Mother's Employment and Child Health Care

1992 ◽  
Vol 21 (3) ◽  
pp. 375-393 ◽  
Author(s):  
Therese Dowswell ◽  
Jenny Hewison
Keyword(s):  
Women Workers ◽  
Labour Force ◽  
Policy Implications ◽  
School Age Children ◽  
Child Health Care ◽  
School Age ◽  
Care Needs ◽  
Childhood Illnesses ◽  
The Uk ◽  
And Child Health

ABSTRACTA decline in the number of young people entering the UK labour force has led to growing interest in the recruitment and retention of women workers. As yet the child care needs of school age children have not been addressed. Using interview data the strategies mothers employ to meet their work commitments outside of school hours and during childhood illnesses are described. Although mothers remained the main carers of their children, they frequently depended on unpaid help from relatives. These informal arrangements were sometimes complicated and potentially vulnerable. This dependence on informal support networks has a range of policy implications.

scholarly journals Estimating the effect of the 2005 change in BCG policy in England: a retrospective cohort study, 2000 to 2015

2019 ◽  
Vol 24 (49) ◽  
Author(s):  
Sam Abbott ◽  
Hannah Christensen ◽  
Nicky J. Welton ◽  
Ellen Brooks-Pollock
Keyword(s):  
High Risk ◽  
Labour Force ◽  
Demographic Data ◽  
Credible Interval ◽  
Incidence Rates ◽  
School Age Children ◽  
School Age ◽  
Bcg Vaccination ◽  
The Uk ◽  
The Impact

Background In 2005 in England, universal Bacillus Calmette–Guérin (BCG) vaccination of school-age children was replaced by targeted BCG vaccination of high-risk neonates. Aim Estimate the impact of the 2005 change in BCG policy on tuberculosis (TB) incidence rates in England. Methods We conducted an observational study by combining notifications from the Enhanced Tuberculosis Surveillance system, with demographic data from the Labour Force Survey to construct retrospective cohorts relevant to both the universal and targeted vaccination between 1 January 2000 and 31 December 2010. We then estimated incidence rates over a 5-year follow-up period and used regression modelling to estimate the impact of the change in policy on TB. Results In the non-United Kingdom (UK) born, we found evidence for an association between a reduction in incidence rates and the change in BCG policy (school-age incidence rate ratio (IRR): 0.74; 95% credible interval (CrI): 0.61 to 0.88 and neonatal IRR: 0.62; 95%CrI: 0.44 to 0.88). We found some evidence that the change in policy was associated with an increase in incidence rates in the UK born school-age population (IRR: 1.08; 95%CrI: 0.97 to 1.19) and weaker evidence of an association with a reduction in incidence rates in UK born neonates (IRR: 0.96; 95%CrI: 0.82 to 1.14). Overall, we found that the change in policy was associated with directly preventing 385 (95%CrI: −105 to 881) cases. Conclusions Withdrawing universal vaccination at school age and targeting vaccination towards high-risk neonates was associated with reduced incidence of TB. This was largely driven by reductions in the non-UK born with cases increasing in the UK born.

scholarly journals Estimating the effect of the 2005 change in BCG policy in England: A retrospective cohort study

2019 ◽  
Author(s):  
Sam Abbott ◽  
Hannah Christensen ◽  
Nicky Welton ◽  
Ellen Brooks-Pollock
Keyword(s):  
High Risk ◽  
Negative Binomial ◽  
Labour Force ◽  
Incidence Rates ◽  
School Age Children ◽  
List Type ◽  
School Age ◽  
Bcg Vaccination ◽  
The Uk ◽  
The Impact

ABSTRACTBackgroundIn 2005, England changed from universal Bacillus Calmette–Guérin (BCG) vaccination of school-age children to targeted BCG vaccination of high-risk children at birth.MethodsWe combined notification data from the Enhanced Tuberculosis Surveillance system, with demographic data from the Labour Force Survey to construct retrospective cohorts of individuals in England relevant to both the universal, and targeted vaccination programmes between Jan 1, 2000 and Dec 31, 2010. For each cohort, we estimated incidence rates over a 5 year follow-up period and used Poisson and Negative Binomial regression models in order to estimate the impact of the change in policy on TB.ResultsIn the non-UK born, we found evidence for an association between a reduction in incidence rates and the change in BCG policy (school-age IRR: 0.74 (95%CI 0.61, 0.88), neonatal IRR: 0.62 (95%CI 0.44, 0.88)). We found some evidence that the change in BCG policy was associated with a increase in incidence rates in the UK born school-age population (IRR: 1.08 (95%CI 0.97, 1.19)) and weaker evidence of an association with a reduction in incidence rates in UK born neonates (IRR: 0.96 (95%CI 0.82, 1.14)). Overall, we found that the change in BCG policy was associated with directly preventing 385 (95% CI −105, 881) TB cases.ConclusionsWithdrawing universal vaccination at school-age and targeting BCG vaccination towards high-risk neonates was associated with reduced incidence of TB in England. This was largely driven by reductions in the non-UK born. There was a slight increase in UK born school-age cases.Key MessagesThere is little existing literature on the impact of withdrawing universal school-age BCG vaccination and introducing high-risk neonatal BCG vaccination on TB incidence rates in the populations directly affected by the vaccination programmes.There was strong evidence that the change in policy was associated with a decrease in TB incidence rates in non-UK born neonates and school-age children. In the UK born individuals, there was some evidence that the change in policy was associated with an increase in TB incidence rates in those relevant to the universal school-age scheme, with little evidence of a decrease in incidence rates in those relevant to the high-risk neonatal vaccination scheme.Overall the change in vaccination policy was associated with preventing TB cases, mainly in the non-UK born.These results provide an important evaluation of the direct effects of both withdrawing and implementing a BCG vaccination programme in a low incidence, high income, country and are relevant to several other countries that have made similar changes to their vaccination programmes.

scholarly journals How is the COVID-19 lockdown impacting the mental health of parents of school-age children in the UK? A cross-sectional online survey

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e043397
Author(s):  
Austen El-Osta ◽  
Aos Alaa ◽  
Iman Webber ◽  
Eva Riboli Sasco ◽  
Emmanouil Bagkeris ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Social Isolation ◽  
Online Survey ◽  
Female Gender ◽  
School Age Children ◽  
School Age ◽  
Cross Sectional ◽  
The Uk ◽  
The Impact

ObjectiveInvestigate the impact of the COVID-19 lockdown on feelings of loneliness and social isolation in parents of school-age children.DesignCross-sectional online survey of parents of primary and secondary school-age children.SettingCommunity setting.Participants1214 parents of school-age children in the UK.MethodsAn online survey explored the impact of lockdown on the mental health of parents with school-age children, and in particular about feelings of social isolation and loneliness. Associations between the UCLA Three-Item Loneliness Scale (UCLATILS), the Direct Measure of Loneliness (DMOL) and the characteristics of the study participants were assessed using ordinal logistic regression models.Main outcome measuresSelf-reported measures of social isolation and loneliness using UCLATILS and DMOL.ResultsHalf of respondents felt they lacked companionship, 45% had feelings of being left out, 58% felt isolated and 46% felt lonely during the first 100 days of lockdown. The factors that were associated with higher levels of loneliness on UCLATILS were female gender, parenting a child with special needs, lack of a dedicated space for distance learning, disruption of sleep patterns and low levels of physical activity during the lockdown. Factors associated with a higher DMOL were female gender, single parenting, parenting a child with special needs, unemployment, low physical activity, lack of a dedicated study space and disruption of sleep patterns during the lockdown.ConclusionsThe COVID-19 lockdown has increased feelings of social isolation and loneliness among parents of school-age children. The sustained adoption of two modifiable health-seeking lifestyle behaviours (increased levels of physical activity and the maintenance of good sleep hygiene practices) wmay help reduce feelings of social isolation and loneliness during lockdown.

The Demand for Pre-School Care: an Aspect of the Problems of the Nigerian Working Mother

1979 ◽  
Vol 22 (1) ◽  
pp. 45-57
Author(s):  
T.O. Fadayomi
Keyword(s):  
Labour Force ◽  
School Age Children ◽  
School Age ◽  
Working Mother ◽  
Developmental Care ◽  
Participation Of Women ◽  
Social And Economic Development ◽  
Employment Of Women ◽  
Effective Contribution ◽  
School Care

One of the changes brought about by the increasing employment of women outside the home is the demand for both custodial and developmental care for their pre-school age children 1. The demand situation for extra-maternal child care in Nigeria seems to be aggravated by the gradual erosion of the traditional resources for extramaternal childcare such as the community of friends and relations, hired nursemaids and servants, and the inadequate provision of extrafamilial institutions such as nurseries and daycare centres. Rather than quantify the demand for extramaternal care for children, this study assesses the childcare arrangements of working mothers and inquires into the existing resources for meeting this demand both within and outside the household. It is concluded that demand for extramaternal childcare of both custodial and developmental nature is not fulfilled by existing resources. Therefore, it is being suggested that an inventory of existing pre-school institutions such as nurseries and daycare centres, programmes for the improvement and expansion of these facilities would facilitate the participation of women in the labour force and their effective contribution to social and economic development.

scholarly journals A Comparative Time-Diary Analysis of UK and US Children’s Screen Time and Device Use

2021 ◽  
Author(s):  
Killian Mullan ◽  
Sandra L. Hofferth
Keyword(s):  
Leisure Activities ◽  
School Age Children ◽  
School Age ◽  
National Differences ◽  
The Us ◽  
Family Level ◽  
Device Use ◽  
The Uk ◽  
Watching Tv ◽  
Cross National

AbstractThis paper presents the results of a comparative analysis of the time school-age children 8-17 years in the UK and the US spent using devices such as smartphones and tablets, and their time in screen-based activities such as watching TV and playing videogames in 2014-15. The paper draws on innovative instruments measuring children’s time using technology and engaging with screens in these two countries. We find that in both, children’s time using devices overlaps with time in screen-based activities, non-screen leisure, and non-leisure activities. Children in the UK spend more time using devices than children in the US, but family size and the availability of an internet connection at home largely explain major cross-national differences. Children in the US spend less time using computers than children in the UK, and, on non-school days, more time watching TV and playing videogames. These differences remain significant after controlling for a range of child, parent and family-level characteristics. Divergent cross-national patterns for children’s time using relatively new devices and their time in more established screen-based activities are linked to differences in family composition and to differential access.

Graduate Employment and Training in SMEs in Northern Ireland

2005 ◽  
Vol 19 (1) ◽  
pp. 55-63 ◽  
Author(s):  
Richard Harris ◽  
Renee S. Reid
Keyword(s):  
Northern Ireland ◽  
Labour Force ◽  
Policy Implications ◽  
Medium Size ◽  
Multivariate Approach ◽  
Graduate Employment ◽  
Size Firm ◽  
The Uk ◽  
To Receive ◽  
And Training

Using the UK Labour Force Survey, this paper considers whether graduate employment is more important in the small and medium-size enterprise (SME) sector in Northern Ireland than in other regions of the UK. The authors disaggregate their analysis by gender, occupation and industry to provide a detailed breakdown. The issue of whether graduates are more or less likely to receive on-the-job training is also considered, both by comparison with non-graduates (matched by industry and occupation groups) and graduates in other UK regions. Finally, given that company size, firm location, industry and occupation groups are all related to the proportion of graduates employed in the labour market, the authors use a multivariate approach to disentangle the extent to which there are differences associated with graduate employment in the Northern Ireland SME sector (having controlled for other factors). The policy implications of their findings for graduate employment are then considered.

scholarly journals The Impact of the Covid-19 Pandemic on Uptake of Influenza Vaccine: A UK-Wide Observational Study

2020 ◽  
Author(s):  
Patrik Bachtiger ◽  
Alex Adamson ◽  
Ji-Jian Chow ◽  
Rupa Sisodia ◽  
Jennifer K Quint ◽  
...  
Keyword(s):  
Public Health ◽  
Influenza Vaccination ◽  
Vaccination Rate ◽  
School Age Children ◽  
School Age ◽  
Flu Vaccination ◽  
Flu Vaccine ◽  
The Uk ◽  
The Impact ◽  
To Receive

ABSTRACTObjectivesThe objective of this study was to measure the impact of the Covid-19 pandemic on acceptance of flu vaccination in the 2020-21 season, including for those newly eligible for the UK National Health Service (NHS) free vaccination programme, extended this year to include an estimated 32.4 million (48.8%) of the UK population. Knowing intended uptake is essential to inform supply and steer public health messaging to maximise vaccination given the combined threats of both flu and Covid-19 — the unknown impact of which on both attitudes and the need for mass uptake yet again create the threat of ill-informed planning resulting in failure to meet necessary public health demand.MethodsAn online questionnaire posing question items on influenza vaccination was administered to registrants of the Care Information Exchange (CIE), the NHS’s largest patient electronic personal health record. This was part of a longitudinal study initiated during the Covid-19 pandemic lockdown. This analysis was limited to those who, in line with established NHS criteria, were previously or newly eligible but had not routinely received seasonal influenza vaccination in the past. Groups were stratified by response (yes/no) to intending to receive flu vaccination in 2020-21: Group 1.) Previously eligible now responding ‘yes’, 2.) Previously eligible still responding ‘no’, 3.) Newly eligible responding ‘yes’, and 4.) Newly eligible responding ‘no’. Within these groups, response by health worker status and each group’s inclination to vaccinate school age children was also measured. Summary statistics were reported alongside univariate and multivariable regression. Lastly, a network analysis visualised the frequency and co-occurrence of reasons qualifying response for or against influenza vaccination in 2020/21.FindingsAmong 6,641 respondents, 4,040 (61.1%) had previously routinely received the flu vaccination. 1,624 (24.5%) had been either previously eligible but not vaccinated (945, 58.2%) or newly eligible (679, 41.8%). Among the previously eligible participants who had not routinely received influenza vaccination 536 (56.7%) responded they would in 2020-21, increasing the vaccination rate in the entire previously eligible cohort from 79.6% to 91.2%, and 466 (68.6%) in the newly eligible.Multivariable logistic regression resulted in few substantial changes to effect estimates, with the exception of age, for which all estimates showed a stronger association with intention to receive the flu vaccine. In those who became newly eligible to receive the flu vaccine, there was an association between intention to receive the flu vaccine and increased age (OR = 1.07, 95% CI 1.03 to 1.12), IMD quintile, and considering oneself at high risk from Covid-19 (OR = 1.80, 95% CI 1.22 to 2.70).Network analysis showed the most frequent themes for previously eligible unvaccinated and newly eligible participants accepting vaccination in 2020/21 were: ‘precaution for myself’ (41.2% and 46.1%) and ‘Covid-19’ (27.4% and 27.1%), where the former was qualified by the latter in 36% and 29.1% of responses. Among the previously and newly eligible not intending to receive vaccination in 2020/21, misinformed themes of ‘makes me unwell’, ‘gives me flu’ and ‘vaccine doesn’t work’ were present across 37.4% and 21.9% of responses, respectively.Among participants with school age children, of those previously eligible who now intend to be vaccinated themselves, 82.5% also intend to vaccinate their children in 2020/21 compared to 25.8% of those who would not accept the influenza vaccine for themselves. Among the newly eligible respondents this was 82.1% and 43.5%, respectively. 49.9% of the previously unvaccinated healthcare workers would continue to decline the vaccine in 2020/21.InterpretationIn this UK-wide observational study, Covid-19 has increased acceptance of flu vaccination in 2020/21 from 79.6% to 91.2% in those previously eligible, and for the 69% of those newly eligible. This high anticipated vaccination rate (to 26 million (80%) of the UK population) requires appropriate planning, but can be further increased with effective messaging campaigns to address negative misconceptions about flu vaccination, which may also help in preparation for future Covid-19 vaccination. It remains of concern that 50% of healthcare professionals who refused it previously still do not intend to have the flu vaccine.

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