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https://www.readbyqxmd.com/read/28748583/overall-and-abortion-related-maternal-mortality-rates-in-uruguay-over-the-past-25-years-and-their-association-with-policies-and-actions-aimed-at-protecting-women-s-rights
#1
Leonel Briozzo, Rodolfo Gómez Ponce de León, Giselle Tomasso, Anibal Faúndes
OBJECTIVE: To evaluate changes in maternal mortality rates in Uruguay over the past 25 years, as well as their distribution by cause, and their temporal relationship with social changes and Human Development Index (HDI) indicators. METHODS: Data on maternal mortality obtained directly from the Uruguayan Ministry of Public Health for the 2001 to 2015 period were analyzed together with data from the United Nations Inter-Agency Group for Child Mortality Estimation for the 1990 to 2015 period...
August 2016: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28743238/determinants-of-stunting-and-severe-stunting-among-burundian-children-aged-6-23-months-evidence-from-a-national-cross-sectional-household-survey-2014
#2
Sandra Nkurunziza, Bruno Meessen, Jean-Pierre Van Geertruyden, Catherine Korachais
BACKGROUND: Burundi is one of the poorest countries and is among the four countries with the highest prevalence of stunting (58%) among children aged less than 5 years. This situation undermines the economic growth of the country as undernutrition is strongly associated with less schooling and reduced economic productivity. Identifying the determinants of stunting and severe stunting may help policy-makers to direct the limited Burundian resources to the most vulnerable segments of the population, and thus make it more cost effective...
July 25, 2017: BMC Pediatrics
https://www.readbyqxmd.com/read/28734507/child-health-and-survival-in-a-changing-world
#3
REVIEW
Donna M Denno, Shadae L Paul
Ninety-nine percent of the 5.9 million annual child deaths occur in low and middle-income countries. Undernutrition underlies 45% of deaths. Determinants include access to care, maternal education, and absolute and relative poverty. Socio-political-economic factors and policies tremendously influence health and their determinants. Most deaths can be prevented with interventions that are currently available and recommended for widespread implementation. Millennium Development Goal 4 was not achieved. Sustainable Development Goal 3...
August 2017: Pediatric Clinics of North America
https://www.readbyqxmd.com/read/28719336/infant-nutritional-status-feeding-practices-enteropathogen-exposure-socioeconomic-status-and-illness-are-associated-with-gut-barrier-function-as-assessed-by-the-lactulose-mannitol-test-in-the-mal-ed-birth-cohort
#4
Gwenyth O Lee, Benjamin J J McCormick, Jessica C Seidman, Margaret N Kosek, Rashidul Haque, Maribel Paredes Olortegui, Aldo A M Lima, Zulfiqar A Bhutta, Gagandeep Kang, Amidou Samie, Caroline Amour, Carl J Mason, Tahmeed Ahmed, Pablo Peñataro Yori, Domingos B Oliveira, Didar Alam, Sudhir Babji, Pascal Bessong, Estomih Mduma, Sanjaya K Shrestha, Ramya Ambikapathi, Dennis R Lang, Michael Gottlieb, Richard L Guerrant, Laura E Caulfield, For The Mal-Ed Network Investigators
The lactulose mannitol (LM) dual sugar permeability test is the most commonly used test of environmental enteropathy in developing countries. However, there is a large but conflicting literature on its association with enteric infection and host nutritional status. We conducted a longitudinal cohort using a single field protocol and comparable laboratory procedures to examine intestinal permeability in multiple, geographically diverse pediatric populations. Using a previously published systematic review to guide the selection of factors potentially associated with LM test results, we examined the relationships between these factors and mucosal breach, represented by percent lactulose excretion; absorptive area, represented by percent mannitol excretion; and gut barrier function, represented by the L/M ratio...
July 2017: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/28718941/child-understandings-of-the-causation-of-childhood-burn-injuries-child-activity-parental-domestic-demands-and-impoverished-settings
#5
N Titi, A van Niekerk, R Ahmed
BACKGROUND: Burns are a global public health problem. In South Africa, the rate of paediatric burn deaths is 5 times higher than other upper middle-income countries, with concentrations in impoverished settings. Globally, the majority of research focuses on expert and caregiver descriptions of burn occurrence, causation, and prevention, with limited consideration of children's perspectives. This study investigated children's understanding of the causation and prevention of childhood burns...
July 18, 2017: Child: Care, Health and Development
https://www.readbyqxmd.com/read/28717383/what-influences-feeding-decisions-for-hiv-exposed-infants-in-rural-kenya
#6
Helen M Nabwera, Joyline Jepkosgei, Kelly W Muraya, Amin S Hassan, Catherine S Molyneux, Rehema Ali, Andrew M Prentice, James A Berkley, Martha K Mwangome
BACKGROUND: Infant feeding in the context of human immunodeficiency virus (HIV) poses unique challenges to mothers and healthcare workers in balancing the perceived risks of HIV transmission and nutritional requirements. We aimed to describe the decision-making processes around infant feeding at a rural HIV clinic in Kenya. METHODS: We used a qualitative study design. Between March and August 2011, we conducted in-depth interviews (n = 9) and focus group discussions (n = 10) with purposively selected hospital and community respondents at Kilifi County Hospital, Kenya...
2017: International Breastfeeding Journal
https://www.readbyqxmd.com/read/28705359/misconceived-equity-health-care-resources-contextual-poverty-and-child-health-disparities-in-peru
#7
Heeju Shin, Lissette Aliaga-Linares, Marcus Britton
Although many studies have examined determinants of child health, fewer have explored factors explaining regional disparities in child health outcomes. In the Peruvian context, we examined the relationship between regional disparities in child malnutrition and local variation in health resources (health care resources and the socioeconomic environment). Using the Peruvian 2007-2008 Continuous Demographic and Health Survey (N = 8020) and governmental administrative data, our analyses show that 1) only selected types of health care resources (medical professionals and outpatient visits) are related to child nutritional status, 2) local poverty predicts nutritional status net of household characteristics, and, most importantly, 3) a significant portion of regional differences in child malnutrition are explained by local poverty, whereas health care resources are not associated with regional disparities...
August 2017: Social Science Research
https://www.readbyqxmd.com/read/28693402/fix-my-child-the-importance-of-including-siblings-in-clinical-assessments
#8
Steve Farnfield
AIMS: This study examined concordance in the attachment strategies of school-aged siblings with reference to environmental risk in terms of poverty and maltreatment. It also investigated the effect of child maltreatment and maternal mental illness on children's psychosocial functioning in terms of the Dynamic-Maturational Model of Attachment and Adaptation (DMM) including unresolved trauma and the DMM Depressed modifier. METHODS: The attachment strategies of 30 sibling pairs, aged 5-14 years, were assessed using the School-age Assessment of Attachment (SAA)...
July 2017: Clinical Child Psychology and Psychiatry
https://www.readbyqxmd.com/read/28692947/how-services-for-children-with-disabilities-in-serbia-affect-the-quality-of-life-of-their-families
#9
Tamara Dzamonja Ignjatovic, Marko Milanovic, Nevenka Zegarac
BACKGROUND: Families that have children with disabilities face numerous difficulties related to the lack of services support, social isolation and poverty in Serbia. Mostly due to the prolonged effect of social and economic crisis, there are insufficient adequate and diverse community-based services for those families. AIMS: The aim of the study was to examine the effect of newly introduced services on the quality of families' life. METHODS: A pretest/posttest study was conducted at the beginning of service and one year later to evaluate the effect of services measured by Family Quality of Life Scale (Hoffman et al...
July 7, 2017: Research in Developmental Disabilities
https://www.readbyqxmd.com/read/28689339/longitudinal-impact-of-a-park-based-afterschool-healthy-weight-program-on-modifiable-cardiovascular-disease-risk-factors-in-youth
#10
Sarah E Messiah, Emily M D'Agostino, Eric Hansen, M Sunil Mathew, Deidre Okeke, Maria Nardi, Jack Kardys, Kristopher L Arheart
Community-based programs hold significant potential to prevent cardiovascular disease (CVD) risk in youth. We describe here the longitudinal change in several modifiable CVD risk factors after participation in up to 3 years of Fit2Play™, a park-based afterschool program. Children ages 6-15 years old (N = 2261, mean age 9.0 years, 50% Hispanic, 47% non-Hispanic black, 54% male) who participated in Fit2Play™ for either 1-3 school years between 2010 and 2016 had height, weight, 4-site skinfold thicknesses, systolic and diastolic blood pressure, the progressive aerobic cardiovascular endurance run test, and health/wellness knowledge and behavior scores collected at the beginning and end of the school year(s)...
July 8, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/28689089/a-qualitative-study-of-barriers-and-facilitators-in-treating-drug-use-among-israeli-mothers-an-intersectional-perspective
#11
Keren Gueta
RATIONALE: Despite the benefits and availability of drug treatment in Western countries, research has shown low utilisation rates, especially by mothers. Studies have indicated internal barriers (e.g., shame) and external/structural barriers (e.g., poverty) to women's utilisation of drug treatment, but little is known about the interrelated axes of marginalization that create such barriers and, even less, facilitators of treatment. A promising avenue for examining this path may be the theoretical perspective of intersectionality, which has often been used to illustrate how women's experiences are shaped by gender in conjunction with other factors, including class, age, and race...
June 27, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28686999/school-poverty-effects-on-trajectories-of-child-behaviour-do-they-depend-on-gender-and-ethnicity
#12
Emily Midouhas
This study examined English school poverty effects on trajectories of child behaviour across ages 3, 5, 7 and 11, and the moderating roles of ethnicity and gender. School poverty predicted internalising and externalising problems concurrently, and internalising problems longitudinally. In poor schools, girls had a steeper incline in internalising problems, but made greater reductions in externalising problems. Ethnic differences were also found in the association between school poverty and child adjustment...
July 4, 2017: Health & Place
https://www.readbyqxmd.com/read/28660181/psychosocial-challenges-associated-with-caregiving-in-the-context-of-pediatric-hiv-in-rural-eastern-cape
#13
Antonio G Lentoor
BACKGROUND: While survival among human immunodeficiency virus (HIV)-infected children has increased due to combination antiretroviral therapy, many children remain vulnerable to the adverse effects of poverty and family disruptions as a result of the loss of one or both biological parents to acquired immunodeficiency syndrome. The aim of this qualitative study was to develop an understanding of the psychosocial challenges experienced by caregivers caring for a child with perinatally acquired HIV...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28659652/young-child-poverty-in-the-united-states-analyzing-trends-in-poverty-and-the-role-of-anti-poverty-programs-using-the-supplemental-poverty-measure
#14
Jessica Pac, JaeHyun Nam, Jane Waldfogel, Christopher Wimer
Between 1968 and 2013, the poverty rate of young children age 0 to 5 years fell by nearly one third, in large part because of the role played by anti-poverty programs. However, young children in the U.S. still face a much higher rate of poverty than do older children in the U.S. They also continue to have a much higher poverty rate than do young children in other developed countries around the world. In this paper, we provide a detailed analysis of trends in poverty and the role of anti-poverty programs in addressing poverty among young children, using an improved measure of poverty, the Supplemental Poverty Measure...
March 2017: Children and Youth Services Review
https://www.readbyqxmd.com/read/28659651/poverty-among-foster-children-estimates-using-the-supplemental-poverty-measure
#15
Jessica Pac, Jane Waldfogel, Christopher Wimer
We use data from the Current Population Survey and the new Supplemental Poverty Measure (SPM) to provide estimates for poverty among foster children over the period 1992 to 2013. These are the first large-scale national estimates for foster children who are not included in official poverty statistics. Holding child and family demographics constant, foster children have a lower risk of poverty than other children. Analyzing income in detail suggests that foster care payments likely play an important role in reducing the risk of poverty in this group...
March 2017: Social Service Review
https://www.readbyqxmd.com/read/28649932/a-web-of-gaps-a-discussion-of-research-strands-concerning-global-south-families-with-a-disabled-child
#16
Xanthe Hunt, Brian Watermeyer
BACKGROUND: In low- and middle-income countries (LMICs), limited access to a range of supports means that families often carry primary responsibility for the care of a disabled child. The impact of this responsibility is poorly understood. OBJECTIVE: To present a selective review, critique, and comparison of the prominent areas of research aimed at understanding families with disabled children in the Global South. DESIGN: We compare and critically discuss prominent bodies of literature concerning the family-disability-poverty nexus in LMICs...
2017: Global Health Action
https://www.readbyqxmd.com/read/28647759/a-community-based-randomized-controlled-trial-of-mom-power-parenting-intervention-for-mothers-with-interpersonal-trauma-histories-and-their-young-children
#17
Katherine L Rosenblum, Maria Muzik, Diana M Morelen, Emily A Alfafara, Nicole M Miller, Rachel M Waddell, Melisa M Schuster, Julie Ribaudo
We conducted a study to evaluate the effectiveness of Mom Power, a multifamily parenting intervention to improve mental health and parenting among high-risk mothers with young children in a community-based randomized controlled trial (CB-RCT) design. Participants (N = 122) were high-risk mothers (e.g., interpersonal trauma histories, mental health problems, poverty) and their young children (age <6 years), randomized either to Mom Power, a parenting intervention (treatment condition), or weekly mailings of parenting information (control condition)...
June 25, 2017: Archives of Women's Mental Health
https://www.readbyqxmd.com/read/28634995/the-longitudinal-association-between-early-childhood-obesity-and-fathers-involvement-in-caregiving-and-decision-making
#18
Michelle S Wong, Jessica C Jones-Smith, Elizabeth Colantuoni, Roland J Thorpe, Sara N Bleich, Kitty S Chan
OBJECTIVE: Fathers have increased their involvement in child caregiving; however, their changing role in childhood obesity is understudied. This study assessed the longitudinal association between changes in obesity among children aged 2 to 4 years and changes in fathers' involvement with raising children. METHODS: Longitudinal data from the Early Childhood Longitudinal Study-Birth Cohort were used to conduct child fixed-effects linear and logistic regression analyses to assess the association between changes in childhood obesity-related outcomes (sugar-sweetened beverage consumption, screen time, BMI z score, overweight/obesity, obesity) and fathers' involvement with raising children (caregiving and influencing child-related decisions)...
June 21, 2017: Obesity
https://www.readbyqxmd.com/read/28634248/suburban-families-experience-with-food-insecurity-screening-in-primary-care-practices
#19
Deepak Palakshappa, Stephanie Doupnik, Aditi Vasan, Saba Khan, Leah Seifu, Chris Feudtner, Alexander G Fiks
BACKGROUND: Food insecurity (FI) remains a major public health problem. With the rise in suburban poverty, a greater understanding of parents' experiences of FI in suburban settings is needed to effectively screen and address FI in suburban practices. METHODS: We conducted 23 semistructured interviews with parents of children <4 years of age who presented for well-child care in 6 suburban pediatric practices and screened positive for FI. In the interviews, we elicited parents' perceptions of screening for FI, how FI impacted the family, and recommendations for how practices could more effectively address FI...
June 20, 2017: Pediatrics
https://www.readbyqxmd.com/read/28609401/randomized-controlled-trial-of-caregiver-training-for-hiv-infected-child-neurodevelopment-and-caregiver-well-being
#20
Judith K Bass, Robert Opoka, Itziar Familiar, Noeline Nakasujja, Alla Sikorskii, Jorem Awadu, Deborah Givon, Cilly Shohet, Sarah M Murray, Jura Augustinavicius, Tamar Mendelson, Michael Boivin
OBJECTIVES: HIV infection places children at neurodevelopmental risk; for young children in poverty, risk is compounded by compromised caregiving quality. The mediational intervention for sensitizing caregivers (MISC) program trained caregivers on fostering daily interactions with young children. We hypothesized that MISC could enhance neurodevelopment of rural Ugandan HIV-infected children and improve mental health outcomes of their caregivers, which might mediate improved caregiving quality...
August 24, 2017: AIDS
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