USA and Portuguese Young Adolescents’ Perceived Qualities and Satisfaction in Their Relationships with Mothers, Fathers and Best-Friends

Background: Few researchers have examined young adolescents’ perceived qualities and satisfaction in their relationships with their mothers, fathers and best friends simultaneously, using a cross-cultural perspective. This study aimed to compare the perceived qualities and satisfaction of USA and Portuguese adolescents in their relationships with their parents and best friends and to examine the influence of perceived relationship qualities on the satisfaction of young adolescents with their close relationships. Methods: The sample consisted of 347 USA adolescents (170 boys, 177 girls) and 360 Portuguese adolescents (176 boys, 184 girls) who completed the Network of Relationships Inventory Social Provision Version to assess perceived support, negativity, power balance and satisfaction in their relationships with their mothers, fathers and same-sex best friends. Results: Adolescents from both countries perceived their relationships with parents to be more negative and imbalanced in power than their relationships with friends, but the magnitude of differences was greater in the USA. Furthermore, USA adolescents reported higher satisfaction in their relationships with friends than in their relationships with parents. Country differences in the concomitants of relationship satisfaction were found. Conclusions: These findings support the notion that young adolescents’ perceived qualities and satisfaction in close relationships may differ depending on cultural norms.

RELATIONSHIP NETWORK CHARACTERISTICS OF SPORTS AND NON-SPORTS YOUNG ADOLESCENTS

From school onwards, children spend more and more time with their peers without direct adult supervision. In peer groups, the emphasis is on shared interests, understanding and trust, rather than joint activities. The biological changes associated with adolescent sexual maturation also lead to changes in social relationships. The topic is particularly topical now, in the wake of the COVID-19 pandemic, when opportunities for face-to- face communication have been significantly reduced, leading in many cases to a transformation of relationships. Playing sport expands the individual's range of experience: he or she is exposed to a new social environment, has the opportunity to form new relationships, and encounters a new set of values and norms. All this shapes their personality, their individuality and has an impact on their whole life. However, many children today do not play sport regularly, partly because of the increased mental workload and demands and the resulting lack of time. In my research, I was looking for answers to the question of how regular sporting activities affect the social relationships of young adolescents. As the data from my research show, regular sporting activity has a beneficial effect on both the extension and the intensity of children's relational networks, especially for those playing team sports.

Global Core Indicators for Measuring WHO’s Paediatric Quality- of-care Standards in Health Facilities: Development and Expert Consensus

BackgroundThere are currently no global recommendations on a parsimonious and robust set of indicators that can be measured routinely or periodically to monitor quality of hospital care for children and young adolescents. We describe a systematic methodology used to prioritize and define a core set of such indicators and their metadata for progress tracking, accountability, learning and improvement, at facility, (sub) national, national, and global levels.MethodsWe used a deductive methodology which involved the use of the World Health Organization Standards for improving the quality-of-care for children and young adolescents in health facilities as the organizing framework for indicator development. The entire process involved 9 complementary steps which included: a rapid literature review of available evidence, the application of a peer-reviewed systematic algorithm for indicator systematization and prioritization, and multiple iterative expert consultations to establish consensus on the proposed indicators and their metadata. ResultsWe derived a robust set of 25 core indicators and their metadata, representing all 8 World Health Organization quality standards, 40 quality statements and 520 quality measures. Most of these indicators are process-related (64%) and 20% are outcome/impact indicators. A large proportion (84%) of indicators were proposed for measurement at both outpatient and inpatient levels. By virtue of being a parsimonious set and given the stringent criteria for prioritizing indicators with “quality measurement” attributes, the recommended set is not evenly distributed across the 8 quality standards. ConclusionsTo support ongoing global and national initiatives around paediatric quality-of-care programming at country level, the recommended indicators can be adopted using a tiered approach that considers indicator measurability in the short-, medium-, and long-terms, within the context of the country’s health information system readiness and maturity. However, there is a need for further research to assess the feasibility of implementing these indicators across contexts, and the need for their validation for global common reporting.

Neighbourhood tobacco retail access and tobacco use susceptibility in young adolescents in urban India

BackgroundNeighbourhood tobacco retail access may influence adolescent tobacco use. In India, we examined the association between neighbourhood tobacco retail access and cognitive risks for tobacco use during early adolescence.MethodsIn 2019–2020, a population-based sample (n=1759) of adolescents aged 13–15 years was surveyed from 52 neighbourhoods in Mumbai and Kolkata. Neighbourhood tobacco retail access was measured as the frequency of visits to tobacco retailers, mapped tobacco retailer density and perceived tobacco retailer density. We estimated associations between neighbourhood tobacco retail access and cognitive risks for tobacco use (perceived ease of access to tobacco, perceived peer tobacco use and intention to use tobacco).ResultsThere was high neighbourhood tobacco retail access. Tobacco retailer density was higher in lower income neighbourhoods (p<0.001). Adolescent frequency of tobacco retailer visits was positively associated with cognitive tobacco use risks. Mapped tobacco retailer density was associated with perceived ease of access in Kolkata but not in Mumbai, and it was not associated with perceived peer tobacco use nor intention. Perceived tobacco retailer density was associated with perceived ease of access and perceived peer use, but not with intention. In Kolkata, higher perceived retailer density and frequency of tobacco retailer visits were negatively associated with perceived ease of access.ConclusionsEfforts to reduce neighbourhood tobacco retail access in India may reduce cognitive tobacco use risk factors in young adolescents. The frequency of tobacco retailer visits and perceived tobacco retailer density increased cognitive risks, though there were some exceptions in Kolkata that further research may explain.