scholarly journals Social inequality and children’s health in Africa: a cross sectional study

Author(s):  
Tim B. Heaton ◽  
Benjamin Crookston ◽  
Hayley Pierce ◽  
Acheampong Yaw Amoateng
2014 ◽  
Vol 134 (1) ◽  
pp. 3-12 ◽  
Author(s):  
Erica Bezerra Nobre ◽  
Sandra Josefina Ferraz Ellero Grisi ◽  
Alexandre Archanjo Ferraro

CONTEXT AND OBJECTIVE: Lifestyle includes the personal attitudes or behavioral patterns that result in risks or benefits to the individual's own health or that of others. Children's health is particularly determined by their mother's lifestyle. The objective here was to develop and evaluate the reliability of a questionnaire capable of describing the lifestyles of preschoolers' mothers in terms of their activities, interests, opinions and values. DESIGN AND SETTING: Cross-sectional study conducted in a public university. METHODS: This study was conducted between January 2010 and March 2011, among 255 mothers of preschoolers living in the southeastern region of the municipality of São Paulo. A proportional stratified random probabilistic sample with two strata was selected: schools were drawn and then the children. Three instruments found in the literature were used to create the lifestyle questionnaire. The questionnaire was developed in eight stages: preliminary pretest, cultural adaptation, second pretest, pilot study, semantic correction and adaptation, third pretest, final research and final retest. Cronbach's alpha and pairwise correlation coefficients were used. RESULTS: The Cronbach's alpha value in the final version was 0.83 and the pre and post-test pairwise correlation coefficients were greater than 0.5. Factor analysis identified five factors that explained 73.51% of the correlation variance. As a result, seven variables were eliminated from the questionnaire. CONCLUSIONS: The questionnaire described five lifestyle domains, with good reliability, and can be used in combination with preschoolers' health and nutritional outcomes.


2021 ◽  
Author(s):  
Farhad Nosrati Nejad ◽  
Fateme Adelinejad ◽  
arash ziapour ◽  
Majid Golzarpour ◽  
Seyyed Amar Azizi ◽  
...  

Abstract Background: The emergence of the COVID-19 pandemic has triggered a worldwide health catastrophe. Anxiety caused by COVID-19 has had a negative impact on people's physical and mental health. According to the findings of the research, significant emphasis has been devoted to measures linked to the identification of persons with coronavirus infection, but the identification of the affected individuals' mental health issues has been overlooked. Despite study data indicating an increase in fear and anxiety in patients with coronavirus and others, little research on COVID-19-related cardiac disease has been conducted so far.Methods: This cross-sectional study used a survey method with a chosen self-reported questionnaire for data collection from Mashhad residents. The research sample included 435 households with children aged 5 to 18. The data was analyzed using SPSS software version 25 and comprised two measures, (1) the Coronary Disease Anxiety Scale (CDAS) and (2) the Child Health Questionnaire (CHQ) developed by Landgraf and Abets. The findings indicated that COVID-19-related anxiety has a detrimental influence on children's health. According to the data, 19% of the children’s variance showed negative effects on health ( β= -0.625, Sig = 0.001, Adj.R2 = 0.193).Results: The findings revealed a significant difference in children's health mean scores related to forms of insurance coverage, parents' education level, housing status, and COVID-19-associated anxiety. Children's anxiety levels have increased, causing harm to their health and a reduction in their health status.Conclusion: The outcomes of the study will help health professionals and governments establish appropriate protective measures to address this worldwide health problem.


Author(s):  
Ryan D. Burns ◽  
Christopher D Pfledderer ◽  
You Fu

The purpose of this study was to examine the association between the neighbourhood social environment and meeting recommendations for 24-hour movement behaviours in youth. Participants were a sample of children and adolescents from the 2019 National Survey of Children’s Health (N=21,259; 48.2% female). Knowing where to go for help (OR=2.66, p=0.006) and a safe school environment (OR=1.99, p=0.020) correlated with high probability of meeting 24-hour movement behaviour recommendations in females. Novelty Bullet: • The neighbourhood social environment associates with meeting 24-hour movement recommendations in females.


2021 ◽  
pp. 103017
Author(s):  
Fatimah ◽  
Muhammad Nasrum Massi ◽  
A. Dwi Bahagia Febriani ◽  
Mochammad Hatta ◽  
Tria Astika Endah Permatasari ◽  
...  

2019 ◽  
Author(s):  
Neus Carrilero ◽  
Dolores Ruiz-Muñoz ◽  
Albert Dalmau-Bueno ◽  
Cristina Colls ◽  
Anna García-Altés

Abstract Background Health inequalities from the first stages of life onwards have consequences for children’s health status and for their future development. Children’s health is profoundly affected by the socioeconomic position (SEP) of their parents. The situation is even more disruptive in children with medically complex (CMC) conditions. The aim of this study is to describe the characteristics and related pathologies of CMC in Catalonia, and to assess the presence of socioeconomic inequalities.Methods Cross-sectional study and cluster analysis of the diseases in the CMC population under the age of 15 in Catalonia in 2016 using administrative data. Each pathology cluster obtained was described and its association with socioeconomic position (SEP) determined. The Adjusted Morbidity Groups (Catalan acronym GMA) classification system was used to identify the CMC. Main outcome measures: SEP, GMA score, sex, and age distribution were recorded in both populations (CMC and non-CMC) and in each of the clusters identified.Results 71% of the CMC population have at least one parent with no employment or an annual income of less than €18,000. Four comorbidity clusters were identified in CMC: respiratory (47%), neurodevelopmental (18%), hemato-oncological (12%), and perinatal disorders (23%). CMC experience higher levels of poverty and social disadvantage in all clusters. SES-cluster association results were: in the respiratory OR, 2.1 in boys and 2.1 in girls; in the neurodevelopmental disease, OR 2.0 in boys and 1.8 in girls; in the hemato-oncology OR, 1.7 in boys and 1.8 in girls; and in the perinatal OR, 1.7 in boys and 1.8 in girls.Conclusions There are socioeconomic health inequalities in childhood across a broad spectrum of health outcomes. Children with lower SEP are more likely to have CMC conditions. All clusters showed SEP inequalities and respiratory and neurodevelopment clusters are the most prevalent.


2020 ◽  
Author(s):  
Daisuke Nishioka ◽  
Junko Saito ◽  
Keiko Ueno ◽  
Naoki Kondo

Abstract Background: Single-parenthood is recognised as a risk factor for chronic childhood health conditions due to lower family income, resulting in food insecurity and an increased psychological burden. Governmental social assistance may address the risk by ensuring minimum-income protection and financial healthcare access. However, no study has investigated the association between single-parenthood and health statuses among children in families receiving social assistance benefits. This study aimed to examine the association between single-parent households and children’s health among public assistance recipients in Japan by—for the first time ever—using linkage data of two municipal public assistance databases and medical assistance claim data.Methods: We performed a cross-sectional study. Public assistance for households below poverty line ensures their income security and medical care. We extracted individual factors of children aged 15 years or younger in January 2016 and observed until December 2016. We identified one-year prevalence of childhood diseases by using International Classification of Disease, Tenth Edition (ICD-10) codes.Results: Among the 573 participants, 383 (66.8%) lived in single-parent households. A multivariable Poisson regression showed that single-parenthood is associated with a higher prevalence of asthma (prevalence ratio [PR] = 1.62; 95% confidence interval [CI], 1.16-2.26), allergic rhinitis (PR = 1.41; 95% CI, 1.07-1.86), dermatitis and eczema (PR = 1.81; 95% CI, 1.21-2.70), and dental diseases (PR = 1.79; 95% CI, 1.33-2.42), as compared to other households. No association was found between single-parenthood and acute children’s diseases such as respiratory infections, injuries, and intestinal infections.Conclusions: Living in single-parent households is a risk factor for children’s chronic diseases, despite them receiving public assistance benefits. These results may be explained by the increased psychosocial stress, suggesting that the present public assistance system in Japan should provide additional social support. Ameliorating health conditions of children among single-parent households on public assistance can be achieved by closer monitoring of the community. Further investigations are necessary using more detailed information such as environmental factors, the severity of children’s health conditions, the contents of any received treatments, and broader socioeconomic factors.


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