Adolescents' and young people's experiences of social relationships and health concerns during COVID-19

Purpose: To illuminate the meaning of social relationships and health concerns as experienced by adolescents and young people during the COVID-19 pandemic. / Methods: A longitudinal qualitative study was conducted. Data reported from 172 adolescents and young people aged 12–24 years in five countries; Chile, South Africa, Sweden, the United Kingdom and the United States collected from May 2020 to June 2021 were analysed via thematic analysis. / Results: Adolescents and young peoples’ experiences of social relationships and health concerns were described in seven themes: Family proximity, conflicts and frustration; difficulties and challenges related to limited living space; peer relations and maintaining friendship in times of social distancing; the importance of school as a place for interaction; vulnerability, emotional distress and uncertainty about the future; health concerns and sense of caring for others; and worries and concerns related to financial hardship. These reports show that the changes to everyday life that were introduced by public responses to the pandemic generated feelings of loneliness, vulnerability, and emotional distress, as well as increased sense of togetherness with family. / Conclusions: The everyday lives of adolescents and young people were restricted and affected more by the consequences of the pandemic than by the COVID-19 virus. These experiences had various impacts on well-being and mental health, where some individuals felt more exposed and vulnerable to emotional distress and loneliness than others. Family and peer relationships could be protective and support a sense of togetherness and belonging. Hence, social relationships are important to provide emotional support. Support for adolescents and young people should be tailored accordingly around social and emotional concerns, to encourage health and well-being

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

TV in the daily life of children: the case of Santiago de Chile

Este artículo presenta los resultados preliminares de una investigación sobre las significaciones de la televisión en la vida cotidiana de la infancia, el cual corresponde a un estudio de casos con niños y niñas de estrato socioeconómico medio de Santiago de Chile. Se exploran los usos y sentidos diversos que los niños asignan a la televisión, además de la forma como se apropian de la programación televisiva y toman sus propias decisiones al respecto. Resulta relevante, al respecto, continuar profundizando acerca de la presencia concreta y simbólica de la televisión en la conformación de los procesos de identidad de los niños y en la mediatización que ésta ejerce en las relaciones que ellos establecen con sus amigos, sus compañeros de escuela, sus hermanos y sus padresThis article presents the preliminary results of an investigation on the meaning of television in the daily life of children, which corresponds to a study carried out on with boys and girls of a medium socio-economic level from Santiago of Chile. The diverse uses and senses that children assign to television are explored. In addition, the way in which they use and appropriate television programming is also analyzed. Along the same lines, it is relevant to go on studying in depth the concrete and symbolic presence of television in the conformation of children’s identity processes and in the mediation that television exerts in children’s relationships with their friends, their classmates, their siblings and their parent

Representación de la infancia en el discurso publicitario: Un análisis de caso de la publicidad en Chile

This paper discusses the main characteristics of advertising discourse in relation to childhood and its engagement with children�s view of this stage of life, in line with «new social studies» and critical discourse analysis. This discussion seeks to complement the functionalist perspective of communication studies in the field of advertising content analysis by incorporating a discursive focus, taking into account contextual issues that may condition the interpretation of messages. Firstly, discourse analysis was used as a means of exploring social representations, identifying stereotypes employed in children's advertising in order to establish the possible functions of the message. To contrast these findings, group interviews were conducted with 10 and 11 year-old boys and girls from middle-income families in Santiago, Chile. A comparison of both findings reveals a complex and relational notion of childhood. Children see themselves as burdened by parents, and adulthood as an effective lack of liberty, where the archetypes reveal an image of the adult world as a state of loss with respect to the exercise of creativity, imagination and freedom. These archetypes correlate to children�s television output, where a number of shows ridicule the image of adults through irony and parody, presenting them as incompetent in their roles as parents and in their moral authority.El artículo analiza las principales características que presenta el discurso de la publicidad respecto de la infancia, y su relación con la perspectiva que los niños tienen de esta etapa de la vida, tomado como referencia los «nuevos estudios sociales» y el análisis crítico de discursos. Con esto, se busca complementar la perspectiva funcionalista de los estudios de comunicación en el ámbito del análisis de contenido, incorporando un enfoque discursivo que considere los aspectos contextuales, que puedan condicionar la interpretación de los mensajes publicitarios. El método utilizado, en una primera etapa, fue el análisis de discurso aplicado a la publicidad infantil, donde se establecieron las funciones posibles del mensaje, con el objetivo de explorar las representaciones sociales e identificar los estereotipos utilizados para generar estos espots publicitarios. En una segunda etapa, y para contrastar los hallazgos obtenidos, se realizaron entrevistas grupales a niños y niñas de estrato socio-económico medio de 10 y 11 años, de la ciudad de Santiago de Chile. Al confrontar ambos resultados, se destaca una noción compleja y relacional de infancia. Una visión de sí mismos como niños agobiados por los adultos y de la adultez como ausencia de libertad efectiva, y donde los arquetipos identificados, hablan de una imagen del mundo adulto como condición de pérdida respecto del ejercicio de la creatividad, la imaginación y la libertad. Estos arquetipos tienen su correlato en la oferta televisiva infantil, donde en buena parte de sus series, la imagen del adulto es ridiculizada a través de la ironía y la parodia, mostrándolos como poco competentes en sus roles de padres y en su autoridad moral

La TV en la vida de la infancia: estudio de caso en Santiago de Chile

This article presents the preliminary results of an investigation on the meaning of television in the daily life of children, which corresponds to a study carried out on with boys and girls of a medium socio-economic level from Santiago of Chile. The diverse uses and senses that children assign to television are explored. In addition, the way in which they use and appropriate television programming is also analyzed. Along the same lines, it is relevant to go on studying in depth the concrete and symbolic presence of television in the conformation of children�s identity processes and in the mediation that television exerts in children�s relationships with their friends, their classmates, their siblings and their parents.Este artículo presenta los resultados preliminares de una investigación sobre las significaciones de la televisión en la vida cotidiana de la infancia, el cual corresponde a un estudio de casos con niños y niñas de estrato socioeconómico medio de Santiago de Chile. Se exploran los usos y sentidos diversos que los niños asignan a la televisión, además de la forma como se apropian de la programación televisiva y toman sus propias decisiones al respecto. Resulta relevante, al respecto, continuar profundizando acerca de la presencia concreta y simbólica de la televisión en la conformación de los procesos de identidad de los niños y en la mediatización que ésta ejerce en las relaciones que ellos establecen con sus amigos, sus compañeros de escuela, sus hermanos y sus padres

Representation of childhood in advertising discourse : a case study of the advertising industry in chile

El artículo analiza las principales características que presenta el discurso de la publicidad respecto de la infancia, y su relación con la perspectiva que los niños tienen de esta etapa de la vida, tomado como referencia los «nuevos estudios sociales» y el análisis crítico de discursos. Con esto, se busca complementar la perspectiva funcionalista de los estudios de comunicación en el ámbito del análisis de contenido, incorporando un enfoque discursivo que considere los aspectos contextuales, que puedan condicionar la interpretación de los mensajes publicitarios. El método utilizado, en una primera etapa, fue el análisis de discurso aplicado a la publicidad infantil, donde se establecieron las funciones posibles del mensaje, con el objetivo de explorar las representaciones sociales e identificar los estereotipos utilizados para generar estos espots publicitarios. En una segunda etapa, y para contrastar los hallazgos obtenidos, se realizaron entrevistas grupales a niños y niñas de estrato socio-económico medio de 10 y 11 años, de la ciudad de Santiago de Chile. Al confrontar ambos resultados, se destaca una noción compleja y relacional de infancia. Una visión de sí mismos como niños agobiados por los adultos y de la adultez como ausencia de libertad efectiva, y donde los arquetipos identificados, hablan de una imagen del mundo adulto como condición de pérdida respecto del ejercicio de la creatividad, la imaginación y la libertad. Estos arquetipos tienen su correlato en la oferta televisiva infantil, donde en buena parte de sus series, la imagen del adulto es ridiculizada a través de la ironía y la parodia, mostrándolos como poco competentes en sus roles de padres y en su autoridad moral.This paper discusses the main characteristics of advertising discourse in relation to childhood and its engagement with children’s view of this stage of life, in line with «new social studies» and critical discourse analysis. This discussion seeks to complement the functionalist perspective of communication studies in the field of advertising content analysis by incorporating a discursive focus, taking into account contextual issues that may condition the interpretation of messages. Firstly, discourse analysis was used as a means of exploring social representations, identifying stereotypes employed in children's advertising in order to establish the possible functions of the message. To contrast these findings, group interviews were conducted with 10 and 11 year-old boys and girls from middle-income families in Santiago, Chile. A comparison of both findings reveals a complex and relational notion of childhood. Children see themselves as burdened by parents, and adulthood as an effective lack of liberty, where the archetypes reveal an image of the adult world as a state of loss with respect to the exercise of creativity, imagination and freedom. These archetypes correlate to children’s television output, where a number of shows ridicule the image of adults through irony and parody, presenting them as incompetent in their roles as parents and in their moral authority

Comunicar : revista científica iberoamericana de comunicación y educación

Resumen tomado de la publicación. - El artículo forma parte de una sección de la revista dedicada a: InvestigacionesSe analizan las principales características que presenta el discurso de la publicidad respecto de la infancia, y su relación con la perspectiva que los niños tienen de esta etapa de la vida, tomado como referencia los 'nuevos estudios sociales' y el análisis crítico de discursos. Con esto, se busca complementar la perspectiva funcionalista de los estudios de comunicación en el ámbito del análisis de contenido, incorporando un enfoque discursivo que considere los aspectos contextuales que puedan condicionar la interpretación de los mensajes publicitarios. El método utilizado, en una primera etapa, fue el análisis de discurso aplicado a la publicidad infantil, donde se establecieron las funciones posibles del mensaje, con el objetivo de explorar las representaciones sociales e identificar los estereotipos utilizados para generar estos spots publicitarios. En una segunda etapa, y para contrastar los hallazgos obtenidos, se realizaron entrevistas grupales a niños y niñas de estrato socio-económico medio de 10 y 11 años, de la ciudad de Santiago de Chile. Al confrontar ambos resultados, se destaca una noción compleja y relacional de infancia. Una visión de sí mismos como niños agobiados por los adultos y de la adultez como ausencia de libertad efectiva, y donde los arquetipos identificados hablan de una imagen del mundo adulto como condición de pérdida respecto del ejercicio de la creatividad, la imaginación y la libertad.AndalucíaES