Issues in Comprehensive Pediatric Nursing
The first two years after an infant's birth is a time of transition for mothers as changes in roles, responsibilities, expectations, and behaviors occur in response to the demands of caring for newborn infants and young children. Mothers play pivotal roles in overall child development and health and may benefit from nursing intervention that assists in the transition to motherhood. A review of the intervention literature related to the promotion of effective mothering was performed in order to examine the range of interventions and evidence of their usefulness for maternal-child and pediatric nursing practice. Five broad categories of interventions appropriate for nursing practice were identified through the literature review. Home visiting, skin-to-skin contact, individual, infant-focused education/counseling, and theory-based group intervention have a specific applicability for the promotion of mothering in particular populations of mothers. Based on the evidence, nurses can incorporate selected strategies into nursing care to promote effective mothering during the first years of a child's life.
Sunday, March 25, 2007
Socioeconomic Status And Child Development
Annual Review of Psychology
Socioeconomic status (SES) is one of the most widely studied constructs in the social sciences. Several ways of measuring SES have been proposed, but most include some quantification of family income, parental education, and occupational status. Research shows that SES is associated with a wide array of health, cognitive, and socioemotional outcomes in children, with effects beginning prior to birth and continuing into adulthood. A variety of mechanisms linking SES to child well-being have been proposed, with most involving differences in access to material and social resources or reactions to stress-inducing conditions by both the children themselves and their parents. For children, SES impacts well-being at multiple levels, including both family and neighborhood. Its effects are moderated by children's own characteristics, family characteristics, and external support systems.
Socioeconomic status (SES) is one of the most widely studied constructs in the social sciences. Several ways of measuring SES have been proposed, but most include some quantification of family income, parental education, and occupational status. Research shows that SES is associated with a wide array of health, cognitive, and socioemotional outcomes in children, with effects beginning prior to birth and continuing into adulthood. A variety of mechanisms linking SES to child well-being have been proposed, with most involving differences in access to material and social resources or reactions to stress-inducing conditions by both the children themselves and their parents. For children, SES impacts well-being at multiple levels, including both family and neighborhood. Its effects are moderated by children's own characteristics, family characteristics, and external support systems.
Pathways from family economic conditions to adolescents' distress: Supportive parenting, stressors outside the family, and deviant peers
Journal of Community Psychology
Economic hardship is a stressor that affects large numbers of children and their families. This study estimated a model that included pathways linking economic conditions to the internalizing and externalizing symptoms of a multiethnic sample of urban adolescents. Similar to other prominent models, this model included parental distress and parenting as key constructs, but the expanded ecological model also included stressors outside the family and adolescents' associations with deviant peers as possible explanatory factors. Data from 300 adolescents and their parents were consistent with a model that showed linkages between economic conditions, parental depressive symptoms, supportive parenting, and internalizing symptoms. Stressors outside the family were associated with deviant peer affiliations which, in turn, predicted internalizing and externalizing symptoms. The implications of these findings for understanding economic conditions' influence on adolescents' mental health are discussed.
Economic hardship is a stressor that affects large numbers of children and their families. This study estimated a model that included pathways linking economic conditions to the internalizing and externalizing symptoms of a multiethnic sample of urban adolescents. Similar to other prominent models, this model included parental distress and parenting as key constructs, but the expanded ecological model also included stressors outside the family and adolescents' associations with deviant peers as possible explanatory factors. Data from 300 adolescents and their parents were consistent with a model that showed linkages between economic conditions, parental depressive symptoms, supportive parenting, and internalizing symptoms. Stressors outside the family were associated with deviant peer affiliations which, in turn, predicted internalizing and externalizing symptoms. The implications of these findings for understanding economic conditions' influence on adolescents' mental health are discussed.
The Family Context of Preadolescents' Orientations Toward Education: Effects of Maternal Orientations and Behavior
Journal of Educational Psychology
This study examines different pathways of maternal influence on the value that preadolescents attribute to mathematics and German language as domains of education. On the basis of data from 355 students and their mothers, the author tested effects of mothers' education, general parenting practices, leisure pursuits, joint activities with their children, school involvement, and their own evaluation of mathematics and German language. Results of structural equation modeling point to students' perceptions of maternal values as a central factor affecting students' values. Perceived maternal values vary depending on mothers' behavior rather than on values actually reported by mothers.
This study examines different pathways of maternal influence on the value that preadolescents attribute to mathematics and German language as domains of education. On the basis of data from 355 students and their mothers, the author tested effects of mothers' education, general parenting practices, leisure pursuits, joint activities with their children, school involvement, and their own evaluation of mathematics and German language. Results of structural equation modeling point to students' perceptions of maternal values as a central factor affecting students' values. Perceived maternal values vary depending on mothers' behavior rather than on values actually reported by mothers.
Family processes as pathways from income to young children's development
Developmental Psychology
A variety of family processes have been hypothesized to mediate associations between income and young children's development. Maternal emotional distress, parental authoritative and authoritarian behavior (videotaped mother-child interactions), and provision of cognitively stimulating activities (Home Observation for Measurement of the Environment [HOME] scales) were examined as possible mediators in a sample of 493 White and African American low-birth-weight premature infants who were followed from birth through age 5. Cognitive ability was assessed by standardized test, and child behavior problems by maternal report, when the children were 3 and 5 years of age. As expected, family income was associated with child outcomes. The provision of stimulating experiences in the home mediated the relation between family income and both children's outcomes; maternal emotional distress and parenting practices mediated the relation between income and children's behavior problems.
A variety of family processes have been hypothesized to mediate associations between income and young children's development. Maternal emotional distress, parental authoritative and authoritarian behavior (videotaped mother-child interactions), and provision of cognitively stimulating activities (Home Observation for Measurement of the Environment [HOME] scales) were examined as possible mediators in a sample of 493 White and African American low-birth-weight premature infants who were followed from birth through age 5. Cognitive ability was assessed by standardized test, and child behavior problems by maternal report, when the children were 3 and 5 years of age. As expected, family income was associated with child outcomes. The provision of stimulating experiences in the home mediated the relation between family income and both children's outcomes; maternal emotional distress and parenting practices mediated the relation between income and children's behavior problems.
Friday, March 16, 2007
Depressive Symptoms as a Longitudinal Predictor of Sexual Risk Behaviors Among US Middle and High School Students
Pediatrics
"RESULTS.
In adjusted models, boys and girls with high depressive symptom levels at baseline were significantly more likely than those with low symptom levels to report ≥1 of the examined sexual risk behaviors over the course of the 1-year follow-up period. For boys, high depressive symptom levels were specifically predictive of condom nonuse at last sex, birth control nonuse at last sex, and substance use at last sex; these results were similar to those of parallel analyses with a continuous depression measure. For girls, moderate depressive symptoms were associated with substance use at last sex, and no significant associations were found between high depressive symptom levels and individual sexual risk behaviors. Parallel analyses with the continuous depression measure found significant associations for condom nonuse at last sex, birth control nonuse at last sex, ≥3 sexual partners, and any sexual risk behavior.
CONCLUSION. In this study, depressive symptoms predicted sexual risk behavior in a national sample of male and female middle and high school students over a 1-year period."
"RESULTS.
In adjusted models, boys and girls with high depressive symptom levels at baseline were significantly more likely than those with low symptom levels to report ≥1 of the examined sexual risk behaviors over the course of the 1-year follow-up period. For boys, high depressive symptom levels were specifically predictive of condom nonuse at last sex, birth control nonuse at last sex, and substance use at last sex; these results were similar to those of parallel analyses with a continuous depression measure. For girls, moderate depressive symptoms were associated with substance use at last sex, and no significant associations were found between high depressive symptom levels and individual sexual risk behaviors. Parallel analyses with the continuous depression measure found significant associations for condom nonuse at last sex, birth control nonuse at last sex, ≥3 sexual partners, and any sexual risk behavior.
CONCLUSION. In this study, depressive symptoms predicted sexual risk behavior in a national sample of male and female middle and high school students over a 1-year period."
Child Maltreatment in the United States: Prevalence, Risk Factors, and Adolescent Health Consequences
Pediatrics
"RESULTS. Having been left home alone as a child, indicating possible supervision neglect, was most prevalent (reported by 41.5% of respondents), followed by physical assault (28.4%), physical neglect (11.8%), and contact sexual abuse (4.5%). Each sociodemographic characteristic was associated with ≥1 type of maltreatment, and race/ethnicity was associated with all 4. Each type of maltreatment was associated with no fewer than 8 of the 10 adolescent health risks examined.
CONCLUSIONS. Self-reported childhood maltreatment was common. The likelihood of maltreatment varied across many sociodemographic characteristics. Each type of maltreatment was associated with multiple adolescent health risks."
"RESULTS. Having been left home alone as a child, indicating possible supervision neglect, was most prevalent (reported by 41.5% of respondents), followed by physical assault (28.4%), physical neglect (11.8%), and contact sexual abuse (4.5%). Each sociodemographic characteristic was associated with ≥1 type of maltreatment, and race/ethnicity was associated with all 4. Each type of maltreatment was associated with no fewer than 8 of the 10 adolescent health risks examined.
CONCLUSIONS. Self-reported childhood maltreatment was common. The likelihood of maltreatment varied across many sociodemographic characteristics. Each type of maltreatment was associated with multiple adolescent health risks."
Family Characteristics Have More Influence On Child Development Than Does Experience In Child Care
National Institutes of Health (NIH)
"Family Characteristics Have More Influence On Child Development Than Does Experience In Child Care
A compendium of findings from a study funded by the National Institutes of Health reveals that a child’s family life has more influence on a child’s development through age four and a half than does a child’s experience in child care.
“This study shows only a slight link between child care and child development,” said Duane Alexander, M.D., Director of the National Institute of Child Health and Human Development, the NIH component which funded the study. “Child care clearly matters to children’s development, but family characteristics — and children’s experiences within their families — appear to matter more.”"
...
"Family Characteristics Have More Influence On Child Development Than Does Experience In Child Care
A compendium of findings from a study funded by the National Institutes of Health reveals that a child’s family life has more influence on a child’s development through age four and a half than does a child’s experience in child care.
“This study shows only a slight link between child care and child development,” said Duane Alexander, M.D., Director of the National Institute of Child Health and Human Development, the NIH component which funded the study. “Child care clearly matters to children’s development, but family characteristics — and children’s experiences within their families — appear to matter more.”"
...
Monday, March 12, 2007
UN bid to condemn sex-selection abortion
Catholic World News
"Despite a groundswell of support at the UN's Commission on the Status of Women (CSW) this week, a US-sponsored resolution calling on states to eliminate prenatal sex selection and female infanticide has been withdrawn due to pressure from China, India, Canada, Costa Rica, Mexico and others, the Catholic Family and Human Rights Institute (C-Fam) reports.
China lobbied against the resolution at the highest levels of UN delegations, reports Samantha Singson in C-Fam's Friday Fax. The Indian delegation likewise lobbied forcefully against it. It is likely that India and China objected because, even though the resolution focused on the global nature of the problem, they believed it would draw attention to the fact that theirs are the worst cases of female infanticide and sex-selection abortion. Demographers estimate that about 100 million girls are already “missing.”
Other delegations also worked to derail the resolution by maneuver, thus avoiding discussion about the rising trend of killing baby girls and the substance of the resolution. Canada worked against the resolution by loading up the draft document with language that the US could not support. Costa Rica did the same, although it is unclear why the pro-life country worked so hard to oppose the initiative, or why Mexico chose to oppose it.
...
"Despite a groundswell of support at the UN's Commission on the Status of Women (CSW) this week, a US-sponsored resolution calling on states to eliminate prenatal sex selection and female infanticide has been withdrawn due to pressure from China, India, Canada, Costa Rica, Mexico and others, the Catholic Family and Human Rights Institute (C-Fam) reports.
China lobbied against the resolution at the highest levels of UN delegations, reports Samantha Singson in C-Fam's Friday Fax. The Indian delegation likewise lobbied forcefully against it. It is likely that India and China objected because, even though the resolution focused on the global nature of the problem, they believed it would draw attention to the fact that theirs are the worst cases of female infanticide and sex-selection abortion. Demographers estimate that about 100 million girls are already “missing.”
Other delegations also worked to derail the resolution by maneuver, thus avoiding discussion about the rising trend of killing baby girls and the substance of the resolution. Canada worked against the resolution by loading up the draft document with language that the US could not support. Costa Rica did the same, although it is unclear why the pro-life country worked so hard to oppose the initiative, or why Mexico chose to oppose it.
...
Sunday, March 11, 2007
A Review of the Relationship Among Parenting Practices, Parenting Styles, and Adolescent School Achievement
Educational Psychology Review
This article reviews the literature on the relationship among parenting practices, parenting styles, and adolescent school achievement. The review of the empirical research indicates that parental involvement and monitoring are robust predictors of adolescent achievement. Several studies, however, indicate that parental involvement declines in adolescence, prompting the call for future research on the reasons for and associated consequences of this decline. Furthermore, the review indicates that authoritative parenting styles are often associated with higher levels of student achievement, although these findings are not consistent across culture, ethnicity, and socioeconomic status. Darling and Steinbergrsquos contextual model of parenting provides a promising model to help resolve these discrepancies, however, further research is needed to examine the major linkages of the model. It is also argued that the contextual model should expand its notion of context towards the larger cultural and economic context in which families reside. ...
This article reviews the literature on the relationship among parenting practices, parenting styles, and adolescent school achievement. The review of the empirical research indicates that parental involvement and monitoring are robust predictors of adolescent achievement. Several studies, however, indicate that parental involvement declines in adolescence, prompting the call for future research on the reasons for and associated consequences of this decline. Furthermore, the review indicates that authoritative parenting styles are often associated with higher levels of student achievement, although these findings are not consistent across culture, ethnicity, and socioeconomic status. Darling and Steinbergrsquos contextual model of parenting provides a promising model to help resolve these discrepancies, however, further research is needed to examine the major linkages of the model. It is also argued that the contextual model should expand its notion of context towards the larger cultural and economic context in which families reside. ...
Neighborhood and Family Influences on Educational Attainment: Results from the Ontario Child Health Study Follow-Up 2001
Child Development
This study uses multilevel models to examine longitudinal associations between contextual influences (neighborhood and family) assessed in 1983 in a cohort of 2,355 children, 4–16 years of age, and educational attainment in 2001. Variation in educational attainment in 2001 attributable to between-neighborhood and between-family differences was 8.17% and 36.88%, respectively. The final model explained 33.64% of the variance in educational attainment, with unique variances of 14.53% for neighborhood and family-level variables combined versus 10.94% for child-level variables. Among the neighborhood and family-level variables, indicators of status (5.29%) versus parental capacity/family process (4.03%) made comparable predictions to attainment while children from economically disadvantaged families did not benefit educationally from living in more affluent areas.
This study uses multilevel models to examine longitudinal associations between contextual influences (neighborhood and family) assessed in 1983 in a cohort of 2,355 children, 4–16 years of age, and educational attainment in 2001. Variation in educational attainment in 2001 attributable to between-neighborhood and between-family differences was 8.17% and 36.88%, respectively. The final model explained 33.64% of the variance in educational attainment, with unique variances of 14.53% for neighborhood and family-level variables combined versus 10.94% for child-level variables. Among the neighborhood and family-level variables, indicators of status (5.29%) versus parental capacity/family process (4.03%) made comparable predictions to attainment while children from economically disadvantaged families did not benefit educationally from living in more affluent areas.
Thursday, March 08, 2007
Placing Emotional Self-Regulation in Sociocultural and Socioeconomic Contexts
Child Development
C. CybeleRaver
In their review, Cole, Martin, and Dennis (this issue) relied on a valuable set of empirical examples of emotion regulation in infancy, toddlerhood, and the preschool period to make their case. These examples can be extended to include an emergent body of published research examining normative emotional regulatory processes among low-income and ethnic minority children using similar experimental methods. The following article considers emotion regulation across differing income, risk, and sociocultural contexts. Review of this literature points to ways these broader contexts are likely to influence children's development of emotional self-regulation. This review also points to innovative analytic approaches that might be useful in inferring causal mechanisms in emotion regulation research.
C. CybeleRaver
In their review, Cole, Martin, and Dennis (this issue) relied on a valuable set of empirical examples of emotion regulation in infancy, toddlerhood, and the preschool period to make their case. These examples can be extended to include an emergent body of published research examining normative emotional regulatory processes among low-income and ethnic minority children using similar experimental methods. The following article considers emotion regulation across differing income, risk, and sociocultural contexts. Review of this literature points to ways these broader contexts are likely to influence children's development of emotional self-regulation. This review also points to innovative analytic approaches that might be useful in inferring causal mechanisms in emotion regulation research.
Income Is Not Enough: Incorporating Material Hardship Into Models of Income Associations With Parenting and Child Development
Child Development
Although research has clearly established that low family income has negative impacts on children's cognitive skills and social–emotional competence, less often is a family's experience of material hardship considered. Using the Early Childhood Longitudinal Study, Kindergarten Class of 1998–1999 (N=21,255), this study examined dual components of family income and material hardship along with parent mediators of stress, positive parenting, and investment as predictors of 6-year-old children's cognitive skills and social–emotional competence. Support was found for a model that identified unique parent-mediated paths from income to cognitive skills and from income and material hardship to social–emotional competence. The findings have implications for future study of family income and child development and for identification of promising targets for policy intervention.
Although research has clearly established that low family income has negative impacts on children's cognitive skills and social–emotional competence, less often is a family's experience of material hardship considered. Using the Early Childhood Longitudinal Study, Kindergarten Class of 1998–1999 (N=21,255), this study examined dual components of family income and material hardship along with parent mediators of stress, positive parenting, and investment as predictors of 6-year-old children's cognitive skills and social–emotional competence. Support was found for a model that identified unique parent-mediated paths from income to cognitive skills and from income and material hardship to social–emotional competence. The findings have implications for future study of family income and child development and for identification of promising targets for policy intervention.
Sunday, March 04, 2007
Economic Pressure and Children's Psychological Functioning
Journal of Child and Family Studies
We examined the mediating role of family dynamics (marital quality, parental depression) in the link between economic pressure and child psychological functioning using the data from the National Survey of Family and Households (NSFH). From the initial multiethnic probability sample, we used a subsample of 2998 parents with a focal child 5 to 17 years of age. We used structural equation modeling using AMOS 4.0 to test the model. The results indicated support for associations among economic pressure, marital quality, parental depression, parenting strategies and children outcomes. Economic pressure was associated with lower marital quality and higher depression. Higher conflict and psychological distress was associated with frequent use of harsh discipline techniques and lower psychological functioning in children.
We examined the mediating role of family dynamics (marital quality, parental depression) in the link between economic pressure and child psychological functioning using the data from the National Survey of Family and Households (NSFH). From the initial multiethnic probability sample, we used a subsample of 2998 parents with a focal child 5 to 17 years of age. We used structural equation modeling using AMOS 4.0 to test the model. The results indicated support for associations among economic pressure, marital quality, parental depression, parenting strategies and children outcomes. Economic pressure was associated with lower marital quality and higher depression. Higher conflict and psychological distress was associated with frequent use of harsh discipline techniques and lower psychological functioning in children.
Saturday, March 03, 2007
New Directions in Analyses of Parenting Contributions to Children's Acquisition of Values
Child Development
Grusec, Goodnow & Kuczynski
Traditional theories of how children acquire values or standards of behavior have emphasized the importance of specific parenting techniques or styles and have acknowledged the importance of a responsive parent–child relationship, but they have failed to differentiate among forms of responsiveness, have stressed internalization of values as the desired outcome, and have limited their scope to a small set of parenting strategies or methods. This paper outlines new directions for research. It acknowledges the central importance of parents and argues for research that (1) demonstrates that parental understanding of a particular child's characteristics and situation rather than use of specific strategies or styles is the mark of effective parenting; (2) traces the differential impact of varieties of parent responsiveness; (3) assesses the conditions surrounding the fact that parents have goals other than internalization when socializing their children, and evaluates the impact of that fact; and (4) considers a wider range of parenting strategies.
Grusec, Goodnow & Kuczynski
Traditional theories of how children acquire values or standards of behavior have emphasized the importance of specific parenting techniques or styles and have acknowledged the importance of a responsive parent–child relationship, but they have failed to differentiate among forms of responsiveness, have stressed internalization of values as the desired outcome, and have limited their scope to a small set of parenting strategies or methods. This paper outlines new directions for research. It acknowledges the central importance of parents and argues for research that (1) demonstrates that parental understanding of a particular child's characteristics and situation rather than use of specific strategies or styles is the mark of effective parenting; (2) traces the differential impact of varieties of parent responsiveness; (3) assesses the conditions surrounding the fact that parents have goals other than internalization when socializing their children, and evaluates the impact of that fact; and (4) considers a wider range of parenting strategies.
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