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Family Characteristics (family + characteristic)
Selected AbstractsFoster Family Characteristics and Behavioral and Emotional Problems of Foster Children: A Narrative Review,FAMILY RELATIONS, Issue 1 2001John G. Orme The purpose of this article is to review the literature on the foster family characteristics that are thought to contribute to the behavioral and emotional problems of foster children. The review is shaped by an understanding of the personal and familial factors associated with children's problem behaviors in the general population. These factors include parenting, the family home environment, family functioning, marital functioning, family demography, child temperament, parents' mental health, and social support. Limitations within the existing research on these foster family characteristics are noted, and suggestions for future research are provided. [source] Policy Implications of Foster Family CharacteristicsFAMILY RELATIONS, Issue 1 2001Richard P. Barth First page of article [source] Family Characteristics and Traumatic Consequences Associated with the Duration and Frequency of Sexual AssaultASIAN SOCIAL WORK AND POLICY REVIEW, Issue 1 2009Adi Fahrudin The objective of this study was to analyse the relationship between family characteristics and the trauma associated with the duration and frequency of sexual assault on child survivors in the state of Sabah, Malaysia. Eighty children who reported sexual assault through a one stop crisis centre in an urban hospital were studied. The main research instrument used was adapted from the trauma symptoms checklist for children. The results of the study show that there are significant differences between the symptoms of trauma of victims according to the frequency of sexual assault, but not according to its duration. Social workers need both to understand and to take note of the relationship of the variables of family characteristics, frequency of sexual assault and trauma effects on the victims in their intervention work with child sexual assault survivors who report having been abused. The implications of these findings are discussed in the context of providing crisis intervention by social workers in Malaysia for child victims of sexual assault. [source] Client-level Predictors of Adherence to MST in Community Service SettingsFAMILY PROCESS, Issue 3 2003SONJA K. SCHOENWALD Ph.D. This study examined the association of youth and family characteristics with therapist fidelity to an evidence-based treatment provided in real world practice settings. Participants were 233 families that reported on the 66 therapists organized into 16 teams in nine organizations providing multisystemic therapy (MST). Therapist adherence ratings were lower for youths referred for both criminal offenses and substance abuse than for youths referred either for substance abuse or status offenses, and was negatively associated with pretreatment arrests and school suspensions. Adherence ratings were positively associated with educational disadvantage and caregiver-therapist ethnic match and marginally positively associated with economic disadvantage. The findings suggest directions for future research on the implementation of evidence-based treatments in community settings. [source] Family Predictors of Antisocial Behavior in AdolescenceFAMILY PROCESS, Issue 2 2003Maja Dekovi, Ph.D. The goal of the present study was to examine the combined and unique ability of different aspects of family functioning to predict involvement in antisocial behavior in a large nonclinical (community) sample of adolescents. Distinction was made between global (e.g., family socio-economic status), distal (dispositional characteristics of parents), contextual (family characteristics), and proximal (parent-child interaction) factors that operate within families. Results show that proximal factors were significant predictors of antisocial behavior, independent of their shared variance with other factors. Consistent with the hypothesized mediational model, the effects of distal and contextual factors appear to be mostly indirect: after their association with proximal factors was taken into account, these factors were no longer significantly related to antisocial behavior. The implications of these findings for planning of developmentally appropriate interventions for ado-lesents and their families are discussed. [source] Correlates of Coparenting During Infancy,FAMILY RELATIONS, Issue 3 2005Eric W. Lindsey Abstract: This study examined family characteristics associated with the coparenting behavior of 60 parents with an 11- to 15-month-old infant (30 boys, 30 girls) during a structured triadic play session. Mothers reported on family demographics, social support, and child temperament. Both parents reported on their self-esteem and childrearing beliefs. Fathers displayed more supportive coparenting behavior than mothers. Mothers' intrusive coparenting behavior differed based on the number of children, parent's employment status, and child gender. Social support, parental self-esteem, and child temperament were significant correlates of individual coparenting behavior. Results are discussed in terms of their implications for family theory and family practice. [source] Foster Family Characteristics and Behavioral and Emotional Problems of Foster Children: A Narrative Review,FAMILY RELATIONS, Issue 1 2001John G. Orme The purpose of this article is to review the literature on the foster family characteristics that are thought to contribute to the behavioral and emotional problems of foster children. The review is shaped by an understanding of the personal and familial factors associated with children's problem behaviors in the general population. These factors include parenting, the family home environment, family functioning, marital functioning, family demography, child temperament, parents' mental health, and social support. Limitations within the existing research on these foster family characteristics are noted, and suggestions for future research are provided. [source] Maternal employment and overweight children: does timing matter?HEALTH ECONOMICS, Issue 8 2008Stephanie von Hinke Kessler Scholder Abstract Recent literature has shown consistent evidence of a positive relationship between maternal employment and children's overweight status. These studies largely use average weekly work hours over the child's life to measure employment. This paper specifically aims at exploring the importance of the timing of employment. Using various econometric techniques to control for observable and unobservable child and family characteristics, the results show that full-time maternal employment during mid-childhood positively affects the probability of being overweight at age 16. There is no evidence that part-time or full-time employment at earlier/later ages affects this probability. Copyright © 2008 John Wiley & Sons, Ltd. [source] A discrete random effects probit model with application to the demand for preventive careHEALTH ECONOMICS, Issue 5 2001Partha Deb Abstract I have developed a random effects probit model in which the distribution of the random intercept is approximated by a discrete density. Monte Carlo results show that only three to four points of support are required for the discrete density to closely mimic normal and chi-squared densities and provide unbiased estimates of the structural parameters and the variance of the random intercept. The empirical application shows that both observed family characteristics and unobserved family-level heterogeneity are important determinants of the demand for preventive care. Copyright © 2001 John Wiley & Sons, Ltd. [source] Older siblings influence younger siblings' motor developmentINFANT AND CHILD DEVELOPMENT, Issue 6 2008Sarah E. Berger Abstract Evidence exists for two competing theories about the effects of having an older sibling on development. Previous research has found that having an older sibling has both advantages and disadvantages for younger siblings' development. This study examined whether and how older siblings influenced the onset of their own younger siblings' motor milestones, a heretofore unstudied developmental domain in the sibling literature. Parents of 51 sibling pairs reported their children's crawling and walking onset dates. In keeping with imitation theories, in families where younger siblings crawled or walked earlier than their own older sibling, they did so significantly earlier. Moreover, in keeping with limited parental resource theories, in families where older siblings crawled or walked earlier than their own younger sibling, they did so significantly earlier. Older siblings did influence younger siblings' motor development, but how they did so may have depended on unique family characteristics. Copyright © 2008 John Wiley & Sons, Ltd. [source] Giving to Organizations that Help People in Need: Differences Across Denominational IdentitiesJOURNAL FOR THE SCIENTIFIC STUDY OF RELIGION, Issue 3 2010Mark Ottoni-Wilhelm This article uses multiple-year data to examine charitable giving to organizations that help people in need of food, shelter, or other basic necessities. Families that give to basic necessity organizations in any single year are a mix of occasional givers and regular givers. Controlling for family characteristics that affect giving, giving to basic necessity organizations does not vary across Christian denominations and nonaffiliated families in any notable way. However, Jewish families are both more likely to give and, when they do give, give larger amounts. Given recent policy interest in how churches, synagogues, and mosques help with the voluntary provision of a safety net for people in need, the results draw attention to the importance of a research agenda focused on the differences between occasional givers and regular givers and on explaining why Jewish families give more to organizations that help people in need. [source] Concept development of family resilience: a study of Korean families with a chronically ill childJOURNAL OF CLINICAL NURSING, Issue 5 2004Insook Lee RN Aims., To clarify and delineate the concept of family resilience in the context of the chronic illness of a child. This study also investigated the concept of family resilience in relation to family functioning in order to compare and contrast family resilience and family functioning. Design and method., Three phases of the hybrid model of concept development were applied: theoretical, fieldwork and final analytical. In the theoretical phase, a working definition of family resilience was developed by a literature review. The fieldwork phase comprised in-depth interviews with 11 parents with a chronically ill child, in the paediatric oncology unit of a university hospital in South Korea. The qualitative data obtained from the interviews were analysed to find attributes of family resilience. The final analytical phase compared and interpreted the findings from the theoretical and fieldwork phases in order to clarify and refine the concept of resilience. Results., The definition of family resilience was of an enduring force that leads a family to change its functioning dynamics in order to solve problems encountered. Twenty-one conceptual attributes of family resilience emerging from this study were differentiated into four dimensions: (i) intrinsic family characteristics, (ii) family member orientation related to family characteristics, (iii) responsiveness to stress and (iv) external orientation. Conclusions., Family resilience is an enduring force that leads a family to change its dynamics of functioning in order to solve problems associated with stresses encountered. This conceptualization led to the development of a model of family coping that incorporates both family resilience and family functioning, as the property and as the process of change, respectively. Relevance to clinical practice., In order to build a family that functions better under stress, it is necessary for nurses to focus more attention on family resilience, especially in terms of the development of intervention strategies to strengthen family resilience. [source] Early parenthood in a community context: neighborhood conditions, race,ethnicity, and parenting stress,JOURNAL OF COMMUNITY PSYCHOLOGY, Issue 5 2010Lydia M. Franco Research has highlighted the role of intrapersonal and family characteristics on stress, but less attention has been paid to the potential influence of the community context and racial-ethnic differences in early parental experiences. Using an ecological model, this study examines the impact of neighborhood-level social disorder and social cohesion on parenting stress and whether this is universal across mothers of different race,ethnicities in a sample of mothers of young children in large U.S. cities. Study findings show that neighborhood context is significantly associated with parenting stress and minority parents experience less stress than White parents in higher-disordered neighborhoods. Findings highlight the need to improve community conditions, social support, and resources to reduce parenting stress. © 2010 Wiley Periodicals, Inc. [source] A discrete-time hazard analysis of the exit of burley tobacco growers in Tennessee, North Carolina, and VirginiaAGRICULTURAL ECONOMICS, Issue 5 2010Kelly J. Tiller Burley tobacco; Exit; Discrete-time hazard logit; Federal tobacco program Abstract This article examines the exit and survival dynamics of burley tobacco growers in Tennessee, North Carolina, and Virginia using a discrete-time hazard logit model. The study also predicts the effects of selected farm and family characteristics on exit hazards, assesses the proportionality of their effects over time and their relative importance in explaining the variation in exit hazards among burley tobacco growers. Results provide the longitudinal progression of the probability of exiting the tobacco industry since the end of the federal tobacco program in 2004, and identify off-farm participation, percentage of farm receipts from tobacco, tobacco price, educational level, and farm size as the most important determinants of the decision to exit the tobacco industry. Further, the effects of off-farm participation and farm size on the exit hazards of burley tobacco farms are proportional over time while the effects of the percentage of farm receipts from tobacco and tobacco price are time variant. [source] Psychological Aggression by American Parents: National Data on Prevalence, Chronicity, and SeverityJOURNAL OF MARRIAGE AND FAMILY, Issue 4 2003Murray A. Straus This article describes the prevalence of psychological aggression in a nationally representative sample of 991 parents. By child-age 2, 90% reported using one or more forms of psychological aggression during the previous 12 months and 98% by age 5. From ages 6 to 17, the rates continued in the 90% range. The rate of severe psychological aggression was lower: 10%,20% for toddlers and about 50% for teenagers. Prevalence rates greater than 90% and the absence of differences according to child or family characteristics suggests that psychological aggression is a near universal disciplinary tactic of American parents. Finally, this article discusses the implications of the findings for the conceptualization of psychological "abuse," and for understanding the origins of the high level of psychological aggression between intimate partners. [source] Work Choices of Mothers in Families with Children with DisabilitiesJOURNAL OF MARRIAGE AND FAMILY, Issue 4 2002Shirley L. Porterfield This study used a sample of single and married mothers with children under the age of 20 drawn from the 1992 and 1993 panels of the Survey of Income and Program Participation to examine one facet of the economic implications a child with disabilities brings to a family. Specifically, the choice of women with children to work full time, part time, or not at all was estimated as a function of individual and family characteristics, including the number and ages of children with disabilities. The presence of young children, with or without disabilities, has a significant negative influence on the work choice of both single and married mothers. However, once children enter elementary school, single mothers with disabled or nondisabled children and married mothers with nondisabled children are significantly more likely to enter the labor market or increase their labor market hours than are married mothers of school-age children with disabilities. [source] Identifying Children with Dental Care Needs: Evaluation of a Targeted School-based Dental Screening ProgramJOURNAL OF PUBLIC HEALTH DENTISTRY, Issue 2 2004David Locker BDS Abstract Objectives: It has been suggested that changes in the distribution of dental caries mean that targeting high-risk groups can maximize the cost effectiveness of dental health programs. This study aimed to assess the effectiveness of a targeted school-based dental screening program in terms of the proportion of children with dental care needs it identified. Methods: The target population was all children in junior and senior kindergarten and grades 2, 4, 6, and 8 who attended schools in four Ontario communities. The study was conducted in a random sample of 38 schools stratified according to caries risk. Universal screening was implemented in these schools. The parents of all children identified as having dental care needs were sent a short questionnaire to document the sociodemographic and family characteristics of these children. Children with needs were divided into two groups: those who would and who would not have been identified had the targeted program been implemented. The characteristics of the two groups were compared. Results: Overall, 21.0 percent of the target population were identified as needing dental care, with 7.4 percent needing urgent care. The targeted program would have identified 43.5 percent of those with dental care needs and 58.0 percent of those with urgent needs. There were substantial differences across the four communities in the proportions identified by the targeted program. Identification rates were lowest when the difference in prevalence of need between the high- and low-risk groups was small and where the low-risk group was large in relation to the high-risk group. The targeted program was more effective at identifying children from disadvantaged backgrounds. Of those with needs who lived in households receiving government income support, 59.0 percent of those with needs and 80.1 percent of those with urgent needs would be identified. Conclusions: The targeted program was most effective at identifying children with dental care needs from disadvantaged backgrounds. However, any improvements in cost effectiveness achieved by targeting must be balanced against inequities in access to public health care resources. [source] Partner Violence and Street Violence among Urban Adolescents: Do the Same Family Factors Relate?JOURNAL OF RESEARCH ON ADOLESCENCE, Issue 3 2001Deborah Gorman-Smith Few studies have evaluated how participation in violence that occurs on the streets as part of criminal or delinquent behavior relates to violence that occurs as part of dating or marital relationships (partner violence). Using longitudinal data from 141 African American and Latino male youth (15,19 years old), the relation between family characteristics and participation in one or both types of violent behavior was evaluated. The youth in this study were more likely to report use of violence in relationships if they were also participating in violence as part of other criminal behavior. However, there were distinct groups of offenders. Among those males reporting involvement in a dating or romantic relationship, four groups were identified: (1) those who had not participated in either type of violence, 57%; (2) those who had participated in partner violence only, 14%; (3) those who had participated in street violence only, 12%; and (4) those who had participated in both, 17%. Discriminate function analyses significantly differentiated the group who had participated in both types of violence from the nonviolent group, with the former group having poorer functioning families. These two groups were also differentiated from the partner violence-only and street violence-only groups. No differences were found between the partner violence-only and the street violence-only groups. Implications for intervention and prevention are discussed. [source] Effective Methods to Improve Recruitment and Retention in School-Based Substance Use Prevention StudiesJOURNAL OF SCHOOL HEALTH, Issue 9 2009Jean-Marie Bruzzese PhD ABSTRACT BACKGROUND: Poor recruitment and high attrition may invalidate results of research studies. This paper describes successful recruitment and retention strategies in a school-based substance use prevention trial and explores factors associated with intervention attendance and retention. METHODS: A total of 384 parent-child dyads from 15 schools in the New York Metropolitan area participated in a control trial, testing the efficacy of parent-training to prevent youth substance use. Assessments were completed immediately post-intervention and 6-, 12-, and 24-month postintervention. Logistic regression analyses were used to determine which familial and study characteristics predicted attendance in the intervention and retention by parents and youth. RESULTS: 84% of intervention parents attended 4 of the 5 workshops; 83% of control parents attended their single workshop. Intervention attendance was predicted by parent job status, but this was not significant after controlling for other family factors. Retention rates ranged from 87% to 91% over the 2 years. No family characteristics predicted retention, but time since baseline and attendance at treatment workshops and the control workshop did. For children, age at baseline and ethnicity predicted retention, but this did not remain significant in the adjusted model. CONCLUSION: Intervention attendance was high and retention rates far exceeded the minimum standard of 70% retention in behavioral studies. Recruitment and retention strategies were effective for different family constellations. Efforts to maximize participation in both treatment and control interventions are critical to retention in longitudinal trials. [source] Children at Risk: The Association Between Perceived Weight Status and Suicidal Thoughts and Attempts in Middle School Youth,JOURNAL OF SCHOOL HEALTH, Issue 2 2007Lauren M. Whetstone PhD ABSTRACT Background:, Suicide is one of the most common causes of death among young people. A report from the US Surgeon General called for strategies to prevent suicide, including increasing public awareness of suicide and risks factors, and enhancing research to understand risk and protective factors. Weight perception has been linked to depression and poor self-esteem in adolescents. The purpose of this study was to examine the relationship between perceived weight status and suicidal thoughts and actions by gender in middle school youth. Methods:, All public middle school students in 4 eastern North Carolina counties presented, and with parental permission (n = 5174), completed the Youth Risk Behavior Survey: Middle School Questionnaire. The 3 dependent variables were self-reported thinking, planning, and attempting suicide. Bivariate analyses describe suicidal thoughts and actions; multiple logistic regression models examined the relationship between weight description and suicidal thoughts and actions controlling for age, race, household composition, grades on report cards, and parents' education. Results:, Significantly more females than males reported thinking (26% vs 19%), planning (12% vs 9%), and attempting (11% vs 8%) suicide. For females, those who perceived themselves as overweight were significantly more likely to report suicidal thoughts and actions; while for males, perceptions of overweight and underweight were significantly associated with suicidal thoughts and actions. Conclusions:, Controlling for personal and family characteristics, perceived weight status was significantly associated with suicidal thoughts and actions in middle school boys and girls. [source] Long sleep duration and childhood overweight/obesity and body fatAMERICAN JOURNAL OF HUMAN BIOLOGY, Issue 3 2009Cristina Padez To assess the association between short sleep duration and overweight/obesity and body fat (BF) and to identify correlates of short sleep duration in a sample of Portuguese children. A cross-sectional study of children 7,9 years (n = 4511) was performed between October 2002 and June 2003. Weight, height, and skinfolds were measured, and parents filled out a questionnaire about family characteristics as well as sleep duration. The prevalence of overweight/obesity and BF (%) both decreased by long sleep duration. After adjusted for confounders, the odds ratio (OR) for overweight/obesity and sleep duration were as follows: reference >11 h/d; 10,11 h/d, OR: 1.3; confidence interval (CI):1.26, 1.33; 9,10 h/d, OR: 1.16; CI: 1.13, 1.19; and <9 h, OR: 3.22; CI: 3.11, 3.32. Children whose parents' had a low educational level slept less time during each night than children whose parents' had a higher educational level; children who spent more time watching television slept less time than those who watched less television, and those children engaged in physical activity slept more time each night than sedentary children. Our results showed an inverse relationship between long sleep duration and overweight/obesity prevalence as well as with body fat, and these findings are important because sleep duration is a potentially modifiable risk factor that could be important to consider in the prevention and treatment of childhood obesity. Am. J. Hum. Biol., 2009. © 2009 Wiley-Liss, Inc. [source] Sorting out successful failures: Exploratory analyses of factors associated with academic and behavioral outcomes of retained studentsPSYCHOLOGY IN THE SCHOOLS, Issue 4 2001Phillip Ferguson This prospective longitudinal study followed a sample of 106 kindergarten students through 11th grade examining the effects of family characteristics, school readiness, socialization, and student demographics on academic achievement and behavioral adjustment outcomes. These educational outcomes were contrasted among four groups consisting of: 1) early grade retainees; 2) transitionally placed retained students; 3) students recommended for transitional placement, but promoted; and 4) regularly promoted students. While previous studies examining the efficacy of early grade retention focus exclusively on between-group comparisons, this study examines the family and individual characteristics of successful and unsuccessful retained students by including both between-group and within-group effects on academic and behavioral outcomes. The results of this study demonstrate that retained students' initial school readiness, socioeconomic status, mother's level of education, parental value of education, kindergarten personal-social functioning, and chronological age are distinctly associated with subsequent academic or behavioral outcomes. Variables associated with relative educational success following early failure are delineated and research implications are discussed. © 2001 John Wiley & Sons, Inc. [source] Paramedic and Emergency Medical Technicians Views on Opportunities and Challenges When Forgoing and Halting Resuscitation in the FieldACADEMIC EMERGENCY MEDICINE, Issue 6 2009Corita R. Grudzen MD Abstract Objectives:, The objective was to assess paramedic and emergency medical technicians (EMT) perspectives and decision-making after a policy change that allows forgoing or halting resuscitation in prehospital atraumatic cardiac arrest. Methods:, Five semistructured focus groups were conducted with 34 paramedics and 2 EMTs from emergency medical services (EMS) agencies within Los Angeles County (LAC), 6 months after a policy change that allowed paramedics to forgo or halt resuscitation in the field under certain circumstances. Results:, Participants had an overwhelmingly positive view of the policy; felt it empowered their decision-making abilities; and thought the benefits to patients, family, EMS, and the public outweighed the risks. Except under certain circumstances, such as when the body was in public view or when family members did not appear emotionally prepared to have the body left on scene, they felt the policy improved care. Assuming that certain patient characteristics were present, decisions by paramedics about implementing the policy in the field involve many factors, including knowledge and comfort with the new policy, family characteristics (e.g., agreement), and logistics regarding the place of arrest (e.g., size of space). Paramedic and EMT experiences with and attitudes toward forgoing resuscitation, as well as group dynamics among EMS leadership, providers, police, and ED staff, also play a role. Conclusions:, Participants view the ability to forgo or halt resuscitation in the field as empowering and do not believe it presents harm to patients or families under most circumstances. Factors other than patient clinical characteristics, such as knowledge and attitudes toward the policy, family emotional preparedness, and location of arrest, affect whether paramedics will implement it. [source] Family Characteristics and Traumatic Consequences Associated with the Duration and Frequency of Sexual AssaultASIAN SOCIAL WORK AND POLICY REVIEW, Issue 1 2009Adi Fahrudin The objective of this study was to analyse the relationship between family characteristics and the trauma associated with the duration and frequency of sexual assault on child survivors in the state of Sabah, Malaysia. Eighty children who reported sexual assault through a one stop crisis centre in an urban hospital were studied. The main research instrument used was adapted from the trauma symptoms checklist for children. The results of the study show that there are significant differences between the symptoms of trauma of victims according to the frequency of sexual assault, but not according to its duration. Social workers need both to understand and to take note of the relationship of the variables of family characteristics, frequency of sexual assault and trauma effects on the victims in their intervention work with child sexual assault survivors who report having been abused. The implications of these findings are discussed in the context of providing crisis intervention by social workers in Malaysia for child victims of sexual assault. [source] Family correlates of adolescents' emotional/behavioural problems: evidence from a Greek school-based sampleACTA PAEDIATRICA, Issue 8 2009G Giannakopoulos Abstract Aim:, To investigate the associations of some family characteristics with adolescents' self-reported emotional/behavioural problems. Methods:, Questionnaires were administered to a Greek nation-wide random sample of adolescents (N = 1194) aged 11,18 years and their parents (N = 973) in 2003. The present analysis included the questionnaires completed by mothers and their offspring (639 families). Adolescents' emotional/behavioural problems, as measured by the Strengths and Difficulties Questionnaire, were assessed in relation to family socioeconomic status and residence type, parental marital status, educational attainment and subjective mental health, family cohesion and parent,child relations. Results:, The analysis showed that parental marital status other than being married, poor parent,child relations and low levels of maternal subjective mental health were independently correlated with significantly more adolescents' emotional/behavioural problems. Conclusion:, Family factors are potential determinants of adolescent emotional/behavioural problems and therefore are potential targets for prevention and/or intervention. [source] The Relation of Preschool Child-Care Quality to Children's Cognitive and Social Developmental Trajectories through Second GradeCHILD DEVELOPMENT, Issue 5 2001Ellen S. Peisner-Feinberg The cognitive ad socioemotional development of 733 children was examined longitudinally from ages 4 to 8 years as a function of the quality of their preschool experiences in community child-care centers, after adjusting for family selection factors related to child-care quality and development. These results provide evidence that child-care quality has a modest long-term effect on children's patterns of cognitive and socioemotional development at least through kindergarten, and in some cases, through second grade. Differential effects on children's development were found for two aspects of child-care quality. Observed classroom practices were related to children's language and academic skills, whereas the closeness of the teacher , child relationship was related to both cognitive and social skills, with the strongest effects for the latter. Moderating influences of family characteristics were observed for some outcomes, indicating stronger positive effects of child-care quality for children from more at-risk backgrounds. These findings contribute further evidence of the long-term influences of the quality of child-care environments on children's cognitive and social skills through the elementary school years and are consistent with a bioecological model of development that considers the multiple environmental contexts that the child experiences. [source] The impact of childhood chronic neurological diseases on Greek familiesCHILD: CARE, HEALTH AND DEVELOPMENT, Issue 1 2005M. Tzoufi Abstract Background, Although the impact of childhood chronic neurological diseases (CND) on patients' psychological well-being has been increasingly addressed, little attention has been given to the influence of these conditions on family members and family functioning. The purpose of the present study was to investigate the family characteristics of Greek children suffering from CND. Methods, A total of 52 parents of children with CND were studied by using the Family Environmental Scale (FES), the Family Burden Scale, the General Health Questionnaire (GHQ-28) and a questionnaire on the knowledge of their children's illness, their coping strategies and their satisfaction with our services. During the same period, 30 parents of hospitalized children for common paediatric illnesses completed the FES. In both groups social and demographic features were registered. Appropriate statistical processes were applied to compare the above-mentioned family groups and to study the differences between the families of children with epilepsy (n = 37) and the families of children with other CND (n = 15). Results, Parents of children with CND discuss their problems less freely, talk less openly around home, score highly on FES subscale of Conflict and, pay more attention to ethical and religious issues and values. Furthermore, the families of children with other CND were more burdened regarding the financial state and the health status of other family members in comparison with families of children with epilepsy. In addition, families of children with epilepsy were more involved in social and recreational activities, appeared to be more knowledgeable on the availability of help in critical conditions and were more satisfied with rendered medical services, in comparison with families of children with other CND. Conclusion, These preliminary findings provide important information concerning the special characteristics of Greek families of children suffering from CND, which may prove especially helpful in organizing specific support services. [source] Early motherhood and disruptive behaviour in the school-age childACTA PAEDIATRICA, Issue 1 2004P Trautmann-Villalba Aim: To determine the significance of young maternal age, family adversity and maternal behaviour during mother-toddler interaction in the prediction of child disruptive behaviour at age eight. Methods: From an ongoing longitudinal study of infants at risk for later psychopathology (n= 362), 72 young mothers aged between 15 and 24 y (median 22 y) at first birth were compared with 197 primiparous older mothers ranging in age from 25 to 41 y (median 29 y). Family adversity at childbirth was assessed using a modified version of Rutter's Family Adversity Index (FAI) and measures of child disruptive behaviour at age eight were obtained using Achenbach's Teacher Report Form (TRF). An observational procedure was used to assess maternal behaviour during mother-child interaction at the age of 2 y. Results: Young mothers encountered more adverse family characteristics and were more inadequate, restrictive and more negative during interaction with their toddlers. Their school-aged children showed higher scores on all disruptive behaviour scales of the TRF. Hierarchical regression analyses revealed that family adversity and maternal behaviour during toddler interaction could account for most of the association between early motherhood and child disruptive behaviour. Conclusion: The impact of young motherhood on child mental health is not confined to teenage mothers and is mainly attributed to psychosocial and interactional factors. [source] Managed Care Quality of Care and Plan Choice in New York SCHIPHEALTH SERVICES RESEARCH, Issue 3 2009Hangsheng Liu Objective. To examine whether low-income parents of children enrolled in the New York State Children's Health Insurance Program (SCHIP) choose managed care plans with better quality of care. Data Sources. 2001 New York SCHIP evaluation data; 2001 New York State Managed Care Plan Performance Report; 2000 New York State Managed Care Enrollment Report. Study Design. Each market was defined as a county. A final sample of 2,325 new enrollees was analyzed after excluding those in markets with only one SCHIP plan. Plan quality was measured using seven Consumer Assessment of Health Plans Survey (CAHPS) and three Health Plan Employer Data and Information Set (HEDIS) scores. A conditional logit model was applied with plan and individual/family characteristics as covariates. Principle Findings. There were 30 plans in the 45 defined markets. The choice probability increased 2.5 percentage points for each unit increase in the average CAHPS score, and the association was significantly larger in children with special health care needs. However, HEDIS did not show any statistically significant association with plan choice. Conclusions. Low-income parents do choose managed care plans with higher CAHPS scores for their newly enrolled children, suggesting that overall quality could improve over time because of the dynamics of enrollment. [source] | |||||||||||||||||||