The correlation between parents' education attainment and humanistic literacy of eight-year medical students.

Objectives: To explore the content, ways, and methods of family education in cultivating students' humanistic literacy. Methods: We used a cross-sectional study and collected questionnaire data from 616 eight-year clinical medical students of Central South University by a convenience sampling survey. To determine the influence of parents' educational attainment on children's humanistic literacy, the students were mainly divided into two groups including parents' education attainment was college or above (Group B) and parents' education attainment below college (Group A). Non-parametric tests are used to test the differences between the two groups in humanistic spirit, interpersonal communication, humanistic knowledge and ability, and development planning. Results: Group B had better social morality and a sense of social responsibility than group A (P=0.024, P=0.001). Compared to group A, students in group B could better integrate into the new environment, communicate with students from different institutes, and take an active part in activities (P=0.001). In a nutshell, students in group B had more excellent humanistic knowledge and ability and could consult medical literature and write in Chinese or English more proficiently than group A (P=0.0001, P=0.0001). Conclusions: We found that the eight-year medical students whose parents' highest education attainment is college or above almost mastered a higher level of humanistic literacy. It demonstrated family humanistic literacy education is irreplaceable. We recommend systematic efforts to build a reasonable and effective family humanistic literacy education platform and form an educational synergy with school education to make the cultivation of humanistic literacy among students more efficient.

Photos Shared on Facebook in the Context of Safe Sleep Recommendations: Content Analysis of Images.

Background: Sudden unexpected infant death (SUID) remains a leading cause of infant mortality; therefore, understanding parental practices of infant sleep at home is essential. Since social media analyses yield invaluable patient perspectives, understanding sleep practices in the context of safe sleep recommendations via a Facebook mothers' group is instrumental for policy makers, health care providers, and researchers. Objective: This study aimed to identify photos shared by mothers discussing SUID and safe sleep online and assess their consistency with infant sleep guidelines per the American Academy of Pediatrics (AAP). We hypothesized the photos would not be consistent with guidelines based on prior research and increasing rates of accidental suffocation and strangulation in bed. Methods: Data were extracted from a Facebook mothers' group in May 2019. After trialing various search terms, searching for the term "SIDS" on the selected Facebook group resulted in the most relevant discussions on SUID and safe sleep. The resulting data, including 20 posts and 912 comments among 512 mothers, were extracted and underwent qualitative descriptive content analysis. In completing the extraction and subsequent analysis, 24 shared personal photos were identified among the discussions. Of the photos, 14 pertained to the infant sleep environment. Photos of the infant sleep environment were then assessed for consistency with safe sleep guidelines per the AAP standards by 2 separate reviewers. Results: Of the shared photos relating to the infant sleep environment, 86% (12/14) were not consistent with AAP safe sleep guidelines. Specific inconsistencies included prone sleeping, foreign objects in the sleeping environment, and use of infant sleeping devices. Use of infant monitoring devices was also identified. Conclusions: This study is unique because the photos originated from the home setting, were in the context of SUID and safe sleep, and were obtained without researcher interference. Despite study limitations, the commonality of prone sleeping, foreign objects, and the use of both infant sleep and monitoring devices (ie, overall inconsistency regarding AAP safe sleep guidelines) sets the stage for future investigation regarding parental barriers to practicing safe infant sleep and has implications for policy makers, clinicians, and researchers.

Cognitive development in children with new-onset Rolandic epilepsy and Rolandic discharges without seizures: Focusing on intelligence, visual perception, working memory and the role of parents' education.

PURPOSE: Our aim was to assess intelligence, visual perception and working memory in children with new-onset Rolandic epilepsy (RE) and children with Rolandic discharges without seizures (RD). METHODS: The participants in the study were 12 children with RE and 26 children with RD aged 4 to 10 years (all without medication and shortly after diagnosis) and 31 healthy controls. Their cognitive performance was assessed using the German versions of the Wechsler Preschool and Primary Scale of Intelligence (WPPSI-III), the Wechsler Intelligence Scale for Children (WISC-IV), the Developmental Test of Visual Perception-2 (DTVP-2), the Developmental Test of Visual Perception-Adolescent and Adult (DTVP-A) (each according to age) and the Word Order, Hand Movements and Spatial Memory subtests of the German version of the Kaufman Assessment Battery for Children (K-ABC). RESULTS: The comparison of the entire group of children with RE/RD and the control group conducted in the first step of our analysis revealed a weaker performance of the children with RE/RD in all cognitive domains. Significant deficits, however, were found exclusively in the RD group. Compared to the controls, they performed significantly weaker regarding IQ (full scale IQ: p < 0.001; verbal IQ: p < 0.001; performance IQ: p = 0.002; processing speed: p = 0.005), visual perception (general visual perception: p = 0.005; visual-motor integration: p = 0.002) and working memory (WISC working memory: p = 0.002 and K-ABC Word Order (p = 0.010) and Hand Movements (p = 0.001) subtests. Also, the children without seizures scored significantly lower than those with seizures on the WISC Working Memory Index (p = 0.010) and on the K-ABC Word Order (p = 0.021) and Hand Movements (p = 0.027) subtests. Further analysis of our data demonstrated the particular importance of the family context for child development. Significant cognitive deficits were found only in children with RD from parents with lower educational levels. This group consistently scored lower compared to the control group regarding IQ (full scale IQ: p < 0.001; verbal IQ: p < 0.001; performance IQ: p = 0.012; processing speed: p = 0.034), visual perception (general visual perception: p = 0.018; visual-motor integration: p = 0.010) and auditory working memory (WISC working memory: p = 0.014). Furthermore, compared to the children with RE, they performed significantly weaker on verbal IQ (p = 0.020), auditory working memory consistently (WISC working memory: p = 0.027; K-ABC: Word Order: p = 0.046) as well as in one of the K-ABC spatial working memory subtests (Hand Movements: p = 0.029). Although we did not find significant deficits in children with new-onset RE compared to healthy controls, the performance of this group tended to be weaker more often. No statistically significant associations were observed between selected clinical markers (focus types: centrotemporal/other foci/laterality of foci and spread of Rolandic discharges) and cognitive test results. Except for spatial working memory, we also found no evidence that the age of our patients at the time of study participation was of significant importance to their cognitive performance. CONCLUSIONS: Our study provides some evidence that children with Rolandic discharges, with and without seizures, may be at higher risk of cognitive impairment. In addition to medical care, we emphasise early differentiated psychosocial diagnostics to provide these children and their families with targeted support if developmental problems are present.

The influence of parents' and partner's education on own health behaviours.

The link between educational attainment and multiple health behaviours has been explained in various ways. This paper provides new insights into the social patterning in health behaviours by investigating the influence of parents' and partners' educational attainments on a composite indicator that integrates the four commonly studied lifestyle behaviours (smoking, alcohol, physical activity and BMI). Two key outcome indicators of interests were created to reflect both ends of the "healthy - unhealthy spectrum". Data was drawn from The Tromsø Study, conducted in 2015/16 (N = 21,083, aged 40-93 years). We controlled for two indicators of early life human capital and one personality trait variable. Partners' education attainments are relatively more important for avoiding unhealthy behaviour than choosing healthy behaviour; on the contrary, parents' education is more important for healthy behaviour. Heterogeneity by sex and age was also evident. The influences of partner's education on widening the socioeconomic contrasts in health behaviours were much stronger in the younger (40-59 years) age group. In conclusion, our results support the hypothesis that own health behaviour is affected by the educational attainments of our 'nearest and dearest' (i.e. spouse, mother, and father), net of own education. This study facilitates a better understanding of education-health behaviours nexus from a life course perspective and supports the importance of family-based interventions to improve healthy behaviours.

Child restraint systems: Understanding confidence in proper use and addressing the need for education.

Objective: To quantify the extent of proper local child restraint system (CRS) use and to better understand changes to the level of self-reported confidence with increased CRS installations. With the goal being to improve safety for children travelling in personal vehicles across London, ON and the region. Methods: Public CRS clinics were initiated by Injury Prevention staff after they obtained the Child Passenger Safety Technician certification. Additionally, an online survey was commissioned targeting Ontario parents who had installed at least one CRS in the last five years. Results: From September 2018 to September 2019, 96 comprehensive CRS checks were performed, with 29% of systems found to be installed correctly. Survey results showed a high level of reported confidence with CRS installation (N = 514, 70% female, 43% one child). Parents who had installed only one CRS reported higher confidence in their first install, compared to parents who had installed two or more systems. Conclusions: The error rate with CRS installation and use seen in London, Ontario and the region, is similar to that reported in previous research. Survey results showed high levels of self-reported confidence in CRS use, especially for parents who have installed only one CRS. There presents a need to better understand the root cause of the discrepancy between level of confidence and proper CRS use and to expand our understanding of CRS knowledge retention and transferability to subsequent systems.

Short Report. An innovative training programme for families of children and adolescents with Autism Spectrum Disorder in Qatar: Parents as interventionists.

INTRODUCTION: Previous research has established the association of maladaptive behaviours exhibited by individuals with Autism Spectrum Disorder (ASD) with an increase in the extent of care burden among their caregivers. The mental health needs of caregivers and their effective management, therefore, need to be given due consideration. The main aim of this paper is to reiterate the significance of the role of training programmes for caregivers in enhancing their knowledge and enabling them to manage behavioural challenges with more independence and confidence. METHODS: The aims, structure, and content of the ASD training programme for caregivers implemented by the specialist child and adolescent mental health service, Hamad Medical Corporation, are described. Sixty families have benefited from this initiative so far. A summary of the feedback provided by forty caregivers, all biological parents, is also summarised. RESULTS: The mean score related to knowledge among participants before and after attending the training increased from 3.28 to 4.41. Out of the 40 parents who provided feedback, 27 (67.5%) reported an increase in their understanding of the topic after attendance. CONCLUSION: This initiative consolidates the significance of programmes focusing on enhancing awareness and improving coping among caregivers of children and young people with ASD.

The Impact of Parental Education on Schoolchildren's Oral Health-A Multicenter Cross-Sectional Study in Romania.

The present study is part of the first national oral health survey for children in Romania. The aim of this study was to determine caries prevalence in correlation with the level of the parents' education, preventive behavior, and socioeconomic parameters in 11-14-year-old schoolchildren in Romania. A cross-sectional epidemiological survey was designed and conducted in 2019-2020. The sampled children were selected from 49 schools distributed in rural and urban areas of Romania, including its capital. Data were collected using the Oral Health Questionnaire for Children developed by the World Health Organization and described in the WHO Oral Health Surveys-Basic Methods, 5th edition, 2013, after positive informed consent. To express prevalence and severity of carious lesions, International Caries Detection and Assessment System (ICDAS) criteria were recorded in school for 814 schoolchildren (388 boys and 426 girls) aged between 11 and 14 years old (mean age 12.29 ± 0.6). Elements regarding the specificity of the child (gender, age, and parental education) were tabulated against preventive behavior. The parents' education was correlated with three clinical indices in order to assess the existence or lack of certain significant differences among schoolchildren in Romania. In terms of correlation between the mother's education and preventive behavior, results showed a significant positive correlation in case of dental check-ups (rs = 0.08 *, p < 0.05), brushing (rs = 0.02 **, p < 0.01), and use of different types of dental hygiene aids (rs = 0.06 **, p < 0.01) and a negative correlation with tooth pain or discomfort (rs = -0.01 **, p < 0.01). A statistically significant positive relationship was highlighted between the mother's education and the presence of restorations (rs = -0.09 **, p < 0.01). Regarding the father's education, there was a positive relationship with oral hygiene behavior (rs = 0.18 **, p < 0.01) but a negative relationship with the D3T index (rs = -0.18 **, p < 0.01). In conclusion, there was a strong correlation between the parents' education, preventive behavior, and oral health status of Romanian schoolchildren.

The positive effects of parents' education level on children's mental health in Indonesia: a result of longitudinal survey.

BACKGROUND: Mental health problems are associated with decreasing the quality of various aspects of life. Cases of mental health problems (e.g., depressive symptoms) have increased continuously. Researchers predicted depression to be the first cause of world burden diseases in 2030. One of the determinant factors of mental health is parents' education levels, but there have been contradictory research findings. The current research investigates the effect parental education attainment has on children's mental health. METHODS: We used public data from two waves of the Indonesia Family Life Survey (IFLS) conducted in 2007 and 2014. There were 767 participants aged 15-19 years old (M = 16.80, SD = 1.37) in 2007. All participants were re-interviewed in 2014. We examined the highest level of the parents' formal education in 2007 and the children's mental health in 2014 to find the longitudinal effects. We used depressive symptoms and happiness as representative variables of mental health. The structural equation model (SEM) was used to examine the hypothesis, and we prioritized predictive testing over the models' goodness of fit. We have built 12 models of combinations of children's and parents' sexes and different independent variables. RESULTS: The hypothesis testing showed the longitudinal effects that fathers' education in 2007 has on daughters' depressive symptoms in 2014 (ß = -.203, p < 0.01), while there were longitudinal effects from mothers' education in 2007 on their daughters' depressive symptoms (ß = -.163, p < 0.01) and sons' depressive symptoms (ß = .096, p ≤ 0.05) in 2014. Testing the happiness models showed that fathers' education in 2007 influenced the happiness of all of participants (ß = .167, p < 0.01), including both sons (ß = .206, p < 0.01) and daughters (ß = 149, p < 0.01). On the contrary, no significant correlation was found between mothers' education and children's happiness across all three categories of participants. CONCLUSIONS: The general results of this study showed that parents' education levels were associated with their children's mental health, but there are different associations found through the different combinations of children's and parents' sexes.

Inclusive Education and COVID-19: a phenomenological study / Educación inclusiva y COVID-19: un estudio fenomenológico

Objective: To systematize the pedagogical experiences of four Peruvian teachers of Inclusive Education in Peru, COVID-19 context. Methods: Hermeneutical phenomenology proposal with a qualitative approach, which used the in-depth interview to gather information concerning the categories: Teacher; School; Students and parents; Pandemic situation; and Stress, coping and perspectives. The study intervention was planned in three stages: 1. Descriptive: it allowed planning, preparing technical documents, sensitizing participants, and recommending ethical intervention protocols. 2. Structural: it allowed workshops among researchers to practice intervention procedures, review contingency plans and specify the essential research skills and attributes to achieve the study's objective. Also, the preliminary results were shared with the participants before legitimizing the results. 3. Discussion: the results were contrasted with previous studies to elucidate the coherence and/or fundamental contradictions. Results: Among the main findings, stand out the lack of planned teacher training, the economic limitations of teachers and parents, overwork and its effect on the mental health of teachers, possible violations of the legal framework established for care inclusive children in Peru, as well as problems of adaptation to the new educational scenario. Conclusions: economic limitations and connectivity problems limit the teacher's performance and the normal learning of inclusive children. The work of the inclusive teacher overflows their working hours, causing emotional effects that impact their performance and quality of life. It is imperative to comply with the legal framework that allows the enrollment and enrollment of inclusive students in Peru(AU)

Objetivo: Sistematizar las experiencias pedagógicas de cuatro docentes peruanos de Educación Inclusiva en Perú, contexto COVID-19. Métodos: Propuesta de fenomenología hermenéutica con abordaje cualitativo, que utilizó la entrevista en profundidad para recolectar información referente a las categorías: Docente; Colegio; Estudiantes y padres; situación de pandemia; y Estrés, afrontamiento y perspectivas. La intervención del estudio fue planificada en tres etapas: 1. Descriptiva: permitió planificar, elaborar documentos técnicos, sensibilizar a los participantes y recomendar protocolos éticos de intervención. 2. Estructural: permitió talleres entre investigadores para practicar procedimientos de intervención, revisar planes de contingencia y especificar las habilidades y atributos de investigación esenciales para lograr el objetivo del estudio. Además, los resultados preliminares fueron compartidos con los participantes antes de legitimar los resultados. 3. Discusión: los resultados fueron contrastados con estudios previos para dilucidar la coherencia y/o contradicciones fundamentales. Resultados: Entre los principales hallazgos se destacan la falta de formación docente planificada, las limitaciones económicas de docentes y padres de familia, el exceso de trabajo y su efecto en la salud mental de los docentes, posibles vulneraciones al marco legal establecido para la atención inclusiva a la niñez en el Perú. , así como problemas de adaptación al nuevo escenario educativo. Conclusiones: las limitaciones económicas y los problemas de conectividad limitan el desempeño docente y el normal aprendizaje de los niños inclusivos. La labor del docente inclusivo desborda su jornada laboral, provocando efectos emocionales que impactan en su desempeño y calidad de vida. Es imperativo cumplir con el marco legal que permite la matrícula y matrícula de los estudiantes inclusivos en el Perú(AU)

The Influence of Family Sports Attitude on Children's Sports Participation, Screen Time, and Body Mass Index.

Background: Children's physical health is an important resource for a country's future construction. However, researchers found that the physical fitness of young children around the world has declined during the two decades, from 1992 to 2012. The decline in the physique of young children has caused widespread concern around the world. Children's main living places are families and kindergartens, so this research explores the impact of family factors on children's body mass index (BMI) from the perspective of family attitudes, children's sports participation, and screen time. Methods: A cross-sectional study was used to conduct a questionnaire survey of children in China. A total of 600 children were investigated, and 589 valid questionnaires were obtained. SPSS21.0 statistical analysis software was used for descriptive analysis, mean comparison, and correlation analysis of the data. AMOS 21.0 was used to construct a structural equation model and carry out path analysis. Results: (1) There are significant differences in children's family sports attitude, sports participation, screen time, and BMI with different family structures, and parents' education levels. (2) Family sports attitude is significantly positively correlated with parents' education levels and children's sports participation, and negatively correlated with children's screen time and BMI. (3) Children's sports participation and screen time play a chain-mediating role between family sports attitude and children's BMI, and the role is a complete mediating role. Therefore, family sports attitudes can affect children's physical health by affecting children's sports participation and screen time. To promote children's physical health, we should pay attention to the intervention of family sports attitude. (4) The mediating effects of exercise participation and screen time are similar in different family structures, so the structure of this study can be applied to different family structures. Conclusions: Children's family sports attitude, sports participation, and screen time can affect children's BMI. Children's screen time and sports participation play a chain-mediating role in the influence of family sports attitudes on the path of children's BMI. The results of this study will provide a useful reference for teachers and parents to control children's physical health.

Influence of Parents' Oral Health Knowledge and Attitudes on Oral Health Practices of Children (5-12 Years) in a Rural School in KwaZulu-Natal, South Africa.

CONTEXT: Oral health knowledge, beliefs, and attitudes of parents have a direct influence on their child's oral health maintenance, dietary habits, and oral health behaviors. AIM: The aim of this study was to assess the knowledge, and attitude of parents with regard to the oral health practice of their children and its associated factors. MATERIAL AND METHODS: A self-administered structured questionnaire was administered to parents or guardians of learners aged 5-12 years at a low socioeconomic rural primary school in the Ugu district, KwaZulu-Natal, South Africa. In addition to demographic variables, knowledge of dental health, use of toothbrush, use of toothpaste, dietary practices, and dental visits; practice with respect to dental care; and attitudes toward oral health were requested. RESULTS: One hundred and forty-four completed survey instruments were received with an 80% (118) representation of mothers. Ninety-five percent of the parents (136) had a positive attitude toward oral health with 86% (124) of the children brushed their tongue and 89% (128) of the children brushed their teeth happily. The mean knowledge score was 70%. Children were significantly more likely to brush their tongues (adjusted odds ratio [AOR]: 3.20 95% confidence interval [CI]: 1.06-9.66 P < 0.001), be happier when brushing their teeth (AOR: 4.65 95% CI: 1.41-15.38 P < 0.001) when the caregivers were their mothers, had an above-average knowledge score (AOR: 1.86 95% CI: 0.72-4.85) and positive attitudes (AOR: 3.20 95%CI: 0.46-22.00). CONCLUSION: Parents in the rural community have satisfactory knowledge and a positive attitude toward oral health and children display good practices; however, there are a number of gaps noted in overall parental knowledge.

Self-Reported Oral Health Related Behaviour and Gum Bleeding of Adolescents in Slovakia in Relation to Socioeconomic Status of Their Parents: Cross-Sectional Study Based on Representative Data Collection.

BACKGROUND: Oral health strongly affects overall health and is related to many factors. The aim of our study was to analyse oral health related behaviours (OHRBs) and gum bleeding among Slovak adolescents and assess the effect of socioeconomic factors on the outcomes. METHODS: Data from the Health Behaviour in School-aged Children study (HBSC) were used (N = 8896, age range = 10-16 years, M = 13.4; SD = 1.4; 50.9% boys). Sociodemographic and socioeconomic indicators and frequency of OHRBs (dental hygiene, toothbrush changing, preventive check-up) and gum bleeding were collected. Effects of sociodemographic and socioeconomic variables on outcome variables were analysed by binary logistic regression. RESULTS: We found that prevalence of OHRBs slightly decreases with age, and worse outcomes were reported by boys compared to girls (OHRB odds ratio range 0.45-0.75, (95% C.I. range 0.40-0.91), gum bleeding 1.38 (95% C.I. 1.19-1.61), p < 0.05). OHRBs were in most cases significantly associated with socioeconomic variables, lower affluence predicts worse outcomes (odds ratio range 0.76-0.88 (95% C.I. range 0.68-0.96), p < 0.05). CONCLUSION: Our study provides representative findings on ORHBs in Slovakia and shows important associations of socioeconomic factors related to adolescents' oral health issues.

Nurse-led brief sleep education intervention aimed at parents of school-aged children with neurodevelopmental and mental health disorders: Results from a pilot study.

PURPOSE: To test the effects of a single-session parent sleep educational intervention, led by a pediatric nurse, on sleep in a group of school-aged children attending a National Health Service mental health clinic in Murcia, Spain. DESIGN AND METHODS: Parents/caregivers of 26 children (mean age = 8.58 years; standard deviation = 0.58; 80.8% male) with neurodevelopmental or mental health disorders (84.6% pervasive developmental disorder), and with a suspicion of a behavioral sleep problem, participated in a 45-min group educational session about healthy sleep practices, supplemented by a written handout. The main outcome measures were derived from items of the Pediatric Sleep Questionnaire and included an insomnia composite score, a daytime sleepiness composite score, average sleep onset latency, and sleep duration on both weekdays and weekends. Outcome variables were assessed before and 3 months after the intervention. RESULTS: After the educational intervention, the insomnia and daytime composite scores decreased significantly (ps < 0.03). Weekday and weekend sleep duration significantly increased ( ps < 0.01). No statistically significant difference was observed in sleep onset latency before and after the intervention. PRACTICE IMPLICATIONS: A brief and relatively inexpensive single sleep educational session can positively impact sleep in children with neurodevelopmental and mental health disorders. Thus, this intervention meets the characteristics of a successful "entry level" treatment in a stepped-care approach. The stepped-care model places nurses in a pivotal position to ensure that their patients will receive the least complex and most accessible intervention, from which they are likely to get some benefit, and that a sizeable number of patients who need treatment may receive it. Thus, it is important for nurses in all types of practice settings to have an understanding of healthy sleep patterns, as well as sleep disorders in children. Pediatric nurses, regardless of their setting, are in a unique position to screen children and adolescents for sleep behavior problems or sleep disorders, to educate families about healthy sleep practices, provide guidance and feedback, and recommend referral to pediatric specialized care for more complex assessment and management.

Interaction between Parental Education and Household Wealth on Children's Obesity Risk.

Parents' education and household wealth cannot be presumed to operate independently of each other. However, in traditional studies on the impact of social inequality on obesity, education and financial wealth tend to be viewed as separable processes. The present study examines the interaction of parents' education and household wealth in relation to childhood obesity. Anthropometric measurement and questionnaire surveys were carried out on 3670 children (aged 9⁻12 years) and their parents from 26 elementary schools in northeast China. Results showed that the interaction term was significant for household wealth and father's education (p < 0.01), while no significant interaction between household wealth and mother's education was found. In a separate analysis, the interaction was statistically significant among girls for obesity risk based on BMI (p = 0.02), and among urban children for both obesity risk based on BMI (p = 0.01) and abdominal obesity risk based on WHR (p = 0.03). Specifically, when household wealth increased from the first quintile to the fifth quintile, OR for father's education decreased from higher than 1 (OR = 1.95; 95% CI: 1.12⁻3.38) to non-significant for girl's obesity risk, from non-significant to lower than 1 for urban children's obesity risk (OR = 0.52; 95% CI: 0.32⁻0.86 for the fourth quintile; OR = 0.37; 95% CI: 0.19⁻0.73 for the fifth quintile) and from higher than 1 (OR = 1.61; 95% CI: 1.04⁻2.05) to non-significant for urban children's abdominal obesity risk. These findings indicate that father's education level interacts with household wealth to influence obesity among girls and urban children in northeast China.

[Study on the relationship between family-related factors and obesity of children and adolescents aged 6-17 years].

Objective: To analyze the relationship between family-related factors and the status of overweight and obesity in children and adolescents aged 6-17 years in China. Methods: Data were collected from the China National Nutrition and Health Surveillance in 2010-2012 program. A sample of 6 343 subjects aged 6-17 years was selected, with matched weight, education levels, household income and other family related factors of their parents. Univariate analysis and multivariate logistic regression were used to explore the relationship between family factors and overweight and obesity in school-aged children and adolescents. Results: After adjusted for age, gender and region, results from the multivariate logistic regression showed that both the overweight and obesity of children and adolescents were associated with maternal BMI (OR=1.83, 95%CI: 1.63-2.05), paternal BMI (OR=1.74, 95%CI: 1.57-1.94), mother's educational level (OR=1.24, 95%CI: 1.12-1.37) and household income (OR=1.30, 95%CI: 1.15-1.46). Conclusion: Factors as overweight or obesity status of the parents, mother's educational level and household income were positively correlated with the prevalence of overweight and obesity in Chinese children and adolescents.

Relationships between parents' academic backgrounds and incomes and building students' healthy eating habits.

BACKGROUND: Building healthy eating habit is essential for all people. School and family are the prime institutions to instill this habit during early age. This study is aimed at understanding the impact of family such as parents' educations and incomes on building students' healthy eating habits. METHODS: A survey on building students' eating habits was conducted among primary school students of grade 4 (11 years) and 5 (12 years) from Kulim district, Malaysia. Data from 318 respondents were analysed. Descriptive statistics were used to find the present scenario of their knowledge, attitude and practices towards their eating habits while one-way ANOVA and independent sample t-test were used to find the differences between their practices based on students' gender, parents' educations and incomes. RESULTS: The study finds that the students have a good knowledge of types of healthy food but yet their preferences are towards the unhealthy food. Though the students' gender and parents' educations are not found significantly related to students' knowledge, attitude and practices towards healthy eating habits, parents' incomes have significant influence on promoting the healthy eating habit. DISCUSSION: Findings of this study can be useful to guide parents in healthy food choices and suggest them to be models to their children in building healthy eating habits.

Study on the relationship between family-related factors and obesity of children and adolescents aged 6-17 years / 中华流行病学杂志

Objective To analyze the relationship between family-related factors and the status of overweight and obesity in children and adolescents aged 6-17 years in China.Methods Data were collected from the China National Nutrition and Health Surveillance in 2010-2012 program.A sample of 6 343 subjects aged 6-17 years was selected,with matched weight,education levels,household income and other family related factors of their parents.Univariate analysis and multivariate logistic regression were used to explore the relationship between family factors and overweight and obesity in school-aged children and adolescents.Results After adjusted for age,gender and region,results from the multivariate logistic regression showed that both the overweight and obesity of children and adolescents were associated with maternal BMI (OR=1.83,95％ CI:1.63-2.05),paternal BMI (OR=1.74,95％CI:1.57-1.94),mother's educational level (OR=1.24,95％CI:1.12-1.37) and household income (OR=l.30,95％CI:1.15-1.46).Conclusion Factors as overweight or obesity status of the parents,mother's educational level and household income were positively correlated with the prevalence of overweight and obesity in Chinese children and adolescents.

Study on the relationship between family-related factors and obesity of children and adolescents aged 6-17 years / 中华流行病学杂志

Objective To analyze the relationship between family-related factors and the status of overweight and obesity in children and adolescents aged 6-17 years in China.Methods Data were collected from the China National Nutrition and Health Surveillance in 2010-2012 program.A sample of 6 343 subjects aged 6-17 years was selected,with matched weight,education levels,household income and other family related factors of their parents.Univariate analysis and multivariate logistic regression were used to explore the relationship between family factors and overweight and obesity in school-aged children and adolescents.Results After adjusted for age,gender and region,results from the multivariate logistic regression showed that both the overweight and obesity of children and adolescents were associated with maternal BMI (OR=1.83,95％ CI:1.63-2.05),paternal BMI (OR=1.74,95％CI:1.57-1.94),mother's educational level (OR=1.24,95％CI:1.12-1.37) and household income (OR=l.30,95％CI:1.15-1.46).Conclusion Factors as overweight or obesity status of the parents,mother's educational level and household income were positively correlated with the prevalence of overweight and obesity in Chinese children and adolescents.

Healthy families: study protocol for a randomized controlled trial of a screening, brief intervention, and referral to treatment intervention for caregivers to reduce secondhand smoke exposure among pediatric emergency patients.

BACKGROUND: Involuntary exposure to secondhand smoke (SHSe) is an important cause of morbidity in children who present to the pediatric emergency department (PED) and urgent care (UC). SHSe interventions delivered in the PED and UC would benefit both the smoker and child, but there have been no large trials testing the efficacy of such interventions. The Healthy Families program is the first randomized controlled trial to test whether a screening, brief intervention, and referral to treatment (SBIRT) intervention delivered in the PED and UC will be effective in decreasing SHSe in children and increasing cessation in smokers. METHODS/DESIGN: This trial uses a randomized, two-group design in which caregiver-smokers of children 0-17 years old are recruited from the PED and UC. Eligible caregiver-smokers are randomized to either the: 1) SBIRT Condition with face-to-face, tailored counseling that focuses on the child's illness, the importance of reducing child SHSe, caregiver smoking cessation, and the option to receive nicotine replacement therapy; or 2) Healthy Habits Control Condition which includes face-to-face, tailored attention control "5-2-1-0" counseling that focuses on improving the child's health. Dyadic assessments are conducted in-person at baseline, and via email, phone, or in-person at 6-weeks and 6-months. The primary outcomes are biochemically-verified, 7-day point prevalence and prolonged smoking abstinence. Secondary outcomes are cigarettes smoked per week, 24 h quit attempts, and biochemically validated child SHSe at each time point. The costs of this intervention will also be analyzed. DISCUSSION: This study will test an innovative, multilevel intervention designed to reduce child SHSe and increase smoking cessation in caregivers. If effective and routinely used, this SBIRT model could reach at least one million smokers a year in the U.S., resulting in significant reductions in caregivers' tobacco use, SHSe-related pediatric illness, and healthcare costs in this population of children. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT02531594. Date of registration: August 4, 2015.

Relationship between family history of alcohol addiction, parents' education level, and smartphone problem use scale scores.

Background and aims Smartphones are ubiquitous. As smartphones increased in popularity, researchers realized that people were becoming dependent on their smartphones. The purpose here was to provide a better understanding of the factors related to problematic smartphone use (PSPU). Methods The participants were 100 undergraduates (25 males, 75 females) whose ages ranged from 18 to 23 (mean age = 20 years). The participants completed questionnaires to assess gender, ethnicity, year in college, father's education level, mother's education level, family income, age, family history of alcoholism, and PSPU. The Family Tree Questionnaire assessed family history of alcoholism. The Mobile Phone Problem Use Scale (MPPUS) and the Adapted Cell Phone Addiction Test (ACPAT) were used to determine the degree of PSPU. Whereas the MPPUS measures tolerance, escape from other problems, withdrawal, craving, and negative life consequences, the ACPAT measures preoccupation (salience), excessive use, neglecting work, anticipation, lack of control, and neglecting social life. Results Family history of alcoholism and father's education level together explained 26% of the variance in the MPPUS scores and 25% of the variance in the ACPAT scores. The inclusion of mother's education level, ethnicity, family income, age, year in college, and gender did not significantly increase the proportion of variance explained for either MPPUS or ACPAT scores. Discussion and conclusions Family history of alcoholism and father's education level are good predictors of PSPU. As 74%-75% of the variance in PSPU scale scores was not explained, future studies should aim to explain this variance.