34 research outputs found

    Parental supervision positively impacts children’s economic prospects two decades later: A prospective longitudinal study

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    Importance Upward income mobility is associated with better health outcomes and reduced stress. However, opportunities are unequally distributed, particularly so for those in rural communities and whose family have lower educational attainment. Objective To test the impact of parental supervision on their children’s income two decades later adjusting for parental economic and educational status. Design This study is a longitudinal, representative cohort study. From 1993–2000, annual assessments of 1,420 children were completed until age 16, then followed up at age 35, 2018–2021, for further assessment. Models tested direct effects of parental supervision on child income, and indirect effects via child educational attainment. Setting This study is an ongoing longitudinal population-based study of families in 11 predominately rural counties of the Southeastern U.S. Participants About 8% of the residents and sample are African American and fewer than 1% are Hispanic. American Indians make up 4% of the population in study but were oversampled to make up 25% of the sample. 49% of the 1,420 participants are female. Main outcomes and measures 1258 children and parents were assessed for sex, race/ethnicity, household income, parent educational attainment, family structure, child behavioral problems, and parental supervision. The children were followed up at age 35 to assess their household income and educational attainment. Results Parental educational attainment, income, and family structure were strongly associated with their children’s household income at age 35 (e.g., r = .392, p < .05). Parental supervision of the child was associated with increased household income for the child at age 35, adjusting for SES of the family of origin. Children of parents who did not engage in adequate supervision earned approximately $14,000 less/year (i.e., ~13% of the sample’s median household income) than those who did. The association of parental supervision and child income at 35 was mediated by the child’s educational attainment. Conclusion and relevance This study suggests adequate parental supervision during early adolescence is associated with children’s economic prospects two decades later, in part by improving their educational prospects. This is particularly important in areas such as rural Southeast U.S

    Ptsd Symptoms Across Pregnancy And Early Postpartum Among Women With Lifetime Ptsd Diagnosis

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    Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/122410/1/da22465.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/122410/2/da22465_am.pd

    A View from the Past Into our Collective Future: The Oncofertility Consortium Vision Statement

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    Today, male and female adult and pediatric cancer patients, individuals transitioning between gender identities, and other individuals facing health extending but fertility limiting treatments can look forward to a fertile future. This is, in part, due to the work of members associated with the Oncofertility Consortium. The Oncofertility Consortium is an international, interdisciplinary initiative originally designed to explore the urgent unmet need associated with the reproductive future of cancer survivors. As the strategies for fertility management were invented, developed or applied, the individuals for who the program offered hope, similarly expanded. As a community of practice, Consortium participants share information in an open and rapid manner to addresses the complex health care and quality-of-life issues of cancer, transgender and other patients. To ensure that the organization remains contemporary to the needs of the community, the field designed a fully inclusive mechanism for strategic planning and here present the findings of this process. This interprofessional network of medical specialists, scientists, and scholars in the law, medical ethics, religious studies and other disciplines associated with human interventions, explore the relationships between health, disease, survivorship, treatment, gender and reproductive longevity. The goals are to continually integrate the best science in the service of the needs of patients and build a community of care that is ready for the challenges of the field in the future

    Advancing Digital Medicine with Wearables in the Wild

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    This editorial provides a concise overview of the use and importance of wearables in the emerging field of digital medicine [...

    Parental perception of mental health needs in young children

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    Background: There is evidence of unmet psychiatric needs in children under 6. These young children are dependent on their parents to identify their mental health needs. This study tested child and parent associations with parent perception of young child mental health need. Method: Parents of 917 children (aged 2-6 years) completed a diagnostic interview about their child assessing depression, anxiety, ODD/CD, ADHD, and impairment. Parents were surveyed about their own depression, anxiety, and asked about their psychiatric impairment. Parents were also asked whether they perceived their child as having a mental health need. Results: Only 38.8% of children who met criteria for a diagnosis were perceived by their parents as having a need, similar to previously studied rates in school-aged children. Perception of need was associated with higher levels of symptoms and impairment. Thresholds for at least half of parents perceiving their child as having a need were relatively high: 19 or more symptoms, or 4 or more impairments. There was evidence of specificity: children with depressive disorders were more likely to be perceived as in need compared with other disorders. In terms of parent factors, more parental depressive symptoms were associated with higher perception of child need when the child had a diagnosis. Parental psychological impairment was associated with higher perception of need when the child had no diagnosis. Conclusions: Most preschool children that meet criteria for a psychiatric disorder are not perceived as needing help by their parents, which is dependent on both child and parent factors

    Parental supervision positively impacts children's economic prospects two decades later: A prospective longitudinal study.

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    ImportanceUpward income mobility is associated with better health outcomes and reduced stress. However, opportunities are unequally distributed, particularly so for those in rural communities and whose family have lower educational attainment.ObjectiveTo test the impact of parental supervision on their children's income two decades later adjusting for parental economic and educational status.DesignThis study is a longitudinal, representative cohort study. From 1993-2000, annual assessments of 1,420 children were completed until age 16, then followed up at age 35, 2018-2021, for further assessment. Models tested direct effects of parental supervision on child income, and indirect effects via child educational attainment.SettingThis study is an ongoing longitudinal population-based study of families in 11 predominately rural counties of the Southeastern U.S.ParticipantsAbout 8% of the residents and sample are African American and fewer than 1% are Hispanic. American Indians make up 4% of the population in study but were oversampled to make up 25% of the sample. 49% of the 1,420 participants are female.Main outcomes and measures1258 children and parents were assessed for sex, race/ethnicity, household income, parent educational attainment, family structure, child behavioral problems, and parental supervision. The children were followed up at age 35 to assess their household income and educational attainment.ResultsParental educational attainment, income, and family structure were strongly associated with their children's household income at age 35 (e.g., r = .392, p Conclusion and relevanceThis study suggests adequate parental supervision during early adolescence is associated with children's economic prospects two decades later, in part by improving their educational prospects. This is particularly important in areas such as rural Southeast U.S

    Rapid detection of internalizing diagnosis in young children enabled by wearable sensors and machine learning.

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    There is a critical need for fast, inexpensive, objective, and accurate screening tools for childhood psychopathology. Perhaps most compelling is in the case of internalizing disorders, like anxiety and depression, where unobservable symptoms cause children to go unassessed-suffering in silence because they never exhibiting the disruptive behaviors that would lead to a referral for diagnostic assessment. If left untreated these disorders are associated with long-term negative outcomes including substance abuse and increased risk for suicide. This paper presents a new approach for identifying children with internalizing disorders using an instrumented 90-second mood induction task. Participant motion during the task is monitored using a commercially available wearable sensor. We show that machine learning can be used to differentiate children with an internalizing diagnosis from controls with 81% accuracy (67% sensitivity, 88% specificity). We provide a detailed description of the modeling methodology used to arrive at these results and explore further the predictive ability of each temporal phase of the mood induction task. Kinematical measures most discriminative of internalizing diagnosis are analyzed in detail, showing affected children exhibit significantly more avoidance of ambiguous threat. Performance of the proposed approach is compared to clinical thresholds on parent-reported child symptoms which differentiate children with an internalizing diagnosis from controls with slightly lower accuracy (.68-.75 vs. .81), slightly higher specificity (.88-1.00 vs. .88), and lower sensitivity (.00-.42 vs. .67) than the proposed, instrumented method. These results point toward the future use of this approach for screening children for internalizing disorders so that interventions can be deployed when they have the highest chance for long-term success

    Maternal Postpartum Depression Increases Vulnerability for Toddler Behavior Problems through Infant Cortisol Reactivity

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    Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/147872/1/infa12271_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/147872/2/infa12271.pd
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