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Moca AE, Juncar RI, Moca RT, Juncar M, Marton RD, Vaida LL. Parental Knowledge, Attitudes, and Practices Regarding Early Childhood Caries in Bihor, Romania: A Cross-Sectional Study. CHILDREN (BASEL, SWITZERLAND) 2024; 11:1131. [PMID: 39334663 PMCID: PMC11430784 DOI: 10.3390/children11091131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/05/2024] [Revised: 09/15/2024] [Accepted: 09/17/2024] [Indexed: 09/30/2024]
Abstract
BACKGROUND/OBJECTIVES Early childhood caries (ECC) is a significant global health issue, particularly affecting deciduous teeth in young children. ECC is prevalent in Romania, where nearly half of children experience dental caries. This study aimed to assess the influence of gender, age, and living environment on parents' knowledge, attitudes, and practices (KAP) regarding ECC in Bihor County, Romania, using a KAP-type questionnaire. METHODS A cross-sectional study was conducted between March and September 2024, utilizing an online KAP questionnaire distributed via social networks. The sample comprised 419 parents of children under six years old. Respondents provided socio-demographic data and answered questions regarding their knowledge, attitudes, and practices concerning ECC prevention, treatment, and oral health. Statistical analysis was conducted using Chi-square tests to assess associations between demographic factors and parental KAP. A p-value of less than 0.05 was considered statistically significant. RESULTS Of the 419 respondents, 83.1% were female, and 62.5% were between the ages of 31 and 40. Significant gender-based differences were found in knowledge about pain from caries (93.7% of female participants vs. 81.7% of male participants, p = 0.004) and the importance of brushing twice daily (93.7% of female respondents vs. 80.3% of male respondents, p = 0.010). Younger parents (aged 18-30) were more likely to affirm the effectiveness of fluoride (65.4%) compared to those aged 31-40 (53.1%, p = 0.02). Urban parents were more likely to correctly identify the timing of tooth eruption (59.1% vs. 52.6% of rural parents, p = 0.021). CONCLUSIONS The study highlights gender, age, and urban-rural disparities in parental knowledge and attitudes towards ECC. These findings underscore the need for targeted educational interventions to improve oral health outcomes and reduce ECC prevalence in the Bihor region. Tailored public health strategies addressing demographic factors could enhance preventive oral health behaviors and reduce the healthcare burden associated with untreated dental caries.
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Affiliation(s)
- Abel Emanuel Moca
- Department of Dentistry, Faculty of Medicine and Pharmacy, University of Oradea, 10 Piața 1 Decembrie Street, 410073 Oradea, Romania
| | - Raluca Iulia Juncar
- Department of Dentistry, Faculty of Medicine and Pharmacy, University of Oradea, 10 Piața 1 Decembrie Street, 410073 Oradea, Romania
| | - Rahela Tabita Moca
- Department of Dentistry, Faculty of Medicine and Pharmacy, University of Oradea, 10 Piața 1 Decembrie Street, 410073 Oradea, Romania
| | - Mihai Juncar
- Department of Dentistry, Faculty of Medicine and Pharmacy, University of Oradea, 10 Piața 1 Decembrie Street, 410073 Oradea, Romania
| | - Rebeca Daniela Marton
- Doctoral School of Biomedical Sciences, University of Oradea, 1 Universității Street, 410087 Oradea, Romania
| | - Luminița Ligia Vaida
- Department of Dentistry, Faculty of Medicine and Pharmacy, University of Oradea, 10 Piața 1 Decembrie Street, 410073 Oradea, Romania
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Leone C, Hawkins L, Geary M, Bolanos V. Sex Stereotypes and Child Physical Abuse: Mediating Effects of Attitudes on Beliefs about Consequences for Abusive Parents. Psychol Rep 2024:332941231225394. [PMID: 38206786 DOI: 10.1177/00332941231225394] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2024]
Abstract
We hypothesized that (a) sex stereotypes would influence individuals' attitudes toward and beliefs about physically abusive parents and (b) these attitudes would mediate the connection between sex stereotypes and beliefs. Participants read one of four scenarios in which (a) sex of parents and sex of children were systematically varied while (b) holding constant the actions of parents and children as well as surrounding circumstances. Participants then expressed their attitudes about those parents and their beliefs about appropriate consequences for these parents. As expected, participants held more unfavorable attitudes about fathers than mothers and believed lenient consequences were more appropriate for mothers than fathers. Moreover, the linkage between parents' sex and participants' beliefs was mediated by participants' attitudes such that the effects of sex stereotypes on beliefs were all indirect rather than direct. Limitations (e.g., cross-sectional design, sample representativeness) and future directions (e.g., alternative parental and child behaviors, individual differences as moderators) are discussed.
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Affiliation(s)
- Christopher Leone
- Department of Psychology, University of North Florida, Jacksonville, FL, USA
| | - LouAnne Hawkins
- Department of Psychology, University of North Florida, Jacksonville, FL, USA
| | - Mary Geary
- Department of Psychology, University of North Florida, Jacksonville, FL, USA
| | - Valentina Bolanos
- Department of Psychology, University of North Florida, Jacksonville, FL, USA
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Jin J, Goud R, Al-Shamali H, Dzunic A, Lyons T, Reeson M, Pazderka H, Dennett L, Polzin W, Wei Y, Silverstone PH, Greenshaw AJ. Early Mental Health Foundations: A Scoping Review of Reflective Functioning in Caregiver-Child Dyads. PSYCHIAT CLIN PSYCH 2023; 33:58-69. [PMID: 38764527 PMCID: PMC11082638 DOI: 10.5152/pcp.2023.22549] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/19/2022] [Accepted: 01/20/2023] [Indexed: 05/21/2024] Open
Abstract
International public health strategies indicate a need for equitable resources for wellness in younger children and their caregivers. Reflective functioning, a proxy for emotional regulation abilities, is a key area in this domain. As an emerging area, reflective functioning has not been mapped comprehensively and requires systematic investigation. This review examines "what qualitative and quantitative evidence is there for the value of reflective functioning assessment and intervention studies in caregiver-child dyads?" This scoping review focused on data published to September 2021, focusing on caregivers of children ≤36 months of age (including Medline, PsycINFO, CINAHL, ERIC, Scopus, Web of Science, and Embase). Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews guidelines were followed. From 5162 initial articles, 608 papers were screened for full text yielding a final 181 papers. Only 69 studies included multiple ethnicities. Seven of the 69 studies included at least 1 Indigenous person. No studies were conducted in low- to middle-income countries, and no studies reported data on gender identity. This review comprises a novel and comprehensive mapping of the reflective functioning literature in terms of both assessment and intervention studies. The present mapping of the reflective functioning literature indicates the importance of health disparities in caregiver-child dyads (these include gaps and needs for future research). In relation to gaps, studies of adverse childhood experience, consideration of equity, diversity, and inclusion, and global mental health are underrepresented. Future research is needed to provide information on the relevance of gender identity and low- to middle-income countries in relation to the impact on reflective functioning in this context.
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Affiliation(s)
- Jonathan Jin
- Department of Psychiatry, University of Alberta, Edmonton, Canada
| | - Rachel Goud
- University of Toronto, Temerty Faculty of Medicine, Toronto, Canada
| | - Huda Al-Shamali
- Department of Psychiatry, University of Alberta, Edmonton, Canada
| | - Anja Dzunic
- University of Alberta, School of Public Health, Edmonton, Canada
| | - Tirzah Lyons
- University of Alberta, Faculty of Education, Edmonton, Canada
| | - Matthew Reeson
- Department of Psychiatry, University of Alberta, Edmonton, Canada
| | - Hannah Pazderka
- Department of Psychiatry, University of Alberta, Edmonton, Canada
- Little Warriors Be Brave Ranch, Edmonton Alberta, Canada
| | - Liz Dennett
- JW Scott Health Sciences Library, University of Alberta, Edmonton, Canada
| | - Wanda Polzin
- Little Warriors Be Brave Ranch, Edmonton Alberta, Canada
| | - Yifeng Wei
- Department of Psychiatry, University of Alberta, Edmonton, Canada
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Green J, Yamawaki N, Wang ANY, Castillo SE, Nohagi Y, Saldarriaga M. What Matters When Examining Attitudes of Economic Abuse? Gender and Student Status as Predictors of Blaming, Minimizing, and Excusing Economic Abuse. JOURNAL OF FAMILY AND ECONOMIC ISSUES 2022; 44:1-14. [PMID: 36034328 PMCID: PMC9392858 DOI: 10.1007/s10834-022-09859-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 07/28/2022] [Indexed: 06/15/2023]
Abstract
Extensive research has been conducted regarding attitudes toward various types and patterns of violence against intimate partners, but there is a lack of research on attitudes toward economic abuse in general. In the current study, we examined attitudes toward economic abuse by examining how participants blamed the victim, minimized the economic abuse, and excused the perpetrator in hypothetical scenarios. We also examined two characteristics of participants: binary gender differences (i.e., woman, man) and differences between students and non-students. Participants (N = 239) were recruited via the SONA system of a private university (n = 120) and via Amazon's Mechanical Turk (n = 119). Participants were randomly assigned to read one of two hypothetical scenarios to evaluate how scenario condition (i.e., victim employed, victim unemployed), participant gender, and participant student status predicted attitudes toward economic abuse involving blaming, minimizing, and excusing. Moreover, we also examined ambivalent sexism and gender role ideology as predictors. A 2 (scenario condition: job, no job) × 2 (participant gender: woman, man) × 2 (student status: college student, non-college student) MANOVA indicated main effects of both participant gender and participant student status. Follow-up ANOVAs revealed that men were more likely to blame victims, minimize the economic abuse, and excuse perpetrators compared to women. Additionally, students were less likely to minimize the economic abuse compared to non-students. Moreover, both hostile sexism and traditional gender role ideology were significant predictors. Implications of the findings and future directions for researchers are discussed.
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Affiliation(s)
- Jane Green
- Department of Psychology, Brigham Young University, Provo, UT USA
| | - Niwako Yamawaki
- Department of Psychology, Brigham Young University, Provo, UT USA
| | | | | | - Yuki Nohagi
- Department of Psychology, Brigham Young University, Provo, UT USA
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Morgan CH, Pu DF, Rodriguez CM. Parenting style history in predicting harsh parenting and child abuse risk across the transition to parenthood: Role of gender. CHILD ABUSE & NEGLECT 2022; 127:105587. [PMID: 35276532 PMCID: PMC8993540 DOI: 10.1016/j.chiabu.2022.105587] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/23/2021] [Revised: 02/26/2022] [Accepted: 03/02/2022] [Indexed: 05/03/2023]
Abstract
BACKGROUND Intergenerational transmission of abuse processes imply that individuals abused as children are more likely to abuse their own children when they become parents, with similar intergenerational patterns observed for parenting styles. OBJECTIVE The present study addresses an important gap in the literature regarding the intergenerational cycle, investigating how perceived parenting style history predicts mothers' and fathers' child abuse risk across the transition to parenthood, with particular attention to the role of gender by comparing cross-gender and same-gender grandparent-parent dyads. PARTICIPANTS AND METHODS The sample is drawn from a four-wave longitudinal study that enrolled 203 families beginning the final trimester of mothers' pregnancy until children were four years old. Parents responded to measures on parenting style history received from both their mothers and fathers as well as measures of their own child abuse risk, parent-child aggression, and personal parenting style. RESULTS Mothers demonstrated more same-gender effects, whereas fathers demonstrated more cross-gender effects-both patterns supportive of a tendency to follow maternal influences when considering child abuse risk. With regards to behavior, both mothers' and fathers' reports of parent-children aggression were most influenced by perceived harsh parenting received from their fathers. CONCLUSIONS Future development of parenting interventions could be more individualized to the participating parent's reported personal history of parenting style and gender.
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Affiliation(s)
- Casie H Morgan
- University of Alabama at Birmingham, United States of America
| | - Doris F Pu
- University of Alabama at Birmingham, United States of America
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Long M, Huang J, Peng Y, Mai Y, Yuan X, Yang X. The Short- and Long-Term Impact of COVID-19 Lockdown on Child Maltreatment. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19063350. [PMID: 35329040 PMCID: PMC8954178 DOI: 10.3390/ijerph19063350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/20/2022] [Revised: 03/10/2022] [Accepted: 03/10/2022] [Indexed: 12/07/2022]
Abstract
Background: The COVID-19 pandemic has brought a new threat to child health and safety. Some studies suggest that social isolation and economic stress have exacerbated child abuse and neglect, whereas other studies argue that orders to stay at home are likely to promote parent–child relationships during this stressful time. Due to a lack of prospective studies including before–during–after lockdown assessments, the impacts of lockdown measures on child maltreatment are unclear. Methods: This study retrospectively investigated child maltreatment of 2821 Chinese children and adolescents from 12 to 18 (female, 59%) before, during and after lockdown, and identified risk factors. Potential predictors including socio-economic and individual mental health status were collected. Results: During Chinese lockdown, children and adolescents reported that the proportions of decrease (range 18–47.5%) in emotional abuse and neglect, physical abuse and neglect, sexual abuse, and witnessing domestic violence were greater than that of increase (range 5.1–9.1%). Compared with before lockdown (1.6%), the prevalence of sexual abuse significantly increased 8 months (2.9%) after the lifting of lockdown (p = 0.002). Being male, suffering from depression, state anhedonia, and experiencing psychotic symptoms at baseline were associated with increased sexual abuse after lockdown. Conclusions: The impact of lockdown on child maltreatment was beneficial in the short-term but detrimental in the long-term in China.
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Affiliation(s)
- Mengqing Long
- Department of Psychology, Hunan Agricultural University, Changsha 410128, China;
| | - Jia Huang
- Neuropsychology and Applied Cognitive Neuroscience Laboratory, CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing 100101, China;
- Department of Psychology, The University of Chinese Academy of Sciences, Beijing 100101, China
| | - Yishun Peng
- Shanghai Changning Mental Health Center, Shanghai 200335, China; (Y.P.); (Y.M.); (X.Y.)
| | - Yawen Mai
- Shanghai Changning Mental Health Center, Shanghai 200335, China; (Y.P.); (Y.M.); (X.Y.)
| | - Xian Yuan
- Shanghai Changning Mental Health Center, Shanghai 200335, China; (Y.P.); (Y.M.); (X.Y.)
| | - Xinhua Yang
- Shanghai Changning Mental Health Center, Shanghai 200335, China; (Y.P.); (Y.M.); (X.Y.)
- Centre for Affective Disorders, Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, London SE5 8AF, UK
- Correspondence: ; Tel.: +86-21-5219-2911
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Pu DF, Rodriguez CM. Spillover and Crossover Effects: Mothers' and Fathers' Intimate Partner Violence, Parent-Child Aggression Risk, and Child Behavior Problems. CHILD MALTREATMENT 2021; 26:420-430. [PMID: 33438464 PMCID: PMC8275686 DOI: 10.1177/1077559520985936] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
The high co-occurrence of intimate partner violence (IPV) and physical child abuse suggests that studying these forms of aggression simultaneously, bidirectionally, and longitudinally is critical. Guided by family systems theory, this study examined parent-child aggression (PCA) risk, IPV victimization, and child behavior problems as reported by mothers and fathers when their child was 18 months and at 4 years old, to evaluate whether negative processes can transmit across family subsystems (i.e., spillover hypothesis) and/or across individuals (i.e., crossover hypothesis). Results indicated that mothers' PCA risk predicted their subsequent IPV victimization and their reported child behavior problems (i.e., spillover effects) as well as fathers' reported IPV victimization (i.e., crossover effect). Maternal reports of child behavior problems also predicted mothers' reported IPV victimization and fathers' reported child behavior problems, indicating child-driven effects. Overall, mothers rather than fathers appear more vulnerable to harmful spillover effects. Findings underscore the need for early prevention and intervention given the complex, transactional nature of family violence.
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Affiliation(s)
- Doris F. Pu
- University of Alabama at Birmingham, AL, USA
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Pu DF, Rodriguez CM. Bidirectional Spillover in the Family across the Transition to Parenthood. FAMILY PROCESS 2021; 60:235-250. [PMID: 32436260 PMCID: PMC8101004 DOI: 10.1111/famp.12549] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/23/2019] [Revised: 04/02/2020] [Accepted: 04/06/2020] [Indexed: 05/04/2023]
Abstract
Although family systems theory posits reciprocal causality between subsystems of the family, such as intimate partner violence exacerbating harsh parenting and vice versa, longitudinal studies with cross-lagged models have been used infrequently to test these principles. As guided by the spillover model, this study examined bidirectional associations between couple dysfunction, parent-child aggression risk, and child functioning across the transition to parenthood to determine whether and how disruptions in one subsystem relate to problems in other family subsystems. Participants were 201 first-time mothers and 151 fathers from a diverse community sample, evaluated during pregnancy, and reassessed two more times through their child's first 18 months of life. Individual and dyadic path model results indicate bidirectional spillover effects between parent-child aggression risk and child functioning for both mothers and fathers, and spillover from parent-child aggression risk to couple dysfunction for mothers but not fathers. However, limited spillover effects were identified between couple functioning and child adjustment, in contrast to previous work. Findings suggest that spillover can happen reciprocally and early in the family, supporting transactional models of behavior and highlighting the need for early family level intervention.
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Affiliation(s)
- Doris F Pu
- Department of Psychology, University of Alabama at Birmingham, Birmingham, AL, USA
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Middel F, López López M, Fluke J, Grietens H. The effects of migrant background and parent gender on child protection decision-making: An intersectional analysis. CHILD ABUSE & NEGLECT 2020; 104:104479. [PMID: 32259710 DOI: 10.1016/j.chiabu.2020.104479] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/02/2019] [Revised: 02/10/2020] [Accepted: 03/18/2020] [Indexed: 06/11/2023]
Abstract
BACKGROUND Disparities in decision-making are a recognized concern within child protection systems and imply that marginalized groups are being treated unequally compared to majoritized groups. Previous studies reported that both ethnicity and the gender of the parent that maltreated the child seem associated with an increased likelihood that child protection agencies provide services after an investigation or that children are placed out of their homes. OBJECTIVE We investigated whether migration background and the gender of the parent who maltreated the child seem associated with the decision whether a case was opened for continuing services. In addition, we inspected whether the intersections between migration background and parent gender were correlated with disparities in decision-making. PARTICIPANTS AND SETTING Our multinational sample consisted of 1189 cases that were involved with child protection agencies in England, the Netherlands, and Germany. METHODS We systematically coded and analyzed child protection case files. We conducted logistic regression analysis to investigate for disparities in decision-making. RESULTS The intersectional analysis showed that maltreatment committed by mothers (OR = 2.25, p = .001) and migrant fathers (OR = 2.21, p = .030) was associated with an increased likelihood to provide ongoing services. However, country specific analyses showed that these effects were most pertinent in the English sample. CONCLUSIONS These findings suggest a need to address migration background and gender disparities in child protection practice. Future research could investigate whether other contextual factors (e.g. characteristics of the professional and agency) seem associated with disparities in decision-making.
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Affiliation(s)
| | | | - John Fluke
- University of Colorado Denver, CO, United States
| | - Hans Grietens
- University of Groningen, the Netherlands; KU Leuven, Belgium
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