School Degree Research Articles

Sociodemographic Factors Associated With Using eHealth for Information Seeking in the United States: Cross-Sectional Population-Based Study With 3 Time Points Using Health Information National Trends Survey Data.

Despite the potential benefits of using eHealth, sociodemographic disparities exist in eHealth use, which threatens to further widen health equity gaps. The literature has consistently shown age and education to be associated with eHealth use, while the findings for racial and ethnic disparities are mixed. However, previous disparities may have narrowed as health care interactions shifted to web-based modalities for everyone because of the COVID-19 pandemic. This study aims to provide an updated examination of sociodemographic disparities that contribute to the health equity gap related to using eHealth for information seeking using 3 time points. Data for this study came from the nationally representative 2018 (n=3504), 2020 (n=3865), and 2022 (n=6252) time points of the Health Information National Trends Survey. Logistic regression was used to regress the use of eHealth for information seeking on race and ethnicity, sex, age, education, income, health status, and year of survey. Given the consistent association of age with the dependent variable, analyses were stratified by age cohort (millennials, Generation X, baby boomers, and silent generation) to compare individuals of similar age. For millennials, being female, attaining some college or a college degree, and reporting an annual income of US $50,000-$74,999 or >US $75,000 were associated with the use of eHealth for information seeking. For Generation X, being female, having attained some college or a college degree, reporting an annual income of US $50,000-$74,999 or >US $75,000, better self-reported health, and completing the survey in 2022 (vs 2018; odds ratio [OR] 1.80, 95% CI 1.11-2.91) were associated with the use of eHealth for information seeking. For baby boomers, being female, being older, attaining a high school degree, attaining some college or a college degree, reporting an annual income of US $50,000-$74,999 or >US $75,000, and completing the survey in 2020 (OR 1.56, 95% CI 1.15-2.12) and 2022 (OR 4.04, 95% CI 2.77-5.87) were associated with the use of eHealth for information seeking. Among the silent generation, being older, attaining some college or a college degree, reporting an annual income of US $50,000-$74,999 or >US $75,000, and completing the survey in 2022 (OR 5.76, 95% CI 3.05-10.89) were associated with the use of eHealth for information seeking. Baby boomers may have made the most gains in using eHealth for information seeking over time. The race and ethnicity findings, or lack thereof, may indicate a reduction in racial and ethnic disparities. Disparities based on sex, education, and income remained consistent across all age groups. This aligns with health disparities literature focused on individuals with lower socioeconomic status, and more recently on men who are less likely to seek health care compared to women.

How do school experiences in adolescence affect educational investment in adulthood? The case of parental investment in private tutoring in Germany

AbstractThis article examines the role of parents’ school experiences in adolescence on their educational investment strategies for their own children in middle adulthood. We focus our analysis on the parents’ decision to organize private tutoring (also called shadow education) for their children. Previous international research largely agrees that families with a high socioeconomic status (SES) are more likely to invest in tutoring to achieve competitive advantages in the educational race for higher credentials and maintain a high social status. In Germany, however, recent studies suggest that tutoring in Germany primarily serves underperforming children from les educated families to acquire relatively higher school degrees by compensating the higher demands of academic school tracks. We propose a theoretical decision model based on rational choice and life course theory incorporating psychological factors related to school performance of the parents (such as performance anxiety and ability self-concept) and operationalize four components that are intended to explain the (un)equal use of tutoring: (1) children’s school background, (2) parents’ cost and (3) benefit considerations, as well as (4) parents’ school biography. In addition, we hypothesize on the intergenerational transmission of performance-related factors from parents to their children and how this affects SE investment. We test our hypotheses quantitatively through logit regressions and a structural equation model using unique longitudinal data for 558 families (parents and their children) from the German “LifE” study (1979–2012). Our study produced two key findings: On the one hand, the parents’ previous school performance plays a direct role in the extent to which they themselves are able to provide their children with the necessary support in the event of poor performance. On the other hand, the performance-related experiences of the parents during school are to a certain extent transmitted to their children and thus influence their grades, ability self-concept and performance anxiety. These factors, in turn, are decisive for the decision to organize SE. Our findings indicate that instead of reducing the decision-making process for SE to absolute dimensions of student performance and parents’ SES and related cost-benefit calculations, dynamic factors behind this family decision related to intergenerational transmission and individual characteristics should be considered.

The influence of socioeconomic characteristics on active travel in US metropolitan areas and the contribution to health inequity.

The prevalence of chronic disease in the US adult population varies across socioeconomic groups in the USA where approximately six in 10 adults have a chronic condition. Walking or cycling reduces the risk to many of these diseases and is influenced by the built environment, accessibility, and safety. We performed multivariate logistic and linear regression on the Health-Oriented Transportation model parameters using the 2009 and 2017 US National Household Transportation surveys, restricted to adults in major metropolitan areas. Model covariates included socioeconomic and environmental characteristics. Using odds ratios (OR) adjusted for model covariates, we observe several significant variables in 2009 and 2017. Residents of households with no cars were more likely to walk or cycle than those with two cars; OR=5.4 (4.8, 6.0). Residents of households in a census block with population density greater than 2,5000 persons/square mile were more likely to walk or cycle than those with a population density of 2000-3999; OR=2.6 (2.3, 2.8). Individuals with a graduate or professional degree were more likely to walk or cycle than those with a high school degree; OR=2.1 (1.9, 2.2). Individuals that self-report as Black or African American, or Asian are less likely to walk or cycle than White; OR=0.60 (0.56, 0.66), OR=0.70 (0.65, 0.75). The proportional increase in all-cause mortality from estimated reductions in physical activity for African American, Asian, and Hispanic populations were 1.0%, 0.7%, 0.8%, respectively. Access to automobiles and the surrounding population density are primary factors in the decision to walk or cycle. After adjusting for these and other factors, members of low-income, low-education, Black or African American, and Asian populations in US metropolitan areas are less likely to walk or cycle than high-income, high-education, or White populations and the discrepancy in physical activity is likely to contribute to health inequity.

Factors related to the disaster preparedness of patients on haemodialysis from Sichuan, China, during COVID-19: A cross-sectional study.

This study aimed to investigate personal preparedness among patients on haemodialysis (HD) and to examine the relationship among sociodemographic characteristics, attitudes toward disaster preparedness and personal preparedness behaviours during natural disaster incidents. A cross-sectional survey was conducted. A convenience sampling method was used. A total of 446 participants from six areas of Sichuan province completed the online questionnaire study from February 27 to March 13, 2022. Sociodemographic characteristics, attitudes toward disaster preparedness and personal preparedness behaviours were measured. Descriptive statistics were used to analyse sociodemographic characteristics and attitudes toward disaster preparedness. The relationship among sociodemographic characteristics, attitudes toward disaster preparedness and personal preparedness behaviours were assessed using ordinal regression. Statistical significance was defined as p < 0.05. A total of 446 participants completed the survey. Of these, 42.15% (N = 188) were poorly prepared, 26.23% (N = 117) were moderately prepared and 31.61% (N = 141) were highly prepared. Ordinal regression showed that knowing about disaster preparedness (Odds Ratio (OR) = 1.691, 95% Confidence Interval (CI) = 1.081-2.644, p = 0.021), participating in disaster evacuation exercises (OR = 2.519, 95% CI = 1.595-3.977, p < 0.001) and learning about disaster preparedness (OR = 2.421, 95% CI = 1.542-3.802, p < 0.001) were associated with high preparedness. Compared to patients with a university degree or higher, patients with a junior high school education or lower (OR = 3.491, 95% CI = 1.760-6.925, p < 0.001) and senior high school degree (OR = 2.052, 95% CI = 1.038-4.057, p = 0.039) were associated with high preparedness. Patients who felt very confident and could deal with all their needs (OR = 3.878, 95% CI = 2.904-7.181, p < 0.001) or patients who felt confident and could meet some of their needs (OR = 1.949, 95% CI = 1.124-3.379, p = 0.017) had higher preparedness than those who felt less confident and were not well prepared to take care of their needs. After obtaining each participant's consent, they filled out the online questionnaire using their own or a relative's cell phone while undergoing HD. It is essential that patients should be educated not only on medical specialty topics, but also on general disaster preparedness. Medical institutions should improve and reinforce preparation training among targeted populations. The low level of preparedness is partly due to the lack of participation of patients in disaster preparedness programs. Dialysis center managers should be urged to implement such programs at their centers.

A theory of degrees in education

Degrees are presumably the most important institution in education markets. However, despite their high relevance, degrees and their design features remain poorly understood within the economics of education. This study addresses this gap. We provide an accurate formal definition of what constitutes a degree and formulate the first theory of degree design. This theory is based on a technological platform view that interprets degrees as modules within a hierarchical structure resembling that of software architectures. This approach provides new opportunities to address questions of degree optimization. Furthermore, a novel strategy to optimize the design of school degrees is proposed. This strategy is expected to improve the learning environment of weaker students across all school types, leaving higher-performing students rather unaffected. The implications and limitations of our approach are also discussed.

Mathematics Specialization at High School and Undergraduate Degree Choice: Evidence From England

Mathematics Specialization at High School and Undergraduate Degree Choice: Evidence From England

Characteristics of the participants in mass sporting events in Vietnam

This study aimed to examine the characteristics of athletes and spectators at mass sports competitions, focusing on aspects such as quantity, age, gender, educational level, occupation, and income to provide a comprehensive demographic overview. The study employed a sociological survey method, sampling 10 localities out of 63 provinces and cities across Vietnam. The survey included 520 spectators (Group 1) and 220 athletes (Group 2), resulting in a total sample size of 740 participants. The results are illustrated using graphical representations. The majority of spectators at mass sport events are aged 23 to under 60, whereas athletes show a more even age distribution, indicating lower student participation in spectating. Men significantly outnumber women. Most participants hold high school or university degrees, with the largest group being unskilled workers. Students, freelancers, and retirees are more evenly distributed. Professional field participants make up 35.5% of the total. Income-wise, most participants are middle to high-income earners, with nearly half earning between 5 and 10 million VND per month, and 42.3% earning over 10 million VND. Low-income and very high-income individuals are mostly spectators, while medium to high-income individuals are more likely to be athletes.

Spatial Big Data Analytics of Inequity in Access to Live Music Among Disadvantaged Populations

In recent years, music cities around the world have developed various supportive policy frameworks ensuring live music is accessible to large populations. The question of whether live music is equitably distributed by socioeconomic status remains unanswered, however. This study investigated the accessibility of music events in socially and economically disadvantaged communities. The level of accessible concerts varies substantially across U.S. counties, revealing significant inequity in access to concerts. Almost 80 percent of concerts are located in 5 percent of counties. Ordinary least squares (OLS) regression, geographically weighted regression (GWR), and multiscale geographically weighted regression (MGWR) methods were then employed to explore associations between accessible concerts and the socioeconomic characteristics of communities where these concerts are located. The regression models revealed that areas with a higher proportion of residents without a high school degree, higher unemployment rate, and higher poverty rate were less likely to have access to concerts, yet positive associations were found between accessible concerts and mean household income. Local R 2 values further confirmed the robustness of regression results of both GWR and MGWR and showed significant spatial nonstationarity of model performance. GWR and MGWR methods improved model performance significantly over the OLS method and proved how local conditions influence the OLS regression. The results from this study can guide decision makers and stakeholders in making appropriate policies to achieve equitable access to music events, especially for disadvantaged communities.

Epidemiological profile and spatial analysis of probable cases of dengue registered from 2010 to 2021 in the state of Maranhão

Dengue is a disease of viral etiology transmitted by mosquitoes, with a high incidence in tropical countries. Dengue has great epidemiological importance in the Americas and in Brazil. The goal of this study was to analyze the spatial distribution and to describe the epidemiological profile of probable cases of dengue in the State of Maranhão from 2010 to 2021. Statistical analysis through non-parametric tests and spatial analysis were performed using the Moran’s Global Index and Local Indicators of Spatial Association (LISA) and Space-time Scan statistic. Data were collected from the Department of Informatics of the Unified Health System in Brazil (DATASUS) between 2010 and 2021. The highest number of probable cases occurred in 2016 (23,938) and they were concentrated in the first half of each year. The female gender had the highest proportion of cases (54.9%). The cases predominated in the group of people aged between 20 and 39 years old (35.5%). People with incomplete elementary school degree were the most affected (43.0%). The brown race had more registered cases (80.7%). The municipality that had the highest incidence was Barra do Corda (7,418.5 per 100.000 inhabitants in 2016). In the local spatial analysis, 55.8% of the clusters of municipalities High- High occurred in the South region from the State of Maranhão. The municipality of Barra do Corda presented the highest relative risk (55.91) in the Space-time Scan statistic. People of the brown race, with incomplete schooling and young adults were the most affected by the dengue disease. The South region of the State showed greater epidemiological importance because it has representative clusters High-High. KEY WORDS: Dengue; incidence; spatial analysis; State of Maranhao.

Traumatic brain injury and long-term associations with work, divorce and academic achievement

ObjectiveTraumatic brain injuries (TBI), irrespective of severity, may have long-term social implications. This study explores the relationships between TBI severity and outcomes related to work stability, divorce, and academic achievement. MethodsUsing a Danish nationwide sample of persons with and without TBI, we employed case-control and longitudinal cohort designs. The case-control design utilized individuals aged 18 to 60 years and examined work stability. Each case, employed at time of TBI, was compared with 10 matched controls. The cohort design utilized individuals alive from 1980 to 2016 with and without TBI and assessed the likelihood of 1) divorce and 2) higher-level education. TBI exposures included concussion, skull fractures, or confirmed TBI. ResultsTBI cases exhibited higher odds ratios (OR) for work instability at all follow-ups compared to controls. Increased TBI severity was associated with a higher risk of work instability at 2-year follow-up (concussion: OR = 1.83; skull fracture: OR = 2.22; confirmed TBI: OR = 4.55), and with a higher risk of not working at 10-year follow-up (confirmed TBI: OR = 2.82; concussion: OR = 1.63). The divorce incidence rate ratio (IRR) was elevated in individuals with TBI (males: IRR = 1.52; females: IRR = 1.48) compared to those without TBI. Individuals with childhood TBI had reduced chances of attaining high school degree or higher (males: IRR = 0.79; females: IRR = 0.85) compared to those without TBI. ConclusionTBI is associated with an increased long-term risk of social consequences, including work instability, divorce, and diminished chances of higher education, even in cases with concussion.

Deepening Labor Market Inequalities During the COVID-19 Pandemic: Evidence from Turkey

This article investigates how the COVID-19 pandemic affected the labor market in Turkey, using a unique dataset collected via face-to-face interviews in the fall of 2020. In a developing country where labor market gaps are already stark, the study shows that the COVID-19 pandemic has exacerbated existing vulnerabilities in labor markets. Results indicate that women, low-educated individuals, parents, self-employed, and informal sector employees were at greater risk of worsened labor market outcomes. Moreover, the individuals at the intersection of these vulnerabilities suffered more. These findings suggest that the labor market policies introduced at the onset of the pandemic remained limited in protecting the jobs of vulnerable groups. HIGHLIGHTS COVID-19 magnified existing inequalities in the labor market in Turkey. The intersection between gender, education, and parenthood shaped the labor outcomes. Women without a high school degree and with children were the most vulnerable. Low-educated parents in particular were more likely to face income and job loss. Informally employed and the self-employed were more likely to suffer income losses.

Prevalence of menu label use and its association with calorie intake among US adults

The 2018 Federal Menu Labeling regulations require restaurants and similar retail food establishments that are part of a chain with 20 or more locations to provide calorie and other nutrition information for standard menu items. In this study, we describe the sociodemographic correlates of prevalence of menu label use at Food-Away-From-Home (FAFH) establishments and estimate the association between menu label use and calorie intake. We use nationally representative data spanning the years 2007–2018 and multivariable logit regression and ordinary least squares regression models. For FAFH establishments, we find that female respondents have about 26% (95% CI = [1.14, 1.39]) higher odds of using menu labels. Respondents with high school degree have 51 percent higher odds (95% CI = [1.24, 1.85]), respondents with some college education have 107 percent higher odds (95% CI = [1.74, 2.47]) of seeing menu labels. Higher income is associated with 12% (95% CI = [1.08, 1.15]) greater odds of seeing menu labels. Hispanic respondents have 29% (95% CI = [0.62, 0.81]) lower odds of seeing and 79% (95% CI = [1.41, 2.29]) higher odds of using menu labels. Black respondents have 54% (95% CI = [1.35,1.75] higher odds of seeing menu labels at sit-down restaurants. Menu label users at fast-food restaurants reported consuming 202 kcal (95% CI = [-252,-153]) fewer total calories than nonusers and menu label users at sit-down restaurants reported using 181 kcal (95% CI = [-256,-106]) fewer total calories than nonusers. Our findings highlight the sociodemographic disparities in menu label use and provide baseline estimates for future studies evaluating the federal menu labeling regulation.

Risk factorsfor preoperative frailty in older patients withgastric cancer: a systematic review and meta-analysis.

To summarize the available evidence on risk factors for preoperative frailty in older gastric cancer patients. We comprehensively searched the CNKI, Wanfang, VIP, CBM, PubMed, Embase, The Cochrane Library, Web of Science, and CINAHL databases for preoperative articles on risk factors for frailty in older gastric cancer patients. The search was conducted from the time of construction of the library to January 27, 2024, with no language restrictions. The quality of the included studies was rated by the Newcastle-Ottawa Scale and the Agency for Healthcare Research and Qualitytool. A total of 20 studies were included, including 16 cohort studies and 4 cross-sectional studies, with a total sample size of 51,717 individuals. The results of the meta-analysis showed that age, albumin, hemoglobin, cancer stage III-IV, Charlson Comorbidity Index score ≥ 3, Eastern Cooperative Oncology Group score > 2, American Society of Anesthesiologists score > 2, smoking, nutritional risk, high school degree or above, and sleep disorders are the main influencing factors for the occurrence of preoperative frailty in older gastric cancer patients. Among them, high school degree or above was aprotective factor. Our study provides valid evidence of risk factors for preoperative frailty in older patients with gastric cancer and informs clinical healthcare professionals to make targeted interventions.

Associations between modifiable risk factors and frailty progression among individuals with pre-frailty

BackgroundIn the context of the present global aging phenomenon, the senior population and pace of aging in China have emerged as prominent issues on the worldwide stage. Frailty, a complicated condition that is closely linked to the clinical syndrome of advancing age, poses a considerable health risk to older individuals. Frailty status was assessed by the frailty index (FI) ranging from 0 to 1, pre-frailty was defined as >0.10 to <0.25, and frailty was defined as ≥0.25. To look at the connection between modifiable risk factors and frailty progression among individuals in the pre-frailty population. MethodsUsing pre-frailty patients as characterized by the 32-frailty index, the study focused on middle-aged and elderly persons from China and ultimately recruited 5,411 participants for analysis. The relationship between modifiable factors and changes in pre-frailty status throughout follow-up was investigated. Modifiable factors were body mass index (BMI), abdominal obesity, smoking status, alcohol use, and sleep status. We employed logistic regression to examine the relationships between modifiable risk factors and changes in pre-frailty status, as well as the associations between modifiable factors scores and the corresponding pre-frailty progression. Additionally, we generated the modifiable factors scores and examined how these related to modifications in the pre-frailty stage. ResultsIn this study, after a mean follow-up of 6 years, (OR = 0.59, 95%CI: 0.48–0.71) for BMI ≥ 25 kg/m2 and (OR = 0.74, 95%CI: 0.63–0.89) for concomitant abdominal obesity were significantly associated with lower reversal to a healthy state; (OR = 1.24, 95%CI:1.07–1.44) and (OR = 1.25, 95%CI: 1.10–1.42) for the group that negatively progressed further to frailty were significantly associated with increased frailty progression profile. Subsequently, investigation of modifiable factor scores and changes of pre-frailty status found that as scores increased further, frailty developed (OR = 1.12, 95%CI:1.05–1.18), with scores of 3 and 4 of (OR = 1.38, 95%CI: 1.08–1.77) and (OR = 1.52, 95%CI:1.09–2.14). Finally, we also performed a series of stratified analyses and found that rural unmarried men aged 45 to 60 years with less than a high school degree were more likely to develop a frailty state once they developed abdominal obesity. ConclusionIn pre-frailty individuals, maintaining more favorable controllable variables considerably enhances the chance of return to normal and, conversely, increase the risk of progressing to the frailty.

QOL-45. SOCIAL DETERMINANTS OF HEALTH PREDICT NEUROPSYCHOLOGICAL OUTCOMES IN PEDIATRIC BRAIN TUMOR SURVIVORS

Abstract BACKGROUND Pediatric brain tumors and their treatment impact cognition including intellectual functioning (IQ), attention, working memory, and processing speed. Few studies have examined the role of social determinants of health (SDoH) on cognition in pediatric brain tumors. To date, studies have primarily focused on family-related SDoH factors such as insurance status or parental education as predictors of cognition. To our knowledge, no study has examined multiple indicators of SDoH to determine which family-based and community-based predict cognition. METHODS Participants included 151 pediatric brain tumor patients (M diagnosis age=8.82) seen for a clinical neuropsychological evaluation (M evaluation age=13.71). IQ, brief attention (WISC/DAS-II Digits Forward), working memory (WISC/DAS-II Digits Backwards), and processing speed (WISC Coding) were obtained from age-appropriate measures (WISC&amp;gt;6 years, DAS-II&amp;lt;6 years). Family-based SDoH indicators include insurance type (public, private) and maternal education (&amp;lt;high school degree, some college, ≥college degree). Community-based SDoH include the Area Deprivation Index (ADI) and Childhood Opportunity Index (COI). Multiple regressions examined variance in IQ, attention, working memory, and processing speed accounted for by the SDoH measures, after controlling for treatment exposures using the Neurological Predictor Scale. RESULTS Insurance accounted for 14.9% of the IQ variance [β=-.316, t(151)=-4.18; p&amp;lt;.001]; COI accounted for 18.3% of the IQ variance [β=.202, t(151)=2.70; p=.008]. Insurance accounted for 12% of the variance in attention [β=-.324, t(152)=-4.22; p&amp;lt;.001], and 17.5% of the variance in processing speed [F(2,134)=15.399, p&amp;lt;.001]. In the working memory model, insurance [β=-.179, t(148)=-2.19; p=.03] and ADI [β=-.171, t(148)=-2.11; p=.04], accounted for 5.3% and 7.5% of the variance, respectively. CONCLUSIONS Findings highlight the important contribution of both family and community factors on neuropsychological outcomes in pediatric brain tumors. Nuances of the data will be discussed as they relate to clinical care and research.

QOL-43. COMPARISON OF SOCIAL DETERMINANTS OF HEALTH MEASURES ON IQ AND ACADEMIC OUTCOMES IN PEDIATRIC BRAIN TUMORS

Abstract BACKGROUND Treatment for pediatric brain tumors impacts IQ and academic achievement; fewer studies have examined the role of social determinants of health (SDoH). To date, studies have primarily focused on family-based SDoH such as insurance type or parental education as predictors of cognition. Limited studies have examined community factors, though our work highlighted the role of education quality on IQ and academics in pediatric brain tumors. To our knowledge, no study has examined the predictive value of family and community-based SDoH. METHODS Participants included 151 pediatric brain tumor patients (M age at diagnosis=8.82) seen for a clinical neuropsychological evaluation (M age at evaluation=13.71). IQ was obtained from age-appropriate intelligence measures (WISC&amp;gt;6 years, DAS-II&amp;lt;6 years); untimed reading and math calculation were examined via WIAT/KTEA/WJ subtests. Family-based SDoH included insurance type (public, private) and maternal education (&amp;lt;high school degree, some college, &amp;gt;college degree). Community-based SDoH included the Area Deprivation Index (ADI) and Education, Health-Environment, and Social-Economic indices from the Childhood Opportunity Index (COI). Multiple regressions examined variance in IQ, reading, and math accounted for by each of the SDoH measures, after controlling for treatment exposures using the Neurological Predictor Scale (NPS). RESULTS Insurance [β=-.302, t(151)=-4.00; p&amp;lt;001] and Education [β=.235, t(151)=3.14; p=.002] accounted for 14.9% and 19.7% of the IQ variance, respectively. Education also accounted for 12.8% of the reading variance (β=.304, t(109)=3.40; p&amp;lt;.001). Both the Education [β=.570, t(107)=3.41; p&amp;lt;.001] and Social-Economic [β=-.381, t(107)=-2.28; p=.03] indices accounted for 7.7% and 11.3% of the math calculation variance, respectively. CONCLUSIONS Community, particularly those related to education and social &amp; economic resources, and family factors (e.g., insurance status) were associated with IQ and academic performance. Findings indicate the importance of investigating both family and community factors that may contribute to outcomes in pediatric brain tumors.

Association of Medical School Gap Year Research and Degree Programs With Otolaryngology Interview and Match Outcomes.

To investigate whether a gap year for either research or a master's degree is associated with interview offers or match outcomes among otolaryngology applicants. Using the Texas Seeking Transparency in Application to Residency (Texas STAR) database, we conducted a cross-sectional analysis of otolaryngology applicants from 2018 to 2022. Applicants were stratified based on the presence and type of gap year during medical school. Applicant characteristics, signaling, research productivity, and application costs were analyzed, with primary outcomes including number of interview offers and match status. Among 564 otolaryngology applicant respondents to the Texas STAR survey, 160 (28%) reported a gap year, including 64 (40%) applicants participating in a research year, 65 (41%) completing a Master of Public Health or Science (MPH and MSc), and 31 (19%) completing a Master of Business Administration, Education, or other degree (MBA and MEd). Gap-year applicants who completed a research year or MPH/MSc degree received more interview offers (P < .01) than MBA, MEd applicants, or those without a gap year. Applicants with a research year had the most publications, oral presentations, abstracts, posters, and research experiences (all P < .01). When controlling for USMLE scores, clerkship honors, and applications submitted, applicants completing a research year or an MPH/MSc-degree received increased interview offers (P < .01). No significant differences were seen in expenditures or match rates. Research and MPH/MSc gap years were associated with increased residency interview offers but not increased match success. Further longitudinal studies are needed to assess how yearlong experiences affect long-term career outcomes.

Dimensions of Parenting and Children's Conduct Problems: The Importance of Considering Children's Callous-Unemotional Traits.

Research has clearly indicated that the development of serious behavioral problems in children and adolescents is influenced by parenting. However, recent research has refined the role of parenting by showing the importance of distinguishing between different types of parenting and in considering the role of callous-unemotional traits (CU traits) and conduct problems (CP) of the children. In the current study, we advance this research by distinguishing between emotional (e.g., parental warmth; parental hostility) and behavioral (e.g., use of positive reinforcement; inconsistent discipline/harsh discipline) aspects of parenting and by considering the way parents respond to children's emotions (i.e., coaching and dismissing). The sample consisted of 136 mothers (M = 38.09 years, SD = 4.51 years, 45.41% high school degree) with a child (age range 3-5 years) enrolled in kindergarten in central Italy. Multiple regression analyses indicated that, after controlling for level of CP, use of positive reinforcement (β = -0.31, p < 0.001) and warm feelings (β = -0.22, p < 0.05), remained associated with CU traits and punitive parenting was no longer significant. Consistent with predictions, use of positive reinforcement was no longer associated with conduct problems when controlling for CU traits and the positive associations with punitive parenting (β = 0.24, p < 0.05) and negativity (β = 0.36, p < 0.001) remained significant. These findings support the need for continued research that considers both the emotional and behavioral aspects of parenting and disentangles their associations with conduct problems and CU traits. Such research could not only advance causal theories for children with conduct problems but also help to guide more effective treatments, especially for those with elevated CU traits who often leave treatment with significant conduct problems remaining.

Examining the effects of brand and licensed characters on parents' perceptions of Children's breakfast cereals

Brand and licensed characters frequently appear on children's breakfast cereal boxes and are known to affect children's product perceptions, selection, and consumption. However, less is known about their impact on parents' perceptions of foods they purchase for their child. The present study assessed the impact of brand and licensed characters featured on three children's breakfast cereal packages on parents' intentions and perceptions in an online experiment. Parents of children aged 2–12 years (n = 1013) were randomized into one of two conditions: breakfast cereals containing brand and licensed characters or breakfast cereals without any characters. Within each condition, participants viewed three breakfast cereal brands in random order per their assigned condition and reported their purchase intentions, healthfulness perceptions, and perceptions of appeal to children using 5-point Likert scales. No significant differences in purchase intentions (p = 0.91), perceived healthfulness (p = 0.52) or perceived child appeal (p = 0.59) were observed between the experimental and control groups. However, exploratory moderation analyses revealed that educational attainment moderated the impact of experimental condition on purchase intentions (p for interaction = 0.002) such that participants with a bachelor's degree in the character condition reported 0.36 points lower purchase intentions compared to the control with no difference between conditions for those with an associate's degree/trade school or high school degree or less. This study did not find an impact of brand and licensed characters on children's breakfast cereals, suggesting that their primary appeal is directly to children. Parents with higher educational attainment may be skeptical of characters on cereal brands. Additional research on the impact of brand and licensed characters on other products, in real-world settings, is needed.

The influence of education on gender attitudes among ethno-religious majority and minority youth in Germany from a longitudinal perspective

It is well-known that exposure to education is related to egalitarian gender attitudes. Yet, previous studies did not sufficiently take the temporal variation of this relationship into account, especially regarding ethno-religious minority and majority adolescents in Europe. Adolescence represents crucial years for attitude development. We analyze the association between secondary education and gender attitudes of female and male youth belonging to the majority, Muslim, and non-Muslim minority in Germany by employing the CILS4EU-DE panel data with more than 3200 adolescents. Obtaining a secondary school degree is associated with more egalitarian gender attitudes in general. However, different patterns emerge for the various ethno-religious groups and for females and males. Particularly, the effect of secondary education in general is stronger for boys than girls, and upper secondary education is stronger for Muslim minorities than for majority youth. Thus, attitudes develop during adolescence, and education can lead to more egalitarian gender attitudes among some groups but not all equally.