Fatores Associados à Desnutrição Crônica de Crianças e Adolescentes Admitidas em um Hospital de Referência do Nordeste / Factors Associated with Chronic Malnutrition in Children and Adolescents Admitted to a Northeast Referral Hospital

Abstract Background Physical activity has many health benefits for children and adolescents. However, the prevalence of physical inactivity in school-aged children and adolescents remains high in China. Many factors impact the levels of moderate and vigorous physical activity (MVPA) among students. This study investigated the factors associated with students’ MVPA levels and the determinants of changes in their MVPA behaviour. Methods This is a longitudinal study with a 12-month follow-up. The study samples were obtained from 2016 and 2017 Physical Activity and Fitness in China—The Youth Study, and they included 1597 students (aged 9–18 years) from 31 primary, junior high, and high schools in Ningxia Province. Factors related to the individual (Age, Sex, BMI and attitude to PA), school (school exercise facility, PE class, teacher support, PA time and PA environment) and neighbourhood (free skill training, sport events, sport organization, sport facility) factors were measured via questionnaire at baseline and after 12 months. Multiple logistic regression was performed to examine the factors that impact students’ MVPA level and the determinants of changes in students’ MVPA behaviour. Results There was no difference in students’ MVPA levels between 2016 and 2017. Boys were more physically active than girls at baseline (RR 1.55, 95% CI 1.10, 2.20). Neighbourhood factors associated students’ MVPA levels were significant, but all of these factors (neighbourhood sport events, organizations, facilities, etc.) were removed from the longitudinal model. Individual and school factors were important for students’ MVPA maintenance and positive development (e.g., gender, attitude, school PE class and PA time). Conclusions In conclusion, both neighbourhood and school factors may affect students’ MVPA, but school appears to plays a more critical role in maintaining and promoting students’ MVPA levels. In addition, individual factors may be more important than school and neighbourhood factors in influencing students’ MVPA levels. Our research demonstrates that students’ attitudes towards PA and school factors should be considered targets for future intervention programmes to promote MVPA. More education programmes may help enhance students’ attitudes towards PA, but more studies with large samples and objective assessments are needed to explore the determinants of MVPA.

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Perceived Social Status and Suicidal Ideation in Maltreated Children and Adolescents

Research on Child and Adolescent Psychopathology ◽

10.1007/s10802-021-00852-7 ◽

2021 ◽

Author(s):

Kelli L. Dickerson ◽

Helen M. Milojevich ◽

Jodi A. Quas

Keyword(s):

Risk Factor ◽

Suicidal Ideation ◽

Children And Adolescents ◽

Social Status ◽

Lower Risk ◽

Developmental Patterns ◽

Factors Associated ◽

Established Risk Factor ◽

Increased Risk ◽

Perceived Social Status

AbstractRecent decades have seen an alarming increase in rates of suicide among young people, including children and adolescents (“youth”). Although child maltreatment constitutes a well-established risk factor for suicidal ideation in youth, few efforts have focused on identifying factors associated with maltreated youths’ increased risk for suicidal ideation, especially across development. The present study examined the relations between maltreated youths' (N = 279, M = 12.06 years, 52% female, 53% Latinx) perceptions of their social status and suicidal ideation and compared those relations between pre-adolescents and adolescents. Findings revealed unique developmental patterns: Perceived social status was associated with suicidal ideation, but only in adolescents, who showed greater risk for suicidal ideation if they viewed themselves as lower ranked in society and lower risk for suicidal ideation if they viewed themselves as higher ranked in society. Findings have implications for scientific and practical efforts aimed at better understanding and preventing suicide in a high-risk developmental population.

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Dynamics of the seroprevalence of SARS-CoV-2 antibodies among healthcare workers at a COVID-19 referral hospital in Milan, Italy

Occupational and Environmental Medicine ◽

10.1136/oemed-2020-107060 ◽

2021 ◽

pp. oemed-2020-107060

Author(s):

Laura Milazzo ◽

Alessia Lai ◽

Laura Pezzati ◽

Letizia Oreni ◽

Annalisa Bergna ◽

...

Keyword(s):

Healthcare Workers ◽

Referral Hospital ◽

Control Measures ◽

Referral Centre ◽

Single Centre ◽

Factors Associated ◽

Infection Control Measures ◽

Professional Exposure ◽

First Time ◽

Time Point

ObjectivesHealthcare workers (HCWs) are at high risk of developing SARS-CoV-2 infection. The aim of this single-centre prospective study was to evaluate the trend of SARS-CoV-2 seroprevalence in HCWs working at the primary referral centre for infectious diseases and bioemergencies (eg, COVID-19) in Northern Italy and investigate the factors associated with seroconversion.MethodsSix hundred and seventy-nine HCW volunteers were tested for anti-SARS-CoV-2 antibodies three times between 4 March and 27 May 2020 and completed a questionnaire covering COVID-19 exposure, symptoms and personal protective equipment (PPE) training and confidence at each time.ResultsSARS-CoV-2 seroprevalence rose from 3/679 to 26/608 (adjusted prevalence: 0.5%, 95% CI 0.1 to 1.7% and 5.4%, 95% CI 3.6 to 7.9, respectively) between the first two time points and then stabilised, in line with the curve of the COVID-19 epidemic in Milan. From the first time point, 61.6% of the HCWs had received training in the use of PPE and 17 (61.5%) of those who proved to be seropositive reported symptoms compatible with SARS-CoV-2 infection. Contacts with ill relatives or friends and self-reported symptoms were independently associated with an increased likelihood of seroconversion (p<0.0001 for both), whereas there was no significant association with professional exposure.ConclusionThe seroprevalence of SARS-CoV-2 among the HCWs at our COVID-19 referral hospital was low at the time of the peak of the epidemic. The seroconversions were mainly attributable to extrahospital contacts, probably because the hospital readily adopted effective infection control measures. The relatively high number of asymptomatic seropositive HCWs highlights the need to promptly identify and isolate potentially infectious HCWs.

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Quality of life of children and adolescents with chronic kidney disease: a cross-sectional study

Archives of Disease in Childhood ◽

10.1136/archdischild-2018-314934 ◽

2018 ◽

Vol 104 (2) ◽

pp. 134-140 ◽

Cited By ~ 9

Author(s):

Anna Francis ◽

Madeleine S Didsbury ◽

Anita van Zwieten ◽

Kerry Chen ◽

Laura J James ◽

...

Keyword(s):

Quality Of Life ◽

Chronic Kidney Disease ◽

Kidney Disease ◽

Children And Adolescents ◽

Family Income ◽

Cross Sectional Study ◽

Kidney Transplants ◽

Cross Sectional ◽

Factors Associated

ObjectiveThe aim was to compare quality of life (QoL) among children and adolescents with different stages of chronic kidney disease (CKD) and determine factors associated with changes in QoL.DesignCross-sectional.SettingThe Kids with CKD study involved five of eight paediatric nephrology units in Australia and New Zealand.PatientsThere were 375 children and adolescents (aged 6–18 years) with CKD, on dialysis or transplanted, recruited between 2013 and 2016.Main outcome measuresOverall and domain-specific QoL were measured using the Health Utilities Index 3 score, with a scale from −0.36 (worse than dead) to 1 (perfect health). QoL scores were compared between CKD stages using the Mann-Whitney U test. Factors associated with changes in QoL were assessed using multivariable linear and ordinal logistic regression.ResultsQoL for those with CKD stages 1–2 (n=106, median 0.88, IQR 0.63–0.96) was higher than those on dialysis (n=43, median 0.67, IQR 0.39–0.91, p<0.001), and similar to those with kidney transplants (n=135, median 0.83, IQR 0.59–0.97, p=0.4) or CKD stages 3–5 (n=91, 0.85, IQR 0.60–0.98). Reductions were most frequent in the domains of cognition (50%), pain (42%) and emotion (40%). The risk factors associated with decrements in overall QoL were being on dialysis (decrement of 0.13, 95% CI 0.02 to 0.25, p=0.02), lower family income (decrement of 0.10, 95% CI 0.03 to 0.15, p=0.002) and short stature (decrement of 0.09, 95% CI 0.01 to 0.16, p=0.02).ConclusionsThe overall QoL and domains such as pain and emotion are substantially worse in children on dialysis compared with earlier stage CKD and those with kidney transplants.

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Risk factors associated with reported bruxism among children and adolescents with Down Syndrome

CRANIO® ◽

10.1080/08869634.2018.1557430 ◽

2018 ◽

Vol 38 (6) ◽

pp. 365-369 ◽

Cited By ~ 1

Author(s):

Natália Cristina Ruy Carneiro ◽

Isabela de Castro Souza ◽

Tahyná Duda Deps Almeida ◽

Júnia Maria Cheib Serra-Negra ◽

Isabela Almeida Pordeus ◽

...

Keyword(s):

Risk Factors ◽

Down Syndrome ◽

Children And Adolescents ◽

Factors Associated

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Factors associated with reporting of abuse against children and adolescents by nurses within Primary Health Care

Revista Latino-Americana de Enfermagem ◽

10.1590/0104-1169.0050.2515 ◽

2014 ◽

Vol 22 (6) ◽

pp. 1048-1055 ◽

Cited By ~ 7

Author(s):

Ana Carine Arruda Rolim ◽

Gracyelle Alves Remigio Moreira ◽

Sarah Maria Mendes Gondim ◽

Soraya da Silva Paz ◽

Luiza Jane Eyre de Souza Vieira

Keyword(s):

Health Care ◽

Primary Health Care ◽

Children And Adolescents ◽

Demographic Data ◽

Cross Sectional Study ◽

Graduate Studies ◽

Cross Sectional ◽

Topic Identification ◽

Factors Associated ◽

Primary Health

OBJECTIVE: to analyze the factors associated with the underreporting on the part of nurses within Primary Health Care of abuse against children and adolescents.METHOD: cross-sectional study with 616 nurses. A questionnaire addressed socio-demographic data, profession, instrumentation and knowledge on the topic, identification and reporting of abuse cases. Bivariate and multivariate logistic regression was used.RESULTS: female nurses, aged between 21 and 32 years old, not married, with five or more years since graduation, with graduate studies, and working for five or more years in PHC predominated. The final regression model showed that factors such as working for five or more years, having a reporting form within the PHC unit, and believing that reporting within Primary Health Care is an advantage, facilitate reporting.CONCLUSION: the study's results may, in addition to sensitizing nurses, support management professionals in establishing strategies intended to produce compliance with reporting as a legal device that ensures the rights of children and adolescents.

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