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1.
Demography ; 60(6): 1711-1720, 2023 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-37982579

RESUMO

In this research note, we demonstrate that trends in the likelihood of child support agreements differ by marital history (i.e., never-married vs. ever-married) and by whether measures rely on the stock of families (i.e., all those in which children live apart from a parent) or the flow (i.e., those that include children who newly live apart from a parent) in a given year. While previous research has highlighted difference by marital history, the contrast between stock and flow is a new contribution. Trends are typically measured with reference to the stock of cases, even while the flow of cases, which more immediately reflects concurrent policy changes, is more relevant in many contexts. Interpretations of recent declines in child support agreements in the stock of cases-referenced as evidence for both mandating participation and the impracticality of requiring child support-may be better informed by considering the flow of cases. We find the flow of previously married mothers increasingly likely to have child support agreements while the likelihood is relatively consistent over time for never-married mothers. For both groups, using the flow measure, we find notable increases in agreements without payments due in the most recent period. These findings underscore the importance of differentiating stock and flow, and by marital history, in considering the proportion with agreements as an indicator of the effectiveness of current policy.


Assuntos
Custódia da Criança , Características da Família , Feminino , Criança , Humanos , Pais , Casamento , Mães
2.
Soc Sci Res ; 110: 102850, 2023 02.
Artigo em Inglês | MEDLINE | ID: mdl-36796990

RESUMO

Research on child support compliance has focused on the characteristics of noncustodial parents (NCPs) that are associated with compliance, finding that compliance with child support orders is primarily related to the ability to pay support as demonstrated by earnings. Yet, there is evidence linking social support networks to both earnings and noncustodial parents' relationships with children. Using a social poverty framework, we show that relatively few NCPs are completely isolated: most have at least some people in their network who can loan money, provide a place to stay, or provide a ride. We explore whether the size of these instrumental support networks is positively linked to child support compliance both directly and indirectly through earnings. We find evidence of a direct association between instrumental support network size and child support compliance, but no evidence of an indirect association via increased earnings. These findings suggest the importance for researchers and child support practitioners to consider the contextual and relational factors of the social networks in which parents are embedded, and to more thoroughly examine the process by which support from one's network can lead to child support compliance.


Assuntos
Custódia da Criança , Pais , Criança , Humanos , Renda , Pobreza , Apoio Social
3.
BMC Public Health ; 22(1): 112, 2022 01 16.
Artigo em Inglês | MEDLINE | ID: mdl-35034606

RESUMO

BACKGROUND: The child support grant (CSG) is the largest unconditional cash transfer program in Africa and aims to alleviate poverty and improve child health and nutrition in low-income families in South Africa. Among informal working women, the CSG is an important source of income after childbirth when informal workers are unable to work, but reports suggest that women experience delays in accessing the CSG. We explore experiences and challenges of accessing the CSG among informal workers in Durban, South Africa. METHODS: We undertook a longitudinal mixed-methods cohort study. Women informal workers were recruited during pregnancy and followed-up for up to one year after the baby was born. Quantitative questionnaires and semi-structured in-depth interviews were used to collect data about women's plans for applying for the CSG, the application process, use of the CSG in the household, and household food insecurity. Interviews were conducted in IsiZulu by experienced researchers. Descriptive analysis of quantitative data used SPSS v26, and framework analysis using NVIVO v12.3 was used for qualitative analysis. RESULTS: Twenty-four informal working women were enrolled. The CSG received for older children was reported as an important and reliable source of income for mothers after childbirth. However, delays receiving the CSG for the new baby meant this support was unavailable to first-time mothers. The complex application process for the CSG required mothers to travel to various government departments to complete the required documentation, often taking the baby with them. This was costly and time-consuming for mothers who were already vulnerable, and led to delays in obtaining CSG funds. Many women experienced moderate or severe food insecurity before and after the baby was born. As a result, some mothers had to return to work earlier than planned, disrupting childcare and breastfeeding. CONCLUSIONS: Cash transfer programmes can effectively support low income households and improve outcomes for mothers and children. In South Africa there is a need for innovative approaches to streamline CSG applications, so women can access the funds immediately post-delivery to fill a resource gap and provide support at a vulnerable time for mothers and their children.


Assuntos
Custódia da Criança , Mães , Adolescente , Aleitamento Materno , Criança , Estudos de Coortes , Feminino , Humanos , Lactente , Gravidez , África do Sul
4.
Fam Process ; 61(3): 1116-1133, 2022 09.
Artigo em Inglês | MEDLINE | ID: mdl-35001396

RESUMO

Prior research underscores the importance of fathers' involvement in their children's lives. However, there is mixed evidence about the degree to which fatherhood programs improve economic stability and child support outcomes among noncustodial fathers. We attempted to address some of these gaps in the literature by evaluating the Fathers Advancing Community Together (FACT) program. FACT was implemented by Rubicon Programs, a community-based nonprofit organization in the Bay Area, California known for providing services to help move people out of poverty. The program provided parents economic stability, responsible parenting, and healthy relationship workshops, as well as support services and intensive case management. We relied on data from the Department of Child Support Services to assess whether FACT increased the likelihood of employment, child support modifications, and child support payments among noncustodial fathers during a 6-month post-enrollment period. Using 3:1 coarsened exact matching procedures, the total sample resulted in 744 fathers (186 in the intervention group and 558 in the comparison group). Results from logistic regression models indicate that FACT participants were more likely to be employed and more likely to receive a child support modification during the post-enrollment period than their comparison counterparts, though we found no significant relationship between FACT participation and whether fathers made a child support payment.


Investigaciones previas subrayan la importancia de la participación de los padres en las vidas de sus hijos. Sin embargo, hay datos contradictorios acerca del grado en el cual los programas sobre la paternidad mejoran los resultados en la estabilidad económica y la manutención infantil entre los padres que no tienen la custodia de sus hijos. Intentamos abordar algunos de estos vacíos en las publicaciones evaluando el programa "Padres que fomentan la comunidad juntos" (Fathers Advancing Community Together, FACT). El programa FACT fue implementado por Rubicon Programs, una organización comunitaria sin fines de lucro en el Área de la Bahía de California, conocida por prestar servicios para ayudar a las personas a salir de la pobreza. El programa ofreció talleres de estabilidad económica para los padres, crianza responsable y relaciones sanas, así como servicios de apoyo y gestión intensiva de casos. Utilizamos datos del Departamento de Servicios de Manutención Infantil (Department of Child Support Services) para evaluar si el FACT aumentó la probabilidad de empleo, las modificaciones en la manutención infantil y los pagos de la manutención infantil entre padres sin la custodia de sus hijos durante un periodo de seis meses posterior a la inscripción. Utilizando métodos de emparejamiento exacto 3:1, la muestra total dio como resultado 744 padres (186 en el grupo de intervención y 558 en el grupo de comparación). Los resultados de los modelos de regresión logística indican que los participantes del FACT tuvieron más probabilidades de ser empleados y de recibir una modificación en la manutención infantil durante el periodo posterior a la inscripción que sus homólogos del grupo de de comparación, aunque no encontramos una relación significativa entre la participación en el FACT y si los padres hicieron un pago de manutención infantil.


Assuntos
Custódia da Criança , Pai , Criança , Emprego , Relações Pai-Filho , Humanos , Masculino , Poder Familiar , Pobreza
5.
Br J Sociol ; 72(3): 829-844, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-33620093

RESUMO

Nonresident mothers who formally pay child support are becoming increasingly prevalent. If the profile of female payers differs from that of men or if their payment is motivated differently, existing gender-based child support policies and enforcement strategies face significant challenges. This study uses the payment framework of male compliance to map the differences between male and female payers of child support. The analysis applies discriminant analysis to a combination of register and fiscal data of separated parents. Whereas the separate aspects of the payment framework did not reach the threshold for acceptable discrimination, the full model revealed considerable differences between male and female payers. The aspect of willingness to pay showed the greatest discriminating power, suggesting that paying mothers have a higher willingness to do so than fathers. We conclude that while the discrepancies between nonresident mothers and fathers who pay child support can be partly attributed to demographic differences and residency patterns of children, differing motivations are also of importance.


Assuntos
Custódia da Criança , Mães , Criança , Feminino , Humanos , Masculino , Pais , Fatores Sexuais
6.
Soc Sci Res ; 60: 249-265, 2016 11.
Artigo em Inglês | MEDLINE | ID: mdl-27712683

RESUMO

A large body of literature documents the importance of child support for children's wellbeing, though little is known about the child support behaviors of mixed-status families, a large and rapidly growing population in the United States. In this paper, we use data from the Fragile Families and Child Wellbeing Study to investigate the impact of citizenship status on formal and informal child support transfers among a nationally representative sample of parents who have citizen children. Probit regression models and propensity score matching (PSM) estimators show that mixed-status families are significantly less likely to have child support orders and child support receipt compared to their citizen counterparts. We found that mothers' knowledge of the child support system increases the probability of establishing paternity. However, cultural differences in knowledge of and perception about the U.S. child support system between mixed-status families and citizen families do not have an impact on the probability of getting a child support order, child support receipt, or in-kind child support. Rather, institutional factors such as collaborations between welfare agencies and child support enforcement agencies as well as state child support enforcement efforts have a significant impact on formal child support outcomes. The results are robust against different model specifications, measure constructions, and use of datasets. These findings have important policy implications for policy makers and researchers interested in reducing child poverty in complex family structures and underscore the need to revisit child support policies for mixed-status families.


Assuntos
Custódia da Criança , Proteção da Criança , Pobreza , Criança , Feminino , Humanos , Masculino , Mães , Seguridade Social , Estados Unidos
7.
Fam Pract ; 32(6): 701-5, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26358011

RESUMO

BACKGROUND: Government and professional guidance encourages general practice clinicians to identify and refer children who experience domestic violence and abuse (DVA) but there is scant understanding of how general practice clinicians currently work with DVA in families. OBJECTIVES: The study explored general practice clinicians' practice with children and their parents experiencing DVA and reflected on the findings in the light of current research and policy guidelines. METHODS: Semi-structured interviews with 54 clinicians (42 GPs and 12 practice nurses/nurse practitioners) were conducted across six sites in England. Data were analysed using current literature and emerging themes. Data presented here concern clinicians' perspectives on engaging with family members when a parent discloses that she is experiencing DVA. RESULTS: When a parent disclosed DVA, clinicians were more likely to consider talking to abusive fathers than talking to children about the abuse. Perspectives varied according to whether consultation opportunities arose, risks, consent and confidentiality. Perceptions of 'patienthood', relationships and competence shaped clinicians' engagement. Perpetrators were seen as competent informers and active service users, with potential for accepting advice and support. Clinicians were more hesitant in talking with children. Where this was considered, children tended to be seen as passive informants, only two GPs described direct and ongoing consultations with children and providing them with access to support. CONCLUSION: Clinicians appear more inclined to engage directly with abusive fathers than children experiencing DVA. Clinician skills and confidence to talk directly with children experiencing DVA, in child sensitive ways, should be developed through appropriate training.


Assuntos
Atitude do Pessoal de Saúde , Violência Doméstica/prevenção & controle , Clínicos Gerais/psicologia , Relações Profissional-Família , Adulto , Criança , Competência Clínica/normas , Violência Doméstica/psicologia , Inglaterra , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Relações Médico-Paciente , Pesquisa Qualitativa , Adulto Jovem
8.
Front Psychiatry ; 14: 1272638, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38034927

RESUMO

Introduction: Autism spectrum disorders (ASDs) impair many aspects of everyday life and may prevent access to dental care, often limiting it to emergencies. Impaired oral health has long-lasting negative consequences on health status and on the acquisition of oral habits (e.g., oral respiration and grinding) or competencies (e.g., proper speech production). Children with ASD may be scared in the dental setting, which is rich in sensory stimuli and requires physical contact. Due to their behavioral manifestations, they represent a challenge for dentists and hygienists. We created a dedicated pathway with behavioral support for children with ASD to allow dental care and possibly limit the use of general anesthesia. Methods: We evaluated the effects of behavioral support in a quasi-experimental design by comparing two groups of children with ASD. The first group (n = 84) was visited every 2 months for 3 years and received additional support (visual aids, caregiver training, and longer visit duration). A control group, matched for age and sex, was visited at least twice a year or more, if needed, according to standard healthcare guidelines. Results: Compliance with the schedule was high throughout the 3 years. The degree of collaboration significantly improved after 1 year in the supported group, while the control group did not change. At the end of the study, collaboration remained significantly higher than at the beginning in the supported group. Half of dental treatments were possible without general anesthesia in supported children. No adverse effect was apparent on collaboration due to COVID-19 restrictions. Discussion: Behavioral techniques improved the compliance of ASD children to regular dentistry visits and treatment. Furthermore, oral hygiene at home was similarly improved, addressing oral health from a lifelong perspective.

9.
medRxiv ; 2023 Feb 19.
Artigo em Inglês | MEDLINE | ID: mdl-36824712

RESUMO

Cash transfers are a promising but understudied intervention that may protect cognitive function in adults by promoting their cognitive reserve. South Africa has a rapidly ageing population, however, less is known about the nature of association between cash transfers and cognitive function in this setting. We leveraged natural experiments from Child Support Grant (CSG) age-eligibility expansions to investigate the association between duration of CSG eligibility and cognitive function among biological mothers of child beneficiaries in South Africa. We analysed 2014/2015 baseline data from 944 women, aged 40 - 59 years with at least one CSG-eligible child, enrolled in the HAALSI cohort in Agincourt, South Africa. Duration of CSG eligibility for each mother was calculated based on the birth dates of all their children and the CSG age eligibility expansion years. Cognitive function was measured using a cognitive battery administered to the mothers at baseline interview. Linear regression was used to estimate the association between duration of CSG eligibility, dichotomized as low (≤10 years) and high (>10 years) eligibility, and cognitive function z-scores of the mothers. Our study finds that high duration of CSG eligibility, compared to low, was associated with higher cognitive function z-scores in the full sample [ß: 0.15 SD; 95% CI: 0.04, 0.26; p-value = 0.01]. In mothers with one to four lifetime children, but not five or more, high duration of CSG eligibility, compared to low, was associated with higher cognitive function z-scores [ß: 0.19 SD; 95% CI: 0.05, 0.34, p-value = 0.02]. Government cash transfers given to support raising children may confer substantial protective effect on cognitive function of mothers in their mid-life. Further studies are needed to understand how parity may influence this relationship. Our findings bring evidence to policymakers for designing income supplementation programmes to promote healthy cognitive ageing in low-income settings.

10.
JMIR Public Health Surveill ; 9: e44760, 2023 08 11.
Artigo em Inglês | MEDLINE | ID: mdl-37566446

RESUMO

BACKGROUND: Three years since the onset of COVID-19, pandemic-related trends in child sexual abuse (CSA) remain poorly understood. Common administrative surveillance metrics may have underestimated abuse during the pandemic, given youths' limited access to mandatory reporters. Research using anonymous service-use data showed increased violence-related online help-seeking but overlooked youth-specific help-seeking for CSA during COVID-19. Understanding pandemic-related trends in CSA can inform abuse detection practices and mental health service provision for youth victims. OBJECTIVE: The purpose of this study was to harness anonymous help-seeking data from the National Sexual Assault Online Hotline (NSAOH) to glean insights about CSA occurrence in the United States during the COVID-19 pandemic. METHODS: We used an archival sample of victims who contacted NSAOH from 2016 to 2021 (n=41,561). We examined differences in the proportion of youth and adult victims contacting NSAOH during the first COVID-19 year (March 2020 to February 2021) compared to the prior year (March 2019 to February 2020; n=11,719). Further, we compared key characteristics of hotline interactions among youth victims during the first COVID-19 year to the prior year (n=5913). Using joinpoint regression analysis, we examined linear trends in the number of monthly sampled youth and adult victims (excluding victims of unknown age) from 2016 to 2021 who discussed any victimization event (n=26,904) and who discussed recent events (ie, events occurring during the pandemic; n=9932). RESULTS: Most youth victims were abused by family members prior to (1013/1677, 60.4%) and after (2658/3661, 72.6%) the onset of COVID-19. The number of youth victims contacting NSAOH spiked in March 2020 and peaked in November 2020 for all youth (slope=28.2, 95% CI 18.7-37.7) and those discussing recent events (slope=17.4, 95% CI 11.1-23.6). We observed a decline in youth victims into spring 2021 for all youth (slope=-56.9, 95% CI -91.4 to -22.3) and those discussing recent events (slope=-33.7, 95% 47.3 to -20.0). The number of adult victims discussing any victimization event increased steadily from January 2018 through May 2021 (slope=3.6; 95% CI 2.9-4.2) and then declined (slope=-13.8, 95% CI -22.8 to -4.7). Trends were stable for adults discussing recent events. CONCLUSIONS: This study extends the use of hotline data to understand the implications of the pandemic on CSA. We observed increased youth help-seeking through the NSAOH coinciding with the onset of COVID-19. Trends persisted when limiting analyses to recent victimization events, suggesting increased help-seeking reflected increased CSA during COVID-19. These findings underscore the utility of anonymous online services for youth currently experiencing abuse. Further, the findings support calls for increased youth mental health services and efforts to incorporate online chat into youth-targeted services.


Assuntos
COVID-19 , Vítimas de Crime , Delitos Sexuais , Adulto , Humanos , Adolescente , Estados Unidos/epidemiologia , Criança , COVID-19/epidemiologia , Linhas Diretas , Pandemias , Vítimas de Crime/psicologia
11.
Glob Health Action ; 15(1): 2014045, 2022 Dec 31.
Artigo em Inglês | MEDLINE | ID: mdl-35156565

RESUMO

BACKGROUND: Despite South Africa being an upper middle-income country producing enough food to sustain its population, and having an advanced social welfare system, it has high levels of food insecurity at the household-level. Food insecurity is linked to malnutrition and undernutrition in children. This manuscript addresses gaps in knowledge about food choices and practices of primary caregivers of children in receipt of South Africa's largest cash transfer programme, the Child Support Grant (CSG). OBJECTIVE: The main objective of the study was to explore CSG caregivers' foodways and the choices they made about what food to buy, where to buy it and for what reasons, in Langa in the Western Cape and Mt Frere in the Eastern Cape. METHODS: We conducted a total of 40 in-depth interviews and 5 focus group discussions with primary caregivers of Child Support Grant recipients younger than 5 years in the Eastern and Western Cape provinces. RESULTS: Caregivers' food choices were less influenced by cultural practices and personal preferences, than by financial and physical constraints in terms of what and where to access food. Constraints in food choices were chiefly a consequence of the small amount of the grant, as well as a food environment that only availed foods of a certain quality and type in these low-income communities. CONCLUSIONS: The foodways of recipients of social assistance can only be better aligned with nutrition messaging and policy if there are changes in the monetary value of cash transfers, and the food environments of low-income households which determine access to, availability and affordability of nutritious food. Local informal food enterprises play an important role in the food system of CSG recipients and need to be considered in any strategies that seek to reform the food system of low-income communities in South Africa and similar settings.


Assuntos
Cuidadores , Custódia da Criança , Criança , Organização do Financiamento , Abastecimento de Alimentos , Humanos , Pobreza , África do Sul/epidemiologia
12.
Front Public Health ; 9: 585806, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33681119

RESUMO

Background: This article describes the integration of an innovative network-mapping tool within a monitoring, evaluation and learning system. We describe how it serves to strengthen vulnerable families to care for their children. We discuss the use of this tool as part of the process of measurement for change in the preparation for the sustainable scaling of programme implementation. Tajikistan has a legacy of Soviet-style institutional care of children. Traditionally, very young children separated from their families have been cared for in institutional baby homes. This research is part of a wider project to transform these baby homes into community-oriented Family and Child Support Centres. Methods: We mapped the networks of child support experienced by parents and service providers. We used interactive, semi-structured interviews, and the tool evolved through an iterative process. We generated data to describe the connexions between children, families, professionals and supporting organisations. The resulting information revealed strengths and weaknesses in support provided, attitudes and perceptions towards the quality of the support as well as identifying processes through which changes strengthening the system can be stimulated. Results: The data showed that the main support for children comes from within their immediate household, but, over time, more distal support gained value. Variation in the networks of support related to gender, specific subgroups of need and location. Gender was the most influential determinant of patterns of support. Mothers' knowledge of service provision, represented by a greater number and variety of contacts on their network-maps, was more diverse than fathers'. In contrast, fathers' more limited networks showed connexions to individuals and organisations with potentially more powerful decision-making roles. Participation in the discussions around the network-mapping contributed towards a change in the use of data and evidence in the implementation team. Conclusions: Network-mapping is a valuable and adaptable tool that feeds into monitoring and evaluation at multiple levels. The process reveals the nature and extent of relationships of support for childcare and protection. It exposes the changes in these networks over time. Both the information provided and the process of collection can enrich care plans, create links within the network and inform decision-making that improves efficacy of delivery as we move to scale.


Assuntos
Pai , Pais , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Masculino , Mães , Rede Social , Tadjiquistão
13.
Drug Metab Pers Ther ; 35(2)2020 06 30.
Artigo em Inglês | MEDLINE | ID: mdl-32681775

RESUMO

Objectives Self-esteem is the degree to which the qualities and characteristics contained in one's self-concept are perceived to be positive. The aim of this study was to evaluate the self-esteem scores in phenylketonuria (PKU) patients on "strict", "loos" and "off diet". Sixty PKU patients were divided in three equal groups. Methods Group a: "on strict", group b: "on loos" and group c: "off diet". A special questionnaire for self-esteem scores was created for these patients. Results Before psychological support, group a patients demonstrated 6/20 (30%) very high self-esteem, 9/20 (45%) high and 5/25 (25%) moderate. After support 14/20 (70%) were turned to very high, 5/20 (25%) represented high except one whose degrees remained an altered. group b 4/20 (20%) were very high, 7/20 (35%) were high, 3/20 (15%) moderate and the rest of them showed low self-esteem degrees, after support, 10/20 (50%) showed very high, 5/20 (25%) became high, 3/20 (15%) turned to moderate and 2/20 (10%) remained unaltered. Group c, 1/20 (5%) were very high self-esteemed, 7/20 (35%) were high, 6/20 (30%) were moderate and 6/20 (30%) with low self-esteemed, at the end of support, 6/20 (30%) become very high, 8/20 (40%) with high, 4/20 (20.0%), moderate self-esteem whereas the rest were unaltered. Conclusions Very high and high self-esteem degrees were demonstrated in patients who follow their PKU diet. Moderate and low self-esteem degrees were predominantly found in patients on loos and or off diet. Psychological supports commonly result in amelioration of self-esteem degrees.


Assuntos
Dieta/psicologia , Fenilcetonúrias/psicologia , Psicologia do Self , Adolescente , Adulto , Humanos , Fenilcetonúrias/sangue , Inquéritos e Questionários , Adulto Jovem
14.
J Marriage Fam ; 82(2): 587-604, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-36313042

RESUMO

Objective: We examined associations between resident and nonresident fathers' nonstandard work schedules, work hours, and their level of involvement with their young children in the United States. Background: Nonstandard work schedules may negatively impact father involvement either directly by reducing fathers' availability or indirectly by taking a toll on their wellbeing. Prior research on nonstandard schedules and father involvement has focused on two-parent households, yet nonstandard schedules may pose similar or greater challenges to nonresident fathers. Method: Using data on 1598 resident and 759 nonresident fathers from the Fragile Families and Child Wellbeing Study, we estimated regression models to test associations between fathers' nonstandard work schedules, work hours, and fathers' involvement-accessibility, engagement, and responsibility-controlling for confounding factors and using residualized change models. For nonresident fathers only, we estimated associations between nonstandard schedules, work hours, and child support. Results: Among nonresident fathers, working evenings was associated with lower engagement relative to working standard hours only and other nonstandard schedules, and in some models, working a variable schedule was associated with greater responsibility relative to other nonstandard schedules. Among resident fathers, working any nonstandard schedule versus standard hours only was associated with greater responsibility, and total work hours were negatively associated with each measure of involvement. Conclusion: Findings suggest that fathers' work schedules may be an important factor in understanding resident and nonresident fathers' involvement with their young children.

15.
Drug Metab Pers Ther ; 2020 Jun 30.
Artigo em Inglês | MEDLINE | ID: mdl-32609648

RESUMO

Objectives Self-esteem is the degree to which the qualities and characteristics contained in one's self-concept are perceived to be positive. The aim of this study was to evaluate the self-esteem scores in phenylketonuria (PKU) patients on "strict", "loos" and "off diet". Sixty PKU patients were divided in three equal groups. Methods Group a: "on strict", group b: "on loos" and group c: "off diet". A special questionnaire for self-esteem scores was created for these patients. Results Before psychological support, group a patients demonstrated 6/20 (30%) very high self-esteem, 9/20 (45%) high and 5/25 (25%) moderate. After support 14/20 (70%) were turned to very high, 5/20 (25%) represented high except one whose degrees remained an altered. group b 4/20 (20%) were very high, 7/20 (35%) were high, 3/20 (15%) moderate and the rest of them showed low self-esteem degrees, after support, 10/20 (50%) showed very high, 5/20 (25%) became high, 3/20 (15%) turned to moderate and 2/20 (10%) remained unaltered. Group c, 1/20 (5%) were very high self-esteemed, 7/20 (35%) were high, 6/20 (30%) were moderate and 6/20 (30%) with low self-esteemed, at the end of support, 6/20 (30%) become very high, 8/20 (40%) with high, 4/20 (20.0%), moderate self-esteem whereas the rest were unaltered. Conclusions Very high and high self-esteem degrees were demonstrated in patients who follow their PKU diet. Moderate and low self-esteem degrees were predominantly found in patients on loos and or off diet. Psychological supports commonly result in amelioration of self-esteem degrees.

16.
Health Educ Behav ; 46(5): 755-762, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31220933

RESUMO

Background. Despite evidence that social network members influence the eating behaviors of adults, no study to date has had the primary aim of examining children as support partners for parents in a weight loss intervention. Aim. To evaluate parent adherence with eating/exercise goals and weight loss in a 6-month study engaging children as support partners. Method. Adults with obesity (body mass index ≥ 30 kg/m2, n = 102) and at least one child ≥12 years were randomized to a child support or control group. In the child support group, children enrolled with their parent and engaged in a supportive behavior 2 days/week. In the control group, there was no enrolled child support. Parents in both groups selected a healthy eating strategy and daily step goal. Results. There was no difference in weight loss between the child support and control groups (-5.97 vs. -5.42 lbs, p = .81). In the child support group, 30% of children did not engage in the study. The majority of parents whose children did not engage withdrew from the study. In secondary analyses, parent adherence with eating/exercise goals increased with the days of child support (p < .001). For all participants, low chaos in the home environment (p < .04) and increased parent adherence with follow-ups (p < .008) predicted weight loss. Conclusions. We found no treatment effect of child support on weight loss. Active child support of eating/exercise goals appeared to facilitate goal adherence, while anticipated but unrealized child support may have had iatrogenic consequences. Further investigation of family-focused weight loss interventions is warranted.


Assuntos
Dieta Saudável , Obesidade/terapia , Relações Pais-Filho , Pais/psicologia , Redução de Peso/fisiologia , Adolescente , Índice de Massa Corporal , Exercício Físico/fisiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Apoio Social
17.
J Fam Theory Rev ; 11(1): 79-91, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-37309504

RESUMO

U.S. children are more likely to live apart from a biological parent than at any time in history. Although the Child Support Enforcement system has tremendous reach, its policies have not kept pace with significant economic, demographic, and cultural changes. Narrative analysis of in-depth interviews with 429 low-income noncustodial fathers suggests that the system faces a crisis of legitimacy. Visualization of language used to describe all forms child support show that the formal system is considered punitive and to lead to a loss of power and autonomy. Further, it is not associated with coparenting or the father-child bond-themes closely associated with informal and in-kind support. Rather than stoking men's identities as providers, the system becomes "just another bill to pay." Orders must be sustainable, all fathers should have coparenting agreements, and alternative forms of support should count toward fathers' obligations. Recovery of government welfare costs should be eliminated.

18.
J Evid Inf Soc Work ; 15(3): 296-312, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29537939

RESUMO

The study examines and evaluates the effectiveness of a federal and county collaboration in Pennsylvania designed to help military veterans with child support arrearages in the criminal justice system. The study focused on the veteran participants (n=232) identified psychosocial problems, their range of justice involvement, strategies to mitigate, address barriers and legal dilemmas through the collaborative. The average age 40, majority male, Caucasian, divorced, enrolled in Veterans Administration (VA) healthcare, serving on supervised parole or probation, homeless episodes, and income <$500.00 per month. In general, the findings enhance the limited body of knowledge about military-veteran child support and provide strategies and specific insight into the problems veterans face on individual, familial, and societal levels.


Assuntos
Custódia da Criança/organização & administração , Direito Penal/organização & administração , Serviço Social/organização & administração , Veteranos/psicologia , Adulto , Criança , Custódia da Criança/estatística & dados numéricos , Comportamento Cooperativo , Direito Penal/estatística & dados numéricos , Feminino , Pessoas Mal Alojadas/estatística & dados numéricos , Humanos , Masculino , Pessoa de Meia-Idade , Pennsylvania , Pensões/estatística & dados numéricos , Papel Profissional , Fatores Socioeconômicos
19.
BMJ Open ; 8(4): e019376, 2018 04 24.
Artigo em Inglês | MEDLINE | ID: mdl-29691242

RESUMO

Food security and good nutrition are key determinants of child well-being. There is strong evidence that cash transfers such as South Africa's Child Support Grant (CSG) have the potential to help address some of the underlying drivers of food insecurity and malnutrition by providing income to caregivers in poor households, but it is unclear how precisely they work to affect child well-being and nutrition. We present results from a qualitative study conducted to explore the role of the CSG in food security and child well-being in poor households in an urban and a rural setting in South Africa. SETTING: Mt Frere, Eastern Cape (rural area); Langa, Western Cape (urban township). PARTICIPANTS: CSG recipient caregivers and community members in the two sites . We conducted a total of 40 in-depth interviews with mothers or primary caregivers in receipt of the CSG for children under the age of 5 years. In addition, five focus group discussions with approximately eight members per group were conducted. Data were analysed using manifest and latent thematic content analysis methods. RESULTS: The CSG is too small on its own to improve child nutrition and well-being. Providing for children's diets and nutrition competes with other priorities that are equally important for child well-being and nutrition. CONCLUSIONS: In addition to raising the value of the CSG so that it is linked to the cost of a nutritious basket of food, more emphasis should be placed on parallel structural solutions that are vital for good child nutrition outcomes and well-being, such as access to free quality early child development services that provide adequate nutritious meals, access to adequate basic services and the promotion of appropriate feeding, hygiene and care practices.


Assuntos
Abastecimento de Alimentos , Adolescente , Adulto , Idoso , Criança , Proteção da Criança , Dieta , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Mães , Pobreza , África do Sul , Adulto Jovem
20.
Hous Stud ; 31(6): 672-693, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-30057435

RESUMO

This study uses administrative records for the state of Wisconsin as well as Zillow Real Estate data on median house values to examine the associations between the regularity of child support receipt on moves and changes in housing values following moves. Our sample consists of 13 329 custodial mothers with new orders from 2002 to 2006. Across several measures of child support and specifications of moves, regular receipt is negatively associated with any moves and with more than one move a year, holding constant the value of the child support received. In models examining associations between regularity and changes in housing quality after a move, an additional month of child support within 25 per cent of the order amount is associated with an $890 increase in housing value. These results imply that policy-makers concerned with housing stability consider both the regularity and absolute value of child support when considering family well-being.

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