Socioeconomic Characteristics Of Children Research Articles

Describing global pediatric RSV disease at intensive care units in GAVI-eligible countries using molecular point-of-care diagnostics: the RSV GOLD-III study protocol

BackgroundRespiratory syncytial virus (RSV) infection is an important cause of hospitalization and death in young children. The majority of deaths (99%) occur in low- and lower-middle-income countries (LMICs). Vaccines against RSV infection are underway. To obtain access to RSV interventions, LMICs depend on support from Gavi, the Vaccine Alliance. To identify future vaccine target populations, information on children with severe RSV infection is required. However, there is a lack of individual patient-level clinical data on instances of life-threatening RSV infection in LMICs. The RSV GOLD III—ICU Network study aims to describe clinical, demographic and socioeconomic characteristics of children with life-threatening RSV infection in Gavi-eligible countries.MethodsThe RSV GOLD-III—ICU Network study is an international, prospective, observational multicenter study and will be conducted in 10 Gavi-eligible countries at pediatric intensive care units and high-dependency units (PICUs/HDUs) during local viral respiratory seasons for 2 years. Children younger than 2 years of age with respiratory symptoms fulfilling the World Health Organization (WHO) “extended severe acute respiratory infection (SARI)” case definition will be tested for RSV using a molecular point-of-care (POC) diagnostic device. Patient characteristics will be collected through a questionnaire. Mortality rates of children admitted to the PICU and/or HDU will be calculated.DiscussionThis multicenter descriptive study will provide a better understanding of the characteristics and mortality rates of children younger than 2 years with RSV infection admitted to the PICU/HDU in LMICs. These results will contribute to knowledge on global disease burden and awareness of RSV and will directly guide decision makers in their efforts to implement future RSV prevention strategies.Trial registration number: NL9519, May 27, 2021

Brief Report: Health Expenditures for Children with Autism and Family Financial Well-Being in China.

Little is known on the financial well-being of families raising children with autism spectrum disorders (ASD). Family financial well-being has important impacts on the development of children with ASD. The study uses a 2019 survey collected from Chinese families raising a child with ASD (N = 3064) to examine their financial well-being and its association with health expenditures for children. Extensive control variables (i.e., demographic and socioeconomic characteristics of children, respondents, and their families) are adjusted in analyses. Findings suggest that the amount of health expenditures is negatively associated with respondents' perception of their financial status. The significance of health expenditures disappears after household material hardship is adjusted. Health expenditures affect financial well-being mainly through resource competitions against family needs.

Vaccination coverage and its determinants of live attenuated hepatitis A vaccine among children aged 24–59 months in 20 rural counties of 10 provinces of China in 2016

ABSTRACT Objective To understand one single dose coverage of live attenuated hepatitis A vaccine and its determinants among children aged 24–59 months in 20 rural counties of 10 provinces of China in 2016. Methods In 20 counties, using three-stage probability proportion to size sampling, 1979 children aged 24–59 months with a vaccination card were selected from 20 rural counties in 2016. Socio-demographic and socio-economic characteristics of children and their caregivers were acquired from face-to-face questionnaire survey and copies of the vaccination cards. We used multivariate logistic regression models to identify the determinants of one single dose coverage of live attenuated hepatitis A vaccine. Results In 2016, the overall one single dose coverage of live attenuated hepatitis A vaccine among children aged 24–59 months in rural areas of China was 77.1%. The adjusted analysis showed that being in second birth order (adjusted OR: 1.40; 95%CI: 1.03–1.90), being in third birth order or more (adjusted OR: 2.10; 95%CI: 1.26–3.51), being born at home (adjusted OR: 2.01; 95%CI: 1.04–3.88) and having the lowest per capita income of household (adjusted OR: 2.36; 95%CI: 1.11–4.99) were significantly related to being unvaccinated one single dose coverage of live attenuated hepatitis A vaccine against hepatitis A virus. Conclusion one single dose coverage of live attenuated hepatitis A vaccine was still at a low level in 20 rural counties of 10 provinces in China. To improve the coverage of live attenuated hepatitis A vaccine, the government should pay more attention to the disadvantaged groups, especially the children who were in second birth order or higher, or delivered at home, or who have the lowest per capita income of household.

Nutritional status of children 7\u201336\u2009months old from millet consuming communities of Masindi District, Western Uganda

BackgroundSeveral national reports have indicated poor nutritional status among children from Western Uganda where millet porridge is a predominant complementary food. However, little is known about the nutritional status of 7–36 months old children from millet consuming communities of Western Uganda.MethodsA cross-sectional study was conducted in Bujenje County of Masindi District. A total of 636 children from 23 villages within Bwijanga and Budongo sub counties were randomly selected. Anthropometric measurements of children were taken. Data on demographic and socioeconomic characteristics of children’s households, their dietary practices and morbidity patterns was collected using a self-administered questionnaire. A statistical Package for the Social Sciences (SPSS) version 20 and Emergency Nutritional Assessment (ENA) Software Version 2010 were used for analysing data. The relationship between demographic and socioeconomic characteristics of households and children’s nutritional status was determined using Chi-square tests. Pearson’s correlation coefficient was used to determine the association between children’s nutritional status and the amount of millet porridge consumed. A p-value of < 0.05 indicated statistical significance.ResultsA proportion of 30.5% children were stunted, 11.6% underweight and 7.4% wasted. Underweight and wasting were significantly high in Budongo sub county at p = 0.044 and p = 0.005 respectively. Stunting and underweight were highest between 12 and 23 months at p = 0.005 and 0.020 respectively. Although millet porridges formed the bulk of children’s meals, they could only cater for < 60% of the recommended daily nutrient intake. Children with diarrhoea were 1.4 and 2 times likely to become stunted and underweight at p = 0.025 and 0.007 respectively. Feeding practices for children with diarrhoea were contrary to World Health Organisation’s recommendations in more than 50% of the studied children. There was a significant association between Height-for-Age Z scores, Weight-for-Height Z scores and the amount of millet porridge consumed by children (r = − 0.20, p < 0.001 and r = 0.14, p < 0.001 respectively).ConclusionsResults showed slightly higher percentages of stunted, underweight and wasted children compared to national figures. This was attributed to high incidences of diarrhoea and inadequate feeding practices especially for children 12–36 months old.

Socio economic determinants of child labour in selected districts of Khyber Pakhtunkhwa, Pakistan

This study examines the determinants of child labour in Mardan and Nowshera districts of Khyber Pakhtunkhwa. Primary data on socioeconomic characteristics of children engaged and did not engage in child labour were obtained from Labour Education Organization Mardan. Age of the children and family size are positively and education is negatively and significantly associated with the probability of children participation in labour market. The probability of child labour is more with the household income although with a very low coefficient value which is contrary to our expectations and may ne indicative that child labour could be a major source of household income. This study suggests that subsidies may be provided to families for their children education. Family size is also positively related to the child labour, therefore steps may be taken towards encouraging small family sizes and thereby reducing the child labour.

Cultural and Geographical Influences on Underweight Prevalence among Preschoolers in Ghana

Underweight prevalence among preschool children in Africa has been studied, but the effects of culture and geography remain unclear. This study used the 2008 Ghana Demographic and Health Survey data for 2244 children aged 0‐59 months and generalized linear mixed models to analyze these data. The results showed that culture and geography remained significantly associated with preschool underweight prevalence after controlling for demographic and socioeconomic characteristics of children, mothers, and households. Additionally, the gender of a child, size at birth, fever status, mother's , insurance coverage and number of children <5 years in the household were significantly associated with underweight prevalence in Ghana. The study concluded that in addition to specific characteristics of children, mothers, and households, culturally motivated childhood dietary restrictions among the Ga/Dangme and Ewe could be reduced through appropriately targeted nutritional messages. Additionally, decreasing North‐South disparities in socioeconomic development, and improving nutritional outcomes among disadvantaged households in southern Ghana should be the focus of policies and strategies directed at reducing preschool underweight prevalence in Ghana.

Prevalence and socioeconomic determinants of violence against children in Albania

AimOur aim was to assess the prevalence and socioeconomic determinants of violence against children in postcommunist Albania.MethodsA survey was conducted in 2008 including 388 children aged 14–18 years (184 girls...

Children's subjective well-being: International comparative perspectives

We are enjoined by the United Nations Convention on the Rights of the Child to take account of the views of children. One way this can be done is by asking children about their lives in sample surveys. This paper is a comparison of the results obtained to sample survey questions on subjective well-being of children at two contrasting levels of analysis—international macro (European Union 29) and national level micro (England). At both levels, children's well-being is accessed in terms of three subjective domains: (1) personal well-being, (2) relational well-being, and (3) well-being at school. At the micro level we also explore neighbourhood well-being. The results show that at the macro level personal well-being is associated with the material and housing circumstances but not family relationships or family structure. Well-being at school is not associated with any variable. Subjective health is only associated with family structure. At the micro level, although many of the demographic and socio-economic characteristics of children are found to be associated with their well-being in the four domains, these factors explain only a small amount of the variation in these well-being domains.

Prevalence and risk factors of asthma and allergic diseases among schoolchildren in Bolu, Turkey

In this study we aimed to detect the prevalence and risk factors of asthma and allergic diseases in children aged between 7 and 14 years old at rural and urban areas of Bolu, Turkey. Questionnaire of International Study of Asthma and Allergies in Childhood (ISAAC) phase one and questionnaire including questions about family, demographic, socio-economic characteristics of children were applied to 931 schoolchildren who were selected by randomized sampling. In children, the prevalence of diseases and symptoms were as follows: wheeze ever: 15.5%, asthma: 5.6%, nasal symptoms ever: 41.4%, allergic rhinitis: 23.2%, itchy rash ever: 5.9% and eczema: 5.0%. In multivariate regression analysis, presence of allergic disease in the family was risk factor for wheezing (OR=1.74, 95% CI=1.19-2.76), asthma (OR=2.19, CI=1.06-4.52), allergic rhinitis (OR=2.68, CI=1.80-3.98) and eczema (OR=2.33, CI=1.17-4.65); living in shanties was risk factor for allergic rhinitis (OR=5.26, CI=2.1-13.16); a monthly income below $300 was risk factor for asthma (OR=2.54, CI=1.06-6.08). It was detected that the prevalence of allergic rhinitis and its symptoms was more common in schoolchildren living in Bolu. Presence of allergic disease in fathers or mothers and low socio-economic level increase the risk of asthma and other allergic diseases in children.

Non-participation in preventive child health examinations at the general practitioner in Denmark: A register-based study

Objective. To examine demographic and socioeconomic characteristics of parents and children in families not participating in preventive child health examinations at the general practitioner in a society with free and easy access to healthcare. Design. Population-covering register linkage study. Setting. Denmark, 2002–2004. Subjects. Two cohorts comprising all children born in Denmark between 1 July 1998 and 30 June 1999 (n =70 891) and in 2002 (n =65 995), respectively. The demographic and socioeconomic characteristics of these children and the adults living in the same household as these were identified through register linkage. Main outcome measures. Crude and mutually adjusted odds ratios for non-participation in scheduled preventive child health examinations at the GP (age 5 weeks, 5 months, 12 months, 4 years, and 5 years) according to child characteristics (sex, number of hospitalizations, and older siblings) and parental characteristics (age, educational level, attachment to labour market, ethnicity, household income, and number of adults in the household). Results. Children of young and single parents were less likely to receive a preventive child health examination. Increased odds ratios for non-participation were found for children of parents outside the labour market, with low educational level, and especially for the combination of these. Non-participation increased with decreasing household income and with the number of older siblings. Conclusion. Despite the fact that Denmark has free and easy access to the GP, the utilization of preventive child health examinations is lower among the more deprived part of the population.