Search Results (58)

Background: Patients with Down syndrome (DS) commonly experience psychological and mental problems. Studying the quality of life (QoL) of children with DS is important because it increases knowledge related to understanding the challenges that this group may face. This study aims to examine the QoL of children with DS from a parental perspective in terms of physical, emotional, social, and school domains, depending on several factors, and identify demographic characteristics of their parents that may affect their QoL. Methods: This online survey study was conducted in Saudi Arabia between November 2024 and March 2025. The inclusion criteria targeted parents of children with confirmed DS diagnoses aged between 8 and 18 years. Results: The findings of this study showed that children with DS aged between 0 and 2 years had significantly lower QoL scores (10.18 ± 3.83) compared to other age groups (p = 0.02). In addition, gender differences were significant in the emotional (p = 0.03), social (p = 0.01), and school (p = 0.01) domains, with females scoring lower QoL scores in all areas compared to males. Moreover, educational level showed significant results across all domains, particularly for children with no education, who had the lowest QoL scores in the physical domain (22.34 ± 7.53, p = 0.004), emotional domain (10.41 ± 3.79, p = 0.003), social domain (11.22 ± 4.06, p = 0.001), and school domain (8.75 ± 5.09, p = 0.001). The findings of this study showed that children with DS who are in primary school (odds ratio (OR) = 5.90, 95% confidence interval (CI): 1.85–18.78, p = 0.003) and middle school (OR = 5.27, 95% CI: 1.44–19.31, p = 0.012) had significantly higher odds of better QoL compared to children with no formal education. Additionally, children cared for by their fathers had significantly lower odds compared to those cared for by their mothers (OR = 0.07, 95% CI: 0.01–0.90, p = 0.041). None of the demographic characteristics of caregivers reached a statistical significance level to have influence on caregivers QoL (p > 0.05). Conclusions: The findings of this study demonstrated a low level of QoL, affecting the emotional, social, and school domains, especially among female children with DS aged between 0 and 2 years with no formal education and cared for by their fathers. Governments should develop a comprehensive plan to care for these children and families in order to enhance their rights and quality of life, thereby placing emphasis on those who exhibit parameters related to a lower QoL. Full article

Background: The provision of education, health, and social care for children with special educational needs and disabilities (SEND) in England has long been criticised for its inequities and chronic underfunding. These systemic issues were further exacerbated by the onset of the COVID-19 pandemic and the accompanying restrictions, which disrupted essential services and resulted in widespread unmet needs and infringements on the rights of many children with SEND. This study aimed to use a three-phase consensus-building approach with 1353 participants across five stakeholder groups to collaboratively develop evidence-informed priorities for policy and practice. The priorities sought to help address the longstanding disparities and respond to the intensified challenges brought about by the pandemic. Methods: A total of 55 children with SEND (aged 5–16), 893 parents/carers, and 307 professionals working in SEND-related services participated in the first phase through online surveys. This was followed by semi-structured interviews with four children and young people, ten parents/carers, and 15 professionals, allowing for deeper exploration of lived experiences and priorities. The data were analysed, synthesised, and structured into five overarching areas of priority. These were subsequently discussed and refined in a series of activity-based group workshops involving 20 children with SEND, 11 parents/carers, and 38 professionals. Results and Conclusions: The consensus-building process led to the identification of key priorities for both pandemic response and longer-term recovery, highlighting the responsibilities of central Government and statutory services to consider and meet the needs of children with SEND. These priorities are framed within a children’s rights context and considered against the rights and duties set out in the United Nations Convention on the Rights of the Child (1989). Priorities include protecting and promoting children with SEND’s rights to (1) play, socialise, and be part of a community, (2) receive support for their social and emotional wellbeing and mental health, (3) feel safe, belong, and learn in school, (4) “access health and social care services and therapies”, and (5) receive support for their parents/carers and families. Together, they highlight the urgent need for structural reform to ensure that children with SEND receive the support they are entitled to—not only in times of crisis but as a matter of routine practice and policy. Full article

Background/Objectives: In research on the relationship between pubertal timing and adolescent health, more attention is typically given to early rather than late maturation, as well as the associated risk of engaging in health-compromising behaviors. The aim of this study was to assess changes in HRQL (health-related quality of life) depending on subjectively perceived pubertal timing, measured in five categories. Methods: A cross-sectional online survey was conducted in spring 2024 in a western region of Poland (N = 9411; mean age 15.15 ± 1.56 years). Mean KIDSCREEN-27 index scores were compared according to self-reported pubertal timing, and five relevant general linear models were estimated, adjusting analyses for respondents’ age, sex, and the remaining four HRQL scores. Results: In the study group, 49.0% of students assessed their pubertal timing as typical, 28.5% as earlier, and 22.5% as later compared to peers of the same sex. For all five KIDSCREEN-27 dimensions, adolescents who matured at a pace perceived as typical achieved the highest quality-of-life index scores. Significantly earlier or significantly later pubertal timing was associated with a notable decrease in these indices. Some significant interactions were identified between sex or age and pubertal timing as predictors of HRQL. The strongest association with pubertal timing was observed for the Psychological Well-being dimension, where differences unfavorable to older age groups were additionally linked to delayed pubertal timing. Conclusions: Greater awareness of the relationship between perceived pubertal timing and adolescents’ well-being is warranted among preventive care physicians, parents, and school psychologists and educators. Full article

Latvia after the collapse of the Soviet Union regained its independence in 1991. Since then, many political and social reforms have been introduced, minority education among them. Latvia began gradually abandoning the use of minority languages as mediums of instruction and switching to teaching exclusively in Latvian as the sole state language. This caused protests by minority groups, especially by Russians—the largest minority group in Latvia. The article examines 77 online news articles by Latvian, Russian, and European media covering protests against minority education reform in Latvia between 2004 and 2024. Each news article used at least one photograph/video of placard(s) with written information from the protests. The aim of the article is to understand how different media represent the linguistic landscape of protests against minority education reform and what are the main discourses they create and maintain regarding to the linguistic landscape of such protests in Latvia. The description of the linguistic landscapes shows three main trends: (1) only journalists (most often anonymous) describe the written information expressed at the protests, (2) emphasis is on the number of placard holders at the protests, their age and affiliation with minority support organizations and political parties, (3) author(s) quote individual slogans, more often demonstrated from one protest to another, without disclosing in which language they were originally written and what problems (within and behind the language education) they highlight or conceal. The main narratives that are reinforced through the descriptions of the linguistic landscapes included in the articles are two: (1) the Russian community is united and persistent in the fight against the ethnolinguistically unjust education policy pursued by the government, and (2) students, parents, and the Russian community should have the right to choose which educational program to study at school. Full article

Objectives: The aim of this study was to evaluate the level of knowledge and awareness among parents regarding oral hygiene habits in two different national groups and to raise awareness among parents about oral hygiene education. Methods: A sample of 640 parents from Rome (Italy) and Valencia (Spain) was collected. The survey involved children between 0 and 18 years of age. An online questionnaire was administered to gather information regarding demographic data, the level of knowledge about dental caries and its transmission, proper oral hygiene habits of parents with regard to their children, mothers’ attitudes towards their own oral health before or during pregnancy, awareness of risk behaviors, such as the use of pacifiers or baby bottles, sharing cutlery, the use of the same toothbrush in the entire family, the role of schools, and oral health prevention techniques. Results: The comparison between the two groups shows that Spanish parents are more attentive to oral hygiene measures compared to Italian parents, especially about the knowledge of dental caries and its transmission, oral health check-ups during pregnancy, and proper oral hygiene habits. In both groups, there is still little knowledge about oral prevention methods. Conclusions: From the results of our survey, we can conclude that the knowledge regarding oral hygiene among parents from both countries is not yet optimal when compared to international health objectives. It is necessary to promote oral health prevention programs both in schools and within families in order to improve children’s oral health. Full article

The increase in screen time observed in recent years has exposed adolescents to a heightened risk of involvement in cyberbullying, negatively affecting their relational and psychological well-being. This study analyses data from a 2022 representative survey of Italian adolescents employing an interdisciplinary approach. Through bivariate analyses and logistic regression models, it investigates the key sociodemographic characteristics of perpetrators, victims, and victim-perpetrators, alongside the sociological and psychological factors associated with these roles. The findings reveal that cyberbullying victimisation disproportionately affects girls and foreign adolescents, though it spans across various family backgrounds, age groups, and school types. Of particular concern are those who are both perpetrators and victims (14.2%), as they represent the most vulnerable group. These adolescents, who react to online and offline violence with further online aggression, suffer from poor-quality relationships, adherence to racist stereotypes, tolerance for violence, and scarce psychological well-being, in terms of low self-esteem, anxiety, and depression. The study underscores the urgent need for comprehensive prevention and intervention strategies, highlighting the crucial role of teachers and parents in in addressing and mitigating the impact of cyberbullying. Full article

Understanding the factors that influence teacher well-being is crucial as it significantly affects students, teachers, schools, and the sustainability of the education system, especially during prolonged emergencies. This study contributes to the field by empirically testing a conceptual model of teacher well-being in emergency contexts, specifically addressing the COVID-19 school closures with a sample of over 19,600 teachers from Kazakhstan through an online survey design. Utilising a multidimensional socio-ecological framework that considers individual, school and home, community, and national factors, this study identifies key predictors of teacher self-reported well-being. Individual-level predictors explained 9.3% of the variation in physical well-being (F = 118, p < 0.001, R² = 0.093) and 4.5% in psychological well-being (F = 72.2, p < 0.001, R² = 0.045). In contrast, school- and home-level predictors demonstrated significantly greater explanatory power, accounting for 21.9% (F = 128, p < 0.001, R² = 0.219) and 15.5% (F = 89.5, p < 0.001, R² = 0.155) of the variation in physical and psychological well-being, respectively. Community-level predictors explained 12.8% of the variation in physical well-being (F = 191, p < 0.001, R² = 0.128) and 10.2% in psychological well-being (F = 324, p < 0.001, R² = 0.102), while national-level predictors accounted for much smaller proportions: 0.67% for physical well-being (F = 21.8, p < 0.001, R² = 0.0067) and 1.4% for psychological well-being (F = 83.589, p < 0.001, R² = 0.014). These findings highlight the significant influence of home and school, as well as community-level predictors, on teacher well-being during emergency contexts, suggesting that interventions targeting these areas may be particularly effective in supporting teacher well-being. The findings reveal that while Kazakhstani teachers reported poor physical well-being, they generally had a more positive assessment of their psychological well-being. Vulnerable groups included women, older teachers, non-Kazakh teachers, and those with higher education levels, as well as teachers in Russian medium and mixed-medium schools, all of whom reported lower physical and psychological well-being. Additional risk factors identified were a lack of student engagement, difficult relationships with parents, a directive leadership style, family conflicts, and inadequate resources at home and school. Conversely, protective factors such as teacher autonomy, collegiality, networking opportunities, and self-efficacy emerged as significant contributors to well-being. These findings reveal a complex interplay between cultural factors and subjective perceptions of well-being. This study emphasises the critical role of these predictors in both emergency and non-emergency contexts, underscoring the urgent need for targeted policies and programmes that sustainably support and enhance teacher well-being holistically. This approach will promote Sustainable Development Goal (SDG) 3 (well-being) and ensure access to equitable quality education (SDG 4) for all learners, ultimately contributing to the overall resilience of educational systems. Full article

Background/Objectives: The field of paediatric bioethics addresses ethical issues in paediatric care, where parental authority often guides medical decisions, but children’s preferences should also be considered. Promoting ethical awareness among minors can help them understand complex issues. This study aimed to analyse how sociodemographic, educational, and experiential factors shape adult perspectives on paediatric bioethical issues, particularly concerning pain and death. Methods: A questionnaire was developed to collect adult views of bioethical issues. The online questionnaire was disseminated via e-mail or WhatsApp. It started with an initial group of known individuals and then expanded hierarchically to include contacts of friends. Participants completed an online questionnaire, and data were analysed using SPSS version 22.0 for Windows. Clustering analysis identified two distinct groups. Results: This research focused on Italian adults (N = 889) aged 18 and over. Cluster 1, predominantly female (78.3%) and more highly educated (38.6% with postgraduate degrees), exhibited greater experience with paediatric bioethical issues (81.1%). This group favoured a collaborative approach, supporting shared training among adults (92.3%) and advocating for gradually addressing bioethical issues during childhood (84.3%). Cluster 2, with a higher proportion of males (31.5%) and parents (75.1%), showed lower educational levels (3.0% with middle school education) and less experience with bioethical concerns (93.5%). This group preferred a reactive, situation-specific approach to these issues. Conclusions: This study showed two distinct adult profiles regarding how they approach paediatric bioethics. The first group adopts a preventive and collaborative strategy, while the second group is more reactive and situation-driven. These findings can guide the development of tailored educational programmes to improve discussions about sensitive topics such as pain, incurability, and death in paediatric care. Full article

Background: School-based immunization programs are crucial for equitable vaccine coverage, yet their success depends on parental consent processes. This study investigates patterns of vaccine decision-making within Australia’s school-based immunization program, specifically focusing on human papillomavirus (HPV) and diphtheria-tetanus-pertussis (dTpa) vaccines offered free to adolescents aged 12–13. Methods: This qualitative study was conducted in the South Eastern Sydney Local Health District (2022–2023). Semi-structured interviews were held with school staff (n = 11) across government, Catholic, and independent schools, parents whose children were not vaccinated at school (n = 11) and a focus group with public health unit staff (n = 5). Data were analyzed to identify key barriers and patterns in vaccine decision-making. Results: Analysis revealed three distinct groups of parents whose children were not vaccinated through the school program: (1) those favoring general practitioners for vaccination, driven by trust in medical providers and a preference for personalized care; (2) those intending to consent but facing logistical barriers, including communication breakdowns and online consent challenges; and (3) vaccine-hesitant parents, particularly regarding HPV vaccination, influenced by safety concerns and misinformation. These findings demonstrate that non-participation in school vaccination programs should not be automatically equated with vaccine hesitancy. Conclusions: Tailored interventions are necessary for addressing vaccine non-participation. Recommendations include strengthening collaboration with general practitioners, streamlining consent processes and providing targeted education to counter misinformation. This study provides valuable insights into social determinants of vaccine acceptance and offers actionable strategies for improving vaccine uptake in school-based programs. Full article

Background/Objective: Learning difficulties (LDs) are lifelong neurodevelopmental disorders with multifactorial causes, including perinatal factors like mode of delivery. This study aims to explore whether cesarean section (CS) delivery is linked to the occurrence of specific learning disabilities (SLDs), attention-deficit/hyperactivity disorder (ADHD), or their comorbidity. Methods: An online questionnaire was distributed via Google Forms to Greek mothers and parents of children with and without diagnoses, shared through school-related groups and various Greek pages focused on child development, special education, and learning difficulties. Conducted over eight months (October 2023–May 2024), this cross-sectional study involved 256 children, 137 with LDs diagnoses, and 119 controls. Results: In total, 59.9% of CS-born children had a diagnosis, compared to 40.1% of those born vaginally (X²(1) = 4.19, p = 0.045). CS delivery was associated with a 68% increased likelihood of LDs (OR = 1.68, 95% CI [1.02, 2.76]), with higher risks for ADHD (OR = 2.25, 95% CI [1.06, 4.79]) and comorbid SLD/ADHD diagnoses (OR = 2.75, 95% CI [1.17, 6.46]). Stratified analyses showed birthweight and gestational age as effect modifiers rather than confounders. Key postnatal risk factors identified were family history (OR = 4.65, 95% CI [2.41, 8.94]) and language acquisition difficulties (OR = 5.28, 95% CI [1.36, 20.47]). Conclusions: The findings suggest a possible association between CS and LDs, along with a novel link between CS and increased comorbidities. These results underscore the need for further research and provide valuable insights into how CS delivery may influence the risk of LDs, depending on the type of diagnosis. Full article

Background/Objectives: This study assessed the effectiveness of a school-based suicide prevention program in Hong Kong. Methods: 105 secondary school students aged 14–16, identified as having high levels of depression and suicidal ideation. Participants were divided into three intervention groups: one for adolescents only, another for adolescents with peers, and a third for adolescents with parental involvement. All groups engaged in weekly online exercises. Repeated measures ANOVA was used to analyze the within-group and between-group differences in the levels of adolescents’ suicidal ideation, depression and anxiety. Results: The results indicated a statistically significant reduction in suicidal ideation, depression and anxiety levels after participation in all three groups. No statistically significant between-group differences were identified, meaning the effects of the three interventions on the measured outcomes were similar. Conclusions: This study demonstrates the promise of implementing school-based suicide prevention programs in the Hong Kong context. Full article

Adolescence is a developmental period of significant change and increasing independence, during which parents and caregivers play a critical role guiding their teen toward adulthood. Parents of adolescents with disability face heightened challenges managing their teens’ growing independence and shift to adult-based services across health, recreation, and employment. Using a mixed-methods-treatment-group-only design, this study explored the implementation and outcomes of a program designed to build parenting capacity to support their adolescent with disability. Parents enrolled in one of ten groups were invited to attend three sessions covering content tailored to adolescent development including post-school opportunities, financial support, risk-taking and decision-making, future planning, relationships, and mental health. Surveys were administered pre-program, post-program, and six months after program participation (n = 160) to measure intervention outcomes including parenting self-efficacy, self-advocacy, adolescent self-advocacy, parent confidence to support their adolescent’s growing independence, confidence to support their adolescent through sensitive developmental stages, parental hopes and aspirations, and parental empowerment. A subset of parents (n = 11) also participated in semi-structured interviews about the program’s acceptability and usefulness, and their satisfaction with the program content and delivery. All outcome variables except parent hopes and aspirations increased significantly from pre- to post-program. Parent self-efficacy, self-advocacy, and parental empowerment remained higher 6 months after program completion. Thematic analysis identified program strengths as the co-facilitation model of program delivery, practical and actionable content, the use of narratives and the facilitator’s lived experience as parents of adolescents with disability, the use of visualizations (video, pictures, diagrams), and the service provider’s trusted reputation and credibility. In conclusion, an online co-facilitated group program for parents of adolescents with disability can contribute to positive change for families by improving parent confidence, self-advocacy, and parental empowerment. Full article

Utilizing data from the China Family Panel Studies (CFPS), this research focuses on the differences and mechanisms of intergenerational educational transmission between left-behind and non-left-behind children using structural equation modeling and multi-group path analysis. The findings indicate that significant intergenerational educational transmission effects exist in both groups, with parental educational attainment significantly impacting children’s academic performance. Further mediation analysis demonstrates that parental educational attainment influences children’s academic performance through the chain mediation effects of parental educational expectations and self-educational expectations. Multi-group path analysis reveals distinct mechanisms affecting academic performance: among non-left-behind children, parental educational attainment exerts a stronger direct influence on academic performance, while self-educational expectations are more influential for left-behind children. Additionally, the path coefficients for the effects of parental educational expectations and self-educational expectations on academic performance are higher for left-behind children than for non-left-behind children. Consequently, educational interventions should focus on enabling parents of left-behind children to effectively convey educational expectations through indirect methods (e.g., phone or online communication) and on enhancing left-behind children’s self-educational expectations through school and community support to facilitate academic achievement in the absence of direct family support. Full article

Increases in the human population and economic development have led to a rise in waste production, which poses significant environmental risks and presents a pressing global issue in waste management. Among other countries, this situation affects the United Arab Emirates (UAE). On the other hand, poor waste segregation practices can result in failed waste recycling efforts, leading to the excessive use of resources and worsening issues (such as energy consumption, global warming, and sustainable development). Waste segregation is a crucial step in waste management, which involves dividing waste according to its characteristics and type. By following this procedure, recycling effectiveness is increased, the environmental impact is decreased, and hazardous material disposal is ensured. Beneficial waste segregation reduces contamination, making it possible to recover valuable materials and thus use fewer landfills. Even though the failings in waste segregation are a severe issue, insufficient research has been carried out. This includes research on the knowledge, attitudes, and practices (KAP) of people living in the UAE regarding waste segregation, information which is crucial to developing a successful intervention to address this problem. The current study evaluated the KAP concerning waste segregation among UAE citizens and identified correlations between KAP variables, with the primary aim of filling a research gap, while analyzing the correlations between sociodemographic characteristics and KAP levels, which was the secondary aim. This was accomplished by a cross-sectional study conducted all over the UAE. Data were collected from 391 participants using a five-point Likert scale questionnaire that was developed from previous research and investigated sociodemographic characteristics, waste segregation practices (5), attitudes (5), and knowledge (5). UAE University’s ethical committees approved this study (ERSC_2024_4360) for research, and the results were confirmed through statistical analyses and Cronbach’s alpha testing. The inclusion criteria targeted residents of the UAE who were 18 years of age or above, and the survey was distributed via an online platform (Google Forms) with non-probability sampling. G*Power statistical power analysis estimated a minimum sample size of 385 participants. To identify correlations in the results, a structural equation model (SEM) and SPSS, such as Chi-square tests and Spearman correlation coefficients, were used to assess the associations between KAP variables. These tests were chosen for their robustness in handling categorical and continuous data, respectively. A notable majority (84.1%) of the participants were female, and 15.9% were male; the gender difference was highly significant, as revealed by the Chi-square test. Most participants (67.0%) fell into the 18–24 age group. The highest level of education reported was a bachelor’s degree (47.3%). The parents’ educational levels showed a relatively high level of education, with more than half having at least a high school degree or higher: father’s education level (67.2%) and mother’s education level (73.1%). Most participants were students (58.8%), but a significant portion of the sample was employed (25.1%). Unemployment was reported at 12.3%. The parents’ employment statuses showed a higher percentage of unemployed mothers (49.4%) compared to fathers (6.9%). The average scores suggested a favorable inclination toward sustainability (mean ± standard deviation (SD) for knowledge, 3.59 ± 0.78; poor knowledge, 3.6%; and excellent knowledge, 16.9%), attitudes (3.73 ± 0.77; poor attitudes, 2.8%; and excellent attitudes, 22.5%), and practices (3.62 ± 0.76; poor practices, 2.3%; and excellent practices, 16.4%), with all the means surpassing the midpoint. In the correlation test, the current study demonstrated positive correlations between knowledge and attitudes (r = 0.666, p < 0.001) and between knowledge and practices (r = 0.682, p < 0.001). Also, a positive correlation (r = 0.159, p < 0.001) was found between general waste segregation KAP and sociodemographic variables, with a significant correlation (r = 0.110) between attitudes and gender. These findings emphasize the possibility of using focused educational and policy interventions to improve waste segregation behaviors. An additional investigation is advised to delve into the fundamental mechanisms behind these correlations and devise customized approaches to encourage sustainable waste management practices among various demographic groups in the UAE. Full article

Background: The pervasive use of technology, especially among adolescents, has enabled cyber communication and brought many advantages but also led to potential violence. The issue of cyber interpersonal violence (CIV) impacting young individuals is increasingly recognized as a matter of public health; however, little is known about adolescents’ perspectives of the phenomenon. This study explores adolescents’ perspectives on CIV. It seeks to understand their interpretations of abuse, victim impact and reactions, violence escalation, gender issues, victimization and perpetration patterns, and bystander roles. Methods: This qualitative study used fifteen focus groups to gather elementary school participants’ perspectives on cyber interpersonal violence. From four Portuguese schools, 108 participants (M = 12.87 and SD = 0.31) participated in the study. A thematic analysis uncovered three themes. The results evidenced adolescents’ perspectives about CIV. Due to the amount of time spent online, adolescents regularly encounter cyber harassment and recognize the importance of help-seeking. Mental health problems and their influence on the social and educational lives of adolescents is arising as a CIV problem. Conclusions: Parents play a crucial role in mitigating CIV as well as bystanders. Future programs should promote healthy relationships, raise CIV awareness, involve stakeholders, guide parents, integrate perpetrators into programs, and foster effective networking. Full article