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Research in Child and Family Health
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Research in Child and Family Health

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Children's Health".

Deadline for manuscript submissions: closed (30 November 2022) | Viewed by 14800

Special Issue Editors

Dr. Daniel Terry

E-Mail Website
Guest Editor
School of Nursing and Midwifery, University of Southern Queensland, Ipswich, QLD 00244B, Australia
Interests: rural health; rural health workforce; paediatric injury; paediatric asthma; chronic ill-health; nursing; men in nursing; communities of practice
Dr. Blake Peck

E-Mail Website
Guest Editor
Federation University Australia, Building H, Room H1113, Mt Helen Campus, PO Box 663 Ballarat VIC 3353 Mount Helen VIC 3350, Australia
Interests: paediatric injury; paediatric asthma; paediatric continence; chronic ill-health; nursing; men in nursing; communities of practice; qualitative research

Special Issue Information

Dear Colleagues,

Accounting for almost one million deaths and many millions of non-fatal hospitalisations each year globally, injury is the leading cause of death and ongoing disease burden amongst the paediatric population who survive beyond their first birthday.  At the individual country level, the picture is often no different, with injury being one of the leading causes of morbidity and mortality among children aged 1-16 years and is one of the principal reasons for seeking healthcare or hospitalisation in this age group. Sadly, children from poorer families are disproportionately affected by injuries. Along with the acute injury event, long-term disability can result in significant lifelong impacts for the child, their family, and the wider community.

Child injuries are not the result of purely random or accidental events; in fact, they are largely preventable. As a public health problem, injuries can no longer be neglected. It must be noted that there have been advances in hospital interventions, emergency care, and the introduction of legislated safety initiatives at the local, provincial, state, and national levels which seek to protect children, and all have contributed to a decrease in the severity of the initial injury sustained, while increasing the likelihood of survival among injured children. However, despite the ongoing investment in prevention strategies, as well as the magnitude of the personal, familial, and broader social burden that childhood injury poses, there remains a need for a growing body of research evidence regarding the characteristics of childhood injury, the extent of the problem, and current strategies and emerging innovations that seek to address this major public health issue.

In this Special Issue in the International Journal of Environmental Research and Public Health, we seek to bring together the perspectives of international researchers, through discussion, debate, and the sharing of insights regarding paediatric injury, surveillance, best practice service approaches for children who experience injury, and innovative public health solutions that meet various population needs. Manuscripts that examine all aspects and types of childhood injury and encourage both quantitative and qualitative research, as well as systematic reviews, that represent different countries (low, middle, and high income) and contexts (metropolitan, regional, and rural) are welcomed.

Dr. Daniel Terry
Dr. Blake Peck
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • paediatric
  • childhood
  • injury
  • emergency
  • hospitalisation
  • sisability
  • public health
  • policy
  • program
  • innovation

Published Papers (6 papers)

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Research

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12 pages, 1024 KiB  
Article
Association between Mothers’ Emotional Problems and Autistic Children’s Behavioral Problems: The Moderating Effect of Parenting Style
by Xiujin Lin, Lizi Lin, Xin Wang, Xiuhong Li, Muqing Cao and Jin Jing
Int. J. Environ. Res. Public Health 2023, 20(5), 4593; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph20054593 - 05 Mar 2023
Viewed by 2045
Abstract
Mothers’ emotional problems are associated with autistic children’s behavioral problems. We aim to test whether parenting styles moderate associations between mothers’ mood symptoms and autistic children’s behavioral problems. A sample of 80 mother–autistic child dyads were enrolled at three rehabilitation facilities in Guangzhou, [...] Read more.
Mothers’ emotional problems are associated with autistic children’s behavioral problems. We aim to test whether parenting styles moderate associations between mothers’ mood symptoms and autistic children’s behavioral problems. A sample of 80 mother–autistic child dyads were enrolled at three rehabilitation facilities in Guangzhou, China. The Social Communication Questionnaire (SCQ) and the Strengths and Difficulties Questionnaire (SDQ) were used to collect the autistic symptoms and behavioral problems of the children. Mothers’ depression and anxiety symptoms were measured using the Patient Health Questionnaire 9 (PHQ-9) and the General Anxiety Disorder 7-item (GAD-7) scale, respectively, and parenting styles were measured using the Parental Behavior Inventory (PBI). Our results show that mothers’ anxiety symptoms were negatively associated with their children’s prosocial behavior scores (β = −0.26, p < 0.05) but positively related to their social interaction scores (β = 0.31, p < 0.05). Supportive/engaged parenting styles positively moderated the effects of mothers’ anxiety symptoms on their prosocial behavior score (β = 0.23, p = 0.026), whereas hostile/coercive parenting styles had a negative moderation (β = −0.23, p = 0.03). Moreover, hostile/coercive parenting styles positivity moderated the effects of mothers’ anxiety symptoms on social interaction problems (β= 0.24, p < 0.05). The findings highlight, where mothers adopted a hostile/coercive parenting style while experiencing high anxiety, their autistic child may have more serious behavioral problems. Full article
(This article belongs to the Special Issue Research in Child and Family Health)
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14 pages, 516 KiB  
Article
Parental Perceptions of Family-Centred Supports for Children with Developmental Disabilities
by Roy McConkey, Pauline O’Hagan and Joanne Corcoran
Int. J. Environ. Res. Public Health 2023, 20(5), 4205; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph20054205 - 27 Feb 2023
Cited by 2 | Viewed by 1437
Abstract
Family-centred interventions have long been advocated in paediatric practice and in public health, but their implementation is rarer with children experiencing developmental disabilities. Moreover, the uptake is lower in families from more socially deprived backgrounds. Yet there is robust evidence that such interventions [...] Read more.
Family-centred interventions have long been advocated in paediatric practice and in public health, but their implementation is rarer with children experiencing developmental disabilities. Moreover, the uptake is lower in families from more socially deprived backgrounds. Yet there is robust evidence that such interventions bring benefits to the family caregivers as well as to the affected children. The present study emerged from a support service that had been located in a rural county in Ireland in which nearly 100 families of children with intellectual and developmental disabilities had participated. Using a qualitative research methodology, interviews were conducted with 16 parents who had taken part in the service with the aim of gaining insights into the ways a family-centred service had been of value to them. The themes identified in their responses were validated in two ways. All parents were given the opportunity to provide their perceptions using a self-completion questionnaire, and nearly 50% responded. In addition, seven health and social care staff who had referred families to the project were asked their views through personal interviews. The core theme to emerge was the focus placed on family engagement by the service, with four subthemes emerging: parental confidence boosted; children developed; community connections were made; and supportive staff. These insights should help existing health and social care services to become more family-centred and inform the development of new support services in response to the high levels of unmet needs among marginalized families in even the most affluent countries. Full article
(This article belongs to the Special Issue Research in Child and Family Health)
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12 pages, 366 KiB  
Article
Does BMI Modify the Association between Vitamin D and Pulmonary Function in Children of the Mild Asthma Phenotype?
by Maria Michelle Papamichael, Catherine Itsiopoulos, Charis Katsardis, Dimitris Tsoukalas and Bircan Erbas
Int. J. Environ. Res. Public Health 2022, 19(24), 16768; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph192416768 - 14 Dec 2022
Viewed by 1239
Abstract
Vitamin D deficiency and obesity are global health problems that are associated with increased asthma risk in children. The purpose of this study was to investigate whether BMI modifies pulmonary function across vitamin D tertiles in pediatric asthma patients of the mild asthma [...] Read more.
Vitamin D deficiency and obesity are global health problems that are associated with increased asthma risk in children. The purpose of this study was to investigate whether BMI modifies pulmonary function across vitamin D tertiles in pediatric asthma patients of the mild asthma phenotype. This cross-sectional study conducted from November 2016–September 2017 compared lung function variability as assessed by spirometry and nitric oxide in exhaled breath (FeNO) among 35 normal-weight and 26 overweight/obese Greek schoolchildren (5–12 years old) with mild asthma. Serum 25 (OH)D levels ≥ 30 ng/mL were defined as ‘sufficient’, 20–30 ng/mL ‘insufficient’, and <20 ng/mL ‘deficient’. Stratification by BMI category, linear regression showed positive associations between D, % FVC (β = 0.49, 95%CI: 0.05, 0.94), and % FEV1 (β = 0.48, 95%CI: −0.01, 0.95) in the normal-weight only, adjusted for age, sex, regular exercise, and medication. FEV1 was 10% higher in the normal-weight D-sufficient group compared to those D-deficient (β = 10.43, 95%CI: 0.54, 20.32). No associations were observed for the overweight/obese group or FeNO. In conclusion, BMI modified associations of vitamin D on airway mechanics in children of the mild asthma phenotype. Serum 25 (OH)D concentrations ≥ 30 ng/mL were associated with higher ventilation in central airways of normal-weight asthmatic children. Full article
(This article belongs to the Special Issue Research in Child and Family Health)
15 pages, 1050 KiB  
Article
Influence of Family Environment on the Scientific Fitness Literacy of Preschool and School Children in China: A National Cross-Sectional Study
by Xiang Pan, Huan Wang, Dongming Wu, Xinhua Liu, Pengyu Deng and Yanfeng Zhang
Int. J. Environ. Res. Public Health 2022, 19(14), 8319; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph19148319 - 07 Jul 2022
Cited by 2 | Viewed by 1595
Abstract
Scientific fitness literacy (SFL) is a holistic concept based on physical literacy but has a smaller scope and is more specific to exercise and scientific fitness. We developed an instrument to assess SFL and explored the differences and similarities in the effects of [...] Read more.
Scientific fitness literacy (SFL) is a holistic concept based on physical literacy but has a smaller scope and is more specific to exercise and scientific fitness. We developed an instrument to assess SFL and explored the differences and similarities in the effects of the home environment on children’s SFL. Data from a nationwide stratified random sample of children were analyzed using multiple linear regression. SFL scores were significantly lower for preschoolers than for school-age children. The family environment has an impact throughout the preschool and school years, with school-age children’s SFL being less influenced by family members than preschool children; screen time has a negative impact on their SFL but reducing the number of electronic devices and increasing parental physical activity and modeling can alleviate its impact. The economic status of the family is crucial, with sports consumption expenditure and household sports equipment ownership being favourable factors for children’s SFL. Positive parental attitudes and sporting habits have a positive impact on their children’s SFL. The findings of this study can be used to improve children’s SFL in the home environment and to take effective measures to avoid the risk factors. Full article
(This article belongs to the Special Issue Research in Child and Family Health)
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13 pages, 350 KiB  
Article
The Socioeconomic Characteristics of Childhood Injuries in Regional Victoria, Australia: What the Missing Data Tells Us
by Blake Peck, Daniel Terry and Kate Kloot
Int. J. Environ. Res. Public Health 2021, 18(13), 7005; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18137005 - 30 Jun 2021
Cited by 1 | Viewed by 5317
Abstract
Background: Injury is the leading cause of death among those between 1–16 years of age in Australia. Studies have found that injury rates increase with socioeconomic disadvantage. Rural Urgent Care Centres (UCC) represent a key point of entry into the Victorian healthcare system [...] Read more.
Background: Injury is the leading cause of death among those between 1–16 years of age in Australia. Studies have found that injury rates increase with socioeconomic disadvantage. Rural Urgent Care Centres (UCC) represent a key point of entry into the Victorian healthcare system for people living in smaller rural communities, often categorised as lower socio-economic groups. Emergency presentation data from UCCs is not routinely collated in government datasets. This study seeks to compare socioeconomic characteristics of children aged 0–14 attending a UCC to those who attend a 24-h Emergency Departments with an injury-related emergency presentation. This will inform gaps in our current understanding of the links between socioeconomic status and childhood injury in regional Victoria. Methods: A network of rural hospitals in South West Victoria, Australia provide ongoing detailed de-identified emergency presentation data as part of the Rural Acute Hospital Data Register (RAHDaR). Data from nine of these facilities was extracted and analysed for children (aged 0–14 years) with any principal injury-related diagnosis presenting between 1 February 2017 and 31 January 2020. Results: There were 10,137 injury-related emergency presentations of children aged between 0–14 years to a participating hospital. The relationship between socioeconomic status and injury was confirmed, with overall higher rates of child injury presentations from those residing in areas of Disadvantage. A large proportion (74.3%) of the children attending rural UCCs were also Disadvantaged. Contrary to previous research, the rate of injury amongst children from urban areas was significantly higher than their more rural counterparts. Conclusions: Findings support the notion that injury in Victoria differs according to socioeconomic status and suggest that targeted interventions for the reduction of injury should consider socioeconomic as well as geographical differences in the design of their programs. Full article
(This article belongs to the Special Issue Research in Child and Family Health)

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13 pages, 6717 KiB  
Case Report
Primary Clear Cell Adenocarcinoma of the Uterine Cervix in a 14-Year-Old Virgin Girl: Case Report
by Iuliana Elena Bujor, Ludmila Lozneanu, Alexandra Ursache, Alexandra Cristofor, Ana-Maria Scurtu, Petru Plamadeala, Roxana Gireada, Cristina Elena Mandici, Marcel Alexandru Găină and Daniela Roxana Matasariu
Int. J. Environ. Res. Public Health 2022, 19(24), 16652; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph192416652 - 11 Dec 2022
Viewed by 2193
Abstract
Cervical cancer is rare in adolescent and pediatric populations, with adenocarcinoma being the most commonly reported. Clear cell adenocarcinoma of the uterine cervix accounts for only 4% of all adenocarcinoma cases, and about two-thirds are associated with intrauterine diethylstilbestrol (DES) exposure. We report [...] Read more.
Cervical cancer is rare in adolescent and pediatric populations, with adenocarcinoma being the most commonly reported. Clear cell adenocarcinoma of the uterine cervix accounts for only 4% of all adenocarcinoma cases, and about two-thirds are associated with intrauterine diethylstilbestrol (DES) exposure. We report the case of a 14-year-old virgin girl who presented with a 1-month-long history of abnormal vaginal bleeding and lower abdominal pain. Transabdominal pelvic ultrasound examination revealed the presence of an irregular, homogeneous cervical mass that was 7 cm in size. Therefore, a magnetic resonance imaging (MRI) scan was performed to establish the origin of the tumor and its relationship to adjacent pelvic organs. Furthermore, a vaginoscopy was performed to identify the tumor, and a cervical biopsy was performed. Immunohistochemical and anatomopathological studies resulted in the diagnosis of non-HPV(Human Papilloma Virus)-related clear cell adenocarcinoma of the cervix. Following the oncological examination, she was admitted for radiotherapy. The patient had no maternal history of DES exposure in utero. Even though the number of cases in the literature is low, most of the virgin girls diagnosed with clear cell adenocarcinoma of the cervix have a fatal prognosis because of the delay in making a correct diagnosis. Full article
(This article belongs to the Special Issue Research in Child and Family Health)
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