Parental Factors Research Articles

Strategi Positif dalam Mengatasi Tantrum Pada Anak Usia Dini

Tantrums in early childhood are a phenomenon that often causes worry and stress for many parents. However, dealing with tantrums is not an easy task and often tests parents' patience and emotional resilience. Early childhood is at a stage of development where they are starting to learn to recognize and express their emotions. Lack of language skills and managing emotions makes them vulnerable to experiencing frustration which leads to tantrums. Therefore, it is important for parents to understand the causes of tantrums and know how to deal with them positively and constructively. This research uses a library research design that relies on primary data in the form of literature or previous research related to strategies for dealing with tantrums. The researcher carefully read the data sources. to identify parental parenting patterns on children's emotional stability. The information collected is then used as a guideline for educators' synergistic efforts in dealing with tantrums, so that they can overcome tantrums that often occur in everyday life. This research uses library sources, including research results in the form of books, journals, articles and other relevant sources. This article concludes by analyzing the data obtained from these sources and drawing conclusions. Based on the results of the theoretical study analysis, it can be concluded that a positive strategy for dealing with tantrums in early childhood is to (1) Recognize the factors that cause Tantrums including ( a) Child factors, namely the obstruction of the child's desire to get something (b) Parental factors or parenting style. Parental parenting styles influence the emergence of tantrums (c) children's needs that are not met. and (2) Get to know efforts to overcome tantrums. (a) Parents and educators can prevent this from happening by being aware of children's habits and knowing exactly when tantrums occur. (b) When a tantrum occurs, parents and educators should try to remain calm and control emotions. (c) After the tantrum is over, parents and educators should provide a sense of calm to the child, not punish or strengthen. (d) Parents and educators can minimize children's anger and ensure the safety of children and other people. (e) If anger causes confusion, immediately move the child to a safe place or away from other children. (f) Parents Educators can also observe children closely to observe when anger occurs most often. (g) If the tantrum occurs again, handle it with a time out

An observational analysis on the influence of parental allergic rhinitis, asthma and smoking on exhaled nitric oxide in offspring

BackgroundParental allergic diseases and smoking influence respiratory disease in the offspring but it is not known whether they influence fractional exhaled nitric oxide (FeNO) in the offspring. We investigated whether parental allergic diseases, parental smoking and FeNO levels in parents were associated with FeNO levels in their offspring. MethodsWe studied 609 offspring aged 16–47 years from the Respiratory Health in Northern Europe, Spain and Australia generation (RHINESSA) study with parental information from the Respiratory Health in Northern Europe (RHINE) III study and the European Community Respiratory Health Survey (ECRHS) III. Linear regression models were used to assess the association between offspring FeNO and parental FeNO, allergic rhinitis, asthma and smoking, while adjusting for potential confounding factors. ResultsParental allergic rhinitis was significantly associated with higher FeNO in the offspring, both on the paternal and maternal side (percent change: 20.3 % [95%CI 5.0–37.7], p = 0.008, and 13.8 % [0.4–28.9], p = 0.043, respectively). Parental allergic rhinitis with asthma in any parent was also significantly associated with higher offspring FeNO (16.2 % [0.9–33.9], p = 0.037). However, parental asthma alone and smoking were not associated with offspring FeNO. Parental FeNO was not associated with offspring FeNO after full adjustments for offspring and parental factors. ConclusionsParental allergic rhinitis but not parental asthma was associated with higher levels of FeNO in offspring. These findings suggest that parental allergic rhinitis status should be considered when interpreting FeNO levels in offspring beyond childhood.

Music Participation Among Public School Students in Metropolitan China: An Examination of Personal, Parental, and School Factors

Music Participation Among Public School Students in Metropolitan China: An Examination of Personal, Parental, and School Factors

A preliminary validation of PMQ-A four-factor questionnaire measuring parental mentalizing.

The present study describes the construction and preliminary validation of a new parental mentalizing scale, PMQ. Based on theory, we hypothesized that one higher-order parental mentalizing factor would comprise four dimensions of parental mentalizing: (1) Parental self-mentalizing (SELF), (2) Parental child-mentalizing (CHILD), (3) Effort (E), and (4) Curiosity (C). After modifying the content of one factor (Effort > Lack of Effort, LE), four-factor structure with one higher-order factor was confirmed in data collected from parents of children aged two to 6 years through social media and email lists (N = 321, 10% male). All factors loaded significantly on the higher-order factor, with acceptable internal consistencies. Next, PMQ factors were compared with the factors of a previously validated questionnaire, parental reflective functioning questionnaire (PRFQ). The PMQ and PRFQ factors were consistently and significantly correlated, indicating the validity of the PMQ as a measure of parental mentalization ability. The continuation of PMQ validation is discussed.

Setting a research agenda for examining early risk for elevated cognitive disengagement syndrome symptoms using data from the ABCD cohort.

Little research has examined early life risk for symptoms of cognitive disengagement syndrome (CDS) despite a well-established literature regarding co-occurring outcomes (e.g., attention-deficit/hyperactivity disorder). The current study estimated bivariate associations between early life risk factors and CDS in a large and representative sample of U.S. children. We conducted secondary analyses of baseline data from the Adolescent Brain Cognitive Development (ABCD) study (N = 8,096 children, 9-10 years old). Birthing parents reported early life risk factors on a developmental history questionnaire, including parental, prenatal, delivery and birth, and developmental milestone information. They also completed the Child Behavior Checklist, which includes a CDS subscale that was dichotomized to estimate the odds of elevated CDS symptoms (i.e., T-score > 70) in children related to risk indices. We observed significantly elevated odds of CDS related to parental risk factors (i.e., unplanned pregnancy, pregnancy awareness after 6 weeks, teenage parenthood), birthing parent illnesses in pregnancy (i.e., severe nausea, proteinuria, pre-eclampsia/toxemia, severe anemia, urinary tract infection), pregnancy complications (i.e., bleeding), prenatal substance exposures (i.e., prescription medication, tobacco, illicit drugs), delivery and birth risk factors (i.e., child blue at delivery, child not breathing, jaundice, incubation after delivery), and late motor and speech milestones in children. Several early-life risk factors were associated with elevated odds of CDS at ages 9-10 years; study design prevents the determination of causality. Further investigation is warranted regarding early life origins of CDS with priority given to risk indices that have upstream commonalities (i.e., that restrict fetal growth, nutrients, and oxygen).

"Alcohol will never run out": Socio-ecological drivers of adolescent boys' alcohol use in Kilimanjaro Region, Tanzania.

Heavy alcohol use amongst adolescent boys is a major public health concern in many countries. It is associated with a range of negative physical and mental health outcomes and predicts alcohol-related problems in adulthood. In Kilimanjaro Region, adolescent boys' alcohol use is widespread, and higher than other regions in Tanzania. An understanding of causal and contextual factors that influence the use of alcohol is needed to inform the development and implementation of effective alcohol prevention interventions. This study aimed to explore these socio-ecological factors in-depth amongst adolescent boys, young men and key stakeholders in Kilimanjaro Region, Tanzania. Between August 2022 and June 2023, multi-method, participatory, qualitative methods including: ethnographic observations (8 weeks), 37 in-depth interviews, 14 focus group discussions and participatory adolescent activities were used to elicit perceptions on factors driving adolescent boys' alcohol use in two (rural/urban) settings. Data were triangulated and deductively analysed, guided by Bronfenbrenner's socio-ecological framework. This study found many dynamic and inter-related factors linked to alcohol use within adolescents' social, cultural, economic, regulatory, and physical environments. In a context of widespread availability of alcohol, low enforcement of alcohol regulation and (mis)conceptions around the benefits of alcohol use (e.g. curative and/or nutritional properties), parental and cultural influences largely determined the initiation of use in childhood and younger adolescence; employment status, peers, lack of alternative recreational activity and social norms around independence appeared to drive continued and increased use in older adolescence. Factors and their impact varied between rural and urban settings. In conclusion, a wide range of determinants and drivers of alcohol use among ABYM work at multiple socio-ecological levels especially parental, cultural and socioeconomic factors. This suggests that effective prevention requires a systems approach intervening across these levels. For example, incorporating education/awareness raising, increased law enforcement, parent-child communication and problem-solving, and income generation activities.

Who develops chronic pain after an acute lower limb injury? A longitudinal study of children and adolescents.

Prevention of chronic pain is a major challenge in this area of clinical practice. To do this, we must be able to understand who is most at risk of developing chronic pain after an injury. In this study, we aimed to identify risk factors of chronic pain onset, disability, and pain interference after a lower limb musculoskeletal injury in children and adolescents between 8 to 16 years of age. We assessed biopsychosocial factors including age, sex, pubertal status, anxiety, depression, fear of pain, pain worry, adverse life events, and sleep in children. We also assessed risk factors in parents including parent anxiety, depression, parent pain catastrophising, and protective behaviours. Logistic and hierarchical linear regressions identified risk factors assessed immediately postinjury for outcomes assessed at 3 months postinjury. Fourteen percent (17/118 children) reported chronic pain 3 months after injury. There were significant between-group differences in children with and without chronic pain at baseline. Children with chronic pain reported higher pain intensity, disability, pain interference, child depression, fear of pain, and catastrophic thinking about their pain. Regressions showed child depression and fear of pain at baseline independently predicted chronic pain onset at 3 months, parent protectiveness predicted child pain interference at 3 months, and child depression, poor sleep, parent anxiety and pain catastrophising predicted disability. Most children recover after a lower limb injury, but a minority develop chronic pain predicted by important psychosocial risk factors, which could be addressed to prevent the onset of treatment-resistant chronic pain and disability.

Burden of Childhood Diarrhea and Its Associated Factors in Ethiopia: A Review of Observational Studies.

Objectives: This systematic review and meta-analysis aimed to: i) determine the pooled prevalence of acute diarrhea; and ii) synthesize and summarize current evidence on factors of acute diarrheal illnesses among under-five children in Ethiopia. Methods: A comprehensive systematic search was conducted in PubMed, SCOPUS, HINARI, Science Direct, Google Scholar, Global Index Medicus, Directory of Open Access Journals (DOAJ), and the Cochrane Library. This systematic review and meta-analysis followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline. The methodological quality of each included article was assessed using the Joanna Briggs Institute (JBI) quality assessment tool for cross-sectional and case-control studies. A random-effect meta-analysis model was used to estimate the pooled prevalence of diarrheal illnesses. Heterogeneity and publication bias were assessed using I2 test statistics and Egger's test, respectively. The statistical analysis was done using STATA™ software version 14. Results: Fifty-three studies covering over 27,458 under-five children who met the inclusion criteria were included. The pooled prevalence of diarrhea among under-five children in Ethiopia was found to be 20.8% (95% CI: 18.69-22.84, n = 44, I2 = 94.9%, p < 0.001). Our analysis revealed a higher prevalence of childhood diarrhea in age groups of 12-23 months 25.42% (95%CI: 21.50-29.35, I2 = 89.4%, p < 0.001). In general, the evidence suggests that diarrheal risk factors could include: i) child level determinants (child's age 0-23 months, not being vaccinated against rotavirus, lack of exclusive breastfeeding, and being an under-nourished child); ii) parental level determinants {mothers poor handwashing practices [pooled odds ratio (OR) = 3.05; 95% CI:2.08-4.54] and a history of maternal recent diarrhea (pooled OR = 3.19, 95%CI: 1.94-5.25)}; and iii) Water, Sanitation and Hygiene (WASH) determinants [lack of toilet facility (pooled OR = 1.56, 95%CI: 1.05-2.33)], lack handwashing facility (pooled OR = 4.16, 95%CI: 2.49-6.95) and not treating drinking water (pooled OR = 2.28, 95% CI: 1.50-3.46). Conclusion: In Ethiopia, the prevalence of diarrhea among children under the age of five remains high and is still a public health problem. The contributing factors to acute diarrheal illnesses were child, parental, and WASH factors. A continued focus on improving access to WASH facilities, along with enhancing maternal hygiene behavior will accelerate reductions in diarrheal disease burden in Ethiopia.

Differences in caregiver and child factors within families of autistic youth across birth order groups

BackgroundResearch has highlighted the ways that birth order relates to autism spectrum disorder (ASD) prevalence rates. However, little research has focused on how birth order relates to the wellbeing of the family once a child is diagnosed with ASD. Additionally, many family factors (such as measures of parental wellbeing) and elements of child emotional/behavioral symptoms have not yet been investigated when evaluating the potential effects of birth order. The current study aimed to investigate how family birth order may impact caregiver reporting of parental wellbeing/competency and child symptoms. MethodThree groups were created based on caregivers (N = 155) who have (1) a first-born child with ASD and then child(ren) without ASD, (2) child(ren) without ASD and then a child with ASD, and (3) an only child with ASD. Caregivers completed questionnaires measuring family resources, child symptoms, and parental factors. ResultsDespite comparable ratings on family resources and ASD severity, significant differences based on birth order emerged. Having one or multiple children without ASD before having a child with ASD may enhance feelings of satisfaction and competency as a parent. Parents with an only child with ASD also reported higher ratings of competency, had significantly less ASD knowledge, and demonstrated a significant negative correlation between efficacy and knowledge. ConclusionFamilies with an only child with ASD may require further support to augment their knowledge of ASD. Caregivers who have a first-born child with ASD may benefit from interventions focusing on their feelings of parental competency.

Interactions between parenting styles, child anxiety, and oppositionality in selective mutism.

Selective mutism (SM) is a poorly understood condition, and debate continues regarding its etiology and classification. Research suggests that a genetic vulnerability may play a role in the development of the disorder which may be compounded by anxious and over-protective parenting. While previous studies supported the role of parenting styles in the development of SM, most of them examined child and parent factors in isolation. The current study examined how the interactions between child internalizing and externalizing behaviors (anxiety and oppositionality, respectively) and parenting styles (authoritative, permissive, and authoritarian) are associated with SM diagnosis. The study included 285 children aged 3-7 years (57.2% females), and their parents (66 children with SM and 219 typically developed children). Parents completed questionnaires about child social anxiety, oppositional behavior, SM severity, and their parenting style. Results showed that parents of children with SM reported lower levels of authoritative practices than those of typically developed children. We also found that child social anxiety and oppositionality moderated the effects of authoritative and authoritarian parenting practices on SM diagnosis. Our results suggest that child anxiety and oppositionality may explain the different susceptibility of children to adaptive and maladaptive parenting styles.

Predictors of parental acceptance to live attenuated influenza vaccine for children

ABSTRACT To determine the influencing factors of Chinese parents' intention and behavior for children to receive live attenuated influenza vaccine during the 2022–2023 influenza season. A theoretical model was developed and included seven constructs, and structural equation modeling was used to test 11 hypotheses. From October 2022 to December 2023, a survey was conducted across 38 medical institutions in four Chinese cities and their subordinate districts, counties, and rural areas. Parents who accompanied their children for vaccinations were selected through a randomization process based on their child’s medical card numbers. Measures were taken to minimize method bias, including a diverse geographical representation and random sampling. The survey resulted in the collection of 936 valid responses, exceeding the recommended sample size for structural equation model analysis and providing robust statistical inferences. During the study period, 936 respondents were included in the study. Perceived ease of use was verified to be a predictor of perceived usefulness and perceived value. Perceived usefulness was verified as a predictor of perceived value and behavioral intention. Knowledge was a significant antecedent of perceived value and risk perception of influenza disease. Risk perception of influenza disease was proved to be a significant predictor of perceived value and self-reported vaccination behavior. Perceived value significantly affected behavioral intention, and behavioral intention significantly affected self-reported vaccination behavior. Six demographic variables significantly moderate the theoretical models. The low vaccination coverage of live attenuated influenza vaccine (LAIV) among children in China suggests a need for a deeper understanding of the factors that influence vaccination rates. Particularly, effective strategies are necessary from policymakers and practitioners to elevate childhood LAIV coverage.

Imprinting disorders in children conceived with assisted reproductive technology in Sweden

ObjectiveTo assess whether the use of assisted reproductive technology for conception is associated with imprinting disorders in children and the impact of parental factors related to infertility. DesignA nationwide register-based cohort study. SubjectsAll liveborn singletons in Sweden (N = 2 084 127) between 1997-2017 with follow-up to December 31, 2018. ExposureThe use of specific methods implemented in the assisted reproductive technology Main Outcome MeasuresThe International Classification of Diseases version 10 was used to identify three distinct imprinting disorder groups: Prader-Willi/Silver-Russell syndrome, Beckwith-Wiedemann syndrome, and central precocious puberty. The Cox model combined with inverse probability treatment weights were used to estimate weighted hazard ratio (wHR) with 95% confidence interval (CI), accounting for multiple confounders. ResultsA total of 1044 children were diagnosed with the disorders of interest, and 52 of them were conceived with assisted reproductive technology. The overall risk of being diagnosed with any of the studied imprinting disorders was elevated in children conceived with ART compared to all other children (HR 1.84, 95% CI: 1.38-2.45). After adjusting for parental background factors, the association was partially attenuated (wHR 1.50, 95% CI: 0.97-2.32), but remained also in the weighted comparison restricted to children of couples with known infertility (wHR 1.52, 95% CI: 1.05-2.21). For the specific diagnoses of Prader-Willi/Silver-Russell syndrome and Beckwith-Wiedemann syndrome, compared to children of couples with known infertility, children conceived with assisted reproductive technology showed a small excess risk, which could not be distinguished from the null (wHR 1.56 [95% CI: 0.93-2.62] and 1.80 [95% CI: 0.99-3.28], respectively). Further subgroup analysis showed that the combined use of intra-cytoplasmic sperm injection and cryopreserved embryos was associated with higher risk of both Prader-Willi/Silver-Russell syndrome (wHR 4.60, 95% CI: 1.72-12.28) and Beckwith-Wiedemann syndrome (wHR 6.69, 95% CI: 2.09-21.45). The number of central precocious puberty cases in children conceived with assisted reproductive technology was too small (N=3) to make any meaningful inference. ConclusionThe combined use of intra-cytoplasmic sperm injection and cryopreserved embryos was associated with small elevated risks of Prader-Willi/Silver-Russell syndrome and Beckwith-Wiedemann syndrome in children, independent of parental factors related to infertlity.

Motives Behind University Students’ Enrolment in the Co-operative Programs in Tanzania

This study explored cooperative education's dynamics at the Moshi Co-operative University in Tanzania, aiming to establish factors influencing students' enrolment in cooperative programs amidst challenges faced by Tanzanian cooperative societies. Utilizing Dweck's Goal Orientation Approach, the study employed a qualitative single-case design, involving 50 students selected through purposive sampling to ensure a diverse representation of perspectives and experiences. Data collection methods include semi-structured interviews and documentary reviews, facilitating insights into participants' motivations, experiences, and the contextual factors guiding their decisions. Thematic analysis guided by Dweck's approach ensured a systematic examination of the data, revealing the influential roles of parents, friends, teachers, family and role models in students' program choices. Emphasis is appears on the significance of employment opportunities and program relevance in shaping students' decisions. The study concludes that influential factors in students' enrolment include parental, peer, teacher, family and role model factors, emphasizing the significance of employment opportunities and program relevance. To strengthen cooperative education at MoCU, the study recommends collaborative initiatives, program diversification, improved career guidance, continuous professional development, systematic program evaluation, policy refinement and longitudinal impact assessments.

Effect of demographic factors on attitudes to purchase children’s supplement products

Children's supplements are products widely offered by drug manufacturers. Their benefits and uses are essential for supporting the growth and health of children. Nevertheless, there is a lack of research in Indonesia examining the relationship between parental demographic factors and attitudes towards purchasing children’s supplements. This study employs a mixed-method approach to investigate the impact of demographic factors on attitudes toward purchasing children’s supplement products, aiming to fill the research gap. A total of 124 parents from diverse backgrounds participated as respondents, with 29.8% being male and 70.2% female. Their education levels ranged from high school (7.3%), bachelor’s degree (26.6%), master’s degree (50%), to doctoral degree (16.1%). The results of the regression analysis indicate that only income level plays a positive role in shaping attitudes towards purchasing children’s supplements. Notably, 89.5% of respondents believe in the benefits of these supplements. This study highlights the influence of income level on buying attitudes regarding children’s supplements. Future research should consider a larger sample size to better represent the population.

성별에 따른 미혼 청년의 결혼의향 요인 연구

Objectives This study analyzed the factors affecting the marriage intention of unmarried young people by gender. Methods For this purpose, 1,691 unmarried young people (947 men, 744 women) between the ages of 18 and 34 conducted by the Korea Youth Policy Institute were selected as research subjects, and personal characteristics, parental factors, workplace factors, and policy factors were used as independent variables. Marriage intention was selected as the dependent variable. Results The main research results are: First, personal factors had a significant effect only on men in terms of age (the younger the age, the higher the intention to marry). Second, parental factors had a significant effect on the mother's education level only for men (the higher the mother's education level, the higher the intention to marry). Third, as for workplace factors, job welfare level and work values had a significant effect only on women (job The lower the welfare level and the higher the value of work, the higher the intention to marry). Fourth, in terms of poli-cy factors, only men had a significant effect on training/career policy and childbirth/childcare policy (the higher the training/career policy, the higher the childbirth/childcare policy, the higher the intention to marry). Conclusions As there is a clear difference between men and women in the intention to marry among unmarried young people, customized support should be provided for each factor that can increase the intention to marry. Through this, the government and local governments should carry out various promotional activities and activate programs for single young men and women.

Faktor-Faktor Pendidikan Dalam Pandangan Al-Qur’an dan Hadis

This paper aims to determine educational factors from the perspective of the Al-Qur'an and Hadith. Several factors in education are Human Factors, Educator Factors, Student Factors, Islamic Education Material and Method Factors, Learning Media Factors. This research uses a library research method. Literature review is a research technique by conducting searches regarding the concept of Islamic Education factors in terms of the Al-Qur'an and Hadith. Literature reviews are an important tool in contact reviews because literature is very useful and helps provide context and meaning to the writing that is being written. One of the educational factors reviewed from the Al-Qur'an is the human factor, which includes; can be caused by a leader, especially because of his leadership style, personnel who try to maintain rigid rules and arise because of individual personality traits, namely egoistic, temperamental, fanatical and authoritarian attitudes. Then the educational factor that is viewed from the Hadith is the parental education factor, where education in the family is the first and main education for children. Meanwhile, parents are the leaders of the family who are responsible for the safety of their children both in this world and in the afterlife, because children are not born but are born in a state of nature. So parents are obliged to educate their children. Children follow the example of their family members, their father, their mother or their siblings, so parents in the family must pay attention to their children and educate them. Parents are interested in the progress and development of their children, people always hope that their sons and daughters will be better than their parents.

Patterns of sub-optimal change following CBT for childhood anxiety.

Children and adolescents demonstrate diverse patterns of symptom change and disorder remission following cognitive behavioural therapy (CBT) for anxiety disorders. To better understand children who respond sub-optimally to CBT, this study investigated youths (N = 1,483) who continued to meet criteria for one or more clinical anxiety diagnosis immediately following treatment or at any point during the 12 months following treatment. Data were collected from 10 clinical sites with assessments at pre-and post-treatment and at least once more at 3, 6 or 12-month follow-up. Participants were assigned to one of three groups based on diagnostic status for youths who: (a) retained an anxiety diagnosis from post to end point (minimal responders); (b) remitted anxiety diagnoses at post but relapsed by end point (relapsed responders); and (c) retained a diagnosis at post but remitted to be diagnosis free at end point (delayed responders). Growth curve models assessed patterns of change over time for the three groups and examined predictors associated with these patterns including demographic, clinical and parental factors, as well as treatment factors. Higher primary disorder severity, being older, having a greater number of anxiety disorders, having social anxiety disorder, as well as higher maternal psychopathology differentiated the minimal responders from the delayed and relapsed responders at the baseline. Results from the growth curve models showed that severity of the primary disorder and treatment modality differentiated patterns of linear change only. Higher severity was associated with significantly less improvement over time for the minimal and relapsed response groups, as was receiving group CBT, when compared to the delayed response group. Sub-optimal response patterns can be partially differentiated using variables assessed at pre-treatment. Increased understanding of different patterns of change following treatment may provide direction for clinical decision-making and for tailoring treatments to specific groups of clinically anxious youth. Future research may benefit from assessing progress during treatment to detect emerging response patterns earlier.

Acceptability of corporal punishment and use of different parenting practices across high‐income countries

AbstractWorldwide, many children experience corporal punishment. Most research on corporal punishment has focused on parents' attitudes and use of corporal punishment; however, other relevant parenting factors and practices have rarely been examined. This study explored differences among countries with various levels of progress toward a total legal ban of corporal punishment in parents' acceptability of corporal punishment, perception of parenting as a private concern, relationship with their child and parenting practices: consistency, coercive parenting, use of smacking and positive encouragement. Parents (N = 6760) of 2‐ to 12‐year‐old children from Australia, Belgium, Canada, Germany, Hong Kong, Spain, Switzerland and the United Kingdom completed the International Parenting Survey, an online cross‐sectional survey. One‐way ANOVAs, and MANCOVAs (after controlling for parent age, gender and educational level), indicated significant country differences. Overall, there was no clear link between corporal punishment bans and positive parenting beliefs, practices and behaviours. The two countries where corporal punishment is banned showed different patterns. Parents in Germany showed less acceptability and use of smacking; however, parents in Spain reported the highest use of coercive parenting. Country differences suggest that beyond a legal ban, attention is needed on how to support parents to raise their children in a positive, nurturing environment.

Predicting higher child BMI z-score and obesity incidence in Malaysia: a longitudinal analysis of a dynamic cohort study.

To target public health obesity prevention, we need to predict who might become obese i.e. predictors of increasing Body Mass Index (BMI) or obesity incidence. Predictors of incidence may be distinct from more well-studied predictors of prevalence, therefore we explored parent, child and sociodemographic predictors of child/adolescent BMI z-score and obesity incidence over 5 years in Malaysia. The South East Asia Community Observatory in Segamat, Malaysia, provided longitudinal data on children and their parents (n = 1767). Children were aged 6-14 years at baseline (2013-14) and followed up 5 years later. Linear multilevel models estimated associations with child BMI z-score at follow-up, adjusting for baseline BMI z-score and potential confounders. Predictors included parent cardiometabolic health (overweight/obesity, central obesity, hypertension, hyperglycaemia), and socio-demographics (ethnicity, employment, education). Logistic multilevel models explored predictors of obesity incidence. Higher baseline BMI z-score predicted higher follow-up BMI z-score both in childhood to late adolescence (0.60; 95% CI: 0.55, 0.65) and early to late adolescence (0.76; 95% CI: 0.70, 0.82). There was inconsistent evidence of association between child BMI z-score at follow-up with parent cardiometabolic risk factors independent of baseline child BMI z-score. For example, maternal obesity, but not overweight, predicted a higher BMI z-score in childhood to early adolescence (overweight: 0.16; 95% CI: -0.03, 0.36, obesity: 0.41; 95% CI: 0.20, 0.61), and paternal overweight, but not obesity, predicted a higher BMI z-score in early to late adolescence (overweight: 0.22; 95% CI: 0.01, 0.43, obesity: 0.16; 95% CI: -0.10, 0.41). Parental obesity consistently predicted five-year obesity incidence in early to late adolescence, but not childhood to early adolescence. An adolescent without obesity at baseline with parents with obesity, had 3-4 times greater odds of developing obesity during follow-up (incidence OR = 3.38 (95% CI: 1.14-9.98, mother) and OR = 4.37 (95% CI 1.34-14.27, father) respectively). Having a higher BMI z-score at baseline was a stronger predictor of a higher BMI z-score at follow-up than any parental or sociodemographic factor. Targeting prevention efforts based on parent or sociodemographic factors is unwarranted but early childhood remains a key period for universal obesity prevention.

Illness cognition and associated socio-demographic and clinical factors in parents of children with leukemia

PurposeIllness cognition is an important mediator between psychological and behavioral adjustment and the quality of life for patients and their caregivers. Evidence related to illness cognition among parents of children with leukemia is limited. The purpose of this study is to explore the illness cognition status and associated factors in parents of children with leukemia.MethodsA cross-sectional survey was conducted with the parents of 335 children with leukemia from three general children’s hospitals in China from January to December 2022. A parents’ version of the illness cognition questionnaire was used to collect data. This included three subscales: helplessness, acceptance, and perceived benefits.ResultsThe mean scores of helplessness, acceptance and perceived benefits of parents regarding their children’s disease were 15.56 (4.60), 16.25 (4.41), and 19.96 (3.69) respectively. The multiple regression model indicated seven factors associated with the parents’ illness cognition (adjusted R [2] ranged from 0.182 to 0.134): four socio-demographic factors (parent’s age, role, education level, and family income) and three clinical factors (length of time spent each day caring for the child, the child’s age at diagnosis, and the duration of the disease).ConclusionThis study reports on different levels of illness cognition and associated factors among parents of children with leukemia. The results may help pediatric oncology medical staff identify risk factors for poor psychological adjustment to children’s diseases. Parents may benefit from psychological support aimed at improving positive illness cognition.