High-income Parents Research Articles

Analisis Faktor Risiko Kejadian Stunting Pada Balita Usia 24 – 59 Bulan Di Gurgur Pardomuan Kabupaten Aceh Tenggara

Background: Stunting incidents occur more frequently at the age of 24 – 59 months. Objective: This study aims to determine the risk factors for stunting in toddlers aged 24 - 59 months in Gurgur Pardomuan, Southeast Aceh Regency. Of the 372 babies measured, 84 were recorded as stunted. Method: This type of research is descriptive with a cross-sectional design. Data collection uses questionnaires and observations. The population in this study were all toddlers aged 24-59 months who had anthropometric measurements taken and the data were recorded at the Gurgur Pardomuan Community Health Center, Southeast Aceh Regency. The minimum sample is 74 people with a sample size ratio between cases and controls, namely 1: 1. Stunting is measured based on the score of height for age (TB/U). Toddler height data was measured using a microtome. Data on breastfeeding history, parents' education level, parents' income, and feeding patterns were collected using a questionnaire. Data on the history of low birth weight babies is collected based on the KIA book. Results: This study shows that there is a relationship between a history of exclusive breastfeeding and the incidence of stunting (p=0.017; or = 3.120), parental income (p=0.000; or = 6.481), history of low birth weight (p=0.041; or = 2,762). toddlers who do not receive exclusive breastfeeding have a 3,120 times risk of suffering from stunting compared to exclusively breastfed toddlers, low-income parents have a 6,481 times risk of suffering from stunting compared to high-income parents, LBW has a 2,762 times risk of suffering from stunting compared to those who do not. Conclusion: This research shows that exclusive breastfeeding, low parental income, and LBW are risk factors for stunting in toddlers aged 24 – 59 months.

Double (Dis)Advantage: The Cumulative Role of Parental Resources and the Institutional Context in Intergenerational Time and Money Transfers

Abstract This study addresses an underexplored mechanism of social inequality transmission, namely, intergenerational transfers from older parents to their adult children in terms of (i) money and (ii) time (specifically, devoted to sporadic or regular childcare). A yet unaddressed question in the literature is whether these two resources are transferred in a cumulative (i.e., both resources being transferred) or compensatory (i.e., only one resource being transferred) manner and how such cumulation or compensation depends on parental income and the wider institutional context. Filling this lacuna, this study investigates whether grandparents who have fewer financial resources compensate for their lack of opportunities to provide financial transfers to their adult children by transferring more time to their children, or whether higher-income parents are more likely to transfer both more time and money than lower-income parents, resulting in greater advantage among their receiving children (cumulation). Drawing on six waves of the Survey of Health, Ageing and Retirement in Europe, this study analyzes transfers from more than 53,000 grandparents aged 50 or older to their adult children across European countries. The findings show that higher-income parents, relative to lower-income parents, are more likely to provide both time (more precisely, sporadic childcare) and financial support to their adult children, yielding evidence for the cumulation of transfers. Further, evidence of a double (dis)advantage emerges, as social gradients in (financial and regular time) transfers are more pronounced in contexts with smaller public expenditures on formal childcare and a more unequal distribution of household incomes.

Socio-economic and gender dynamics influence on the parental decision-making process for children's orthodontic care - A study in Madinah, Saudi Arabia.

To investigate the socio-economic and personal factors that impact parental decisions regarding orthodontic treatment for their children in Madinah, Saudi Arabia. A digital self-administered questionnaire was employed to collect data from 414 parents, focusing on their motivations and barriers that influence their decision-making process regarding orthodontic treatment. Income level was the most significant factor in orthodontic decisions. Parents with higher incomes were twice as likely to choose orthodontic treatment for esthetic reasons compared to parents with middle incomes. The main incentive for seeking treatment was getting advice from dental professionals, with 60% of participants rating it as the most important factor. 34.5% of respondents identified cost as the main barrier, with middle-income parents being 151% more inclined to perceive it as a significant barrier compared to high-income parents. Gender dynamics revealed that mothers exhibited 48.9% greater concern regarding treatment costs compared to fathers, whereas fathers placed 2.105 times more importance on the orthodontist's reputation than mothers. Income levels, along with other socio-economic factors and gender dynamics, have a significant influence on parental decisions regarding orthodontic care. Personalized consultations that address these variations are crucial for improving communication between patients and practitioners and increasing the accessibility of treatment.

The Impact of the No Jab No Play and No Jab No Pay Legislation in Australia: A Scoping Review

Australia has a long history of population-based immunisation programs including legislations. This paper reports on a review of evaluations of the impact of the federal No Jab No Pay (NJNPay) and state implemented No Jab No Play (NJNPlay) legislations on childhood immunisation coverage and related parental attitudes. Five databases were searched for peer-review papers (Medline (Ovid); Scopus; PsycInfo; ProQuest; and CINAHL). Additional searches were conducted in Google Scholar and Informit (Australian databases) for grey literature. Studies were included if they evaluated the impact of the Australian NJNPay and/or NJNPlay legislations. Ten evaluations were included: nine peer-review studies and one government report. Two studies specifically evaluated NJNPlay, five evaluated NJNPay, and three evaluated both legislations. Findings show small but gradual and significant increases in full coverage and increases in catch-up vaccination after the implementation of the legislations. Full coverage was lowest for lower and higher socio-economic groups. Mandates are influential in encouraging vaccination; however, inequities may exist for lower income families who are reliant on financial incentives and the need to enrol their children in early childhood centres. Vaccine refusal and hesitancy was more evident among higher income parents while practical barriers were more likely to impact lower income families. Interventions to address access and vaccine hesitancy will support these legislations.

The preoccupied parent: How financial concerns affect child investment choices

We examine the hypothesis that low parental investments in children may be a consequence of the adverse cognitive effects of poverty: financial worries preoccupy low-income parents with immediate concerns, shifting their attention away from stimulating parenting tasks. We test this hypothesis in an online experiment studying the purchase decisions of UK parents, including their responsiveness to financial subsidies for child development products. Both low and higher-income parents respond to a subsidy on such products, increasing their demands. However, when primed with financial worries under the same budget, low-income parents respond less to the subsidy, prioritizing instead the purchase of products addressing immediate household needs. This lower responsiveness to subsidies appears to be driven by worried parents further away from their last payday. Stronger safety nets and better alignment of financial subsidies to payday cycles may help achieve more investment and better child outcomes in poorer families.

Determinants of Children Vaccine Hesitancy among the Parents of Newly Merged Districts of Khyber Pakhtunkhwa

Vaccine hesitancy for children immunization vaccine programs in parents is one of key topics in public health in the Global South including most of Pakistan. However, in the erstwhile Federally Administered Areas (FATA) which are now merged in Khyber Pakhtunkhwa, known as Newly Merged Districts (NMDs), there is a dearth of such research. This study aimed to fill this void. Through two-staged sampling, 384 participants were selected and administered with WHO SAGE Vaccine Hesitancy Scale along with open-ended question for quantum and determinants of vaccine hesitancy. The study found that more than one third of the parents (35.41%) are severely hesitant regarding their children routine immunization while more than half (55.72) are moderately resistant which is alarming. Major factors affecting vaccine hesitancy are negative perceptions about vaccination (22.14%), religious conspiracies (14.06%), lack of information about vaccination (11.72%), fears of adverse effects (11.7%), Western funding for vaccination (6.25%) demand of other life necessities from the Government (7.81%) and few others. Interestingly, Odd Ratios (OR) values revealed that sever hesitancy is more prevalent in those who has both formal education and religious education (OR=19.4, p>.001) than only formally educated or religiously educated parents, this point need further investigation. Similarly, parents who has availed Seht Sahulat Card, sever hesitancy (OR=1.5, p>.001) in them was less than those who didn’t avail it (OR=1.3, p>.001). Results also showed that moderate hesitancy is more prevalent in high-income parents than middle- and lower-income parents. Expanded Program of Immunization – EPI was operational in NMDs (former FATA), but it got momentum recently, still there is alarming vaccine hesitancy in these areas. This call for a comprehensive and all-stakeholders inclusive strategy to eradicate this vaccine hesitancy in these vulnerable tribal areas of Pakistan.

Personal finance education mandates and student loan repayment

This paper estimates the impact of requiring high school students to complete personal finance education on federal student loan repayment behavior after college. I merge student loan borrowing and repayment data from the College Scorecard with data from the Integrated Postsecondary Education Data System on counts of high school graduates enrolling in college from different states. I estimate the causal effect of personal finance education mandates by relating the change in the share of university students subject to a state mandate to changes in university cohort student loan outcomes. I find only students with higher-income parents respond by adjusting borrowing, reducing median balances by 7%. By contrast, first-generation and low-income borrowers bound by mandates did not significantly adjust borrowing, but were nonetheless more likely to pay down balances. Repayment improvements are in part due to better understanding of the terms governing federal student loans. State mandates that incorporate career research alongside personal finance education are associated with better student loan repayment than those focused only on personal finance education.

Public Opinion of WA Residents on Free-range Parenting and Its Legal Implications on Child Neglect

Free-range parenting is the practice of giving children more freedom to act independently. However, in recent years, many proponents of this practice got into legal trouble or faced social criticism for being neglectful and were labeled as “bad parents.” Most of them are low-income families that cannot afford babysitters. Others are well-off parents that advocate for fostering independence. Nevertheless, their actions incurred various consequences due to their socioeconomic status as helicopter parenting becomes increasingly popular. The lack of specific laws to clarify the difference between neglectful parenting and free-range parenting cause poorer or uneducated parents to suffer from serious legal charges unjustly. Washington is among those states that have not updated its laws to keep up with the heated debate over parenting preference, so gathering input from WA residents on this topic is essential for highlighting the controversy and providing necessary insights into the social trend to inform the policymakers when evaluating and amending neglect laws. 222 WA residents were conveniently selected to answer a 30+ question survey over two months. This study found that younger generations, high-income parents, and people with higher education are more disapproving of free-range parenting. It was also found that average WA residents believe parents have the responsibility to always accompany children under 12 years old, presenting a more conservative/pro-helicopter parenting preference. The reasons behind the inclination were explored. Based on those results, the researchers discussed legal recommendations for the WA legislature to reduce ambiguity to better protect parental rights while sustainably alleviating child neglect.

Socioeconomic factors and parents' preferences for internet- and mobile-based parenting interventions to prevent youth mental health problems: A discrete choice experiment

BackgroundThe positive impact of parenting programs for youth mental health is undermined by difficulties engaging parents. Low engagement disproportionately impacts parents of lower-socioeconomic positions (SEPs). Internet- and mobile-based interventions hold potential for overcoming barriers to enrolment, but additional research is needed to understand how programs can appropriately meet the needs of parents across SEPs. Consumer preference methods such as discrete choice experiments may be valuable in this endeavour. MethodA discrete choice experiment was used to determine the relative influence of modifiable program features on parents' intent to enrol. 329 Australian parents of children aged 0–18 repeatedly selected their preferred program from randomized sets of hypothetical programs in an online survey. Each hypothetical program was unique, varying across four program features: module duration, program platform, user control, and program cost. Cumulative link models were used to predict choices, with education, household income, and community advantage used as indicators of SEP. ResultsOverall, parents preferred cheaper programs and briefer modules. Parents' preferences differed based on their socioeconomic challenges. Lower-income parents preferred briefer modules, cheaper programs and application-based programs compared to higher-income parents. Parents with less education preferred briefer modules and a predefined module order. Parents living in areas of less advantage preferred website-based programs, user choice of module order, and more expensive programs. ConclusionsThis study offers program developers evidence-based strategies for tailoring internet- and mobile-based parenting interventions to increase lower-SEP parent enrolment. Findings also highlight the importance of considering parents' socioeconomic challenges to ensure programs do not perpetuate existing mental health inequalities, as “one-size-fits-all” approaches are likely insufficient for reaching lower-SEP parents.

Socioeconomic status and parent perceptions about the costs and benefits of youth sport.

ObjectivesDescribe what costs and benefits parents across the socioeconomic spectrum weight most heavily when making decisions about sport participation for their children.MethodCross-sectional survey of a nationally representative online panel of parents of children between the ages of 5 and 18 (n = 1025, 52% response rate). Parents rated the importance of a series of potential costs and benefits of youth sport and these responses were compared across tertiles of per capita family income. We first examined the association between family income tertiles and cost and benefit variables. Model-based cluster analysis was then used to identity homogeneous groups of responses to costs and benefits.ResultsIn all income tertiles, the top two benefits of sport were the same: having fun and being physically active. Sport as a means of keeping children out of trouble was very important for 64% of low-income parents as compared to 40% of high-income parents. Obtaining a college athletic scholarship was very important for 26% of low-income parents, as compared to 8% of high-income parents. Relative rankings of potential costs were similar by income tertile, with risk of concussion and other injury and the impact of sport on schoolwork prioritized across tertiles.ConclusionsParents prioritized fun and fitness in sport, and were concerned about injury and the impact of sport on academics. Lower income parents were the most likely to view keeping their child out of trouble, and the potential for a college athletics scholarship, as benefits of sport. Efforts to support parental decision making should be grounded in an understanding that family preferences are contextually constrained. While all parents should be appropriately informed about the potential costs and benefits they are weighting in their sports-related decision making, such family-focused efforts should be balanced with the recognition that structural change is needed to address income-related concerns about sport participation.

Disparities in Physical Accessibility among Rural Thais Under Universal Health Coverage.

This study aims to explore various barriers in accessing outpatient care among the participants from different age groups and to identify determinants associated with physician visits. The study had adopted Andersen's Behavioral Model (ABM) of Health Services Use. A cross-sectional study design was adopted to collect data from 417 participants through a questionnaire survey. Poisson regression models were used to explore determinants for explaining the differences in outpatient care use. The regression results revealed that divergent relationships existed among age groups. Children and elderly participants tended to decrease the probability of seeking care. Elderly participants confronted more difficulties in access and were dependent on family members. Despite free care provisions, participants visited and spent their out-of-pocket expenditure mostly at non-universal health coverage (non-UHC) facilities. Convenience and the availability of specialist physicians led the higher-income parents to seek care of their children at non-UHC facilities. Highly educated people of working age preferred more self-care or institutionalized care to save time. Children up to the primary level of education were more likely to visit a doctor. We concluded that investments in education or well-informed health services provision would improve health care utilization. Findings of Andersen's Behavioral Model variables suggested that improvements in the quality of services, medical professional skills, and efficient resource allocation may induce seeking care at UHC facilities. Consequently, it will reduce the number of referred cases, caseloads at tertiary care units, and visits to non-UHC facilities at longer distances.

Knowledge, Attitudes, and Beliefs of Parents of Youth Basketball Players Regarding Sport Specialization and College Scholarship Availability.

Background:Previous surveys of youth sport parents have revealed that while parents believe early sport specialization is beneficial for improving sport ability, they also overestimate their child’s chances of receiving a college scholarship.Purpose:To (1) describe knowledge, attitudes, and beliefs of parents of youth basketball players regarding sport specialization and college scholarships and (2) examine potential differences in child basketball participation characteristics based on parent income.Study Design:Cross-sectional study.Methods:A total of 805 parents (mean age, 39.9 ± 7.1 years; 353 female [43.9%]) of youth basketball players (mean age, 12.9 ± 2.5 years; 241 female [29.9%]) were recruited via Qualtrics Online Panels to complete an anonymous online questionnaire. Participants were required to be a parent of a child between 8 and 18 years of age who participated in organized youth basketball (ie, school, club, or recreational/local league). Participants were recruited to be nationally representative with regard to race/ethnicity (White, 62.7%; Hispanic/Latino of any race, 15.3%; African American/Black, 13.3%; Asian, 4.6%; ≥2 races, 2.9%; American Indian/Alaskan Native, 1.1%; Native Hawaiian/other Pacific Islander, 0.1%). The questionnaire was adapted from previous research on parent knowledge, attitudes, and beliefs and consisted of 3 sections: (1) parent and child characteristics; (2) child basketball participation information (months per year of basketball participation, sport specialization status, receiving private coaching, traveling regularly for basketball competitions, participating on multiple teams at the same time); and (3) parent attitudes, beliefs, and knowledge regarding sport specialization and college basketball scholarships.Results:Most parents believed specialization increased their child’s chances of making a high school (71.4%) or college team (69.7%). Parents underestimated the availability of college basketball scholarships at the National Collegiate Athletics Association (NCAA) Division I and II levels (8.9 ± 5.1 vs reality of 13-15 per team) but overestimated availability at the Division III level (8.6 ± 5.7 vs reality of 0 per team). High-income parents spent significantly more money ($4748 USD [$1214-$10,246]) than middle-income ($2250 USD [$727-$5079]; P < .001) and low-income ($1043 USD [$368-$2444]; P < .001) parents.Conclusion:Parents believed specialization was important for sport success, but they underestimated college scholarship availability at the NCAA Division I and II levels while overestimating scholarship availability at the Division III level.

Iris Claus Comments on COVID-19 in Korea: Success Based on Past Failure

Iris Claus Comments on COVID-19 in Korea: Success Based on Past Failure

Does It Run in the Family? How Family Background Affects Attachment Styles for Students in Higher Education.

Background: Socioeconomic background has traditionally been the most important determinant of an individual’s social advantage. Studies have used social class and opportunities based on parental income and education to predict such advantage. There is limited evidence that stratification mechanisms other than socioeconomic background can play an important role. The purpose of the study is to examine the influence of the traditional factors (income and education) of family background on students’ social attachment styles compared to other background variables (civil status and number of children). Methods: We used the Vulnerable Attachment Style Questionnaire as an outcome measure to assess students’ social attachment advantage. As a point of departure, we use theories of social psychology to categorize social relations in terms of secure or insecure bonding, respectively. Results: A cross-sectional data set of 912 university students from five European countries was used. With respect to social attachment, the likelihood of being a student with robust relations increases by 23% if the students have high-income parents. Students with robust relations also have a decreased likelihood of poor body self-esteem by 19% when compared with other students. Conclusions: Stratification mechanisms other than social class, such as parental characteristics, civil status, and number of siblings, all affect the privileged students’ social relations.

Using the Very Short Form of the Children's Behavior Questionnaire for Spanish-Speaking Populations in Low- and Middle-Income Countries: A Psychometric Analysis of Dichotomized Variables.

While the psychometric properties of the Spanish version of the Very Short Form of the Children’s Behavior Questionnaire (CBQ-VSF) have been assessed in the US and Europe in samples composed of middle- and high-income parents with high levels of education, no studies have tested the instrument in low-income Spanish-speaking populations living in low- and middle-income countries. To fill this gap, our cross-sectional study assessed the psychometric properties of the Spanish version of the CBQ-VSF version in a sample of 315 low-income and low-educated parents with preschool children living in the Caribbean Region of Colombia. While our findings revealed problems that were similar to those identified in previous assessments of the CBQ-VSF Spanish version, they also showed unique problems related to the sociodemographic characteristics of our sample, containing many individuals with a low income and low educational level. Most of the participants gave extreme responses, resulting in a notable kurtosis and skewness of the data. This article describes how we addressed these problems by dichotomizing the variables into binary categories. Additionally, it demonstrates that merely translating the CBQ-VSF is insufficient to be able to capture many of the underlying latent constructs associated with low-income and low-educated Latino/Hispanic populations.

Social capital and leaving the nest: Channels and housing tenures

Young adults in Europe sometimes have trouble moving away from their parents and obtaining a home of their own, which is considered an important step in the transition to adulthood. This paper investigates whether nest-leaving is affected by individual social capital and parental economic capital. The paper also examines how these resources are related to the type of housing tenure obtained and whether the housing was acquired through informal channels. In addition, the paper assesses whether differences in access and returns to social capital can explain the later nest-leaving of the children of immigrants. The study uses a Swedish two-wave panel survey of young adults aged between 19 and 22. Individual social capital is operationalized as an extensive social network measured with the position generator, while parental economic capital is estimated with registered disposable income. The results show that individual social capital is positively related to prospective nest-leaving, but parental income is not. Nevertheless, both individual social capital and parental economic capital are related to the obtained housing tenure type: social capital is linked to informal ‘second-hand’ rental agreements often acquired through contacts, whereas having high-income parents is linked to obtaining owned housing tenure. The children of immigrants are found to be more likely to live with their parents, but this is not explained by lower access or return to social capital.

The determinant factors for Quality of Life (QOL) among children with Acute Lymphoblastic Leukemia (ALL) after induction phase at Sanglah General Hospital, Bali, Indonesia

Background: The Quality of Life (QOL) of patients with acute lymphoblastic leukemia (ALL) is important to be examined. Some determinant factors of the QOL for ALL patients are age, gender, ethnicity, nutritional status, level of income of parents, educational level of parents, and risk groups. This study aims to determine the quality of life score among children with ALL after the induction phase of chemotherapy and to determine determinant factors that are associated with the quality of life of children with ALL.Methods: An observational analytic study using a cross-sectional approach has been conducted among 38 ALL patients to assess the QOL after the induction phase chemotherapy at Sanglah General Hospital. The independent sample T test evaluated comparative values between independent factors. Multivariate analysis was assessed by the General Linear Model ANCOVA. Data were analyzed using SPSS version 20 for Windows.Results: Most of the respondents were age &gt; 5 years old (55.3%), followed by the male (55.3%), well-nourished of nutritional status (55.3%), low parents’ educational status (55.3%), a high income of parents (52.6%), standard risk of stratification (52.6%), and non-Balinese ethnicity (55.3%). The mean score of QOL was 79.37±21.64. The results showed that male gender (95% CI: 2.35-16.04; p=0.010), high income of parents (95% CI: 3.17-22.05; p=0.010), standard risk factors (95% CI: 1.48-16.36; p = 0.020) were significantly related to the QOL of children with ALL.Conclusion: High-income parents, standard risk stratification, and male gender are determinant factors for higher QOL scores of children with ALL after the chemotherapy induction phase.

Screen Time and Sleep of Rural and Urban South African Preschool Children.

This study aimed to investigate the extent to which preschool children meet guidelines for screen time (<1 h/day) and sleep (10–13 h/24-h) and explored home factors that affect these behaviors. Parents of preschoolers across income settings in South Africa (urban high-income n = 27, urban low-income n = 96 and rural low-income n = 142) completed a questionnaire. Urban high-income children had higher rates of exceeding screen time guidelines (67.0%) than children from urban low-income (26.0%) and rural low-income (3.5%) settings. Most children (81.0%) met sleep guidelines on weekdays and on weekends (75.0%). More urban high-income children met the sleep guideline, in comparison to both low-income settings. Fewer urban high-income parents (50.0%) thought that screen time would not affect their preschooler’s health, compared to urban low-income (90.4%) and rural low-income (81.7%) parents. Weeknight bedtime was positively correlated with both weekday screen time (p = 0.001) and weekday TV time (p = 0.005), indicating that more time on screens correlated with later bedtimes. Meeting screen time and sleep guidelines differs across income settings, but it is evident that parents of preschoolers across all income settings would benefit from greater awareness about guidelines.

School Choice and Whose Choice: The Case of Direct Subsidy Scheme Schools in Hong Kong

ABSTRACTThis article refers to the case of the Direct Subsidy Scheme (DSS) in Hong Kong to engage empirically in a debate over school choice. Based on a survey of 910 parents of primary school-leavers on their considerations in making school choices for their children, our analysis shows that DSS schools as an educational option are essentially exclusive to high-income parents, and that DSS schools are opted for as an alternative for the instrumental reason of having higher chances of getting into university rather than such claimed educational reasons as providing students with innovative design of curricula, pedagogies, and assessments.

How gender, age, and socioeconomic status predict parenting goal pursuit

There are many factors that may influence parenting, from societal norms and expectations, dispositional differences, experience and maturity, and availability of resources. In the current research, we examined how stable demographic characteristics associated with these different factors predict the goals parents pursue with their children. We examined whether the pursuit of four parenting goals—child love and security, child development, parent image, and child acceptance—varies based on the characteristics of parents (i.e., gender, age, and socioeconomic status) and their children (i.e., gender and age). First, we provided evidence for the measurement invariance of the Parenting Goals Scale. The results suggested that across key characteristics, parents largely pursue the same four parenting goals on which they could be meaningfully compared. Second, meta-analytic results ( k = 5; Ntotal = 2,240) indicated that parents were largely similar in the goals they pursued with their children across their own and their child’s characteristics. We identified only a few exceptions, with these differences being small in magnitude: mothers and noncollege-educated parents pursued child love and security goals more than fathers and college-educated parents, older parents pursued child development goals less than younger parents, parents of older children pursued image goals more than parents of younger children, and lower income parents pursued child acceptance goals more than higher income parents. These results suggest that while there may be some small differences in parenting goal pursuit based on demographic characteristics, parents are largely motivated by similar goals when caring for their children.