scholarly journals Family-healthcare Provider Communication and Reported Health among Children and Adolescents in the United States

2017 ◽  
Vol 15 (1) ◽  
pp. 46-55
Author(s):  
Gergana D. Kodjebacheva ◽  
Leobardo F. Estrada ◽  
Shan Parker

Background and Purpose: Most research regarding healthcare communication focuses on adults. The study investigated how family-healthcare provider communication influences reported health and activity limitations among U.S. children ages 0 to 17. Methods: In the 2011-2012 National Survey of Children’s Health, parents reported information on 87,133 children aged 0 to 17 years. The influences of different aspects of perceived healthcare communication on reported health and activity limitations were assessed using weighted logistic regression. Results: Children who were Hispanic or non-Hispanic Black, spoke a language other than English, had unemployed parents, and received public health coverage tended to have healthcare providers who did not communicate effectively. Hispanics reported worse communication experiences than non-Hispanic Blacks. Children whose provider never/sometimes spent enough time with them were more likely to have poor/fair health and to have activity limitations compared to those whose provider usually/always spent enough time. Having a healthcare provider who reportedly never/sometimes listened carefully to the caregiver was associated with poor/fair health and activity limitations (among children. Conclusion: Ineffective communication between healthcare providers and families was associated with poor reported health. Ineffective communication was more commonly reported by non-Hispanic Black and Hispanic families compared to non-Hispanic White families. Interventions to improve communication may promote children’s health.

2021 ◽  
pp. 111160
Author(s):  
Jose Ricardo Suarez-Lopez ◽  
Maryann R. Cairns ◽  
Kam Sripada ◽  
Lesliam Quiros-Alcala ◽  
Howard W. Mielke ◽  
...  

Author(s):  
Brenda D. Koester ◽  
Stephanie Sloane ◽  
Elinor M. Fujimoto ◽  
Barbara H. Fiese ◽  
Leona Yi-Fan Su

Children are uniquely vulnerable to toxicant exposures in their environment, which can have long-lasting impacts on their health. Childcare providers are an important population to target for environmental health literacy, as most children in the United States under five years of age spend a significant number of waking hours in non-parental care. There is an increasing body of evidence that children are exposed to toxicants in the childcare environment, and yet little is known about what childcare providers know about environmental influences on the health of children in their care. We conducted semi-structured interviews with 36 home- and center-based Illinois childcare providers to better understand their knowledge, attitudes, and behaviors as they relate to environmental influences on children’s health. We found that the majority of providers had a low level of understanding of potential sources of exposure in the childcare environment, and they did not feel that environmental exposures posed a significant risk to children. Future efforts to increase environmental health literacy should focus on raising awareness and knowledge of environmental health issues for childcare providers before addressing ways that providers can reduce or prevent toxicant exposures to children in their care.


Author(s):  
Mike Rowson

There have been huge improvements in women’s and children's health over the past five decades, resulting from rising living standards, increased health expenditures, and donor investments. However, large inequalities remain and, driven by epidemiological, economic, political, and environmental transitions, new challenges have emerged. Global health and women’s and children’s health specifically have been evolving to recognise the broader determinants of health, and away from more targeted interventions. The vision of Universal Health Coverage and the Sustainable Development Goals are the broader visions put forward by the international community. But there remain questions about whether they will achieve the cross-sectoral action required to improve women’s and children's health still further.


PLoS ONE ◽  
2019 ◽  
Vol 14 (8) ◽  
pp. e0220802
Author(s):  
Solveig A. Cunningham ◽  
Eeshwar K. Chandrasekar ◽  
Kate Cartwright ◽  
Kathryn M. Yount

2016 ◽  
Vol 7 (2) ◽  
pp. 62-68 ◽  
Author(s):  
Emily Lee ◽  
Joanie Jackson

Objectives: Identify, synthesize, and critically review research on common barriers to successful breastfeeding and ways healthcare providers can assist patients in overcoming the barriers.Methods: A search of databases and citations for evidence-based research published from 2001 to 2015 was conducted. Forty-nine articles were reviewed with 22 articles being discussed.Results: Three major themes were identified: (a) characteristics of breastfeeding education in the prenatal setting, (b) primary care interventions to promote breastfeeding, and (c) healthcare provider education on breastfeeding.Conclusions: Findings of this review collectively suggest the need to increase breastfeeding rates among women in the United States. To achieve this, there is great significance placed on healthcare providers implementing interventions to promote breastfeeding, which subsequently requires improving healthcare provider knowledge and self-confidence on breastfeeding.


2017 ◽  
Vol 32 (6) ◽  
pp. 1333-1339 ◽  
Author(s):  
Jungwon Min ◽  
Zhengqi Tan ◽  
Laurie Abadie ◽  
Scott Townsend ◽  
Hong Xue ◽  
...  

Purpose: To examine the effects of the National Aeronautics and Space Administration Mission-X: Train Like an Astronaut program (MX) on children’s health-related knowledge and behaviors of a sample of US participants. Design: A nonexperimental pilot intervention study in 5 cities with a pre–post comparison of children’s health-related knowledge and behaviors in the United States in 2014 and 2015. Sample: Children (n = 409) with a mean age (standard deviation) of 10.1 (1.7) years. Measures: Children answered pre- and postintervention questionnaires. We measured the differences in children’s health knowledge on nutrition and physical fitness and behaviors on diet and physical activity as scores. Intervention: A 6-week web- and school-based intervention for a healthier lifestyle by introducing physical fitness and science activities based on actual astronaut training under a teacher’s supervision. Analysis: Nonparametric analysis and logistic regression models. Results: Participants significantly improved both of their health behaviors on physical activity ( P < .001) and diet ( P = .06) and their health knowledge regarding nutrition ( P < .001) and physical fitness ( P < .001) after the intervention. The improvement in children’s behaviors ( P < .001), knowledge ( P < .001), and the total score ( P < .001) after intervention did not significantly vary by sex or age, after adjusting for year of participation and state of residency. Discussion: The MX seems effective in improving health behaviors and health knowledge of participating children, which may serve as a model for sustainable global child health promotion program. Further research is needed to test its long-term effects on child health.


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