Parental Work Status Research Articles

Adolescents witnessing family violence and its association with socio-economic factors

Abstract Background About 200 000 children in Sweden live in families where violence among adults occurs. About 10% of children have witnessed violence family violence Family violence is often more prevalent in low social status families. The present study describes adolescents that have witnessed threats of violence, abusive words or physical/sexual violence in their families, as well as the association between these types of violence and socio-economic factors. Methods Data from a school-based survey, in the County of Sörmland (2023), including 15-18-years-old students in 2023 were used. Witnessing family violence was measured by the following item “Have you experienced that an adult in your family has... 1) threatened to use violence against someone else in your family? 2) used abusive words, oppression, or been dominant or controlling against someone else in your family? 3) used physical violence against someone else in your family, such as hitting, pushing, kicking, or sexual violence”. Parental work status, the child’s living conditions and economic stress were used as socio-economic factors. Data were analysed by descriptive methods and logistic regressions. Results This study included 3 407 adolescents among which 19% had witnessed any type of family violence. The most prevalent type was witnessing abusive words, (17%), followed by physical/sexual violence (10%) and threats to use violence (9%). Witnessing any type of family violence was associated with all socio-economic variables in univariate analyses, the strongest association was found for having economic stress (OR = 3.30; 95% CI 2.72-4.01), in comparison to not having economic stress. Further adjustments for gender, grade, ethnicity, parental work status and living with both parents attenuated the association, OR = 2.50 (95% CI 2.03-2.07). Conclusions Two of ten adolescents have witnessed any type of family violence. These adolescents often belonged to families with low socioeconomic status making them vulnerable. Key messages • In this school-based study, 19 % of adolescents had witnessed any type family violence. Having witnessed abusive words was the most prevalent type of family violence. • There is as strong association between witnessing family violence hand having economic stress among adolescents. These adolescents need to be noticed in their particularly vulnerable situation.

Inequalities in Access to Diabetes Technologies in Children with Type 1 Diabetes: A Multicenter, Cross-sectional Study from Türkiye.

To determine inequalities in access to diabetes technologies and the effect of socioeconomic factors on families with children with type 1 diabetes. In this multicenter cross-sectional study, parents of children with type 1 diabetes completed a questionnaire about household sociodemographic characteristics, latest HbA1c values, continuous glucose monitoring (CGM) and insulin pump use of children, the education and working status of parents. These characteristics were compared between technology use (only-CGM, only-pump, CGM+pump, no technology use). Among 882 families, only-CGM users, only-pump users, and CGM+pump users compared with no technology users, adjusting for age, sex, region, education levels, number of working parents, and household income. Children living in the least developed region had lower odds of having only-CGM (OR=0.20, 95%CI 0.12-0.34) and having CGM+pump (OR=0.07, 95%CI 0.03-0.22) compared with those living in the most developed region. Children with parents who had not finished high school had lower odds of having only-CGM (Mothers: OR=0.36, 95%CI 0.19-0.66; fathers: OR=0.32, 95%CI 0.18-0.60) or both CGM+pump (OR=0.27, 95%CI 0.11-0.64; fathers: OR=0.34, 95%CI 0.15-0.79) rather than no-technology compared to children whose parents has a university degree. Every $840 increase in the household income increased the odds by 5% for having only-CGM (OR=1.05, 95%CI 1.02-1.09) and CGM+pump (OR=1.05, 95%CI 1.01-1.08). Socioeconomic factors such as education, regions, and income were associated with inequality in access to technologies. The inequalities are more prominent in access to CGM while CGM had a bigger contribution to glycemic control.

Socioeconomic Disadvantage among Adolescents: Associations between Having Relatives with Severe Health Conditions, Parental Work Status, and Poor Mental Health

Psychosocial risk factors, such as socioeconomic disadvantage and having close relatives with severe health conditions (RSHCs), may negatively impact an adolescent’s life. This study aimed to investigate the associations between adolescent experiences with RSHCs (no, one or several RSHCs), parental working status (PWS) (both parents working (both PW) or having ≥1 parent not working (≥1 PNW)) and the composite variable of RSCHs/PWS in relation to self-reported poor mental health. In 2020, population-based data on 15–18-year-olds (n = 3509) were collected from schools in Sörmland, Sweden. Relationships between the composite variable of RSCHs/PW and poor mental health were determined through logistic regression analyses in three different models. Odds ratios (ORs) are separately reported for girls and boys. Girls reporting several RSHCs/≥1 PNW displayed an OR of 5.05 (95% CI 2.82–9.04) in comparison with the reference group with no RSCHs/both PW when adjusting for grade and ethnicity. The corresponding OR for boys was 2.26 (95% CI 1.46–3.49). Further adjustments for protective factors for mental health attenuated the associations with poor mental health. In conclusion, adolescents with RSHC experiences in combination with parental unemployment are at increased risk of developing their own poor mental health, making this group particularly vulnerable.

Parental unemployment and educational outcomes in late adolescence: the importance of family cohesion, parental education, and family income in a Norwegian study.

The study aimed to investigate the association between parental unemployment and grade point average and school completion in adolescence, and the importance of family cohesion, parental education, and family income in explaining these associations. Data stem from the Norwegian cross-sectional 2012 youth@hordaland-survey including 8437 adolescents (53.4% girls). Information on grade point average, school completion, parental education, and family income were retrieved from the National Education Database. Parental work status and family cohesion were assessed by adolescent self-report. Adolescents with at least one unemployed parent had lower grade point averages (3.49 compared with 3.92, P<0.001) and rates of school completion (71.9% compared with 86.6%, P<0.001) compared with adolescents with two working parents. The associations between parental unemployment and both grade point average (b = -0.22, 95% confidence interval -0.32, -0.12) and school completion (odds ratio 0.59, 95% confidence interval 0.46, 0.76) partly attenuated but remained significant when taking family cohesion, parental education, and family income into account. There was a significant interaction between parental unemployment and family cohesion on grade point average, in which the positive association between family cohesion and grade point average was weaker for adolescents with unemployed parents. Adolescents with parents outside of the workforce are at higher risk of poorer educational outcomes than peers with working parents. Combined with the positive associations between parental education, family cohesion, family income, and educational outcomes, this underscores the importance of parents for adolescent educational outcomes, and suggests that parents and the family situation should be considered when providing academic support for adolescents who struggle in upper secondary school.

Identifying the Distinct Profiles of Transition Readiness in Chinese Pediatric Cancer Survivors.

Transition readiness is important for pediatric cancer survivors who need to move from pediatric to adult medical care. However, their transition readiness profiles merit further exploration. The aim of this study was to use a person-centered approach to identify transition readiness profiles of Chinese pediatric cancer survivors aged 12 to 18 years, diagnosed at least 6 months before the study. Transition readiness was assessed using the Chinese TRANSITION-Q Scale, and latent class analysis was performed to identify the transition readiness profiles as well as demographic and clinical factors associated with profile classification and to examine how self-efficacy and quality of life may differ between these profiles. A total of 139 pediatric cancer survivors were included. Three different transition readiness profiles were identified: high transition readiness, medium transition readiness, and low transition readiness. Age, treatment status, and parental working status were significantly associated with the transition readiness profile classifications. Those who were in the low transition readiness profile were likely to have lower self-efficacy and mobility scores than those in the high or medium transition readiness profiles. Three distinct transition readiness profiles existed in a sample of Chinese pediatric cancer survivors, indicating significant heterogeneity in their transition readiness. Knowledge of transition readiness profiles can assist clinicians in screening pediatric cancer survivors for their profile memberships and provide targeted interventions for those with a low transition profile.

Perspectives of infant active play: a qualitative comparison of working versus stay-at-home parents

BackgroundParents play a key role in infant’s development through their interactions and the type of environment they provide to promote active play. The amount of time parents are able to spend with their infant is dependent on their working status, yet few studies have explored parent perception of their infant’s active play by working status. The purpose of this study was to explore parent perception of active play and compare responses between working and stay-at-home parents.MethodsTwenty-nine parents participated in this qualitative study by completing a one-time, in-person semi-structured interview based on the Theory of Planned Behavior. Themes were developed and compared based on parental working status using a directed content analysis approach.ResultsAll parents believed active play could have a positive effect on their child’s development through physical, social and emotional, cognitive, and/or language and communication development. However, stay-at-home parents reported a broader impact of active play across these domains; whereas working parents most often referenced active play as impacting infant’s physical development. Social and emotional interactions were the highest reported form of active play among all parents. Additionally, all parents described similar barriers to increasing the time for active play. The most commonly reported barrier for all parents was time or schedule followed by care needs of the infant, environmental concerns, and need for restrictive devices (e.g., car seats). More stay-at-home parents than working parents reported the care needs of the infant as being a barrier. Recommendations for active play were not widely known amongst all parents, with a higher percentage of working parents reporting they would desire advice from a healthcare provider.ConclusionsWorking status of parents appears to have implications on perceptions of active play which in turn may influence infants’ development. Future studies should objectively assess the impact of parents’ working status on infant development and explore how gender of the parent may serve as a confounding variable.

Psychological and behavior status of minor children of medical staff during the COVID-19 epidemic in Hubei province

To investigate the psychological and behavior status of minor children of medical staff in Hubei province during the coronavirus disease 2019 (COVID-19) epidemic. A cross-sectional questionnaire survey was conducted through WeChat from March 13 to 15, 2020, which included a general data questionnaire and Conners parental assessment questionnaire (PSQ). The questionnaires received from outside of Hubei province were excluded through IP address, and the questionnaires with answer time <150 s were also excluded. The influence of parental work status on the psychological behavior was analyzed in children of different age groups. A total of 391 valid questionnaires were collected, there were 207 males (52.9%) and 184 females (47.1%); 91 (23.3%) aged 3 to 6, 183 (46.8%) aged 6 to 10, and 117 (29.9%) aged 10 to 16. Both parents were medical staff in 87 participants(22.3%), one parent was medical staff in 139(35.5%) participants, and no parents were medical staff in 165 (42.2%) participants. In 3-<6 years group, there was no significant difference in the PSQ scores of the children in each factor level (all P>0.05) between children with parents as medical staff and those without. In 6-<10 years group, children with both parents as medical staff had higher hyperactivity-impulse factor score, learning problem factor score and total score than those without parents as medical staff (all P<0.05), while they had higher learning problem factor score than those with one parent as medical staff (P<0.05); the anxiety score of children with one or both parents as medical staff was higher than that of those without parents as medical staff (all P<0.05). In 10 to 16 years group, the behavior problems, learning problems, hyperactivity-impulse, more dynamic index and the total score in children with one parent as medical staff were lower than those with both parents as medical staff or without parents as medical staff (P<0.05 or P<0.01); while there were no significant differences in psychosomatic problems, anxiety factor scores between children with one parent as medical staff and other two groups (all P>0.05). s During COVID-19 epidemic period, the psychological and behavior status of minor children of Hubei medical staff with different ages shows differences with those without parents as medical staff, particularly in 6-<10 years and 10 to 16 year groups. It is necessary to pay attention to the psychological and behavioral status of children of medical staff in these age groups.

Physical inactivity, non-participation in sports and socioeconomic status: a large population-based study among Norwegian adolescents

BackgroundPhysical activity in adolescence is found to promote both immediate and long-term health, as well as school- and work performance. Previous studies suggest that parental socioeconomic status (SES) may influence the level of activity, although the results are inconsistent. The objective of this study was to examine the overall level of low physical activity/sports participation and the associations with parental SES and adolescent school program in a population-based study of older adolescents.MethodsThe youth@hordalandy study, a large population-based study in Hordaland county, Norway, conducted in 2012, included 10,257 adolescents aged 16–19 years (53% girls). Physical activity was examined by self-reported overall activity, and participation in organized team- and individual sports. Predictor variables were parental SES measured by youth self-reports of family economic well-being, parental education and work affiliation and self-reported current high school program (vocational versus general studies). Age, ethnicity, and family structure were included as covariates.ResultsGirls who reported lower parental education had small, but significant higher risk for physical inactivity and non-participation in individual sports compared with their counterparts who reported higher family education (RRs ranging from 1.04 to 1.12, p < 0.01). There were some, but inconsistent, evidence of an increased risk for physical inactivity and non-participation in sports among those (and particularly boys) with lower family economic well-being. Parental work status was largely unrelated with physical inactivity/non-participation in sports. Adolescents in vocational studies had a small but significantly increased risk of physical inactivity and non-participation in sports compared with individuals in general studies (RRs ranging from 1.03 to 1.05, all p < 0.05).ConclusionsWe found some evidence of a social gradient for lower physical inactivity and non-participation in sports for adolescents. Although effect sizes were small, vocational studies was the most robust correlate for physical inactivity/non-participation in sports among the SES-variables, while the corresponding associations with parental education and family economic well-being differed by gender.

Association of vitamin A deficiency with early childhood stunting in Uganda: A population-based cross-sectional study.

BackgroundDespite the high prevalence of childhood protein-energy malnutrition and vitamin A deficiency in sub-Saharan Africa, their association has not been explored in this region. A better understanding of the epidemiologic link could help define effective preventive strategies. We aimed to explore the association of vitamin A deficiency (VAD) with stunting, wasting, and underweight among preschool children in Uganda.MethodWe analyzed a population-based, cross-sectional data of 4,765 children aged 6–59 months who participated in 2016 Demographic and Health Surveys conducted in Uganda. We utilized generalized linear mixed-effects models with logit link function, adjusting for potential confounders to estimate associations between VAD and stunting, wasting, and underweight.ResultsThe prevalence of VAD was 8.9% (95% CI: 8.1% to 9.6%, n = 424). Twenty-seven percent were stunted (95% CI: 26.1% to 28.6, n = 1302), 4% wasted (95% CI: 3.6% to 4.7%, n = 196), and 17% underweight (95% CI: 16.0% to 18.2%, n = 813). After adjusting for household factors (e.g., wealth index, education and working status of parents, owning land for agriculture, livestock, herds, or farm animals), vitamin A supplementation, and community factors (e.g., population density, crop growing season lengths, place of residence), children with VAD had 43% higher odds of stunted growth than those without VAD (adjusted odds ratio, 1.43 (95% CI: 1.08 to 1.89, p = 0.01). No association was observed between VAD and wasting or underweight.ConclusionVitamin A deficiency was associated with higher odds of stunting, and the association was independent of the individual, household, and community-level variables.

The impact of childhood cancer on parental working status and income in Denmark: Patterns over time and determinants of adverse changes.

Having a child with cancer may affect the socioeconomic situation of the parents. We aimed to assess the impact of childhood cancer on parental working status and income and to identify determinants of adverse changes after the child's cancer diagnosis by calendar period. We conducted a nationwide cohort study using Danish registry data. Parents of children diagnosed with cancer in 1982-2014 (n = 12,418) were matched with comparison parents of cancer-free children (n = 125,014). We analysed annual working status (working/not working) and annual disposable income (lowest quintile/not lowest quintile) of case and comparison parents over a period of 10 years after diagnosis by calendar period (1982-1999 vs. 2000-2014). Logistic regression models were used to identify determinants of adverse changes after diagnosis. Mothers of children diagnosed in 1982-1999 were more likely not working or having a low income than comparison mothers up to 10 years after diagnosis. This risk of not working or low income was lower in mothers of children diagnosed in 2000-2014 compared to 1982-1999 in the first years after diagnosis (pinteraction < 0.05). We observed no consistent patterns among fathers. Low parental education, diagnosis of lymphoid leukaemia and younger age of the child at diagnosis were the main determinants of adverse changes in working status or income after diagnosis. Childhood cancer adversely interfered with parents' socioeconomic situation in the earlier calendar period, particularly among mothers. The absence of such an effect in more recent years emphasises the supportive role of a countries' welfare system alongside the general advances in childhood cancer treatment.

Race, Gender, Family Structure, Socioeconomic Status, Dietary Patterns, and Cardiovascular Health in Adolescents

ABSTRACTBackgroundDietary patterns represent a broad picture of food and nutrient consumption and may be more predictive of health outcomes than individual foods and nutrients.ObjectiveWe investigated the relations among race, gender, family structure, parental socioeconomic status (SES), dietary patterns, and cardiovascular disease (CVD) profiles among adolescents in the southeastern region of the United States.MethodsA total of 743 adolescents from a cross-sectional study were divided into 4 dietary pattern groups by K-means cluster analysis. Multinomial logistic regression was performed to determine the relations among the parental SES, family structures, and dietary patterns of the adolescents. Associations between dietary patterns and CVD profiles were analyzed by multiple linear regression.ResultsFour dietary patterns were derived: “healthy” (17%), “snacks and sweets” (26%), “processed meat” (20%), and “sugar-sweetened beverage (SSB) and fried food” (37%). Whites and females were more likely to have a “healthy” dietary pattern (Ps < 0.001). There were significant race/ethnicity differences in family structures, SES, and dietary patterns (Ps < 0.05). In whites, higher mother's education and father's education and occupation were associated with greater likelihood of a “healthy” dietary pattern (Ps < 0.05). Stay-at-home mother was associated with less likelihood of an “SSB and fried food” pattern (P = 0.023). In blacks, higher mother's occupation, father's education, and living with both parents were associated with more likelihood of a “healthy” dietary pattern (Ps < 0.05). Stay-at-home father was associated with less likelihood of the “snacks and sweets” (P = 0.025) and “SSB and fried food” dietary patterns (P = 0.044). Overall, adolescents with poor dietary patterns exhibited higher percentage body fat, waist circumference, systolic blood pressure, fasting insulin, homeostasis model assessment of insulin resistance, C-reactive protein, and total triglyceride (Ps < 0.05).ConclusionsOur data suggest that family structure, parental working status, and SES are associated with the diet quality in adolescents. Moreover, “snacks and sweets,” “processed meat,” and “SSB and fried food” dietary patterns are all associated with worse CVD risk profiles.

How Much of Children’s Time in Nonparental Care Coincides with Their Parents’ Time at Work?

Nonparental care (NPC) for children before they enter kindergarten has had two primary purposes for American families since the start of the twentieth century: supporting parental employment and providing children developmentally enriching out-of-home experiences. Today’s policy makers are increasingly expanding publicly funded opportunities for children in low-income families to experience center-based care. Yet parents’ work commitments often occur on evenings, weekends, and other times outside of the traditional school day. Understanding parental work schedules vis-à-vis NPC timing is essential to informing public expansions of accessible and affordable nonparental care options. Using a 7-day calendar from the 2012 National Survey of Early Care and Education, the authors uncover new patterns in the temporal synchronization of parental work and children’s time in various NPC settings and for households of varying incomes. Across all income groups and types of care, center-based care overlaps least with parental work hours. Children living in poverty have the lowest rates of NPC occurring during parental work time. The uncoupling of parental work status from children’s time in nonparental care suggests potential shifts in parents’ choices to expose children to care settings for the purpose of children’s development.

PERSEPSI GENERASI MUDA TERHADAP KEGIATAN PERTANIAN DI KELURAHAN BUHA KECAMATAN MAPANGET KOTA MANADO

This study aims to determine the perceptions of the younger generation of agricultural activities in the Buha Sub-District of Mapanget District. This research was carried out from August 2017 to May 2018. Primary data was collected through interviews of 15 generations of young people with the help of filling out questionnaires. Secondary data was obtained from the Buha Village Office, Mapanget District. This analysis uses descriptive analysis. The results of this study indicate that the perception of the younger generation of agricultural activities in the Buha Sub-District is overall negative for agricultural activities. Viewed from internal factors include education, employment, gender and age. The higher the level of education, the wider the insight of the younger generation so that the lack of interest in the younger generation in agricultural activities is getting bigger. The younger generation who already have permanent jobs in the non-agricultural sector look down on agricultural activities because they assume that agricultural activities have a low social level. Women have a low interest in agricultural activities because they assume that agricultural activities are not suitable for women because it will damage their appearance. Respondents aged 21-30 years have a low interest in agricultural activities, in addition to reduced agricultural land. External factors include socialization, parental work status and land ownership status. The younger generation with a low level of socialization results in a lack of interest in the younger generation in agricultural activities. Parents of respondents who work in agriculture or non-agriculture do not want their children to make agricultural activities the main job. The young generation whose parents still own agricultural land is still doing agricultural activities to help their parents work on their farms.

Parental work status and children's dietary consumption: Australian evidence

AbstractThis study investigated associations between parents' work status and the dietary consumption patterns of Australian children, and whether such associations vary by parental education and usage of nonparental childcare. Data from the longitudinal study of Australian children at two waves from ages 2–3 years (n = 4601) to 4–5 years (n = 4381) were analysed. Logistic regression models were used to calculate odds ratios of children consuming (≥1 times/day) fruit and vegetables (FV), high fat foods (HFF), high sugar drinks (HSD), as well as evaluating the incidence of breakfast consumption. This was analysed against the employment status of parents including full‐time, part‐time and unemployed. Children of part‐time employed mothers were more likely to consume breakfast, and less likely to consume HSD compared with children of full‐time employed mothers. Children of part‐time employed fathers were less likely to consume FV and breakfast, and more likely to consume HSD compared with children of full‐time employed fathers. Children of nonemployed mothers were more likely to consume HFF, whilst those of nonemployed fathers were more likely to consume HSD and less likely to consume breakfast compared with other children. Amongst less‐educated parents, children of unemployed and part‐time employed parents were more likely to consume HFF and HSD and less likely to consume FV and breakfast compared with children of full‐time employed parents. Amongst highly educated parents, children of unemployed and part‐time employed mothers were less likely to consume HSD compared with children of full‐time employed mothers. Children of part‐time employed mothers who used family day care, day care centres and grandparent care were less likely to consume HSD and more likely to consume breakfast compared with children of full‐time employed mothers. Children of part‐time employed fathers and unemployed parents who used day care centres and grandparent care were less likely to consume FV and more likely to consume HFF compared with children of full‐time employed parents. Future studies should pursue a better understanding of the mechanisms for the adverse effects of parental work status on dietary consumption to develop and enhance specific interventions targeting these groups.

Risk Factors for Persistent Child Poverty during the First Five Years of Life in Taiwan Birth Cohort Study

Little is known about the child poverty dynamics in Asian countries. This study aims to learn the extent of persistent child poverty and identify its risk factors in Taiwan. Data for the analysis came from the Taiwan Birth Cohort Study, a nationally representative sample of 18,506 children who were born in 2005. The researcher defined poverty as parental income below $30,000 New Taiwan Dollars (NTD) per month. We grouped children into three types of poverty based on their family’s history: persistent poverty, occasional poverty and never poverty. This study presents a multinomial logistic regression of the relationship between risk factors and poverty types. In Taiwan, 6.0% of the sampled children experienced persistent poverty in the first five years of life. Persistent child poverty was associated with families experiencing chronic unemployment, parents with low educational attainment, mothers having children before the age of twenty-five, foreign-born mothers, single-parent families and residence in rural areas. Of these factors, parental work status and the educational level of parents are the most important determinants of child poverty.

A Mixed‐methods Study of Paternal Involvement in Hong Kong

The research reported here examined Chinese fathers’ direct interaction or engagement in children's education both at home and in preschool during the early childhood years using a Hong Kong sample in two studies. In Study 1, comparisons between father and mother involvement practices and examination of the associations between family background variables and father involvement as well as between father involvement and school readiness were conducted. In Study 2, father and teacher focus‐group interviews were conducted to explore fathers’ and teachers’ beliefs and practices concerning father involvement. Consistent with previous studies, the findings showed that teachers and fathers acknowledged the importance of fathering for children's positive development as well as supportive marital relationships. While fathers were found to be involved in various educational activities both at home and in preschool, the findings showed that the influence of family background may depend on the context of fathers’ involvement. In particular, family income, parental education background, parental work status, and fathers’ perception of child and teacher invitations were found to affect fathers’ preschool‐based involvement, but not fathers’ home‐based involvement. Finally, father involvement, however, was not found to associate with children's school readiness. These findings are likely to contribute to the literature on father involvement regarding its determinants and influence on child outcomes during the early years in Chinese culture, drawing important implications for father education, teacher education and family policy.

Socioeconomic disparities in psychological distress in a nationally representative sample of Japanese adolescents: A time trend study.

Socioeconomic status as a determinant of mental health problems has received scant attention in Japan, which has long been considered an egalitarian society. This study examined the association between socioeconomic status and psychological distress and its trends over 6 years among Japanese adolescents. We used data from a nationally representative sample of 9491 adolescents aged 12-18 years who participated in three repeated cross-sectional surveys between 2007 and 2013. The K6 scale was used to assess psychological distress. Socioeconomic status indicators included household income, parental education, parental working status and household structure. Psychological distress prevalence decreased significantly from 2007 (10.7%) to 2013 (7.6%). However, the socioeconomic status patterns of psychological distress were consistent through the study period. Adolescents living in both lower (odds ratio = 1.61; 95% confidence interval = [1.27, 2.05]) and higher income households (odds ratio = 1.30; 95% confidence interval = [1.03, 1.62]) were more likely to report psychological distress than their middle-income counterparts. Adolescents with low household income were more likely to feel stress from interpersonal relationships and less likely to have help-seeking behaviors, while those with high household income were more likely to feel stress about school achievement. Psychological distress was also associated with parental poor education and single parenthood. Socioeconomic status disparities in adolescent psychological distress were evident and consistent during the 6-year period. There is a unique U-shaped relationship between household income and psychological distress among adolescents in Japan, unlike those from other countries. However, the underlying mechanisms may differ by income status. Future prevention efforts should consider socioeconomic status as a determinant of adolescent mental health problems.

Employment Change Among Married Parents of Children With Special Health Care Needs

Over one in five households with children has at least one child with a special health care need (CSHCN). Child health caregiving can bleed into paid work time. This research analyzes what factors influence work decisions (who reduces work and by how much) in married-couple families with CSHCN. This article uses data from the Medical Expenditure Panel Survey to examine the specifics of changes in parental work status and a comparison of family/work trade-offs made by parents in families with and without a CSHCN. Results indicate that mothers are more likely to experience negative work changes than fathers. Both mothers and fathers with CSHCN are more likely to report missing work than parents of children without special health care needs. Overall, when children receive treatment in a primary care practice that serves as a medical home, parents are less likely to experience negative employment changes.

Intelligence Quotient (IQ) Relationship with Energy Intake and Micronutrient Composition among Primary School Children in Baghdad City, Iraq

2 Abstract: Nutrient component of diet is very important, especially for children during the development stages. Diet rich in vitamins and minerals is essential for healthy children. This study was conducted to assess the associations between energy intake, macronutrient composition and child Intelligence Quotient (IQ) score. A cross-sectional study was conducted among children aged 7 to 8 years old from 5 primary schools in Baghdad city. Dietary intake was assessed using 24-hour dietary recall. Body weight status was determined using weight and height. While intelligence quotient was evaluated using Raven Colored Progressive Matrices. A total of 480 children participated in this study. The mean age was 8.00±0.56 years. Mean energy intake among the children was 1, 020 kcal per day. There were excessive intake of vitamin B1, B2 and B3 (0.88, 1.12, 12.27 mg) respectively. Both low and normal IQ groups showed a large difference in vitamin A and iodine intakes. After adjusting for confounders, parental working status, Iodine level and child nutritional status still appeared to be the most important factors influencing child IQ. It is concluded that sufficient nutrient intake is very important during child cognitive development. Child nutritional status and iodine deficiency were the most important factors related to child's intelligence among the respondents.

Lifetime Paid Work and Mental Health Problems among Poor Urban 9‐to‐13‐Year‐Old Children in Brazil

Objective. To verify if emotional/behavioral problems are associated with lifetime paid work in poor urban children, when taking into account other potential correlates. Methods. Cross-sectional study focused on 9-to-13-year-old children (n = 212). In a probabilistic sample of clusters of eligible households (women 15–49 years and son/daughter <18 years), one mother-child pair was randomly selected per household (n = 813; response rate = 82.4%). CBCL/6-18 identified child emotional/behavioral problems. Potential correlates include child gender and age, socioeconomic status/SES, maternal education, parental working status, and family social isolation, among others. Multivariate analysis examined the relationship between emotional/behavioral problems and lifetime paid work in the presence of significant correlates. Findings. All work activities were non-harmful (e.g., selling fruits, helping parents at their small business, and baby sitting). Children with lower SES and socially isolated were more involved in paid work than less disadvantaged peers. Children ever exposed to paid work were four times more likely to present anxiety/depression symptoms at a clinical level compared to non-exposed children. Multivariate modeling identified three independent correlates: child pure internalizing problems, social isolation, and low SES. Conclusion. There is an association between lifetime exposure to exclusively non-harmful paid work activities and pure internalizing problems even when considering SES variability and family social isolation.