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2.
JAMA Pediatr ; 177(11): 1226-1228, 2023 11 01.
Artigo em Inglês | MEDLINE | ID: mdl-37721744

RESUMO

This cohort study assesses the parent-reported incidence and resolution of post­COVID-19 symptoms among children aged 8 to 13 years.


Assuntos
COVID-19 , Síndrome de COVID-19 Pós-Aguda , Criança , Humanos
3.
JAMA Netw Open ; 6(6): e2317358, 2023 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-37289456

RESUMO

Importance: To help prevent the spread of SARS-CoV-2, government-instituted nonpharmaceutical interventions (eg, social distancing, mask use, isolating), a provincewide government-instituted mask mandate occurred on December 8, 2020, in Alberta, Canada, although some local jurisdictions implemented an earlier mask mandate. There remains a limited understanding of the association between government-implemented public health measures and individual health behaviors of children. Objective: To examine the association between government mask mandates and mask use among children in Alberta, Canada. Design, Setting, and Participants: A cohort of children from Alberta, Canada, was recruited to examine longitudinal SARS-CoV-2 serologic factors. Parents were prospectively asked about their child's mask use in public places every 3 months (5-point Likert scale: never to always) from August 14, 2020, to June 24, 2022. A multivariable logistic generalized estimating equation was used to examine government mandatory masking mandates and child mask use. Child mask use was operationalized into a single composite dichotomous outcome by grouping parents who reported their child often or always wore a mask vs those who reported their child never, rarely, or occasionally wore a mask. Exposures: The primary exposure variable was the government masking mandate (began on different dates in 2020). The secondary exposure variable was government private indoor and outdoor gathering restrictions. Main Outcomes and Measures: The primary outcome was parent report of child mask use. Results: A total of 939 children participated (467 female [49.7%]; mean [SD] age, 10.61 [1.6] years). The odds of parents' report of child mask use (often or always) was 18.3 times higher (95% CI, 5.7-58.6; P < .001; risk ratio, 1.7; 95% CI, 1.5-1.8; P < .001) with the mask mandate on compared with the mask mandate off. There was no significant change in mask use over the course of the mask mandate due to time. In contrast, each day with the mask mandate off was associated with a 1.6% decrease in mask use (odds ratio, 0.98; 95% CI, 0.98-0.99; P < .001). Conclusions and Relevance: The results of this study suggest that government-mandated mask use and providing the public with up-to-date health information (eg, case counts) is associated with increased parent-reported child mask use, while increasing time without a mask mandate is associated with decreased mask use.


Assuntos
COVID-19 , Criança , Humanos , Feminino , COVID-19/epidemiologia , COVID-19/prevenção & controle , SARS-CoV-2 , Alberta/epidemiologia , Incidência , Governo
4.
Community Ment Health J ; 52(5): 519-26, 2016 07.
Artigo em Inglês | MEDLINE | ID: mdl-26202547

RESUMO

This study investigated prevalence and risk factors for suicidal ideation among adults with self-reported disability in Western Canada. The method was secondary data analysis utilising the Canadian Community Health Survey. The odds of 12-month suicidal ideation are 3.5 times greater for adults with self-reported disability compared with non-disabled adults, controlling for age, sex, ethnicity, and psychiatric morbidity. The heightened risk of ideation among adults with self-reported disability is partially explained by social adversity, including food insecurity and low sense of community belonging. Reducing suicide risk among adults with disability requires a broad-spectrum approach, including mental health care, and strategies to ameliorate social and economic hardship.


Assuntos
Pessoas com Deficiência/psicologia , Ideação Suicida , Adolescente , Adulto , Alberta/epidemiologia , Colúmbia Britânica/epidemiologia , Pessoas com Deficiência/estatística & dados numéricos , Feminino , Abastecimento de Alimentos/estatística & dados numéricos , Inquéritos Epidemiológicos , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Fatores de Risco , Isolamento Social , Fatores Socioeconômicos , Adulto Jovem
5.
Community Ment Health J ; 52(8): 944-953, 2016 11.
Artigo em Inglês | MEDLINE | ID: mdl-26694055

RESUMO

The purpose of this study was to pilot a flexible, group-based program designed to strengthen the social connections and enhance the psychological well-being of mothers with intellectual impairment. A multi-site, mixed-method, pretest-posttest design was employed. To obtain rich process and outcome data, the evaluation incorporated measures of psychosocial well-being, goal achievement scaling, and interviews with group facilitators and participants. A total of 18 mothers completed the program. Participation was associated with a meaningful reduction in psychological distress with effect sizes ranging from .57 for depression to .71 for anxiety. Participating in the group program gave the mothers something to look forward to each week, opportunities to learn from and support others, and the feeling of "being a part of society". Further research is needed to determine whether these promising results can be replicated, and to evaluate the long-term impact of the program on mothers and their children.


Assuntos
Deficiência Intelectual , Mães/psicologia , Adulto , Depressão/prevenção & controle , Feminino , Humanos , Entrevistas como Assunto , Satisfação Pessoal , Pesquisa Qualitativa , Isolamento Social , Estresse Psicológico/prevenção & controle
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