Thursday, January 25, 2018

Child and maternal health and wellbeing knowledge update

Child and Maternal Health Knowledge Update

 

 

Child and maternal health and wellbeing knowledge update
25 January 2018

 

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

New resources on teenage pregnancy available

Narrative reports on teenage pregnancy have been published as part of PHE's Fingertips tool for each upper tier local authority which bring together key data and information  to help inform commissioning decisions to reduce unplanned teenage conceptions and improve outcomes for young parents. They include local data and  a summary of the evidence for effective intervention and provide a link to more detailed guidance from PHE's new Teenage pregnancy prevention framework and the existing Framework for supporting teenage mothers and young fathers.

The new Teenage pregnancy prevention framework is designed to help local areas assess their programmes to see what's working well, identify any gaps and maximise the assets of all services to strengthen the prevention pathway for all young people. It can be used flexibly to review actions across a whole area, to focus on high rate districts or wards or to strengthen a specific aspect of prevention. A self-assessment checklist is provided for councils to collate a summary of the current local situation, and identify gaps and actions.

 

Further analysis of the 2014 What About YOUth? survey 

Further analysis of the 2014 What About YOUth? (WAY) survey has been published. It builds on the initial analysis and  the local authority data and pdf summaries available from PHE Fingertips. The 2014 WAY survey included measures of wellbeing which can be analysed to examine the relationships between health behaviours and attitudes on the wellbeing of 15-year-olds. This further analysis highlights the associations between health behaviours, other self-rated life factors (such as bullying and body image) and wellbeing. It also looks at inequalities and makes comparisons with other studies. This information can be used to target local resources where they are likely to have maximum impact.


National Child Measurement Programme (NCMP) local authority profile  

The NCMP local authority profile online data tool for child obesity for England was updated on 9 January 2018. This annual update adds data for the academic year 2016 to 2017 at local authority level. It also includes a new 'severe obesity' indicator, not reported on separately before. Severely obese children are at risk of developing a number of serious acute and chronic health problems. Although in relative terms the prevalence of severe obesity is low, in absolute terms this represents a large number of children nationally.

The NCMP tool displays prevalence of obesity, overweight, healthy weight and underweight at local, regional and national level over time, for children in Reception (aged 4 to 5 years) and Year 6 (aged 10 to 11 years). It allows users to make comparisons and look at inequalities and trends. A short statistical commentary is available.

 

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

Sharing best practice in newborn hearing screening to ensure early assessment of babies (Public Health England)

PHE screening blog post highlights how best performing newborn hearing screening sites ensure early assessment of screen-positive babies in audiology.

Caring For better health, a toolkit for commissioners (The Care Leavers' Association)

The Care Leavers' Association (CLA) has published findings from a study into the health needs of care leavers. Recommendations from a survey of the health needs of 418 care leavers of all ages include: the health needs of looked after children and care leavers to be a distinct section in the Joint Strategic Needs; that a young person in care has a comprehensive health assessment at entry into care which is then monitored and updated on a regular basis; the commissioning of a range of mental health and wellbeing services that specifically support looked after children and care leavers.
The CLA has also produced a Commissioning Toolkit for care leavers to guide commissioners to better meet the needs of care leavers through the commission process, and a short guide, created by care leavers, on how to work with adolescent children in care and care leavers. 
Caring for better health: an investigation into the health needs of care leavers (PDF)
Commissioning toolkit for care leavers (PDF)
45 care leaver friendly ways (PDF)

The wellbeing of 15-year-olds: analysis of the What About YOUth? survey (Public Health England)

This report highlights the associations between health behaviours, other self-rated life factors (such as bullying and body image) and wellbeing. Commissioners and providers of health, social care and education can use this information to target local resources where they are likely to have maximum impact in terms of improving the wellbeing of young people. It also looks at inequalities in relation to deprivation, disability and sexual identity to show where vulnerable young people may be overlooked.

Teenage pregnancy prevention framework (Public Health England)

Guidance for local teenage pregnancy prevention programmes to help young people avoid unplanned pregnancies and develop healthy relationships.

International technical guidance on sexuality education: An evidence-informed approach (UNESCO)

This Technical Guidance is designed to assist education policy makers in all countries design accurate and age-appropriate curricula for children and young people aged 5 – 18+.

Talking mental health with young people at secondary school (Anna Freud National Centre for Children and Families)

The Schools in Mind network has launched its latest activity to support schools by sending every single secondary school two leaflets – one for staff and one for parents and carers. This booklet for School staff offers an introduction to some of the mental health problems that children and young people in secondary schools may face. The parents and carers leaflet has advice and information on how to respond to children and young people who are struggling at school.

 

Policy and government reports

Government response to 'Childhood obesity: follow-up' report (Department of Health and Social Care)

This command paper sets out the government's response to the conclusions and recommendations in the Health Select Committee's report Childhood obesity: follow-up.

 

Reports

State of child health - one year on (Royal College of Paediatrics and Child Health)

The RCPCH has published State of Child Health – One Year On scorecards for England, Wales and Scotland. These documents examine progress against the recommendations made for the governments in each nation in last year's landmark State of Child Health report. The England scorecard reveals progress in some areas including the launch of a Digital Child Health Strategy, the publication of a new Tobacco Control Plan, the initiation of some specialist service reviews in paediatrics and the implementation of the sugar tax. However, there has been no improvement in several fundamental areas, including:

  • No plans for an overarching child health strategy
  • No junk food advertising ban
  • No way of measuring UK breastfeeding prevalence
  • No increased investment in child health research

The future of crisis mental health services for children and young people (Child and Adolescent Mental Health)

Editorial review of the future of mental health services for children and young people.

The Origins of Happiness: can we predict life satisfaction? (The Mental Elf)

This blog post considers the methods, findings and implications of a new book entitled: 'The Origins of Happiness: The science of well-being over the life course'. The book covers: predictors of life satisfaction (mostly in adulthood); predictors of childhood emotional and behavioural functioning and child academic attainment; and sets out some of the economic detail and the broader summary of the authors' findings.

Respected and protected: securing a better future for all children (Coram)

Coram has published a report to coincide with the 350th birthday of its founder Thomas Coram. The report outlines areas  for action to advance the rights and welfare of children now and in the future including: strengthening the legal framework for children; ensuring the voices of children are always heard on decisions that matter to them; making routes to permanent status accessible to children and young people; sufficient adolescent and mental health support; and building capacity and consistent service quality to ensure that there is fair distribution of resources for children, young people and families no matter where they live.

Measuring mental and emotional health in parents of young children (NSPCC)

Blog post from NSPCC's Impact and evidence insights series discussing reliable and valid measures that practitioners can use to assess the mental and emotional wellbeing of parents during a child's early years.

Sources of resilience and their moderating relationships with harms from adverse childhood experiences. Report 1: Mental illness (Public Health Wales)

Findings from a new national study across Wales found adults who had suffered four or more types of ACE were almost 10 times more likely to have felt suicidal or self-harmed than those who had experienced none. The study by Public Health Wales and Bangor University also found that some basic community measures help build resilience which can help protect individuals from developing the mental health problems that ACEs can cause. An Infographic is available.

Developing character skills in schools (Department for Education)

Survey and case studies with schools on activities to support pupils' development of character skills. Reports on the number of schools that offer specific activities to support development of desirable character traits and skills. The report 'Supporting mental health in schools and colleges' is part of the same research.

Better evidence needed on appropriate screen time for children and young people (British Psychological Society)

With so much hype and confusion around appropriate screen use for children and young people, this paper calls for new guidelines to be built on robust evidence. To do this it makes recommendations for parliamentarians, policy makers and practitioners interested in the impact of social media and digital technology on children and young people's mental health. It also makes recommendations for families on how to reduce the negative impact that technology can have on some young people's mental health. 

Healthy high streets: good place making in an urban setting (Public Health England)

This report is aimed at local decision makers and examines how high streets are used as an asset to improve the overall health of local communities.
This review provides a rapid assessment of evidence relating to pedestrian friendly, healthy high streets in urban settings, with specific reference to design interventions and street furniture. Evidence relating to both children and adults is considered, alongside groups who may have specific needs or preferences such as older people, younger people, disabled people (considering specific impairments where relevant) and different ethnic groups.
The review illustrates how, across a broad range of local stakeholders, a greater understanding of how place and people interact could help realise the potential of our high streets, and contribute to health and economic gains of our local communities.

Evaluating the impact of nursery attendance on children's outcomes (Nuffield Foundation)

Researchers from the University of Surrey and University College London have completed a comprehensive five-year study on Early Childhood Education and Care (ECEC), funded by the Nuffield Foundation.

New evidence on TV marketing and junk food consumption amongst 11-19 year olds 10 years after broadcast regulations (Cancer Research UK)

Teenagers who watch more than three hours of commercial TV a day are more likely to eat hundreds of extra junk food snacks, according to this report by Cancer Research UK. The report, based on a YouGov survey, questioned 3,348 young people in the UK between the ages of 11-19 on their TV viewing habits and diet. When teens watched TV without adverts researchers found no link between screen time and likelihood of eating more junk food. This suggests that the adverts on commercial TV may be driving youngsters to snack on more unhealthy food.

Tackling poor oral health in children: local government's public health role (Local Government Association)

Analysis of NHS spending data by the Local Government Association (LGA) found that £36.2m was spent on 42,911 extractions for under-18s in 2016/17, which equates to 170 operations a day. It represents an almost-20% increase over the past four years and a total cost to the NHS of £165m since 2012, as many youngsters face trips to hospital for operation under general anaesthetic due to the severity of their tooth decay.

Children and social media (The Lancet)

Editorial concerning the reach and younger users of social media after the Children's Commissioner for England, report Life in 'likes' which explores the social media experience of children aged 8–12 years.

Mental health problems in young people, aged 11 to 14: Results from the first HeadStart annual survey of 30,000 children (UCL and Anna Freud)

In the first survey of its kind of more than 30,000 young people aged 11 to 14, UCL's Evidence Based Practice Unit and Anna Freud National Centre for Children and Families found 25% of girls said they had experienced emotional problems compared with 11% of boys.

Just how problematic is 'Problematic Facebook Use'? (The Mental Elf)

This blog post explores a new systematic review and meta-analysis about the associations between problematic Facebook use, psychological distress and well-being among adolescents and young adults. The post appeared first on National Elf Service.

Measuring the wellbeing of children in care: views from the frontline and opportunities for change (National Children's Bureau)

The National Children's Bureau has published findings from research exploring what tools, measures or indicators are used to assess the wellbeing of children in care. Findings from the views of 114 professionals working with children in care, as well as those of children and young people in care include: widespread use of the Strengths and difficulties questionnaire (SDQ), which reflects the requirement on local authorities to report results of the SDQ to Government each year; and mixed views on how well the SDQ worked in practice.

Can gamified CBT prevent depression in secondary school students? (The Mental Elf)

This blog post summarises a school-based review of an online gamified Cognitive Behavioural Therapy (CBT) intervention (SPARX-R) for preventing depression in final year secondary school students in Australia. The post appeared first on the National Elf Service.

Local government spending on public health: death by a thousand cuts (The King's Fund)

This blog post considers recent changes in local government funding that will affect the public's health including spending on aspects of children's public health.

5 things to know about young people in drug and alcohol treatment (Public Health England)

Public Health England (PHE) blog post which gives a summary of the main points from 2016-17 statistics report for young people (under 18) in specialist drug and alcohol services. This is based on data from the National Drug Treatment Monitoring System (NDTMS), which collects data from alcohol and drug services across England.
PHE will continue to work with local authorities, helping them in their important work of commissioning and providing good services for young people who have alcohol and drug problems, based on local need. PHE are also supporting young people by developing the Talk to FRANK drug information service and the Rise Above digital hub, which helps young people to make positive life choices and build resilience. PHE are also commissioning Mentor UK's Alcohol Drugs and Education and Prevention Information Service (ADEPIS) for schools.

 

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.


More than half of children now living in poverty in some parts of the UK (End Child Poverty Coalition)

The End Child Poverty coalition has today published figures providing a new Child Poverty map of the UK.  The new figures reveal that there are now constituencies within the UK where more than half of children are growing up in poverty – compared to one in ten, in the areas with the lowest child poverty rates. The figures also show that some of the most deprived areas of the UK have seen the biggest increases in child poverty since the coalition's last local child poverty figures for December 2015.

Seasonal flu vaccine uptake in children of primary school age: monthly data, 2017 to 2018 (Public Health England)

Cumulative vaccine uptake data for the childhood seasonal flu programme in England. Provisional monthly seasonal flu vaccine uptake data in children of school years reception to year 4. The most recent monthly data collection covers cumulative flu vaccinations administered from 1 September to 30 November 2017. Data is presented by NHS England Local Team, 'old' Area Team and Local Authority

    Mental health services monthly statistics: final Oct, provisional Nov 2017 (NHS Digital)

    This series has replaced the Monthly MHLDS reports. The scope has been broadened to include children and young people's mental health services and restructured to support waiting time measurement for specific services. This month includes the report on final data for October.

    Walking and cycling behaviours (CW04) (Department for Transport)

    Walking and cycling statistics including tables on:
    Percentage of children aged 5 to 16 who usually walk or cycle to school, 3 year average: England

    Percentage of children aged 5 to 10 who usually walk or cycle to school, 3 year average: England

    Percentage of children aged 11 to 16 who usually walk or cycle to school, 3 year average: England

    Children and young people's health services monthly statistics August and September 2017 (NHS Digital)

    This is a patient-level dataset 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.

    170 operations a day to remove rotten teeth in children (Local Government Association)

    New figures show there were nearly 43,000 hospital operations to remove teeth in teenagers and children last year – equating to 170 a day. The Local Government Association, which represents 370 councils in England and Wales, says the worrying figures – up by nearly a fifth in the past four years – are, in most cases, likely to reflect the excessive consumption of sugary food and drink, as well as poor oral hygiene.

    Youth custody data (Ministry of Justice and Youth Justice Board for England and Wales)

    Monthly statistics on the population in custody of children and young people within the secure estate.

     

    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.


    Poor family functioning mediates the link between childhood adversity and adolescent nonsuicidal self-injury (The Journal of Child Psychology and Psychiatry)

    Background: Non-suicidal self-injury (NSSI) is a common harmful behavior during adolescence. Exposure to childhood family adversity (CFA) is associated with subsequent emergence of NSSI during adolescence. However, the pathways through which this early environmental risk may operate are not clear. Aims: This study tested four alternative hypotheses to explain the association between CFA and adolescent-onset NSSI.

    Sleep patterns and cardiometabolic risk in schoolchildren from Cuenca, Spain (PLOS ONE)

    Background: Sleep seems to have a significant influence on the metabolic syndrome (MetS). However, results in this association are still inconsistent in children. The aim of this study was to examine the influence of sleep characteristics in the MetS (index and factors) in Spanish children.

    Internet-based cognitive behavioral therapy for children and adolescents with dental anxiety: open trial (Journal of Medical Internet Research)

    Background: Cognitive behavioral therapy (CBT) is an evidence-based method for treating specific phobias, but access to treatment is difficult, especially for children and adolescents with dental anxiety. Psychologist-guided Internet-based CBT (ICBT) may be an effective way of increasing accessibility while maintaining treatment effects. Objective: The aim of this study was to test the hypothesis that psychologist-guided ICBT improves school-aged children's and adolescents' ability to manage dental anxiety by (1) decreasing avoidance and affecting the phobia diagnosis and (2) decreasing the dental fear and increasing the target groups' self-efficacy. The study also aimed to examine the feasibility and acceptability of this novel treatment.

    "You just need to leave the room when you breastfeed" Breastfeeding experiences among obese women in Sweden – A qualitative study (BMC Pregnancy and Childbirth)

    Background: The benefits of breastfeeding for the infant as well for the mother are well-known. It is recognized that obese (Body Mass Index ≥30 kg/m2) women may have less antenatal intention to breastfeed, and shortened duration of breastfeeding compared with normal-weight women. This may result in adverse short- and long-term health for both mother and child, such as a shortened lactational amenorrhoea and decreased protection against breast cancer for the women, and an increased risk for infectious diseases and overweight/obesity among the children. Therefore, it is important to gain more knowledge and understanding of obese women's experiences of breastfeeding in order to attain good health care. Hence, the aim of this study was to identify and describe obese women's experiences of breastfeeding.

    Indian adolescents' perceptions of the home food environment (BMC Public Health)

    Background: The home food environment has the potential to influence the eating behaviour of adolescents. This investigation aimed to understand Indian adolescents' perspectives of their home food environments.

    Is partners' mental health and well-being affected by holding the baby after stillbirth? Mothers' accounts from a national survey (Journal of Reproductive and Infant Psychology)

    Objective: This study aimed to assess the effects on partners' health and well-being of holding a stillborn baby. Background: Findings from quantitative and qualitative studies have produced inconsistent results concerning the effects of holding a stillborn baby on parents.

    The effect of a pharmacist-led inhaler technique assessment, education and training intervention on asthma control test scores in a paediatric hospital outpatient setting (Archives of Disease in Childhood)

    Background: Studies have consistently demonstrated that the correct and effective use of inhaler therapy reduces the frequency and severity of asthma symptoms and thus improves asthma control. Pharmacists are particularly well positioned to educate and train patients in the correct use of their inhaled therapy. They are often the last healthcare professionals to have contact with patients prior to the use of prescribed inhaled medication. This places pharmacists in an opportune situation for patient counselling with regard to inhaler technique. Aim: To determine if pharmacist-led inhaler technique assessment, education and training improves asthma control scores in the paediatric population (4–16 years).

    Medicines in schools - a survey of stakeholders (Archives of Disease in Childhood)

    Aim: To determine the perspectives of stakeholders on how children's medicines are dealt with in schools.

    An audit to assess influenza vaccination uptake amongst asthmatic children in a city in the Northwest of England (Archives of Disease in Childhood)

    Aims: One of the most common triggers of asthma exacerbations are respiratory tract infections such as influenza. Furthermore, the National Review of Asthma Deaths (NRAD) in 2014 linked inappropriate prescribing in primary care to patient deaths. The primary aim of this study was to assess the uptake of the influenza vaccine in asthmatic children in Liverpool during the 2016–2017 flu season. The secondary aim of this audit was to assess if children are being prescribed asthma medication in accordance with British Thoracic Society (BTS) guidelines.

    A tailored web-based intervention to improve parenting risk and protective factors for adolescent depression and anxiety problems: postintervention findings from a randomized controlled trial (Journal of Medical Internet Research)

    Background: Depression and anxiety disorders in young people are a global health concern. Parents have an important role in reducing the risk of these disorders, but cost-effective, evidence-based interventions for parents that can be widely disseminated are lacking. Objective: This study aimed to examine the postintervention effects of the Partners in Parenting (PiP) program on parenting risk and protective factors for adolescent depression and anxiety, and on adolescent depression and anxiety symptoms.

    Men's views and experiences of infant feeding: A qualitative systematic review (Maternal & Child Nutrition)

    Background: Although the advantages of breastfeeding are well documented, rates for breastfeeding often fall short of international and national targets. Increasing attention has been paid to the role of men in infant feeding, but a lot of the research about men has been elicited from women, rather than from men themselves. To explore these issues further, a systematic review of the qualitative research on infant feeding was carried out, focusing specifically on men's own views and experiences.

    Parental supervision for their children's toothbrushing: Mediating effects of planning, self-efficacy, and action control (British Journal of Health Psychology)

    Objectives: With 60–90% of children worldwide reportedly experiencing dental caries, poor oral health in the younger years is a major public health issue. As parents are important to children's oral hygiene practices, this study examined the key self-regulatory behaviours of parents for supervising their children's toothbrushing using the health action process approach.

    A randomized controlled trial of a new treatment for labor dystocia (The Journal of Maternal-Fetal & Neonatal Medicine)

    Objective: Labor dystocia (defined as a difficult labor or abnormally slow progress of labor) is an intransigent, high-profile issue in obstetric care. Amniotic fluid lactate (AFL) reflects the uterine metabolic status. High levels associate with subsequent need for operative intervention due to dystocia. In sports medicine, it is known that lactic acid can affect muscular performance and can be decreased by bicarbonate given orally before physical activity.

    Medicaid expansion and infant mortality in the United States (AJPH)

    Objectives: To explore the effect of Medicaid expansion on US infant mortality rate.

    Causes of death in hospitalized children younger than 12 years of age in a Chinese hospital: a 10 year study (BMC Pediatrics)

    Background: In China, the majority (77%) of urban children die in hospitals. Hospital-based review could provide insight leading to improvements in clinical practice and increase the survival of critically ill children. The aim of the present study is to identify the trends of immediate causes and chronic underlying diseases associated with deaths of children at one of the largest teaching hospitals in China over a period of 10 years (2006–2015

    Acid-suppressive drug use during pregnancy and the risk of childhood asthma: a meta-analysis (Pediatrics)

    Context: The association between acid-suppressive drug exposure during pregnancy and childhood asthma has not been well established. Objective: To conduct a systematic review and meta-analysis on this association to provide further justification for the current studies.

    Developmental disability at school age and difficulty obtaining follow-up data (Pediatrics)

    Background: The relationship of developmental disability rates with difficulty obtaining follow-up data is unclear. With this study, researchers aimed to determine if children who attended research follow-up assessments with more difficulty had more disability at school age, compared with those who attended with less difficulty, and to establish the relationship between follow-up and disability rates.

    Effects of theory of mind performance training on reducing bullying involvement in children and adolescents with high-functioning autism spectrum disorder (PLOS ONE)

    Background: Bullying involvement is prevalent among children and adolescents with autism spectrum disorder (ASD). This study examined the effects of theory of mind performance training (ToMPT) on reducing bullying involvement in children and adolescents with high-functioning ASD.

    Cross-lagged structural equation models for the relationship between health-related state and behaviours and body bullying in adolescence: findings from longitudinal study ELANA (PLOS ONE)

    Background: This study investigated the stability and the directionality of being body bullied and a set of four variables– 1) Body Mass Index (BMI), 2) moderate and vigorous physical activity (MVPA), 3) television time (TV) and 4) video game/computer time (VG)-, termed in the present study as 'health-related state and behaviours (HRSB)'–across adolescence.

    Employing the arts for knowledge production and translation: Visualizing new possibilities for women speaking up about safety concerns in maternity (Health Expectations)

    Objectives: This project used animated film to translate research findings into accessible health information aimed at enabling women to speak up and secure professional help for serious safety concerns during pregnancy and after birth. We tested as proof of concept our use of the arts both as product (knowledge production) and process (enabling involvement).

    The measurement and description of child income and asset poverty in Canada (Child Indicators Research)

    Background: Wealth is a durable economic resource and it is typically held by individuals over the long-term. Measuring the wealth-type resources held by families, lends important information about the financial security of children. Following others, researchers argue that wealth provides additional information regarding child well-being, complementing traditional income-based measurements. In this paper, researchers extend the traditional income measure of child poverty in Canada to include wealth, by defining and presenting two measures of low-assets, or asset poverty.

    'The mum has to live with the decision much more than the dad'; a qualitative study of men's perceptions of their influence on breastfeeding decision-making (International Breastfeeding Journal)

    Background: Although breastfeeding is widely acknowledged as the normal method of infant feeding, there are large variations in rates of initiation and duration. Several factors are linked to the likelihood of breastfeeding initiation, including the influence and opinion of the child's father. There is limited research into men's perception of their influence, or if they feel it appropriate to be involved in deciding how to feed their children. The aim of this study was to investigate, using a qualitative methodology, fathers' perceptions of their influence on the decision to feed their child breastmilk or formula.

    Effective nationwide school-based participatory extramural program on adolescent body mass index, health knowledge and behaviors (BMC Pediatrics)

    Background: Adolescent obesity is a major public health concern. Open to all high school students regardless of weight status, HealthCorps is a nationwide program offering a comprehensive high school-based participatory educational program to indirectly address obesity. This study tested a hypothesis that the HealthCorps program would decrease BMI z-scores among overweight or obese students, and reduce obesity rates, and evaluated its effects on health knowledge and behaviors.

    A child health index for Sweden's 290 municipalities (Child Indicators Research)

    Background: The purpose of the report prepared for Swedish Association of Local Authorities and Regions (SKL) was to create a Child Health Index for all 290 municipalities in Sweden. The main objective was to distill and focus the abundant mass of data available on the national level, to be able to use them as a tool for decision makers and professionals to monitor children's health and well-being locally. To map children's health on the local level and compare the municipalities was also appealing, since differences between municipalities could stimulate local competition and act as an incentive for change and development. This report was published in Swedish in 2014 (Köhler 2014). The aim of the present paper is to present a condensed version with the statistical analyses focusing on the correlation structure of the indicators, domains and the population characteristics.

    Spirituality as a protective health asset for young people: an international comparative analysis from three countries (International Journal of Public Health)

    Objectives: Spirituality has been proposed as a potential health asset a 'developmental engine' that works by fostering the search for connectedness, meaning and purpose. The aim is to examine to what extent spiritual health might be protective of young people's overall health and well-being.

    Cognitive control moderates parenting stress effects on children's diurnal cortisol (PLOS ONE)

    Background: This study investigated associations between parenting stress in parents and self-reported stress in children with children's diurnal cortisol secretion and whether these associations are moderated by known stress-regulating capacities, namely child cognitive control.

    Emotional and cognitive experiences during the time of diagnosis and decision-making following a prenatal diagnosis: a qualitative study of males presented with congenital heart defect in the fetus carried by their pregnant partner (BMC Pregnancy and Childbirth)

    Background: Expectant fathers consider the second-trimester obstetric ultrasound examination as an important step towards parenthood, but are ill prepared for a detection of a fetal anomaly. Inductive research is scarce concerning their experiences and needs for support. Consequently, the aim of this study was to explore the emotional and cognitive experiences, during the time of diagnosis and decision-making, among males presented with congenital heart defect in the fetus carried by their pregnant partner.

    Prevalence of smoking during pregnancy and associated risk factors: a cross-sectional study in Northern Greece (European Journal of Public Health)

    Background: Many pregnant women smoke despite the extensive data available on the detrimental perinatal outcomes. The aim of this study was to estimate the prevalence of smoking during pregnancy and to identify the factors associated with smoking among pregnant women in Northern Greece.

    Environmental exposures and fetal growth: the Haifa pregnancy cohort study (BMC Public Health)

    Background: The developing fetus is susceptible to environmental insults. Studying the effects of environmental exposures on fetal growth is essential for understanding the causal pathway between prenatal exposures and pregnancy outcomes. Here researchers describe the Haifa Pregnancy Cohort Study (HPCS) and discuss challenges and opportunities in applying "big data" paradigm.

    Slightly increased BMI at young age is a risk factor for future hypertension in Japanese men (PLOS ONE)

    Background: Hypertension is developed easily in Asian adults with normal body mass index (BMI) (~23 kg/m2), compared with other ethnicities with similar BMI. This study tested the hypothesis that slightly increased BMI at young age is a risk factor for future hypertension in Japanese men by historical cohort study.

    A cluster randomised controlled trial evaluating the effectiveness and cost-effectiveness of the daily mile on childhood obesity and wellbeing; the Birmingham daily mile protocol (BMC Public Health)

    Background: Childhood obesity prevention is a public health priority. Children spend a large proportion of their waking time in school; therefore this is an appropriate setting to implement obesity prevention initiatives. Anecdotal reports suggest that implementing The Daily Mile in schools has had positive effects on childhood obesity, academic attainment and wellbeing. This trial aims to measure the effectiveness of The Daily Mile for improving health and wellbeing.

    Neonatal morbidity at term, early child development, and school performance: a population study (Pediatrics)

    Objectives: Investigate the association between severe neonatal morbidity (SNM) and child development and school performance among term infants.

    Attitudes towards mental health, mental health research and digital interventions by young adults with type 1 diabetes: A qualitative analysis (Health Expectations)

    Background: Young people with type 1 diabetes are at increased risk of mental disorders. Whereas treatment need is high, difficulty recruiting young people with type 1 diabetes into psychosocial studies complicates development, testing and dissemination of these interventions. Objective: Interviews with young adults with type 1 diabetes were conducted to examine attitudes towards mental health and mental health research, including barriers and motivators to participation in mental health studies and preferred sources of mental health support. The interviews were audio-taped, transcribed and evaluated via thematic analysis.

    Association of maternal use of folic acid and multivitamin supplements in the periods before and during pregnancy with the risk of autism spectrum disorder in offspring (JAMA Psychiatry)

    Question: Does maternal folic acid and/or multivitamin supplement use before and/or during pregnancy increase the risk of autism spectrum disorder in offspring?

    Commissioning guidance for weight assessment and management in adults and children with severe complex obesity (Obesity Reviews)

    Background: The challenge of managing the epidemic of patients with severe and complex obesity disease in secondary care is largely unmet. In England, the National Institute of Health and Care Excellence and the National Health Service England have published guidance on the provision of specialist (non-surgical) weight management services. Researchers have undertaken a systematic review of 'what evidence exists for what should happen in/commissioning of: primary or secondary care weight assessment and management clinics in patients needing specialist care for severe and complex obesity?' using an accredited methodology to produce a model for organization of multidisciplinary team clinics that could be developed in every healthcare system, as an update to a previous review. Additions to the previous guidance were multidisciplinary team pathways for children/adolescent patients and their transition to adult care, anaesthetic assessment and recommendations for ongoing shared care with general practitioners, as a chronic disease management pathway.

     


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