Disadvantaged children at greater relative risk of thinness (as well as obesity): a secondary data analysis of the England National Child Measurement Programme and the UK Millennium Cohort Study

Introduction: Young children living in more disadvantaged socio-economic circumstances (SECs) are at an increased risk of overweight and obesity. However, there is scant research examining the prevalence and social distribution of thinness in early childhood, despite potential negative consequences for health and development across the life-course. Methods: We examined the social gradient in thinness (and overweight and obesity for comparison) for 2,620,422 four-to-five year olds attending state maintained primary schools from 2007/8 to 2011/12, in the England National Child Measurement Programme (NCMP), and 16,715 children from the UK Millennium Cohort Study (MCS), born in 2000–2002, and measured at ages of three, five and seven. Children were classified as being thin, healthy weight (and, for completeness, overweight or obese) using international age and sex adjusted cut-offs for body mass index (BMI). Prevalences (and 95 % confidence intervals (CIs)) were estimated, overall, and according to SECs: area deprivation (NCMP, MCS); household income, and maternal social class and education (MCS only). Relative Risk Ratios (RRRs) and CIs for thinness, overweight and obesity were estimated in multinomial models by SECs (baseline healthy weight). In the MCS, standard errors were estimated using clustered sandwich estimators to account for repeated measures, and, for thinness, RRRs by SECs were also estimated adjusting for a range of early life characteristics. Results: In 2007/8 to 2011/12, 5.20 % of four-to-five year old girls (n = 66,584) and 5.88 % of boys (78,934) in the NCMP were thin. In the MCS, the prevalence of thinness was 4.59 % (693) at three, 4.21 % (702) at five, and 5.84 % (804) at seven years. In both studies, and for all measures of SECs, children from the most disadvantaged groups were more likely to be thin than those from the most advantaged groups. For example, MCS children whose mothers had no educational qualifications were fifty percent more likely to be thin (RRR 1.5 (CI: 1.24, 1.8)) than those whose mothers had a degree. These patterns were attenuated but remained after adjusting for early life characteristics. Conclusions: Children from more disadvantaged backgrounds are at elevated relative risk of thinness as well as obesity. Researchers and policymakers should consider environmental influences on thinness in addition to overweight and obesity

Have health inequalities changed during childhood in the New Labour generation? Findings from the UK Millennium Cohort Study

Objectives: To examine how population-level socioeconomic health inequalities developed during childhood, for children born at the turn of the 21st century and who grew up with major initiatives to tackle health inequalities (under the New Labour Government). Setting The UK. Participants: Singleton children in the Millennium Cohort Study at ages 3 (n=15 381), 5 (n=15 041), 7 (n=13 681) and 11 (n=13 112) years. Primary outcomes: Relative (prevalence ratios (PR)) and absolute health inequalities (prevalence differences (PD)) were estimated in longitudinal models by socioeconomic circumstances (SEC; using highest maternal academic attainment, ranging from ‘no academic qualifications’ to ‘degree’ (baseline)). Three health outcomes were examined: overweight (including obesity), limiting long-standing illness (LLSI), and socio-emotional difficulties (SED). Results: Relative and absolute inequalities in overweight, across the social gradient, emerged by age 5 and increased with age. By age 11, children with mothers who had no academic qualifications were considerably more likely to be overweight as compared with those with degree-educated mothers (PR=1.6 (95% CI 1.4 to 1.8), PD=12.9% (9.1% to 16.8%)). For LLSI, inequalities emerged by age 7 and remained at 11, but only for children whose mothers had no academic qualifications (PR=1.7 (1.3 to 2.3), PD=4.8% (2% to 7.5%)). Inequalities in SED (observed across the social gradient and at all ages) declined between 3 and 11, although remained large at 11 (eg, PR=2.4 (1.9 to 2.9), PD=13.4% (10.2% to 16.7%) comparing children whose mothers had no academic qualifications with those of degree-educated mothers). Conclusions: Although health inequalities have been well documented in cross-sectional and trend data in the UK, it is less clear how they develop during childhood. We found that relative and absolute health inequalities persisted, and in some cases widened, for a cohort of children born at the turn of the century. Further research examining and comparing the pathways through which SECs influence health may further our understanding of how inequalities could be prevented in future generations of children

Anger and Sadness Rumination and Their Impact on Momentary Changes in Impulsivity and Pain Tolerance: Implications for the Development of Suicide Risk

Recent research in suicide has called for an increased focus on factors that facilitate an individual’s transition from suicidal ideation to action (Klonsky & May, 2014). Rumination, the repetitive fixation on negative emotional material, has been associated with not only increased suicidal ideation but also a history of self-injury and suicide attempts (Morrison & O’Connor, 2008), suggesting that it may contribute to the ability to inflict lethal and non-lethal self-harm. Given that past research has found physiological differences between low (ex. sadness) and high (ex. anger) arousal negative affective states, the present thesis project sought to examine the effects of anger and sadness rumination on state pain tolerance and impulsivity to examine the mechanisms that underlie non-suicidal self-injury (NSSI) and suicidal behaviors. The moderating effect of suicide risk on the aforementioned relationships was also examined. A sample of 120 undergraduate students were randomly assigned into one of four conditions: control, anger, sadness, or anger with sadness and underwent an idiographic emotion (Pitman et al., 1987) and rumination induction (Nolen-Hoeksema & Morrow, 1993). They also completed subjective and behavioral measures assessing emotion, impulsivity, and pain tolerance. Results were not supportive of the hypothesis that individuals who engage in anger (vs. sadness) rumination will experience greater levels of state impulsivity and pain tolerance. Furthermore, suicide risk did not appear to impact the aforementioned relationships

Prospects of the Hong Kong Tourism Industry

Suggestions for future planning are offered to Hong Kong tourism practitioners and policy makers on the basis of estimated tourism demand, 1998 to 2007. The authors give an overview of the historical background of the Hong Kong tourism industry and use formal tourism forecasting techniques to estimate this demand

Temporal effects of maternal psychological distress on child mental health problems at ages 3, 5, 7 and 11: analysis from the UK Millennium Cohort Study

Background: Psychological distress is common among women of childbearing age, and limited longitudinal research suggests prolonged exposure to maternal distress is linked to child mental health problems. Estimating effects of maternal distress over time is difficult due to potential influences of child mental health problems on maternal distress and time-varying confounding by family circumstances. Methods: We analysed the UK Millennium Cohort Study, a nationally representative sample with data collected throughout childhood. Adopting a marginal structural modelling framework, we investigated effects of exposure to medium/high levels of maternal psychological distress (Kessler-6 score 8+) on child mental health problems (Strengths and Difficulties Questionnaire borderline/abnormal behaviour cut-off) using maternal and child mental health data at 3, 5, 7 and 11 years, accounting for the influence of child mental health on subsequent maternal distress, and baseline and time-varying confounding. Results: Prior and concurrent exposures to maternal distress were associated with higher levels of child mental health problems at ages 3, 5, 7 and 11 years. For example, elevated risks of child mental health problems at 11 years were associated with exposure to maternal distress from 3 years [risk ratio (RR) 1.27 (95% confidence interval (CI) 1.08–1.49)] to 11 years [RR 2.15 (95% CI 1.89–2.45)]. Prolonged exposure to maternal distress at ages 3, 5, 7 and 11 resulted in an almost fivefold increased risk of child mental health problems. Conclusions: Prior, concurrent and, particularly, prolonged exposure to maternal distress raises risks for child mental health problems. Greater support for mothers experiencing distress is likely to benefit the mental health of their children

A qualitative study of the volunteer mind-set

Wellington South Community Patrol (WSCP) is an affiliate of the Community Patrols New Zealand (CPNZ) and fits into the safety, security and not-for-profit sectors or industries. Wellington South Community Patrol is registered as a charitable trust, as are most community patrol groups, and they get support in terms of training and funding from CPNZ.The intention of this study is to understand the reasons individuals volunteer their time and skills for free. The findings will help to recruit, manage and retain volunteers. The key findings were: Volunteers are not in it for the money People can be motivated by recognition and rewards Volunteer mind-sets can be developed later in life. Many volunteers grow up in families where volunteering is the norm The appealing factors of volunteering are belongingness, safety, sense of achievement, satisfaction, increased knowledge and career benefits

Increased household financial strain, the Great Recession and child health-findings from the UK Millennium Cohort Study.

Background: There is a growing body of evidence associating financial strain (FS) with poor health but most of this research has been cross-sectional and adult-focused. During the ‘Great Recession’ many UK households experienced increased FS. The primary aim of this study was to determine the impact of increased FS on child health. Methods: We analysed the Millennium Cohort Study, a longitudinal study of children born in the UK between 2000 and 2002. Surveys at 7 years (T1, 2008) and 11 years (T2, 2012) spanned the ‘Great Recession’. Three measures of increased FS were defined; ‘became income poor’ (self-reported household income dropped below the ‘poverty line’ between T1 and T2); ‘developed difficulty managing’ ( parental report of being ‘financially comfortable’ at T1 and finding it ‘difficult to manage’ at T2); ‘felt worse off’ ( parental report of feeling financially ‘worse off’ at T2 compared with T1). Poisson regression was used to estimate risk ratios (RR), adjusted risk ratios (aRR) and 95% CIs for six child health outcomes: measured overweight/obesity, problematic behaviour as scored by parents and teachers, and parental reports of fair/poor general health, long-standing illness and bedwetting at T2 (N=13 112). In subanalyses we limited our sample to those who were above the poverty line at T2. Results: Compared with those who were not financially strained at both time points, children in households which experienced increased FS were at an increased risk of all unhealthy outcomes examined. In most cases, these increased risks persisted after adjustment for confounding and when limiting the sample to those above the poverty line. Conclusions: FS is associated with a range of new or continued poor child health outcomes. During times of widespread economic hardship, such as the ‘Great Recession’, measures should be taken to buffer children and their families from the impact of FS, and these should not be limited to those who are income poor

How Does Employees\u27 Branding and Employees\u27 Behavior Influence Hotel Service Quality?

The primary aim of this research is to investigate whether organisational citizenship behaviors, in-role behaviors, employees’ empowerment and employees’ branding can influence customers’ perceived service quality. A model is proposed based on three interlinked literature strands that consider human resources management, brand management, and hospitality management. The survey instruments will be developed based on the results of the focus groups and the literature. A set of relationships among employees’ behaviors, employees’ branding and service quality will be examined by structural equation modeling. The findings would encourage hotels to allocate resources to improve those critical elements that can help to achieve the best results

Does the listener matter? How a listener affects the storyteller’s memory of a tourism experience

Despite the breadth of literature on tourists’ narratives, the influence of the listener during storytelling on individuals’ travel memories has received little attention in tourism research. Interpersonal sharing with a listener could elicit a process called capitalization whereby the storyteller (re)constructs an experience to make it more memorable to the self. In light of this research gap, this study investigates how a listener could affect a storyteller’s memory of his/her travel experiences. Experiment 1 demonstrates that interpersonal sharing with a listener enhances tourists’ post-trip evaluation of positive experiences. Experiment 2 further examines how the nature of a listener’s responsiveness (i.e., specific or general responsiveness) could affect the storyteller’s memory and demonstrates that storytellers could also maximize details of negative experiences, thereby worsening their cognitive and affective images of the destination after interpersonal sharing. These findings have important managerial implications in service experiences and customer-relationship building in tourism and hospitality settings