Wednesday, July 26, 2017

Child and maternal health and wellbeing knowledge update

Child and Maternal Health Knowledge Update

 

 

Child and maternal health and wellbeing knowledge update
26 July 2017

 

This fortnightly knowledge update on maternal, children and young people's health brings together the latest resources about physical and mental health from a range of organisations. This eBulletin is produced by the National Child and Maternal Health Intelligence Network, Public Health England as a current awareness service for professionals working in child and maternal health. We do not accept responsibility for the availability, reliability or content of the items included in this eBulletin and do not necessarily endorse the views expressed within them.

 
This email includes a summary and link to each resource below.
 
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National Child and Maternal Health Intelligence Network news


Breastfeeding statistics: 2016/17 Quarter 4 (July 2017 release)

Breastfeeding at 6 to 8 weeks after birth: 2016 to 2017 (including Q4, July 2017 update) update gives the number and proportion of infants who have been fully, partially or not at all breastfed at 6 to 8 weeks after birth. Public Health England collected the data through an interim reporting system set up to collect health visiting activity data at a local authority resident level. Data was submitted by local authorities on a voluntary basis. Information is presented at local authority of residence, PHE Centre and England level.

Health visitor service delivery metrics: 2016/17 Quarter 4 (July 2017 release)

Health visitor service delivery metrics have been published for 2016/17 Quarter 4 at a local authority resident level. The data was submitted by local authorities on a voluntary basis via the interim reporting system.  The metrics currently cover the antenatal check, new birth visit, the 6-8 week review, the 12 month assessment and the 2- 2½ year assessment. Information is presented at a local authority, PHE and England level.

Annual update to pregnancy and birth indicators

On 4 July, the National Child and Maternal Health Intelligence Network published annual updates to a number of indicators related to pregnancy and birth in the child and maternal health section of PHE's Fingertips tool. As a result, many of the indicators in the breastfeeding profile have now been updated, including demographic information about mothers, caesarean sections, admissions of babies under 14 days as well as information about admissions for gastroenteritis and respiratory tract infections. Data is available at county council, unitary authority and clinical commissioning group level

 

This eBulletin includes links to content from a range of different organisations. We do not accept responsibility for the availability, reliability or content of the items included in this eBulletin and do not necessarily endorse the views expressed within them.


Guides and practice

CAMHS: learning from case reviews. Summary of risk factors and learning for improved practice for child and adolescent mental health services

The NSPCC has published a summary of risk factors and learning for improved practice for child and adolescent mental health services (CAMHS) based on findings from case reviews published since 2015. The summary highlights issues for learning including: listening to young people; understanding how young people use social media and awareness of the influence of websites which promote destructive thinking and behaviour; working with young people who don't want to engage; and intervening early.

Screening of individuals with uncertain or incomplete screening status

This one page summary for healthcare professionals from Public Health England explains which newborn screening tests can be offered at different ages if missed at birth. This algorithm describes how to manage the screening of children with uncertain or incomplete screening status and covers the 3 newborn screening programmes: newborn blood spot screening, newborn hearing screening and newborn and infant physical examination. It explains to healthcare professionals which screening tests can be offered at different ages (up to 3 months, between 3 months and a year, over 1 year of age) if the child missed them at birth. An equivalent immunisation algorithm is available.

School exclusion

Statutory guidance on the exclusion of pupils from local-authority-maintained schools, academies and pupil referral units. This guidance from the Department of Education details the legal responsibilities for those who exclude students from educational settings, including: headteachers, local authorities, governing bodies, academy trusts, independent review panel members, independent review panel clerks and special educational needs experts.

 

Reports

Health equity in England

A report on health equity in England focusing on inequalities between ethnic groups. This report from Public Health England: brings together recent data and provides an indication of trends where possible, supports understanding of inequalities in health for different populations in England, is designed to help health and social care organisations address inequalities in health outcomes for different populations in England. This report presents analysis and commentary on inequalities for 18 indicators from the Public Health Outcomes Framework (PHOF), including: life expectancy at birth, healthy life expectancy at birth, infant mortality, low birthweight of term babies, proportion of five year old children with dental decay, child excess weight in 4-5 and 10-11 year olds, children in low income families (all dependent children under 20) and readiness for school.

Health profile for England

This report from Public Health England (PHE) combines data and knowledge on the health of the population in England in 2017. It focuses on the question 'are we living longer, and are the extra years spent in good or bad health?'. It summarises and interprets current trends in health outcomes in England, in particular: life expectancy, health life expectancy, morbidity and mortality. It explores the impact of risk factors on these health outcomes and considers how England compares with other   developed countries. It summarises inequalities in outcomes and the impact of the social determinants of health. The 7 chapters can be read alone or as a series: 1. Life expectancy, healthy life expectancy and years lived in poor health, 2. Major causes of death and how they have changed, 3. Trends in morbidity and risk factors, 4. European comparisons, 5. Health inequalities, 6. Social determinants of health including a section on child development and educational attainment , 7. Emerging health protection issues.

Children's services in England: repeat referrals

This report from the Department of Education looks at the services offered by local authorities and the reasons why some children are referred to children's services multiple times.

Diet and exercise in pregnancy. Lifestyle interventions are safe in pregnancy, and help control weight gain

This BMJ editorial highlights new evidence which provides information about the safety of physical activity in pregnancy. The evidence suggests that diet and physical activity interventions can help control weight gain.

The wellbeing of secondary school pupils with SEN

This analysis compares levels of happiness and psychological difficulties between children with and without special educational needs (SEN) 2012 to 2013. The report from the Department for Education compares Understanding Society survey data with the national pupil database to examine levels of children's wellbeing.

Special educational needs support in schools and colleges

Research on how mainstream schools and colleges provide special educational needs (SEN) support. This research from the Department of Education includes a rapid evidence assessment on the effectiveness of current SEN support methods, a survey of education professionals, looking at the ways they identify and support children and young people classified as in need of SEN support and a selection of case studies.

The fostering system in England: review

An overview of the fostering system in England. This report from the Department of Education provides a description of the current fostering system and looks at what works and where improvements could be made to improve fostering outcomes for children.

Smokefree Skills: An assessment of maternity workforce training

This report published by Action on Smoking and Health (ASH) on behalf of the Smoking in Pregnancy Challenge Group provides an analysis of the training that midwives and obstetricians receive to address smoking in pregnant women, and what further training is needed. Smoking is a major cause of stillbirth and sudden infant death, and also leads to more babies being born with health problems and with a low birth weight. Evidence shows that short and straightforward conversations with midwives and doctors can increase the chances of a woman accessing services that will help her to quit.

Safe families for children

This research from the Department of Education evaluates the effects of the safe families programme on child outcomes in English local authorities between January 2015 and March 2016. The safe families for children programme provides vulnerable families with 3 types of support: respite for children to live away from home for short periods, friendship for the main carer and resources to help make the family home a healthy environment.

Suicide by children and young people

This report from the National Confidential Inquiry into Suicide and Homicide by People with Mental Illness (NCISH), sought to find the common themes in the lives of young people who die by suicide. The findings are based on what was seen as relevant by the people taking part in an official investigation, including the families of the person who died. The report provides insights into the stresses that young people may be facing when they take their own lives and shows us to what extent the antecedents of suicide are similar in young people of different ages. The study also explores how often children and young people who died were in contact with services that could have helped them and whether risk was recognised.

Work and relationships over time in lone-mother families

This research provides new evidence on what it means for families to have a lone-mother who is employed, managing work and family life, often on a low income, for long periods of time. With data drawn from in-depth interviews with lone-mothers and their children over a period of 14 to 15 years, this report from the Joseph Rowntree Foundation looks at: experiences of lone mothers trying to sustain work over time, the importance of family relationships in enabling and supporting lone mothers in work, the experience and contribution of children in helping their mothers to manage, the challenging transitions for young people when moving away from the parental home and into work, the importance of state support for the mothers, but the reduced support available to the young people and the difficulties in finding security over time.

Breaking the dependency cycle. How health inequalities of vulnerable families can be tackled in Western Europe.

Deloitte Centre for Health Solution's report examines how the social determinants of health, impact health inequalities across Western Europe. The approach behind this study includes a synthesis of the large volume of existing academic and policy research on health inequalities and social determinants of health, an analysis of the numerous national and international datasets of health metrics and identification of evidence based good practice examples. The report recommends a life-cycle approach to vulnerable families – with governments and providers urged to break down organisational barriers and collectively face up to challenges.

Early education: potential value for money

Research estimating the potential value for money of early education as part of the study of early education and development (SEED). This report from the Department of Education includes analysis of the: effect of current early years provision on children's outcomes and overall value for money of early education associated with different types of provision.

Early education use and child outcomes up to age 3

The links between early childhood education and outcomes at age 3 as part of the study of early education and development (SEED). These reports from the Department of Education include an analysis of the: effect of introducing the policy of free early education for disadvantaged 2-year-olds, relationship between early childhood education and care (ECEC) at ages 2 to 3 and child cognitive and socio-emotional development at age 3 and effects of home environments and parenting on child outcomes.

 

Tools and data

Further child and maternal health data can be found on Public Health England's Fingertips tool. The child and maternal health section brings together a range of publicly available data, information, tools and resources. Find guidance on using these statistics and other intelligence resources to help you make decisions about the planning and provision of child and maternal health services on.GOV.UK.


Mental health services monthly statistics final April, provisional May 2017

Latest monthly update from the Mental Health Services Dataset (MHSDS) which covers NHS funded secondary mental health, learning disability and autism services for all ages and this report includes a variety of measures about activity, caseload and patient pathways at national, provider, Clinical Commissioning Group and Council with Adult Social Services Responsibilities level. This month includes the report on final data for April 2017 and is the first report from MHSDS version 2. From April 2017 MHSDS is the official source of information about waiting times for Early Intervention in Psychosis services.

Permanent and fixed-period exclusions in England: 2015 to 2016

Levels of permanent and fixed-period exclusions by school type, including information on reasons for exclusions and exclusion review panels. This release from the Department of Education is based on exclusion data collected via the school census. It includes permanent and fixed-period exclusions within the 2015 to 2016 academic year in: state-funded primary schools, state-funded secondary schools and special schools. It includes information on: reasons schools report for excluding pupils, exclusions for different pupil groups, independent exclusion review panels, school level exclusions and exclusions from pupil referral units. 

Child death reviews: year ending 31 March 2017

Child death reviews completed during the year, including modifiable factors, child characteristics and circumstances of the death. This statistical first release from the Department of Education, presents data collected from local safeguarding children boards (LSCBs) in England.  The data collection was introduced from 1 April 2008 and is designed to collect information on the number of child deaths which have been reviewed by child death overview panels (CDOPs) on behalf of their LSCBs. The collection covers reviews completed between 1 April 2016 and 31 March 2017. It includes information about the characteristics of the children who died from all CDOPs (for example the age, gender and cause of death).

Children and young people's health services monthly statistics: Mar 2017

This publication from NHS Digital reports information from the CYPHS data set. This is a patient-level data set providing information relating to NHS-funded community services for children and young people aged 18 years or under. These services can include health centres, schools and mental health trusts. The data collected includes personal and demographic information, diagnoses including long-term conditions and childhood disabilities and care events plus screening activities.


 

Research

The full versions of some of these resources may only be available with a paid subscription. Contact your local library service or Athens account administrator to see if you are able to access them through your organisation.


Journal of Adolescent Health: Risk and protective factors in the lives of transgender/gender nonconforming adolescents

Purpose: Research suggests that transgender and gender nonconforming (TGNC) youth may be at greatly increased risk of high-risk health behaviors compared with cisgender youth, but existing studies are limited by convenience samples and small numbers. This study uses a large school-based sample of adolescents to describe the prevalence of TGNC identity, associations with health risk behaviors and protective factors, and differences across birth-assigned sex. Conclusions: This research presents the first large-scale, population-based evidence of substantial health disparities for TGNC adolescents in the United States, highlighting numerous multilevel points of intervention through established protective factors. Health care providers are advised to act as allies by creating a safe space for young people, bolstering protective factors, and supporting their healthy development.

BMC Public Health: Associations between childhood overweight, obesity, abdominal obesity and obesogenic behaviors and practices in Australian homes

Background: Despite emerging research about the role of the family and home environment on early childhood obesity, little is known on how weight-related behaviors, parent practices and the home environment influence overweight/obesity in older children and adolescents. Conclusions: Interventions to reduce the prevalence of obesity and overweight should include promoting daily breakfast, reducing screen-time, and encouraging health-promoting parenting practices. Interventions should particularly focus on those at some social disadvantage and from non-English-speaking backgrounds.

Journal of Adolescent Health: A longitudinal analysis of stepfamily relationship quality and adolescent physical health

Purpose: Approximately one third of youth are estimated to live with a biological parent and stepparent before reaching adulthood. Additional research is warranted whereby stepfamily processes are identified that drive variation in youth adjustment, particularly physical health. Researchers examined stepfather–child, mother–child, and stepcouple relationship quality as predictors of levels and changes in adolescent physical health over time. Conclusions: Stepfather–child relationship quality is a robust predictor of adolescent physical health throughout adolescence and is linked to chronic illness diagnoses in young adulthood. Future research should explore further the mechanisms that underlie this association.

Health Expectations: Right choice, right time: Evaluation of an online decision aid for youth depression

Background: Appropriate treatment for youth depression is an important public health priority. Shared decision making has been recommended, yet no decision aids exist to facilitate this. Objectives: The main objective of this study was to evaluate an online decision aid for youth depression. Conclusions: A decision aid for youth depression can help ensure evidence-based, client-centred care, promoting collaboration in this often difficult to engage population.

The Journal of Child Psychology and Psychiatry: Violence exposure is associated with adolescents' same- and next-day mental health symptoms

Background: Young people exposed to violence are at increased risk for mental health and behavioral problems. However, very little is known about the immediate, or same-day, associations between violence exposure and adolescents' mental health symptoms or whether daily symptom or behavioral reactivity marks future problems. Conclusions: Findings support the need to focus on both the immediate and long-term associations between violence exposure and adolescents' mental health and behavior. Results also suggest that heightened behavioral reactivity during early adolescence may signal emerging substance use problems.

Journal of Medical Internet Research: Using new and emerging technologies to identify and respond to suicidality among help-seeking young people: a cross-sectional study

Background: Suicidal thoughts are common among young people presenting to face-to-face and online mental health services. The early detection and rapid response to these suicidal thoughts and other suicidal behaviors is a priority for suicide prevention and early intervention efforts internationally. Establishing how best to use new and emerging technologies to facilitate person-centered systematic assessment and early intervention for suicidality is crucial to these efforts. Objective: The aim of this study was to examine the use of a suicidality escalation protocol to respond to suicidality among help-seeking young people. Conclusions: This study demonstrates the use of new and emerging technologies to facilitate the systematic assessment and detection of help-seeking young people presenting with suicidality. This protocol empowered the young person by suggesting pathways to care that were based on their current needs. The protocol also enabled an appropriate and timely response from service providers for young people reporting high suicidality that was associated with additional comorbid issues, including psychosis-like symptoms, and a history of suicide plans and attempts.

Journal of Medical Internet Research: Self-directed telehealth parent-mediated intervention for children with autism spectrum disorder: examination of the potential reach and utilization in community settings

Background: There is a significant need for strategies to increase access to evidence-based interventions for children with autism spectrum disorder (ASD). One novel approach is to train parents to use evidence-based interventions for their child with ASD via telehealth. Pilot work examining the efficacy of one such program, ImPACT Online, demonstrated a high rate of parent program engagement, low attrition, and associated gains in parent learning and child social communication. Objective: The objective of this study was to conduct an open trial of ImPACT Online to better understand its dissemination potential. Conclusions: These data suggest that additional strategies may need to be developed to support families in using telehealth-based parent-mediated intervention in community settings.

BMC Pediatrics: The role of family and school-level factors in bullying and cyberbullying: a cross-sectional study

Background: Bullying and cyberbullying are common phenomena in schools. These negative behaviours can have a significant impact on the health and particularly mental health of those involved in such behaviours, both as victims and as bullies. This UK study aims to investigate student-level and school-level characteristics of those who become involved in bullying and cyberbullying behaviours as victims or perpetrators. Conclusions: Bullying victimization and cyberbullying prevalence vary across school type and school quality, supporting the hypothesis that organisational/management factors within the school may have an impact on students' behaviour. These findings will inform future longitudinal research investigating which school factors and processes promote or prevent bullying and cyberbullying behaviours.

International Journal of Public Health: Factors associated with good self-rated health in European adolescents: a population-based cross-sectional study

Objectives: The aim of the present study was to investigate self-reported health status and associated factors. Results: In both univariate and multivariate models, being older, being a boy, having higher level of family, neighbourhood and school social capital, participating in moderate-to-vigorous physical activity more frequently and having low psychological distress were associated with good self-rated health. Conclusions: Our findings suggest strong associations between social and lifestyle factors and self-rated health. Other explanatory variables will require future research.

Journal of Adolescent Health: Childhood obesity, obesity treatment outcome, and achieved education: a prospective cohort study

Purpose: This study aimed to investigate whether achieved educational level differs in young adults who have suffered obesity in childhood compared with the general population and to determine how obesity treatment influences achieved educational level. Conclusions: Obesity in childhood was associated with low educational level in early adulthood. Children and adolescents with obesity may require special support at school in addition to health care treatment to lose weight.

Journal of Pediatric Nursing: The effectiveness of assertiveness training for school-aged children on bullying and assertiveness level

Purpose: The aim of this study was to determine the effectiveness of an assertive training for school-aged children on peer bullying and assertiveness. Conclusions: An assertiveness training program increased the assertiveness level and reduced the state of being victims, but did not affect the state of being bullies. Practice Implications: The results of this study can help children acquire assertive behaviors instead of negative behaviors such as aggression and shyness, and help them to build effective social communication.

Maternal and Child Nutrition: Availability of breastfeeding peer support in the United Kingdom: A cross-sectional study

Objective: We aimed to generate an overview of how peer support is delivered in the U.K. and to gain an understanding of challenges for implementation. Findings: Breastfeeding peer support was available in 56% of areas. However, coverage within areas was variable. The provision of training and ongoing supervision, and peer-supporter roles, varied significantly between services. Around one third of respondents felt that breastfeeding peer-support services were not well integrated with NHS health services. Financial issues were commonly reported to have a negative impact on service provision. One quarter of respondents stated that breastfeeding peer support was not accessed by mothers from poorer social backgrounds. Overall, there was marked variation in the provision of peer-support services for breastfeeding in the U.K. A more robust evidence base is urgently needed to inform guidance on the structure and provision of breastfeeding peer-support services.

Midwifery: Family members' infant feeding preferences, maternal breastfeeding exposures and exclusive breastfeeding intentions

Objective: The purpose of this study was to examine the association between family member's infant feeding preferences, breastfeeding exposures, and womens' exclusive breastfeeding intentions. Conclusions: Including fathers and other significant family members in antenatal breastfeeding education can help to maximize breastfeeding support for the new mother and encourage new mothers to exclusively breastfeed.

Infant Mental Health Journal: Assessing angels in the nursery: a pilot study of childhood memories of benevolent caregiving as protective influences

Background: This pilot study provides the first empirical test of the concept of "Angels in the Nursery" by examining whether childhood memories of benevolent caregiving experiences protect against heightened levels of psychopathology in high-risk mothers. The study hypothesized that (a) elaborated childhood memories of feeling loved by a caregiver ("angel memories") would moderate adulthood posttraumatic stress disorder (PTSD) symptoms in mothers with childhood maltreatment histories, and (b) spontaneous traumatic intrusions ("ghost memories") would mediate childhood maltreatment and adulthood PTSD symptoms. Findings indicate that the Angels Interview can identify pathogenic intrusions rooted in childhood maltreatment and protective factors to promote maternal mental health and buffer the intergenerational transmission of trauma.

BMC Pregnancy and Childbirth: Identifying maternal needs following childbirth: A qualitative study among mothers, fathers and professionals

Background: Pregnancy and childbirth are two critical stages in a woman's life. Various studies have suggested that psychological distress is common during the year after childbirth. The objectives of this exploratory study were (1) to explore the needs of mothers in the year following childbirth; (2) to compare these needs between mothers who did not have the feeling of living with a psychological disorder or a depression and mothers who lived with a psychological disorder or had the impression of living with a depression; and (3) to compare the needs expressed by mothers with the perception of professionals and fathers about the mothers' needs. Conclusion: Young mothers apparently feel a lack of support at different levels in the year following childbirth. This study provides ways to meet women's needs and to try to prevent the risk of postpartum psychological distress during this period of time.

Journal of Pediatric Nursing: Barriers to addressing social determinants of health in pediatric nursing practice: an integrative review

Problem: Despite a substantial body of knowledge regarding the importance of the social determinants of health, recognizing and responding to the psychosocial circumstances of seriously and chronically ill children and their families is not well established in routine pediatric nursing care. Eligibility Criteria: The search process focused on psychological and social determinants and care in the healthcare setting. Searches were limited to research and review publications written in the English language. The quality of evidence was graded using the National Health and Medical Research Council evidence hierarchy. Conclusions: The greatest barrier to addressing the social determinants of health in the pediatric context is the dominance of the 'medical model' of care. Also, many healthcare providers believe that they lack the communication skills necessary to talk about psychosocial issues. Implications: The way forward will be to empower nurses through the sharing of knowledge of the social determinants of health, the development of skills in relationship building and therapeutic communication, and the mentorship of compassionate family-centered care.

International Journal of Public Health: Trends in the perceived body size of adolescent males and females in Scotland, 1990–2014: changing associations with mental well-being

Objectives: This paper explores trends in Scottish adolescents' body size perceptions and associated mental well-being outcomes. Conclusions: Researchers present evidence suggesting that the association between body size perception and poor mental health in adolescence is changing over time. This may play a role in the recently observed worsening of mental well-being in Scottish adolescents.

Journal of Adolescence: Ethnic socialization, ethnic identity, life satisfaction and school achievement of Roma ethnic minority youth

Objective:This study tested a mediation model of ethnic socialization (i.e., parental practices that promote children's knowledge about their history, heritage culture, cultural authenticity, and ethnic bias management) in Roma youth. Conclusion: The study confirmed the model in that ethnic socialization was positively related to life satisfaction through effects on ethnic identity but negatively associated with school achievement.

Academic Pediatrics: Infant regulatory problems and obesity in early childhood

Objective: Difficult infant temperament is associated with higher weight status in infancy. However, the association of infant temperament, including regulatory capacities, has not been well studied as a possible predictor of future weight status in early childhood. We examined prospective associations of infant regulatory difficulties with obesity in early childhood in a large, diverse cohort. Conclusions: Infant regulatory difficulties are associated with a higher risk of obesity at preschool age. Helping parents manage and respond to difficult infant behaviors before preschool may serve as a focal point for future interventions.

The Journal of Epidemiology and Community Health: The relationship between early childhood head injury and later life criminal behaviour: a longitudinal cohort study

Background: Childhood head injury has been associated with the development of behavioural and psychological problems. This study examined the relationship between head injury in young childhood and subsequent criminal behaviour. Conclusions: Head injury in childhood was associated with increased criminality and conduct problems. Future work should identify mechanisms of this association in order to develop interventions to prevent criminal behaviour resulting from head injury.

Maternal and Child Nutrition: Mothers' understanding of the term 'exclusive breastfeeding': a systematic review

Background: There is a lack of knowledge and understanding of the term exclusive breastfeeding (EBF) among health professionals. The purpose of this review was to examine the best available literature on mothers' understanding of the term EBF. Conclusions: Quantitative findings were pooled to calculate a proportion rate of 70.9% of mothers who could correctly define EBF, although the range varied between 3.1 and 100%. Qualitative findings revealed three themes: (1) EBF was understood by mothers as not mixing two milks; (2) the term 'exclusive' in EBF was incorrectly understood as not giving breast milk and (3) mothers believing that water can be given while exclusively breastfeeding. Research investigating aspects of self-reported EBF may consequently be unreliable. A standardised tool to assess mothers' knowledge of EBF could provide more accurate data. Public health campaigns should emphasise EBF to target mothers, while addressing the education of health professionals to ensure that they do not provide conflicting advice.

Maternal and Child Nutrition: Obese women experience multiple challenges with breastfeeding that are either unique or exacerbated by their obesity: discoveries from a longitudinal, qualitative study

Background: Obese women are at risk for shorter breastfeeding duration, but little is known about how obese women experience breastfeeding. The aim of this study was to understand obese women's breastfeeding experiences. Conclusions: Obese women experienced more challenges than women of normal weight; some challenges were similar to those of normal-weight women but were experienced to a greater degree or a longer duration. Other challenges were unique. Obese women could benefit from targeted care prenatally and during the hospital stay as well as continued support post-partum to improve breastfeeding outcomes.

BMJ: Childhood intelligence in relation to major causes of death in 68 year follow-up: prospective population study

Objectives: To examine the association between intelligence measured in childhood and leading causes of death in men and women over the life course. Conclusions: In a whole national population year of birth cohort followed over the life course from age 11 to age 79, higher scores on a well validated childhood intelligence test were associated with lower risk of mortality ascribed to coronary heart disease and stroke, cancers related to smoking (particularly lung and stomach), respiratory diseases, digestive diseases, injury, and dementia.

BMC Pregnancy and Childbirth: 'Both parents should care for babies': A cross-sectional, cross-cultural comparison of adolescents' breastfeeding intentions, and the influence of shared-parenting beliefs

Background: Many young men and women expect to co-parent their newborn infant. This may have a positive or negative impact on decisions to breastfeed, which is an important health behaviour, influenced by cultural and psycho-social norms. Researchers investigated the relationship between shared parenting, infant feeding beliefs and intentions in male and female (non-parent) adolescents, comparing Nordic countries (Sweden, Norway, Finland) with high breastfeeding rates with others with low rates (Scotland, USA). Conclusions: Positive beliefs about shared parenting and equal gender norms were related to future breastfeeding intentions for female and male adolescents. Health education programmes for young people could encourage positive breastfeeding choices by considering how this would fit with young people's ideal parenting roles, and by emphasising benefits of complementary maternal and paternal roles in breastfeeding newborn infants.

BMC Pregnancy and Childbirth: Measuring women's childbirth experiences: a systematic review for identification and analysis of validated instruments

Background: Women's childbirth experience can have immediate as well as long-term positive or negative effects on their life, well-being and health. When evaluating and drawing conclusions from research results, women's experiences of childbirth should be one aspect to consider. Researchers and clinicians need help in finding and selecting the most suitable instrument for their purpose. The aim of this study was therefore to systematically identify and present validated instruments measuring women's childbirth experience. Conclusions: This systematic review provides an overview of existing instruments measuring women's childbirth experiences and can support researchers to identify appropriate instruments to be used, and maybe adapted, in their specific contexts and research purpose.

Pediatrics: Behavioral patterns in adolescents born at 23 to 25 weeks of gestation

Background: This study examined mental health outcomes in extremely preterm children (EPT) born at 23 to 25 weeks of gestation between 1992 and 1998 at 2 Swedish tertiary care centers that offered regional and active perinatal care to all live-born EPT infants. Conclusions: EPT children with or without neurodevelopmental disabilities (NDDs) had behavioral problems characterized by a higher risk for anxiety and attention, social, and thought problems. These findings further strengthen the proposition that a preterm behavioral phenotype is recognizable in adolescents born EPT.

Child Indicators Research: The association of childhood factors with children's subjective well-being and emotional and behavioural difficulties at 11 years old

Background: This article uses data from a longitudinal representative sample of over 13,000 children in the UK to examine the associations between family and socio-economic factors from the age of nine months to 11 years old and children's subjective well-being at the age of 11. Conclusions: The analysis finds that family and socio-economic factors in early and middle childhood only explain small amounts of the variation in children's subjective well-being. A parallel analysis finds that the same factors can explain much more of the variation in children's emotional and behaviour difficulties.

 

Consultations

Digital child health events project – online survey – please participate and share

NHS Digital, in collaboration with the Professional Record Standards Body (PRSB), are developing the information sharing requirements for the community child health record which includes the Healthy Child Programme as part of the NHS England's Digital Child Health Strategy. This will mean that birth details, immunisation records and the outcome of developmental reviews will be shared electronically with health care professionals and also made available to parents/carers through the electronic Personal Child Health Record (known as the e-Red Book). This will help ensure that every child receives the health and care support that they need as key clinical information will be available online where and when it is needed.     
NHS Digital has commissioned the PRSB to consult with parents, carers, health and care professionals, industry and clinical informaticians on their draft requirements. The Royal College of Paediatrics and Child Health (RCPCH) and the Royal College of General Practitioners (RCGP) are leading the consultation, supported by the Royal College of Physicians Health Informatics Unit. 
This survey is seeking views from parents and carers and health and care professionals on the information content of the child health record to ensure that all data items are meaningful, relevant, complete and feasible to record/incorporate into clinical information systems. The survey is open until 5pm on 21 August 2017 and should take around 20 minutes to complete. This document contains the headings we have developed in this project. It is advised that you refer to this document whilst completing the survey.

Feeding in the first year of life: draft SACN report

The Scientific Advisory Committee on Nutrition (SACN) consultation on its draft report 'Feeding in the first year of Life' is open for comment. Public Health England is inviting comments relating to the scientific content of the draft SACN report 'Feeding in the First Year of Life'. Respondents are also invited to draw the committee's attention to any evidence that it may have missed. The deadline for responses to sacn@phe.gov.uk is 5pm on 13 September 2017.

Apply to the Life Chances Fund

The Life Chances Fund (LCF) is an £80 million top-up fund, whose objective is to help those people in society who face the most significant barriers to leading happy and productive lives. This forms part of the Prime Minister's life chances approach. The £80 million has been committed by central government to provide contributions to outcome payments for payment-by-results contracts, which involve socially minded investors - i.e. towards Social Impact Bonds (SIBs). These contracts must be locally commissioned and aim to tackle complex social problems. Themes for which the Life Chances Fund is open for Expressions of Interest (EOIs) include: Young People, Early Years and Children's Services. The deadline for applications is 15 September 2017.

 


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