Examining Racial Ethnic Socialization, Ethnic Identity Development, and Their Psychological Correlates in a Sample of Ethnically Diverse Youth

Research on racial ethnic socialization experiences among ethnically diverse youth from their perspective is limited. Additionally, little is known about the relationship between specific racial ethnic socialization messages and positive youth outcomes such as subjective well-being. This study sought to examine the prevalence of specific types of racial ethnic socialization messages in a group of ethnically diverse high school students. The study also examined the role of preparation for bias and cultural socialization messages on youth\u27s ethnic identity development and private group esteem. The study also examined the mediating role of ethnic identity and self-esteem in the relationship between racial ethnic socialization messages and subjective well-being among ethnically diverse youth. Findings emerging from the study revealed that cultural socialization messages were more prevalent than preparation for bias messages and females reported receiving more cultural socialization messages than their male counterparts. Hierarchical regression analyses revealed that cultural socialization in messages were particularly salient in youth\u27s ethnic identity development and private group esteem. Mediation analyses revealed that ethnic identity completely mediated the relationship between racial ethnic socialization messages and satisfaction with life. Ethnic identity and self-esteem did not mediate the relationship between racial ethnic socialization messages and youth\u27s positive and negative affect. A discussion of the results, limitations, and implications for future research are provided

Use of the WHO Access, Watch, and Reserve classification to define patterns of hospital antibiotic use (AWaRe) : an analysis of paediatric survey data from 56 countries

Background Improving the quality of hospital antibiotic use is a major goal of WHO's global action plan to combat antimicrobial resistance. The WHO Essential Medicines List Access, Watch, and Reserve (AWaRe) classification could facilitate simple stewardship interventions that are widely applicable globally. We aimed to present data on patterns of paediatric AWaRe antibiotic use that could be used for local and national stewardship interventions. Methods 1-day point prevalence survey antibiotic prescription data were combined from two independent global networks: the Global Antimicrobial Resistance, Prescribing, and Efficacy in Neonates and Children and the Global Point Prevalence Survey on Antimicrobial Consumption and Resistance networks. We included hospital inpatients aged younger than 19 years receiving at least one antibiotic on the day of the survey. The WHO AWaRe classification was used to describe overall antibiotic use as assessed by the variation between use of Access, Watch, and Reserve antibiotics, for neonates and children and for the commonest clinical indications. Findings Of the 23 572 patients included from 56 countries, 18305 were children (77.7%) and 5267 were neonates (22.3%). Access antibiotic use in children ranged from 7.8% (China) to 61.2% (Slovenia) of all antibiotic prescriptions. The use of Watch antibiotics in children was highest in Iran (77.3%) and lowest in Finland (23.0%). In neonates, Access antibiotic use was highest in Singapore (100.0%) and lowest in China (24.2%). Reserve antibiotic use was low in all countries. Major differences in clinical syndrome-specific patterns of AWaRe antibiotic use in lower respiratory tract infection and neonatal sepsis were observed between WHO regions and countries. Interpretation There is substantial global variation in the proportion of AWaRe antibiotics used in hospitalised neonates and children. The AWaRe classification could potentially be used as a simple traffic light metric of appropriate antibiotic use. Future efforts should focus on developing and evaluating paediatric antibiotic stewardship programmes on the basis of the AWaRe index. Copyright (C) 2019 The Author(s). Published by Elsevier Ltd