Child removal as thegatewayto further adversity: Birth mother accounts of the immediate and enduring collateral consequences of child removal

Qualitative Social Work, Journal Year: 2019, Volume and Issue: 19(1), P. 15 - 37

Published: Dec. 19, 2019

This article is focused on the immediate and enduring consequences of child removal, from perspective birth mothers. The builds authors’ previous theoretical work collateral removal women’s vulnerability to repeat family court appearances. Interview data drawn in-depth qualitative interviews with 72 mothers conducted in seven local authority areas are revisited enable a analysis longer-term effects removal. Analysis was informed by phenomenology’s interest collective accounts experience pursuit moderate generalisations. All women participating study had experienced their children through courts, or were involved protection proceedings concerning an unborn child, having previously lost care. Birth recounted psychosocial crisis following but also cumulative nature problems. From accounts, we have been able deepen our understanding enormity recovery challenge for long-standing histories disadvantage who hold fragile restricted social statuses. Role loss further exclusionary particularly pronounced, given limited access protective resources. A clear set recommendations services out final discussion. scale difficulties face needs be recognised that aim promote recovery, if helped avoid recurrent proceedings.

Language: Английский

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SOCIOECONOMIC STATUS AND ADVERSE BIRTH OUTCOMES: A POPULATION-BASED CANADIAN SAMPLE

Journal of Biosocial Science, Journal Year: 2017, Volume and Issue: 50(1), P. 102 - 113

Published: March 8, 2017

This study assessed the strength of association between socioeconomic status (SES) and low birth weight (LBW) preterm (PTB) in Southwestern Ontario. Utilizing perinatal neonatal databases at London Health Science Centre, maternal postal codes were entered into a Geographic Information System to determine home neighbourhoods. Neighbourhoods defined by dissemination areas (DAs). Median household income for each DA was extracted from latest Canadian Census linked mother. All singleton infants born February 2009 2014 included. Of 26,654 live births, 6.4% LBW 9.7% PTB. Top risk factors were: amphetamine use, chronic hypertension marijuana use (OR respectively: 17.51, 3.18, 2.72); previously diagnosed diabetes, narcotic insulin-controlled gestational diabetes predicted PTB 17.95, 2.69, 2.42). Overall, SES had little impact on adverse outcomes, although education increased likelihood neonate (OR: 1.01).

Language: Английский

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Family, Peer, and School Influences on Children’s Developing Health Lifestyles

Journal of Health and Social Behavior, Journal Year: 2018, Volume and Issue: 59(1), P. 133 - 150

Published: Jan. 3, 2018

Health lifestyles are important for health and social identity, yet little is known about their development in early life. We use data from the Early Childhood Longitudinal Study-Kindergarten Cohort of 1998-99 (ECLS-K; N = 8,786) to track children's assess a theoretical model lifestyle development. Latent class analyses identify at four time points first eighth grade, multivariate models investigate interrelationships contextual influences. multidimensional dynamic, children demonstrate distinct combinations risks protections. Family factors, such as resources parenting, shape earlier lifestyles, which influence later lifestyles. Results show that contexts drive changes family factors decrease with age while some school peer influences appear emerge. Policy makers researchers interested shaping behaviors should consider dynamic nature

Language: Английский

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Social capital across the life course: Accumulation, diminution, or segregation?

Network Science, Journal Year: 2020, Volume and Issue: 8(3), P. 313 - 332

Published: Aug. 6, 2020

Abstract This study examines changes in individual social capital during adult life within a 19-year period. Social theory and course are combined, it is argued that networks do not necessarily go together with capital: while personal known to decline size age, can be expected accumulate, particular for those who had better starting position therefore more resources share. Panel data from the survey of Dutch (SSND) (1999–2018) at four points measurement employed inquire into this argument. measured by generator instrument, three indicators, is, resource extensity, mean prestige access, range analyzed. Results fixed effect models show that, on average, people maintain access capital, men higher educated gain through their as opposed women lower educated. Implications understanding reproduction inequality discussed. The paper concludes reflection upon value ego-centered network analysis era big science.

Language: Английский

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Living with a chronic disease: insights from patients with a low socioeconomic status

BMC Family Practice, Journal Year: 2021, Volume and Issue: 22(1)

Published: Nov. 18, 2021

Abstract Background Little is known about how patients with low socioeconomic status (SES) experience their chronic disease, and it impacts health-related quality of life (HRQoL). Compared to more affluent counterparts, worse outcomes have been reported. A better understanding the domains HRQoL that are relevant these specific populations therefore needed. We explored experiences living a disease in SES persons. Methods qualitative interview study was performed Flanders, Belgium. Semi-structured interviews were conducted chronically ill patients, selected through purposive sampling. Interviews audio-recorded transcribed verbatim. Analysis followed an inductive iterative approach. Results Fifteen interviewed. Six major themes identified: heavy bag carry, loss autonomous life, inner outer loneliness, emotional imbalance, unmet need for support, coping strategies. Patients experienced illness as additional problem on top all other problems (i.e. financial/social problems, traumatic events). In general, burden non-disease mutually reinforcing, resulting greater dependency, risk social isolation, psychological distress, impaired HRQoL. Conclusions This first provide detailed insight into conceptual model proposed can be used daily clinical practice raise awareness among clinicians health care providers patient’s needs go beyond itself. Future research needed validate test model.

Language: Английский

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Disparities in the Prevalence of Childhood Obesity-Related Comorbidities: A Systematic Review

Frontiers in Public Health, Journal Year: 2022, Volume and Issue: 10

Published: July 6, 2022

Non-communicable diseases among children are serious consequences of childhood obesity. However, less is known about the disparities in obesity comorbidities burden. This review describes salient pattern prevalence obesity-related non-communicable and relevant inequalities both high- low/medium-income countries.A systematic literature search was performed MEDLINE, Embase, CINAHL, PsycInfo, Scopus, Web Science databases by two independent reviewers. Inclusion criteria were as follows: age 2-18 years; or incidence reported; studies published English from January 2010 to date. No restrictions on setting. The data analyzed using range median for subgroups based country's development status, gender, geographical region.Our identified 6,837 articles, out which we examined 145 full-text articles included 54 analysis. hypertension 35.6 vs. 12.7% middle- low-income countries compared with high-income countries; 37.7 32.9% boys girls; 38.6, 25.3, 20.1% Asia, South America, Europe, respectively. For metabolic syndrome, 26.9 5.5% 55.2 12.0% 40.3, 25.8, 7.7% non-alcoholic fatty liver disease 47.5 23% 52.1, 39.7, 23.0% dyslipidemia 43.5 63% 73.7 49.2% Australia respectively.There hypertension, disease, countries, boys, Asian region having higher prevalence. Implementing targeted interventions should consider socioeconomic strengthening research surveillance methods a better understanding burden pediatric population.https://www.crd.york.ac.uk/PROSPERO, identifier: CRD42021288607.

Language: Английский

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Association of family income to poverty ratio and vibration-controlled transient elastography quantified degree of hepatic steatosis in U.S. adolescents

Frontiers in Endocrinology, Journal Year: 2023, Volume and Issue: 14

Published: March 23, 2023

Introduction Inequality in socioeconomic status plays an important role the prevalence of metabolic diseases adolescents. The purpose this study was to explore association between family income and degree hepatic steatosis quantified by vibration-controlled transient elastography (VCTE) among U.S. Methods This cross-sectional included two cycles National Health Nutrition Examination Survey (NHANES) 2017-2020. Multivariate linear regression smoothing curve fitting were used investigate nonlinear relationship PIR steatosis, respectively. Subgroup analysis interaction tests test whether stable across groups. Results Of 1,574 adolescent participants, 456 lived poor households 307 wealthy households. After adjusting for all covariates, (Ratio poverty) significantly negatively associated with [-4.78 (-7.39, -2.17)], remained after converting a categorical variable. In addition, significant negative more pronounced women [-7.62 (-11.38, -3.87)], non-Hispanic blacks [-7.19 (-14.43, 0.06)], Mexican Americans [-6.80 (-13.63, 0.03)], participants BMI >30 cm 2 [-10.83 (-19.70, -1.96)]. Conclusions US Additional prospective studies are needed confirm our findings.

Language: Английский

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Income variability and incident cardiovascular disease in diabetes: a population-based cohort study

European Heart Journal, Journal Year: 2024, Volume and Issue: 45(21), P. 1920 - 1933

Published: April 26, 2024

Abstract Background and Aims Longitudinal change in income is crucial explaining cardiovascular health inequalities. However, there limited evidence for disease (CVD) risk associated with dynamics over time among individuals type 2 diabetes (T2D). Methods Using a nationally representative sample from the Korean National Health Insurance Service database, 1 528 108 adults aged 30–64 T2D no history of CVD were included 2009 to 2012 (mean follow-up 7.3 years). monthly insurance premium information, levels assessed annually baseline year four preceding years. Income variability was defined as intraindividual standard deviation percent 5 The primary outcome composite event incident fatal nonfatal (myocardial infarction, heart failure, stroke) using claims. Hazard ratios (HRs) 95% confidence intervals (CIs) estimated after adjusting potential confounders. Results High-income increased (HRhighest vs. lowest quartile 1.25, CI 1.22–1.27; Ptrend < .001). Individuals who experienced an decline (4 years ago baseline) had risk, which particularly notable when decreased level (i.e. Medical Aid beneficiaries), regardless their initial status. Sustained low quartile) (HRn = n 0 1.38, 1.35–1.41; .0001), whereas sustained high highest 0.71, 0.70–0.72; .0001). Sensitivity analyses, exploring mediators, such lifestyle-related factors obesity, supported main results. Conclusions Higher variability, declines, risk. Our findings highlight need better understand mechanisms by impact T2D.

Language: Английский

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Cumulative Social Disadvantage and Medicinal Cannabis Use Among Younger Adults in Rural Communities: A Mixed Methods Approach

Journal of Psychoactive Drugs, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 10

Published: Jan. 7, 2025

This mixed-methods study investigated the role of medicinal cannabis use among younger adults who live in rural communities and experience high levels cumulative social disadvantage (CSD). Results are based on cross-sectional surveys online interviews with 153 (18-35-years old) California. We assessed participants' CSD (high, medium, low) examined associations perceived general physical mental health (MUC). Qualitative analyses were then conducted to better understand roles lives participants versus low CSD. High was associated poorer MUC, but not past month use. findings emphasized significant MUC for young people reduce stress manage health. Findings suggest need address inequities communities, such as increasing access care, reliance managing

Language: Английский

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The importance of socio-economic determinants of health in the care of patients with peripheral artery disease: A narrative review from VAS

Vascular Medicine, Journal Year: 2023, Volume and Issue: 28(3), P. 241 - 253

Published: May 8, 2023

Socio-economic determinants of health (SDoH) include various nonmedical factors in the socio-economic sphere with a potentially significant impact on outcomes. Their effects manifest through several mediators/moderators (behavioral characteristics, physical environment, psychosocial circumstances, access to care, and biological factors). Various critical covariates (age, gender/sex, race/ethnicity, culture/acculturation, disability status) also interact. Analyzing these is challenging due their enormous complexity. Although significance SDoH for cardiovascular diseases well documented, research regarding peripheral artery disease (PAD) occurrence care less documented. This narrative review explores what extent are multifaceted PAD how they associated its care. Additionally, methodological issues that may hamper this effort addressed. Finally, most important question, whether association contribute reasonable interventions aimed at SDoH, analyzed. endeavor requires attention social context, whole systems approach, multilevel-thinking, broader alliance reaches out more stakeholders outside medical sphere. More needed justify power concept improve PAD-related outcomes like lower extremity amputations. At present time, some evidence, consideration, intuitive reasoning support implementation field.

Language: Английский

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