, we found a significant relationship between reporting exposure to disasters (e.g., war, genocide) and depressive symptoms. Additionally, we found that those who experienced health stress (i.e., have contracted the virus) were more likely to report depressive symptoms. Further, Ukrainians reporting more family problems and financial issues experienced higher levels of depression. Next, we found that reporting frequent family problems and financial issues increased the likelihood of violent behaviour among Ukrainian residents. On the other hand, health stress and war exposure reports were not significantly associated with violence, which could potentially be attributed to stress reaching a ceiling effect, where Ukrainians may feel “numb” to traumatic conditions they experience routinely. Finally, we provide suggestions for future research and discuss implications for policy and practice.

Family language policies during a global pandemic: challenges and opportunities for language maintenance in Arabic-English multilingual families in the USA

Abstract In this study, we analyze interview data from 17 mothers of Arabic-English multilingual families to examine their experiences of maintaining their children’s Arabic language development during the COVID-19 pandemic. We were interested in exploring the challenges they faced during the pandemic and their responses to those challenges with the resources available. Following a constant comparative method, our data analysis demonstrated that four main factors have impacted Arabic-English multilingual Muslim families’ language policies during the pandemic, i.e. (1) inner-family dynamics, (2) school closures, (3) children’s agency, and (4) family safety and wellbeing. Responding to those factors, participants’ family language policies were guided by their commitment to Arabic as the language of Islam (i.e. performing religious practices and maintaining connection with the written Islamic heritage) and as an indispensable component of their children’s ethno-religious identities. During the lockdown, when their children could not attend Arabic tutoring, mothers developed new strategies to support their children’s language socialization (e.g., Halaka, more frequent family visit, online tutoring). When schools switched to online learning, their children had more time to spend at home, which most mothers used as an opportunity to have their children practice Arabic more and, in some cases, conduct daily Arabic literacy tutoring at home. All those mothers’ creative responses to COVID-19 challenges were complexified by children’s agency and concerns about family safety and wellbeing.

Association of parents' work-related stress and children's socioemotional competency: Indirect effects of family mealtimes.

Family mealtimes play an important role in promoting the physical and psychological well-being of children. However, parents' work-related stress may impact their ability to participate in frequent family mealtimes. In dual-earner families, gendered norms may also influence parents' shared responsibility to participate in mealtimes with their children. Prior studies have primarily focused on the mother's role in feeding children, while the father's participation has been relatively unexplored. We used a sample of dual-earner families consisting of heterosexual married couples with children in the United States who participated in the Early Childhood Longitudinal Study, Birth Cohort to investigate how stressors at work may affect the mother's and father's participation in family mealtimes and, in turn, related to the child's socioemotional development. We tested the associations between the mother's and father's work-related stress on the child's socioemotional competency from age two through preschool (age 4-5). We examined the direct and indirect effects of parents' work-related stress on child socioemotional competency through their involvement in mealtimes. The results indicate a negative direct association between the mother's job/financial dissatisfaction and the child's socioemotional competency. The father's job dissatisfaction had an adverse impact on children in terms of socioemotional competency, partially explained by the father participating less often in family mealtimes. Fathers' job/financial dissatisfaction had a negative influence on children's socioemotional competency, even with an increase in the mothers' participation in family mealtimes in the absence of the fathers. The findings emphasize the importance of fathers' involvement in mealtimes above and beyond mothers' involvement. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Parent meal self-efficacy and practices in households with healthy home food environments in the face of economic hardship

Some families who experience economic hardship demonstrate remarkable strength and resourcefulness to sustain a healthy home food environment. This ability to navigate economic barriers could be associated with parent meal practices that promote children's healthful dietary intake. Therefore, this study aimed to examine 1) whether parent meal self-efficacy and practices were associated with economic assistance status and home fruit and vegetable (FV) availability and 2) how parent meal self-efficacy and practices differed by home FV availability and economic assistance status. Analyses utilized baseline data from 274 parent/child dyads from two childhood obesity prevention trials: HOME Plus (urban) and NU-HOME (rural). Parents in households with high FV availability (regardless of economic assistance) had significantly higher self-efficacy in preparing healthy foods, family dinner routines, frequency of child's plate being half filled with FV, frequency of family dinner and breakfast, and lower frequency of purchasing dinner from fast food restaurants. Economic assistance was not associated with parent meal self-efficacy and practices. Four family groups were created and defined by economic assistance (yes/no) and home FV availability (high/low). About 31% of families that received economic assistance and had high home FV availability were food insecure. Families (n = 39) receiving economic assistance and having high home FV availability had greater frequency of family dinners compared to those in households with economic assistance and low home FV availability (n = 47) (p = 0.001); no other parent meal self-efficacy or practices differed between groups. Our findings suggest some families can maintain healthy home food environments despite economic hardship and frequent family dinners may be an important strength for these families. More research is needed to investigate asset-based models to understand the family strengths that enable them to thrive during difficult times.