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Montoro-Pérez N, Castro-Sánchez E, Escribano S, Richart-Martínez M, Montejano-Lozoya R. Addressing antimicrobial resistance: The potential role of parental health literacy and intensive parenting attitudes in antibiotic use. J Pediatr Nurs 2024:S0882-5963(24)00334-8. [PMID: 39214794 DOI: 10.1016/j.pedn.2024.08.025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 09/04/2024]
Affiliation(s)
- Néstor Montoro-Pérez
- Department of Nursing, Faculty of Health Sciences, Person-Centred Care and Health Outcomes Innovation Group, University of Alicante, San Vicente del Raspeig, Spain; GREIACC Research Group, La Fe Health Research Institute, Valencia, Spain.
| | - Enrique Castro-Sánchez
- College of Business, Arts, and Social Sciences, Brunel University London, Uxbridge, United Kingdom; NIHR HPRU in Healthcare-Associated Infection and Antimicrobial Resistance, Imperial College London, London, United Kingdom; Research Group on Global Health and Sustainable Human Development, University of the Balearic Islands, Palma de Mallorca, Spain.
| | - Silvia Escribano
- Department of Nursing, Faculty of Health Sciences, Person-Centred Care and Health Outcomes Innovation Group, University of Alicante, San Vicente del Raspeig, Spain.
| | - Miguel Richart-Martínez
- Department of Nursing, Faculty of Health Sciences, Person-Centred Care and Health Outcomes Innovation Group, University of Alicante, San Vicente del Raspeig, Spain.
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Fannin LD, Thayer ZM, Dominy NJ. Commemorating the monkey bars, catalyst of debate at the intersection of human evolutionary biology and public health. Evol Med Public Health 2024; 12:143-155. [PMID: 39282242 PMCID: PMC11400842 DOI: 10.1093/emph/eoae017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2024] [Revised: 08/08/2024] [Indexed: 09/18/2024] Open
Abstract
Play is an essential part of childhood, and growing attention has focused on the potential health benefits of 'risky' or 'thrill-seeking' play. Such play behavior is readily observed on any playground, where it can sometimes lead to injuries--most often from fall impacts--that require medical attention. Monkey bars account for ~7% of childhood arm fractures in the USA, an alarming statistic that raises difficult questions over its costs and benefits. Many authors view monkey bars as a public health hazard, but it is plausible that our childhood impulse toward thrill-seeking play is a result of selective pressures throughout our primate evolutionary history. Indeed, emerging evidence suggests that the developmental benefits of thrill-seeking play extend into adulthood, outweighing the occasional costs of injury. Disparate and consequential, these dueling perspectives have fueled debate among health professionals and policymakers, but with little attention to the work of biological anthropologists. Here we call attention to the hominin fossil record and play behaviors of non-human primates, providing a novel perspective that bolsters arguments for the adaptive significance of thrill-seeking play. The moment for such a review is timely, for it commemorates the centennial anniversaries of two playground icons: the jungle gym and monkey bars.
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Affiliation(s)
- Luke D Fannin
- Department of Anthropology, Dartmouth College, Hanover, NH, USA
- Graduate Program in Ecology, Evolution, Environment, and Society, Dartmouth College, Hanover, NH, USA
| | - Zaneta M Thayer
- Department of Anthropology, Dartmouth College, Hanover, NH, USA
| | - Nathaniel J Dominy
- Department of Anthropology, Dartmouth College, Hanover, NH, USA
- Department of Biological Sciences, Dartmouth College, Hanover, NH, USA
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Suonpera E, Gallagher K, Marlow N, Lanceley A. 'I don't want him to always be so far behind': Parental perceptions of child independence in the context of extreme prematurity; a qualitative study. J Child Health Care 2024:13674935241256545. [PMID: 38798176 DOI: 10.1177/13674935241256545] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/29/2024]
Abstract
This study addresses the paucity of research on parents of extremely preterm adolescents (born <27 weeks of gestation) and their experiences within the framework of parental determinism. We conducted semi-structured interviews with twenty-two mothers and one father. Data were analysed thematically, revealing three overarching themes and eight subthemes shaping parental accounts. These themes centred on parental ambitions for their children, their perceptions of their child's abilities, and the parenting behaviours employed to support parental aspirations. Parents' actions were influenced by their ambitions and the belief that they could impact their child's future independence. While some parents adopted 'trusting', non-intensive parenting behaviours, those anticipating challenges for their child's future independence resorted to intensive parenting practices. These findings align with the concept of parental determinism, emphasising the perceived causal link between present parental actions and future child outcomes. In the context of extreme prematurity, a nuanced understanding of parental perceptions regarding their child's future independence aligned with a delicate balance between hope and realistic aspiration is crucial for enhancing parental support and well-being.
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Affiliation(s)
- Emmi Suonpera
- UCL EGA Institute for Women's Health, University College London, London, UK
| | - Katie Gallagher
- UCL EGA Institute for Women's Health, University College London, London, UK
| | - Neil Marlow
- UCL EGA Institute for Women's Health, University College London, London, UK
| | - Anne Lanceley
- UCL EGA Institute for Women's Health, University College London, London, UK
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Day J. The intensification of parenting and generational fracturing of spontaneous physical activity from childhood play in the United Kingdom. SOCIOLOGY OF HEALTH & ILLNESS 2024; 46:153-171. [PMID: 37550844 DOI: 10.1111/1467-9566.13701] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/11/2023] [Accepted: 07/13/2023] [Indexed: 08/09/2023]
Abstract
Despite an increased drive over the past two decades in Western societies to promote children's physically active play to improve their health, there are concerns that childhood has become less physically active. There are also fears that a previously naturally occurring aspect of childhood has become less authentically playful. Both trends highlight changes over time in the amount and type of play practiced by children and are often cited as consequences of generational shifts. Yet, research which analytically employs the concept of generation to connect changes to childhood with relevant social transformations is lacking. Inspired by Mannheim's conceptualisation of generations, this paper draws on life history interviews with 28 United Kingdom residents born between 1950 and 1994 to propose a fracturing of naturally occurring physical activity from childhood play. As shifts in childhood and parenting have become inextricably linked, this argument illustrates the impact of an intensification to parenting upon greater parental surveillance of increasingly organised forms of childhood physical activity at the expense of spontaneous play. Future physical activity policy should be sensitive to the social climate in which recommendations for children are made, as this places expectations upon parents due to how childhood is currently understood within neoliberal contexts.
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Affiliation(s)
- John Day
- School of Health & Social Care, University of Essex, Colchester, UK
- Sport and Body Cultures Research Group, Canterbury Christ Church University, Canterbury, UK
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Mikhaylova O, Bochkor A, Osipova P, Popov D, Chepeleva M, Rybakova E. Child self-care autonomy in health (scale for parents): development, internal structure, and sex/age correlates. Front Psychol 2023; 14:1243400. [PMID: 37691816 PMCID: PMC10491485 DOI: 10.3389/fpsyg.2023.1243400] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2023] [Accepted: 08/11/2023] [Indexed: 09/12/2023] Open
Abstract
Autonomy in self-care practices in the health sphere is a critical characteristic for the survival of humans throughout the life span. Notably, however, the current literature lacks psychometrically sound instruments that measure this phenomenon among children without diagnosed chronic health conditions. The purpose of the present exploratory study was to develop, test, and provide data regarding the reliability and validity of the Child Self-Care Autonomy in Health (CSAH) scale. The piloted version of the CSAH yielded an 11-item instrument designed to reflect the parent's perspective in measuring the extent of autonomy in self-care actions related to health for a child, whether diagnosed with a chronic illness or not. Data were collected through an online survey of a non-random sample of Russian-speaking parents currently residing in Russia (N = 349). The analysis focused on scale structure via principal component analysis and age/sex associations. The proposed CSAH may be of interest to social workers, health professionals, and parents seeking to ascertain schoolers' autonomy in self-care practices in the health sphere and support building a stronger self-care mindset.
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Affiliation(s)
- Oxana Mikhaylova
- Center for Contemporary Childhood Research, HSE University, Moscow, Russia
- Department for Social Institutions Analysis, HSE University, Moscow, Russia
| | - Anastasia Bochkor
- Laboratory for Psychology of Social Inequality, HSE University, Moscow, Russia
- Centre for Institutional Research, HSE University, Moscow, Russia
| | - Polina Osipova
- Laboratory for Sports Studies, HSE University, Moscow, Russia
- Centre for Student Academic Development, HSE University, Moscow, Russia
| | - Denis Popov
- Department for Social Insitutions Analysis, HSE University, Moscow, Russia
| | - Maria Chepeleva
- Center for Sociocultural Research at HSE University, Moscow, Russia
| | - Evgenia Rybakova
- Department for Social Insitutions Analysis, HSE University, Moscow, Russia
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Han CS, Brussoni MJ, Mâsse LC. Parental Autonomy Support in the Context of Parent-Child Negotiation for Children's Independent Mobility: 'I Always Feel Safer With My Parents' to 'Boom! Bust Down Those Walls!'. THE JOURNAL OF EARLY ADOLESCENCE 2022; 42:737-764. [PMID: 35559208 PMCID: PMC9082966 DOI: 10.1177/02724316211064513] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Autonomy - acting volitionally with a sense of choice - is a crucial right for children. Given parents' pivotal position in their child's autonomy development, we examined how parental autonomy support and children's need for autonomy were negotiated and manifested in the context of children's independent mobility - children's ability to play, walk or cycle unsupervised. We interviewed 105 Canadian children between 10 and 13-years-old and their parents (n = 135) to examine child-parents' negotiation patterns as to children's independent mobility. Four patterns emerged, varying on parental autonomy support and children's need/motivation for independent mobility: (1) child/parent dyad wants to increase independent mobility; (2) child only wants to increase independent mobility while parents do not; (3) child does not want to increase independent mobility while parents do; and (4) child/parent dyad does not want to increase independent mobility. Findings illuminate the importance of recognizing children as active and capable agents of change.
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Affiliation(s)
- Christina S Han
- Department of Pediatrics, University of British Columbia; British Columbia Injury Research & Prevention Unit, British Columbia Children’s Hospital, Vancouver, BC, Canada
| | - Mariana J Brussoni
- Department of Pediatrics, University of British Columbia; School of Population and Public Health, University of British Columbia; British Columbia Injury Research & Prevention Unit, British Columbia Children’s Hospital, Vancouver, BC, Canada
| | - Louise C Mâsse
- School of Population and Public Health, British Columbia Children’s Hospital, University of British Columbia, Vancouver, BC, Canada
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Subjective Well-Being and Parenthood in Chile. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18147408. [PMID: 34299858 PMCID: PMC8304376 DOI: 10.3390/ijerph18147408] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/16/2021] [Revised: 07/04/2021] [Accepted: 07/09/2021] [Indexed: 11/16/2022]
Abstract
Being a parent plays an important role in people's life trajectory and identity. Though the general cultural perception is that having children is a source of subjective well-being, there is evidence that, at least in some societies, the subjective well-being of those who are parents is worse, in some aspects, than that of those who are not. This gap has been the object of interest and controversy. The aim of this study was to compare Chilean adults with and without children in a broad set of well-being indicators, controlling for other sociodemographic variables. A public national probabilistic database was used. The results show that, in terms of positive and negative affect, those who are not parents achieve greater well-being than those who have children. Other results also pointed in that direction. The implications of the social context and gender, which are aspects that pose a burden for the exercise of parenthood in Chile, are discussed.
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Sear R. The male breadwinner nuclear family is not the 'traditional' human family, and promotion of this myth may have adverse health consequences. Philos Trans R Soc Lond B Biol Sci 2021; 376:20200020. [PMID: 33938277 PMCID: PMC8090810 DOI: 10.1098/rstb.2020.0020] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/03/2021] [Indexed: 11/12/2022] Open
Abstract
The importance of social support for parental and child health and wellbeing is not yet sufficiently widely recognized. The widespread myth in Western contexts that the male breadwinner-female homemaker nuclear family is the 'traditional' family structure leads to a focus on mothers alone as the individuals with responsibility for child wellbeing. Inaccurate perceptions about the family have the potential to distort academic research and public perceptions, and hamper attempts to improve parental and child health. These perceptions may have arisen partly from academic research in disciplines that focus on the Western middle classes, where this particular family form was idealized in the mid-twentieth century, when many of these disciplines were developing their foundational research. By contrast, evidence from disciplines that take a cross-cultural or historical perspective shows that in most human societies, multiple individuals beyond the mother are typically involved in raising children: in evolutionary anthropology, it is now widely accepted that we have evolved a strategy of cooperative reproduction. Expecting mothers to care for children with little support, while expecting fathers to provide for their families with little support, is, therefore, likely to lead to adverse health consequences for mothers, fathers and children. Incorporating evidence-based evolutionary, and anthropological, perspectives into research on health is vital if we are to ensure the wellbeing of individuals across a wide range of contexts. This article is part of the theme issue 'Multidisciplinary perspectives on social support and maternal-child health'.
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Affiliation(s)
- Rebecca Sear
- London School of Hygiene and Tropical Medicine, London, UK
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