Social inequality in parent–infant relations: Epidemiological study of community nurse records

2021 ◽  
pp. 140349482098313
Author(s):  
Bjørn E. Holstein ◽  
Sofie Weber Pant ◽  
Janni Ammitzbøll ◽  
Trine Pagh Pedersen
Keyword(s):  
Community Sample ◽  
Occupational Status ◽  
Home Visits ◽  
Cross Sectional Study ◽  
Outcome Variable ◽  
Immigrant Parents ◽  
First Year ◽  
Cross Sectional ◽  
Parents And Children ◽  
First Year Of Life

Background: Some studies suggest that favourable socioeconomic circumstances are associated with better parent–child relations but the documentation of such an association is limited and inconsistent. Few studies focused on infancy, few studies relied on objective measurement of parent–infant relations, and few studies included more than one measurement of parent–infant relations in the first year of life. Aims: To report the prevalence of objectively measured problems in parent–infant relations during the first year of life and to examine the association between socioeconomic circumstances and parent–infant relations in an unselected community sample of infants. Methods: Cross-sectional study of a community sample of children from birth to 10 months in 15 municipalities in Denmark, n = 11,765. The exposure variables were population register data about socioeconomic circumstances: (a) parents’ education, (b) family composition, (c) parents’ origin, and (d) parents’ occupational status. The outcome variable was the health visitor’s concerns about the parent–infant relation assessed at four home visits from birth to 10 months after delivery. Results: The proportion of children with concerns about the parent–infant relation was 10.5%, 7.8% at one home visit and 2.8% at two or more home visits. Logistic regression analyses showed that all four indicators of socioeconomic circumstances were associated with concerns about the parent–infant relation in the first year of life. Conclusions: The risk of problematic parent–infant relations were significantly elevated among, children of immigrant parents, and children of parents with shorter education and not in education or work.

scholarly journals Factors associated with preventable infant death: a multiple logistic regression

2018 ◽  
Vol 52 ◽  
pp. 32 ◽  
Author(s):  
Sandra Maria Cunha Vidal e Silva ◽  
Rogério Antonio Tuon ◽  
Livia Fernandes Probst ◽  
Brunna Verna Castro Gondinho ◽  
Antonio Carlos Pereira ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Family Income ◽  
Sociodemographic Factors ◽  
Cross Sectional Study ◽  
First Year ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Factors Associated ◽  
Systematic Sample ◽  
First Year Of Life

OBJECTIVE: To identify and analyze factors associated with preventable child deaths. METHODS: This analytical cross-sectional study had preventable child mortality as dependent variable. From a population of 34,284 live births, we have selected a systematic sample of 4,402 children who did not die compared to 272 children who died from preventable causes during the period studied. The independent variables were analyzed in four hierarchical blocks: sociodemographic factors, the characteristics of the mother, prenatal and delivery care, and health conditions of the patient and neonatal care. We performed a descriptive statistical analysis and estimated multiple hierarchical logistic regression models. RESULTS: Approximatelly 35.3% of the deaths could have been prevented with the early diagnosis and treatment of diseases during pregnancy and 26.8% of them could have been prevented with better care conditions for pregnant women. CONCLUSIONS: The following characteristics of the mother are determinant for the higher mortality of children before the first year of life: living in neighborhoods with an average family income lower than four minimum wages, being aged ≤ 19 years, having one or more alive children, having a child with low APGAR level at the fifth minute of life, and having a child with low birth weight.

scholarly journals Triagem neonatal para fenilcetonúria e hiperfenilalaninemia permanente: a base de dados do IJC de 2010 a 2015 / Neonatal screening for phenylketonuria and permanent hyperphenylalaninemia: the database of IJC from 2010 to 2015

2021 ◽  
Author(s):  
Alline Coiado ◽  
Marina Sampaio ◽  
Thais Tellini ◽  
Sônia Marchezi Hadachi ◽  
Lene Garcia Barbosa
Keyword(s):  
Newborn Screening ◽  
Cross Sectional Study ◽  
First Year ◽  
Screening Methods ◽  
Sectional Study ◽  
Cross Sectional ◽  
Female Population ◽  
Reference Service ◽  
First Year Of Life

  Objetivo: A fenilcetonúria é uma das principais causas de deficiência intelectual, e possui tratamento eficaz, se realizado o diagnóstico e tratamento de forma precoce e um acompanhamento por toda vida. O objetivo deste trabalho é levantar a prevalência de recém-nascidos portadores de fenilcetonúria identificados pela triagem neonatal. Métodos: Estudo transversal no qual foi feito um levantamento de dados sobre triagem neonatal para doença fenilcetonúria realizada num Serviço de Referência de Triagem Neonatal, no período de 1 de janeiro de 2010 a 31 de dezembro de 2015. Resultados: Foi encontrado no período de 5 anos, uma prevalência aproximada de fenilcetonúria de 1: 14.700 e de hiperfenilalaninemia permanente é de 1: 54.500 nascidos vivos. Por meio dos resultados obtidos é possível demonstrar a relevância das recoletas e do seguimento no primeiro ano de vida e de amostras alteradas, assim como a gravidade da população feminina portadora de fenilcetonúria e hiperfenilalaninemia benigna, enfatizando o aumento de possíveis danos cerebrais na fase gestacional. Conclusão: A prevalência de fenilcetonúria e  hiperfenilalaninemia permanente é alta. As recoletas e o seguimento no primeiro ano de vida das amostras alteradas é de extrema importância, principalmente para a população feminina portadora de fenilcetonúria e hiperfenilalaninemia permanente, enfatizando o aumento de possíveis danos cerebrais na fase gestacional. Palavras chave: Fenilcetonúrias, Fenilalanina, Triagem neonatal ABSTRACT: Abstract Phenylketonuria is one of the main causes of intellectual disability, and it has effective treatment, if the diagnosis and treatment is performed early and a lifelong follow-up. The objective of this study is to determine the prevalence of newborns with phenylketonuria identified by newborn screening.  Methods: A cross-sectional study was carried out in which a data collection on newborn screening for phenylketonuria disease was carried out at the Newborn Screening Reference Service from January 1, 2010 to December 31, 2015.  Results: It was found in a 5-year period, an approximate prevalence of phenylketonuria of 1: 14,700 and permanent hyperphenylalaninemia is 1: 54,500 newborns. By means of the obtained results, it is possible to demonstrate the relevance of the recollects and the follow-up in the first year of life and of altered samples, as well as the severity of the female population with phenylketonuria and permanent hyperphenylalaninemia, emphasizing the increase of possible brain damages in the gestational phase. Conclusion: The prevalence of phenylketonuria and permanent hyperphenylalaninemia is high. Recollect and follow-up in the first year of life of the altered samples is extremely important, especially for the female population with phenylketonuria and permanent hyperphenylalaninemia, emphasizing the increase of possible brain damage in the gestational phase.  Keywords: Phenylketonurias. Phenylalanine, Newborn screening    

scholarly journals Quality of Speech Following Cleft Palate Surgery in Children

2018 ◽  
Vol 6 (2) ◽  
pp. 14
Author(s):  
Shahin Abdollahi Fakhim ◽  
Nikzad Shahidi ◽  
Gelavizh Karimi Javan
Keyword(s):  
Cleft Palate ◽  
Speech Therapy ◽  
Cross Sectional Study ◽  
Speech Disorders ◽  
First Year ◽  
Cross Sectional ◽  
Treatment Protocols ◽  
First Year Of Life ◽  
Nasal Emission

Background: Surgical treatment of cleft palate is accompanied with speech problems. Speech therapy in these children after surgery can improve their speech. In this study, we aimed to evaluate the quality of speaking in operated cleft palate patients and speech therapy effects in a small group of these patients. Methods: In this cross-sectional study, speech quality of 55 children with operated cleft palate was assessed regarding resonance, audible nasal emission, consonant production and speech acceptability. Speech outcomes after therapy were evaluated in 19 patients. Results: Cleft palate types were unilateral cleft and lip palate in 18 cases, bilateral cleft and lip palate in 4 cases, secondary cleft palate type in 30 cases and of mere-soft palate in 3 cases. Thirty-five children were operated during the first year of life and 20 were operated after the first year. More than 55% of patients had normal hypernasality with few cases of severe hypernasality and less than 45% had error in consonant production. Patients operated during first year of life had more speech problems. Speech parameters were improved in 19 patients after speech therapy. Conclusion: In conclusion, children with cleft palate have some degrees of speech disorders after repair surgery than could be improved by the speech therapy. Speech therapy should be considered as one of the main treatment protocols along with repair surgery in children with cleft palate.

scholarly journals Metabolic Syndrome and Its Associated Early-Life Factors among Chinese and Spanish Adolescents: A Pilot Study

Nutrients ◽  
2019 ◽  
Vol 11 (7) ◽  
pp. 1568 ◽  
Author(s):  
Wang ◽  
Perona ◽  
Schmidt-RioValle ◽  
Chen ◽  
Jing ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Birth Weight ◽  
Density Lipoprotein ◽  
Cross Sectional Study ◽  
Breastfeeding Duration ◽  
First Year ◽  
Cross Sectional ◽  
Low Hdl ◽  
First Year Of Life ◽  
Chinese Group

Metabolic syndrome (MetS) is a growing problem worldwide in adolescents. This study compared two sample populations of young people in Spain and China, and analyzed the association of birth weight and breastfeeding duration with MetS. A cross-sectional study was conducted in adolescents (10–15 years old); 1150 Chinese and 976 Spanish adolescents. The variables analyzed were anthropometric characteristics, biochemical markers, and demographic characteristics using the same methodology and data collection protocol. Also, birth weight and breastfeeding were retrospectively analyzed during the first year of life. The results showed statistically significant differences between the two groups in reference to body mass index (BMI), blood pressure, triglyceride, glucose, and high-density lipoprotein cholesterol (HDL-C) levels. The MetS prevalence was higher in Spanish adolescents (2.5%) than in the Chinese group (0.6%). Breastfeeding duration was inversely associated with hypertriglyceridemia, low HDL-C, and MetS, whereas higher birth weight was associated with hyperglycemia, low HDL-C, hypertriglyceridemia, and abdominal obesity. Spanish adolescents showed more altered MetS components, and consequently, a higher MetS prevalence than the Chinese adolescents. This made them more vulnerable to cardiometabolic risk. Our results highlight the need for interventions designed by health professionals, which would encourage pregnant women to breastfeed their children.

scholarly journals Structural and Microbiological Analysis of Children’s Pacifiers Served in Public Health Service and Nursery

2020 ◽  
Vol 22 (4) ◽  
pp. 286-288
Author(s):  
Cristiane Coimbra de Paula ◽  
Louize Belém de Lima Barros ◽  
Jerry Luiz Seki ◽  
Rhayanne Edith de Assis ◽  
Walkiria Shimoya-Bittencourt
Keyword(s):  
Public Health ◽  
Opportunistic Infections ◽  
Cross Sectional Study ◽  
First Year ◽  
Microbiological Analysis ◽  
Public Health Services ◽  
Cross Sectional ◽  
Nutritive Sucking ◽  
Frequency Of Use ◽  
First Year Of Life

AbstractDespite the advances and advantages of breastfeeding, the non-nutritive sucking habit, especially that represented by the use of pacifiers, is still common in Brazilian children. It is estimated that two thirds of children will receive bottles and pacifiers at some point in the first year of life. The frequency of use and the possibility of contamination by harmful microorganisms may lead to the development of opportunistic infections affecting the children’s health. The objective of the study was to conduct a microbiological and structural analysis of pacifiers for children treated in public services and daycare centers. A cross-sectional study was carried out with pacifiers for children aged 6 to 36 months. The collected pacifier was placed in a sterile individualized container and transferred to the laboratory for analysis. The children’s pacifiers who are cared for in public health services and day care centers are contaminated not only the dirty ones but also the visually clean ones. The potentially pathogenic microorganisms found were mainly fungi and bacteria, Candida, Streptococcus and Pseudomonas, respectively. Keywords: Pacifiers. Microbiology. Child Health. ResumoApesar dos avanços e vantagens da amamentação, o hábito de sucção não nutritiva, principalmente o representado pelo uso de chupetas, ainda é comum nas crianças Brasileiras. Estima-se que dois terços das crianças receberão mamadeiras e chupetas em algum momento no primeiro ano de vida. À frequência de uso e a possibilidade de contaminação por microrganismos nocivos podem levar ao desenvolvimento de infecções oportunistas prejudicando a saúde das crianças. O Objetivo do estudo doi fazer análise microbiológica e estrutural das chupetas de crianças atendidas em serviços públicos e creches. Foi realizado um estudo transversal, com chupetas de crianças na faixa etária entre 6 a 36 meses de idade. A chupeta recolhida foi acondicionada em recipiente individualizado estéril e transferida ao laboratório para analises. As chupetas das crianças que são atendidas em serviços de saúde pública e creches estão contaminadas tanto as sujas quanto as visualmente limpas. Os microrganismos potencialmente patogênicos encontrados foram principalmente fungos e bactérias, respectivamente Candida, Streptocuccus e Pseudomonas. Palavras-chave: Chupetas. Microbiologia. Saúde da Criança.

scholarly journals Factors associated with Missed Opportunities for Vaccination among children in the first year of life at a tertiary health facility in Lagos

2020 ◽  
Vol 6 (3) ◽  
pp. 287-297
Author(s):  
OA Kehinde ◽  
YA Kuyinu ◽  
OO Odusanya
Keyword(s):  
Health Facility ◽  
Health Workers ◽  
Cross Sectional Study ◽  
Vaccination Status ◽  
First Year ◽  
Cross Sectional ◽  
Missed Opportunities ◽  
Vaccination Rates ◽  
Factors Associated ◽  
First Year Of Life

Background: Low vaccination rates in children remain a major problem in resource-poor areas of the world. Missed opportunities for vaccination may be one of the important contributors to the menace. Objectives: To determine the prevalence of missed opportunities for vaccination and identify factors associated with this among Nigerian children in the first year of life. Methods: The study was a descriptive, cross-sectional study of children who were recruited consecutively and data were obtained using a questionnaire. Results: Two hundred and fifty-six children were recruited. The prevalence of missed opportunities for vaccination was 11.3%. Gender (p = 0.04) and parental socioeconomic status (p = 0.008) were significantly associated with missed opportunities for vaccination. Non- availability of required vaccines and reluctance to open a multi-dose vial of vaccine caused MOV in 55.5% and 51.8% of children respectively. The evaluation of vaccination status among subjects who were not fully vaccinated by health workers was low at 18.3%. Conclusion: The rate of missed opportunities for vaccination was low. Educating caregivers and encouraging health workers to evaluate the vaccination status of children at every contact with a health facility may reduce the prevalence of missed opportunities for vaccination.

scholarly journals Motor development’s curves of premature infants on the first year of life according to Alberta Infant Motor Scale

2018 ◽  
Vol 31 (0) ◽  
Author(s):  
Raquel Saccani ◽  
Nadia Cristina Valentini ◽  
Keila Ruttnig Guidony Pereira ◽  
Cibelle Kayenne Martins Roberto Formiga ◽  
Maria Beatriz Martins Linhares
Keyword(s):  
Motor Development ◽  
Motor Performance ◽  
Cross Sectional Study ◽  
Full Term ◽  
First Year ◽  
Cross Sectional ◽  
Important Indicator ◽  
Percentile Curve ◽  
Atypical Development ◽  
First Year Of Life

Abstract Introduction: The motor trajectory of pre-term children is an important indicator of health during infancy, since alterations may be a signal for the need of professional intervention. Objective: To describe percentiles and motor development curves for Brazilian preterm infants in the first year of life, determining the reference values for categorization of motor performance assessed by the AIMS. Methods: Participated in this cross-sectional study 976 children born pre-term, newly-born to 12 months of corrected age. The Alberta Infant Motor Scale (AIMS) was used to assess participants’ motor development. The scores of the Brazilian norms were used as comparison criteria. Results: Children born pre-term showed lower scores compared to children born full-term indicating the need for a specific percentile curve for that population. The scores differentiated at P1 to P99 percentiles allowing for the categorization of children with typical development, at risk and with atypical development. At 0, 4, 8, 9, 10, 11 and 12 months an overlapping of extreme percentiles (P1, P5 and P10; P90, P95 and P99) was observed, but not in the other percentiles. Conclusion: The percentiles described indicate that preterm children presented lower motor performance than full-term children and AIMS has discriminant power for the clinical evaluation of these children. The developmental curves showed lower capacity for behavioral differentiation in the extreme percentiles.

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