Early childhood family background predicts meal frequency behaviour in children: Five-year follow-up study

2021 ◽  
pp. 140349482110585
Author(s):  
Suvi Parikka ◽  
Tuija Martelin ◽  
Sakari Karvonen ◽  
Esko Levälahti ◽  
Laura Kestilä ◽  
...  

Aims: Childhood nutrition patterns have an important role in later health. We studied the role of family type, other family background factors and their changes over a five-year follow-up with respect to meal frequency among children. Methods: Longitudinal data were collected in 2007–2009 and 2013–2014. A nationally representative sample of Finnish children ( n = 1822) aged 0.5–5 years at baseline and 5–10 years at follow-up and their families were used. The participation rate was 83% at baseline and 54% at follow-up. Meal frequency was defined as four to six meals per day. The associations of meal frequency with family background factors over a five-year follow-up period were examined by bivariate and multivariate regression analyses. Results: Eighty-nine per cent of the 5–10-year-old boys and girls had the recommended meal frequency at follow-up. Living in a single-parent family at baseline increased the risk of not eating the recommended number of meals compared with those living in intact families. After adjustments, a mother’s low level of education (OR 0.51, CI 0.29–0.93) and a decrease in income sufficiency (OR 0.54, CI 0.35–0.84) during the follow-up period were unfavourably associated with the recommended meal frequency. The difference between children in stable single-parent, reconstituted or joint physical custody families and those living in stable intact families remained significant when controlling for other variables. Conclusions: Single-parent families with a low socioeconomic position represent important target groups for interventions designed to promote regular meal frequency.

2006 ◽  
Vol 30 (6) ◽  
pp. 529-536 ◽  
Author(s):  
Amy Roe ◽  
Laura Bridges ◽  
Judy Dunn ◽  
Thomas G. O'Connor

Family drawings of 166 children aged 7 years (97 boys and 69 girls, age range 6.7–7.9 years), living in various family settings–stepfather, single-parent, complex stepfamilies and non-step control families–were investigated; longitudinal data were available for 119. The exclusion of family members and the grouping of parents were examined in relation to family type, biological relatedness and residency. Longitudinal analyses showed consistency in familial representations and predictions of child adjustment over time, validating the measure. Children from step and single-parent families were more likely to exclude family members than children from non-stepfamilies. Half and step-siblings were more likely to be excluded than full siblings. Non-resident family members were more likely to be excluded than resident members. Children biologically related to both resident parents were more likely to group their parents together. Omission of resident siblings or biological father, and drawing mother alone were associated with poorer adjustment as reported by mothers. Omission of resident siblings added predictive power to adjustment. These findings indicate that certain obvious and easily-coded features of family drawings may be an empirically supported and useful research and clinical tool.


2000 ◽  
Vol 28 (2) ◽  
pp. 95-101 ◽  
Author(s):  
Anu Sauvola ◽  
Taru Mäkikyrö ◽  
Jari Jokelainen ◽  
Matti Joukamaa ◽  
Marjo-Riitta Järvelin ◽  
...  

2000 ◽  
Vol 28 (2) ◽  
pp. 95-101
Author(s):  
Anu Sauvola ◽  
Taru Mäkikyrö ◽  
Jari Jokelainen ◽  
Matti Joukamaa ◽  
Marjo-Riitta Järvelin ◽  
...  

1998 ◽  
Vol 37 (3) ◽  
pp. 335-344 ◽  
Author(s):  
TARU MAKIKYRO ◽  
ANU SAUVOLA ◽  
JUHA MORING ◽  
JUHA VEIJOLA ◽  
PENTTI NIEMINEN ◽  
...  

2008 ◽  
Vol 23 (3) ◽  
pp. 205-211 ◽  
Author(s):  
L. Kantojärvi ◽  
M. Joukamaa ◽  
J. Miettunen ◽  
K. Läksy ◽  
A. Herva ◽  
...  

AbstractBackground.The association between childhood family structure and sociodemographic characteristics and personality disorders (PDs) in a general population sample was studied.Methods.This study is a substudy of the prospective Northern Finland 1966 Birth Cohort Project with 1588 young adult subjects. The case-finding methods according to the DSM-III-R criteria for PDs were: (1) Structured Clinical Interview for DSM-III-R (SCID) for 321 cases who participated in a 2-phase field study, (2) Finnish Hospital Discharge Register data, and (3) analysis of the patient records in public outpatient care in 1982–1997. Statistical analyses were performed on the association between PDs and family background factors.Results.Altogether 110 (7.0%) of the subjects had at least one probable or definite PD. After adjusting for confounders (gender, parental social class and parental psychiatric disorder) the results indicated that single-parent family type in childhood was associated with cluster B PDs in adulthood. Being an only child in childhood was associated with cluster A PDs. No special childhood risk factors were found for cluster C PDs.Conclusions.Results suggest that single-parent family type at birth and being an only child in the 1960s are associated with PD in adulthood. Further studies are needed to explore the psychosocial aspects of family environment which may nowadays promote vulnerability to PDs in adulthood.


Crisis ◽  
2020 ◽  
Vol 41 (6) ◽  
pp. 422-428 ◽  
Author(s):  
Masatsugu Orui

Abstract. Background: Monitoring of suicide rates in the recovery phase following a devastating disaster has been limited. Aim: We report on a 7-year follow-up of the suicide rates in the area affected by the Great East Japan Earthquake, which occurred in March 2011. Method: This descriptive study covered the period from March 2009 to February 2018. Period analysis was used to divide the 108-month study period into nine segments, in which suicide rates were compared with national averages using Poisson distribution. Results: Male suicide rates in the affected area from March 2013 to February 2014 increased to a level higher than the national average. After subsequently dropping, the male rates from March 2016 to February 2018 re-increased and showed a greater difference compared with the national averages. The difference became significant in the period from March 2017 to February 2018 ( p = .047). Limitations: Specific reasons for increasing the rates in the recovery phase were not determined. Conclusion: The termination of the provision of free temporary housing might be influential in this context. Provision of temporary housing was terminated from 2016, which increased economic hardship among needy evacuees. Furthermore, disruption of the social connectedness in the temporary housing may have had an influence. Our findings suggest the necessity of suicide rate monitoring even in the recovery phase.


Author(s):  
Omar García-Ponce ◽  
Thomas Zeitzoff ◽  
Leonard Wantchekon

Abstract Are individuals in violent contexts reluctant to tackle corruption for fear of future violence? Or does violence mobilize them to fight corruption? We investigate these questions looking at the effects of fear and violence stemming from the Mexican Drug War on attitudes toward corruption. We conducted two surveys before the 2012 Mexican presidential election. First, as part of a nationally representative survey, we find a positive correlation between fear of violence and willingness to accept corruption in exchange for lower levels of violence. To disentangle causal effects, we conducted a follow-up survey experiment in Greater Mexico City where we manipulated fear over the Drug War. We find that individuals within this context are not easily scared. Those who received a common fear-inducing manipulation do not report higher levels of fear and are less willing to tolerate corruption. Conversely, we find strong evidence that individuals who have been victims of crime are more likely to report both higher levels of fear and willingness to accept corruption if it lowers violence. Our findings suggest that voters are more strategic and resilient in the face of violence than many extant theories of political behavior suggest.


2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 320.1-321
Author(s):  
E. Loibner ◽  
V. Ritschl ◽  
B. Leeb ◽  
P. Spellitz ◽  
G. Eichbauer-Sturm ◽  
...  

Background:Gender differences in prevalence and disease course are known in various rheumatic diseases; however, investigations of gender difference concerning therapeutical response have yielded variable results.Objectives:The aim of this retrospective study was to investigate, whether a gender difference in response rate to biological disease-modifying antirheumatic drugs (bDMARDs) and apremilast in bDMARD-naïve patients could be observed across the three most prevalent inflammatory arthritis diseases: rheumatoid arthritis (RA), spondylarthritis (SpA) and psoriatic arthritis (PsA). Additionally, a response to individual TNF blockers was investigated in this respect.Methods:Data from bDMARD-naïve RA-, SpA- and PsA-patients from Bioreg, the Austrian registry for biological DMARDs in rheumatic diseases, were used. Patients with a baseline (Visit 1=V1) and follow-up visits at 6 months (Visit 2=V2) and 12 months (Visit 3=V3) were included and response to therapy with TNF-inhibitors (TNFi), furthermore to therapy with rituximab, tocilizumab and apremilast was analyzed according to gender. The remaining bDMARDs were not analyzed due to small numbers. Key response-parameter for RA was disease activity score (DAS28), whereas for PsoA the Stockerau Activity Score for Psoriatic Arthritis (SASPA) and for SpA the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) were employed; in addition, the Health assessment Questionnaire (HAQ) was used. Data were analyzed in R Statistic stratified by gender using Kruskal-Wallis and Wilcoxon tests.Results:354 women and 123 men with RA (n=477), 81 women and 69 men with PsA (n=150), 121 women and 191 men with SpA (n=312) were included. No significant differences in biometrics was seen between female and male patients at baseline in all diseases.In RA patients overall DAS28 decreased from baseline (V1) to V2 and V3 (DAS28: V1: male: 4.38 [3.66, 5.11], female: 4.30 [3.68, 5.03], p(m/f) = 0.905; V2: male: 2.66 [1.73, 3.63], female: 3.10 [2.17, 3.98], p(m/f) = 0.015; V3: male: 2.25 [1.39, 3.36], female: 3.01 [1.87, 3.87], p(m/f) = 0.002). For TNF inhibitors (n=311), there was a significant difference between genders at V2 (Fig.1a). Patients receiving Rituximab (n=41) displayed a significantly higher DAS28 at baseline in females, which diminished in the follow up: V1: (p(m/f) p=0.002; V2: p=0.019; V3: p=0.13); response to tocilizumab (n=63) did not show any gender differences.In PsA patients overall SASPA decreased from baseline (V1) to V2 and V3 (SASPA: V1: male: 4.00 [2.80, 5.20], female: 4.40 [2.80, 5.80], p(m/f) = 0.399; V2: male: 2.20 [1.20, 3.50], female: 3.40 [2.00, 5.00], p(m/f) = 0.071; V3: male: 1.80 [0.80, 2.70], female: 3.01 [2.35, 4.80], p(m/f) = 0.001). For TNF inhibitors (n=79), there was a significant difference between genders at V3 (Fig 1a). For Apremilast (n=39), there was a significant difference between genders at V2 (Fig.1c).In SpA patients overall BASDAI decreased from baseline (V1) to V2 and V3 (BASDAI: V1: male: 4.70 [2.88, 6.18], female: 4.80 [3.30, 6.20], p(m/f) = 0.463; V2: male: 3.05 [2.00, 4.60], female: 3.64 [2.62, 5.41], p(m/f) = 0.039; V3: male: 3.02 [1.67, 4.20], female: 3.65 [2.18, 5.47], p(m/f) = 0.016). In V3 a differential BASDAI in response to TNFi (n=299) was observed (Fig.1a).Possible differences of response to individual TNFi (etanercept, infliximab, other TNFi) measured by HAQ were investigated in all diseases together. The difference between male and females was significant at baseline for all 3 TNFi; whereas with the use of ETA the significant difference was carried through to V2 and V3, it was lost with the use of IFX and was variable with the other TNFi (Fig.1b)Figure 1.Conclusion:Female patients showed a statistically lower response to TNFi in all three disease entities (RA, SpA and PsoA) to a variable degree in our homogenous central european population. Interestingly, the difference was not uniform across individual TNFi when measured by HAQ. Gender differences were also seen in response to Apremilast.Disclosure of Interests:Elisabeth Loibner: None declared, Valentin Ritschl: None declared, Burkhard Leeb Speakers bureau: AbbVie, Roche, MSD, Pfizer, Actiopharm, Boehringer-Ingelheim, Kwizda, Celgene, Sandoz, Grünenthal, Eli-Lilly, Grant/research support from: TRB, Roche, Consultancies: AbbVie, Amgen, Roche, MSD, Pfizer, Celgene, Grünenthal, Kwizda, Eli-Lilly, Novartis, Sandoz;, Peter Spellitz: None declared, Gabriela Eichbauer-Sturm: None declared, Jochen Zwerina: None declared, Manfred Herold: None declared, Miriam Stetter: None declared, Rudolf Puchner Speakers bureau: AbbVie, BMS, Janssen, Kwizda, MSD, Pfizer, Celgene, Grünenthal, Eli-Lilly, Consultant of: AbbVie, Amgen, Pfizer, Celgene, Grünenthal, Eli-Lilly, Franz Singer: None declared, Ruth Fritsch-Stork: None declared


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