scholarly journals Characteristics Associated with Utilization of Asthma-Related Traditional Chinese Medicine Services among Asthma Children in Taiwan: A Nationwide Cohort Study

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Shiou-Ian Lin ◽  
Tung-Hu Tsai ◽  
Yiing-Jenq Chou ◽  
Nicole Huang
Keyword(s):  
Cohort Study ◽  
Western Medicine ◽  
Estimating Equation ◽  
Newly Diagnosed ◽  
Asthmatic Children ◽  
School Aged Children ◽  
Nationally Representative ◽  
One Year ◽  
Representative Cohort ◽  
Shed Light

Introduction. Previous studies have demonstrated the advantages of TCM use among asthmatic children. However, there is a paucity of epidemiologic reports on features of TCM users among asthmatic children. This cohort study aimed to investigate child’s, parent’s, and provider’s characteristics associated with the use of asthma-related TCM services among newly diagnosed asthmatic children.Materials and Methods. A nationally representative cohort of one million National Health Insurance beneficiaries was used. The newly diagnosed asthma children who received asthma medication from western medicine providers from 2005 to 2010 were selected as our sample for analysis. Generalized estimating equation was applied to identify the child’s, parents’, and provider’s characteristics associated with the use of asthma-related TCM among the newly diagnosed asthmatic children.Results. Of 20,080 children who were enrolled and followed up for one year, 4,034 children used TCM for asthma-related treatment. Children with prior experience of TCM, pre-school and school aged children, boys, those with more severe asthma or poorer health, with higher income parents were more likely to use asthma-related TCM. Herbal medicine was the most common modality among asthmatic children.Conclusions. There were only 20% newly diagnosed asthmatic children using TCM. The findings may shed light on possible integration of TCM with western medicine services.

scholarly journals Sleep problems increase the risk of musculoskeletal pain in boys but not girls: a prospective cohort study

2020 ◽  
Vol 179 (11) ◽  
pp. 1711-1719
Author(s):  
Alessandro Andreucci ◽  
Paul Campbell ◽  
Lisa K Mundy ◽  
Susan M Sawyer ◽  
Silja Kosola ◽  
...  
Keyword(s):  
Cohort Study ◽  
Musculoskeletal Pain ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Sleep Problems ◽  
Large Population ◽  
Population Based ◽  
School Aged Children ◽  
Increased Risk ◽  
One Year

Abstract Adults with sleep problems are at higher risk for onset of musculoskeletal pain, but the evidence is less clear for children. This prospective cohort study investigated whether children with sleep problems are at higher risk for onset of musculoskeletal pain and explored whether sex is a modifier of this association. In a prospective cohort study of Australian schoolchildren (n = 1239, mean age 9 years), the associations between sleep problems at baseline and new onset of both musculoskeletal pain and persistent musculoskeletal pain (pain lasting > 3 months) 1 year later were investigated using logistic regression. The potential modifying effect of sex was also assessed. One-year incidence proportion for musculoskeletal pain onset is 43% and 7% for persistent musculoskeletal pain. Sleep problems were associated with musculoskeletal pain onset and persistent musculoskeletal pain onset in boys, odds ratio 2.80 (95% CI 1.39, 5.62) and OR 3.70 (1.30, 10.54), respectively, but not girls OR 0.58 (0.28, 1.19) and OR 1.43 (0.41, 4.95), respectively. Conclusions: Rates of musculoskeletal pain are high in children. Boys with sleep problems are at greater risk of onset of musculoskeletal pain, but girls do not appear to have higher risk. Consideration of sleep health may help prevent persistent musculoskeletal pain in children. What is Known:• Sleep problems are associated with the onset of musculoskeletal pain in adults.• It is not clear if the association between sleep problems and the onset of musculoskeletal pain is present also in children and if sex plays a role in this association. What is New:• This is the first large population-based study that has prospectively investigated the relationship between sleep problems and onset of musculoskeletal pain in school-aged children.• Children, especially boys with sleep problems, were at increased risk for the development of persistent musculoskeletal pain.

scholarly journals Being born to a single mother in France: trajectories of father’s involvement over the first year of life

2020 ◽  
Vol 11 (1) ◽  
pp. 123-149
Author(s):  
Ariane Pailhé ◽  
Lidia Panico ◽  
Marieke Heers
Keyword(s):  
Father Involvement ◽  
Single Mother ◽  
First Year ◽  
Parental Relationships ◽  
Father Engagement ◽  
Child Involvement ◽  
Nationally Representative ◽  
One Year ◽  
First Year Of Life ◽  
Representative Cohort

This paper characterises families where the father is not living (or not living permanently) with the child from around birth, and identifies the drivers of the evolution of father contact over the first year of life across different types of household. We use a recent, nationally representative cohort of children born in France in 2011, Elfe (the Etude longitudinale française depuis l’enfance), and latent clustering techniques to identify different groups of households characterised by non-residential fatherhood. We show that non-residential fatherhood from around birth is not a marginal phenomenon in France, and it corresponds to a heterogeneity of situations, describing both advantaged and low involvement fathers, as well less disadvantaged but involved groups. Over the first year of life, most non-resident fathers managed to keep in contact with their child, including relatively disadvantaged groups such as migrant and young parents, although groups characterised by low father involvement shortly after birth lost contact. On the other hand, among a group of very involved non-resident fathers who were in a relationship with the mother, we observed high levels of contact and indeed co-residence when the child was one year of age. A number of channels emerged to explain the correlations between our latent groups and father contact at one year: notably, father engagement around birth, especially whether the father formally recognised the child. Trajectories of father–child involvement and of parental relationships are therefore at least as important as socio-economic conditions to understand future father contact.

scholarly journals Being born to a single mother in France: trajectories of father’s involvement over the first year of life

2019 ◽  
Author(s):  
Ariane Pailhé ◽  
Lidia Panico ◽  
Marieke Heers
Keyword(s):  
Father Involvement ◽  
Single Mother ◽  
First Year ◽  
Parental Relationships ◽  
Father Engagement ◽  
Child Involvement ◽  
Nationally Representative ◽  
One Year ◽  
First Year Of Life ◽  
Representative Cohort

This paper characterises families where the father is not living (or not living permanently) with the child from around birth, and identifies the drivers of the evolution of father contact over the first year of life across different types of household. We use a recent, nationally representative cohort of children born in France in 2011, Elfe (the Etude longitudinale française depuis l’enfance), and latent clustering techniques to identify different groups of households characterised by non-residential fatherhood. We show that non-residential fatherhood from around birth is not a marginal phenomenon in France, and it corresponds to a heterogeneity of situations, describing both advantaged and low involvement fathers, as well less disadvantaged but involved groups. Over the first year of life, most non-resident fathers managed to keep in contact with their child, including relatively disadvantaged groups such as migrant and young parents, although groups characterised by low father involvement shortly after birth lost contact. On the other hand, among a group of very involved non-resident fathers who were in a relationship with the mother, we observed high levels of contact and indeed co-residence when the child was one year of age. A number of channels emerged to explain the correlations between our latent groups and father contact at one year: notably, father engagement around birth, especially whether the father formally recognised the child. Trajectories of father–child involvement and of parental relationships are therefore at least as important as socio-economic conditions to understand future father contact.

Bullying Victimization Uniquely Contributes to Adjustment Problems in Young Children: A Nationally Representative Cohort Study

PEDIATRICS ◽  
2006 ◽  
Vol 118 (1) ◽  
pp. 130-138 ◽  
Author(s):  
L. Arseneault ◽  
E. Walsh ◽  
K. Trzesniewski ◽  
R. Newcombe ◽  
A. Caspi ◽  
...  
Keyword(s):  
Cohort Study ◽  
Young Children ◽  
Bullying Victimization ◽  
Adjustment Problems ◽  
Nationally Representative ◽  
Representative Cohort

scholarly journals Mortality during and following hospital admission among school-aged children: a cohort study

2021 ◽  
Vol 5 ◽  
pp. 234
Author(s):  
Moses M Ngari ◽  
Christina Obiero ◽  
Martha K Mwangome ◽  
Amek Nyaguara ◽  
Neema Mturi ◽  
...  
Keyword(s):  
Cohort Study ◽  
Hiv Infection ◽  
Guideline Development ◽  
Severe Pneumonia ◽  
Severe Anaemia ◽  
School Age Children ◽  
Post Discharge ◽  
Severe Stunting ◽  
School Aged Children ◽  
One Year

Background: Far less is known about the reasons for hospitalization or mortality during and after hospitalization among school-aged children than among under-fives in low- and middle-income countries. This study aimed to describe common types of illness causing hospitalisation; inpatient mortality and post-discharge mortality among school-age children at Kilifi County Hospital (KCH), Kenya. Methods: A retrospective cohort study of children 5−12 years old admitted at KCH, 2007 to 2016, and resident within the Kilifi Health Demographic Surveillance System (KHDSS). Children discharged alive were followed up for one year by quarterly census. Outcomes were inpatient and one-year post-discharge mortality. Results: We included 3,907 admissions among 3,196 children with a median age of 7 years 8 months (IQR 74−116 months). Severe anaemia (792, 20%), malaria (749, 19%), sickle cell disease (408, 10%), trauma (408, 10%), and severe pneumonia (340, 8.7%) were the commonest reasons for admission. Comorbidities included 623 (16%) with severe wasting, 386 (10%) with severe stunting, 90 (2.3%) with oedematous malnutrition and 194 (5.0%) with HIV infection. 132 (3.4%) children died during hospitalisation. Inpatient death was associated with signs of disease severity, age, bacteraemia, HIV infection and severe stunting. After discharge, 89/2,997 (3.0%) children died within one year during 2,853 child-years observed (31.2 deaths [95%CI, 25.3−38.4] per 1,000 child-years). 63/89 (71%) of post-discharge deaths occurred within three months and 45% of deaths occurred outside hospital. Post-discharge mortality was positively associated with weak pulse, tachypnoea, severe anaemia, HIV infection and severe wasting and negatively associated with malaria.  Conclusions: Reasons for admissions are markedly different from those reported in under-fives. There was significant post-discharge mortality, suggesting hospitalisation is a marker of risk in this population. Our findings inform guideline development to include risk stratification, targeted post-discharge care and facilitate access to healthcare to improve survival in the early months post-discharge in school-aged children.

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