Social Risk Families Research Articles

Social support for schoolchildren at risk of social exclusion

Social exclusion is a wider concept than poverty and includes not only material conditions but also inability to participate in economic, social, political and cultural life. The essence of social exclusion is social relationships (more exactly breaking off relationships), which may mean not only pushing away some members of the society, but also breaking off relationships with the society from the side of a person himself/herself. The reasons of origin of social exclusion may be legal, political, economical, social and cultural. Nowadays social exclusion is predetermined by social-economic factors. According to Poviliūnas (2001), the problems of children’s social exclusion may be solved ensuring proper education, care of public health, safety and minimal life standard. Growing aggression and violence of schoolchildren and their social exclusion are nowadays an important issue of political debate and media reports. Often schoolchildren face the risk of social exclusion at school during the period of adolescence. The risk also depends on the social status of their family in the society and the relationship of the family members.The aim of the article is to identify characteristic features of schoolchildren at risk of social exclusion and analyze social support provided for them. A quantitative research was carried out to achieve the aim. The method of data collection is a questionnaire. 105 teachers working in 3 secondary schools in Lithuania participated in the research.The research results revealed that most often schoolchildren face the risk of social exclusion at school during adolescence period. They are characterized as incommunicative, unsociable, passive, and shy, do not trust others, are vulnerable, have learning problems and avoid collaborative activities. These schoolchildren usually come from families of social risk or single parent families. The support provided at school by teachers to schoolchildren at risk of social exclusion is only fragmentary. Further development of social skills and close cooperation of professionals working at school is necessary to prevent social exclusion.

High Prevalence/Low Severity Language Delay in Preschool Children Born Very Preterm

To examine the language development at corrected age 4 years of a regionally representative cohort of children born very preterm (VPT). Of particular interest was the identification of biological and socioenvironmental risk and protective factors that influence VPT children's early language development. Data were collected as part of a prospective longitudinal study of 110 VPT (VPT: ≤ 33 weeks gestation) and 113 full-term children (full term: 37-41 weeks gestation) born in Canterbury, New Zealand from 1998 to 2000. At corrected age 4 years, all children were assessed with the preschool version of the Clinical Evaluation of Language Fundamentals. Extensive information was also collected about children's family social background, perinatal health, childrearing environment, education/intervention exposures, and neurodevelopmental progress from birth to age 4. At the age of 4 years, VPT children were characterized by poorer receptive and expressive language development than full-term children. These differences persisted after exclusion of children with neurosensory impairment as well as statistical adjustment for the effects of social risk. Within the VPT group, the key predictors of children's overall language development were family social risk at birth (p =.05), severity of white matter abnormalities on neonatal magnetic resonance imaging (p =.49), observed parent-child synchrony (p =.001), and concurrent child cognitive ability (p =.001). Together, these factors accounted for 45% of the variance in children's total Clinical Evaluation of Language Fundamentals-Preschool scores. By preschool age, children born VPT show early emerging mild to moderate language delays that are likely to affect their school success and longer-term developmental progress. Findings highlight the importance of potentially modifiable factors such as early brain injury and parenting quality in predicting the language outcomes of children born VPT.

A model of home learning environment and social risk factors in relation to children's emergent literacy and social outcomes

The quality of the home environment is widely recognized as a strong contributor to young children's emergent literacy and social competence and to their subsequent educational success. The present study examined the relationships between family variables (socioeconomic status (SES), social risk factors, and home learning variables) and children's emergent literacy competence and children's social functioning. The sample for this study was obtained by randomly selecting 48 classrooms within three Head Start programs and, then, randomly selecting five girls and five boys from each class. The final sample consisted of 325 families for which information about both child and primary caregiver was obtained from multiple sources (teacher, outside assessor, and primary caregiver). A mediational model was hypothesized and tested using structural equation modeling. The findings are consistent with the hypotheses that family social risk and home learning experiences mediate the association between SES and Head Start children's school readiness in the areas of emergent literacy competence and social functioning.

Influence of homelessness on acute admissions to hospital.

The aim of this study was to look at the influence of homelessness on acute medical admissions. A prospective case-controlled study was therefore performed on all homeless children admitted through the accident and emergency department over one year, comparing them with the next age matched admission from permanent housing. Assessments made were: whether homelessness or other social factors influenced the doctors' decision to admit; differences in severity of illness; length of stay; and use of primary care. The admitting doctors completed a semi-structured questionnaire during admission about social factors that influenced their decision to admit and graded the severity of the child's illness. The length of hospital stay was recorded. The family's social risk factors and accommodation were assessed at a home visit using a standardised questionnaire and by observation. Seventy homeless children were admitted. Social factors influenced the decision to admit in 77% of homeless children and 43% of controls. More of the homeless children were only mildly ill (33/70) than those from permanent housing (21/70), although three of the homeless children died of overwhelming infections compared with none of the controls. Among homeless families many were recent immigrants (44%). There was a marked increase in socioeconomic deprivation, in major life events in the previous year (median score 3 v 1), and in maternal depression (27% v 8%). Referral to the hospital was made by a general practitioner in only 5/50 (10%) of homeless compared with 18/50 (36%) of controls. Social factors were an important influence on the decision to admit in over three quarters of the homeless children and resulted in admission when less severely ill even when compared with admissions from an inner city population. Even though there was marked social deprivation among the homeless families, the decision to admit was based on vague criteria that need to be further refined.

Family-oriented prevention of cardiovascular disease: A social epidemiological approach

A social epidemiological approach has been used to study social factors associated with chronic disease, as well as to promote community-oriented intervention programs to modify risk for cardiovascular disease. The present review suggests using a social epidemiological approach in a third way; to promote efforts directed toward family-oriented primary prevention of cardiovascular disease. Evidence is presented which shows an association between three family social factors (marital status, family socioeconomic status, family size) and risk for cardiovascular disease. The real determinants of risk, however, may be the underlying health-related behaviors indicated by each of these factors. Evidence is also presented which shows the importance of a fourth family social factor (family age) in promoting effective health education efforts to modify risk. Thus, a social epidemiological approach is more valuable than a single discipline-based approach in identifying, understanding, and modifying family social influences on cardiovascular risk.