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The Institute for Global Health and Development

Permanent URI for this collectionhttps://eresearch.qmu.ac.uk/handle/20.500.12289/9

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Start date: 2020Subject: search.filters.subject.Children

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Now showing 1 - 4 of 4
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    Risks and Resilience Amongst Rural Honduran Children
    (Springer, 2025-09-20) Viola, Lorian V
    This study utilized a socioecological systems framework to examine the interplay of risk and resilience factors among children in middle childhood residing in a rural community in Honduras. In such contexts marked by structural disadvantage, a nuanced understanding of resilience is essential for mitigating the effects of adversity and fostering children’s potential. Utilizing an exploratory mixed-methods design, the research was conducted in three sequential phases. In the first phase (focus groups, N = 4), participants identified 12 context-specific childhood adversities and six associated signs of vulnerability. The second phase (risk screening, N = 175) found that children frequently encountered multiple, co-occurring risks, such as prolonged parental absence. In the third phase (survey, N = 84), resilience was assessed using the Child and Youth Resilience Measure (CYRM-28), revealing that among children experiencing co-occurring risks, resilience was primarily relational in nature, with social networks providing essential protective resources. Logistic regression analyses identified four key protective factors within children’s social ecologies: three at the household level (consistent adult presence in the home and the regular availability of time and resources for academic tasks) and one at the community level (perceived safety during school commutes). Although the study’s relatively small sample size limits the generalizability of the findings, the results highlight the critical role of multisystemic influences in fostering positive outcomes for children exposed to high levels of adversity.
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    Predicting higher child BMI z-score and obesity incidence in Malaysia: a longitudinal analysis of a dynamic cohort study
    (BioMed Central, 2024-05-27) Salway, Ruth; Armstrong, Miranda; Mariapun, Jeevitha; Reidpath, Daniel; Brady, Sophia; Yasin, Mohamed Shajahan; Su, Tin Tin; Johnson, Laura
    Background: To target public health obesity prevention, we need to predict who might become obese i.e. predictors of increasing Body Mass Index (BMI) or obesity incidence. Predictors of incidence may be distinct from more well-studied predictors of prevalence, therefore we explored parent, child and sociodemographic predictors of child/adolescent BMI z-score and obesity incidence over 5 years in Malaysia. Methods: The South East Asia Community Observatory in Segamat, Malaysia, provided longitudinal data on children and their parents (n = 1767). Children were aged 6–14 years at baseline (2013-14) and followed up 5 years later. Linear multilevel models estimated associations with child BMI z-score at follow-up, adjusting for baseline BMI z-score and potential confounders. Predictors included parent cardiometabolic health (overweight/obesity, central obesity, hypertension, hyperglycaemia), and socio-demographics (ethnicity, employment, education). Logistic multilevel models explored predictors of obesity incidence. Results: Higher baseline BMI z-score predicted higher follow-up BMI z-score both in childhood to late adolescence (0.60; 95% CI: 0.55, 0.65) and early to late adolescence (0.76; 95% CI: 0.70, 0.82). There was inconsistent evidence of association between child BMI z-score at follow-up with parent cardiometabolic risk factors independent of baseline child BMI z-score. For example, maternal obesity, but not overweight, predicted a higher BMI z-score in childhood to early adolescence (overweight: 0.16; 95% CI: -0.03, 0.36, obesity: 0.41; 95% CI: 0.20, 0.61), and paternal overweight, but not obesity, predicted a higher BMI z-score in early to late adolescence (overweight: 0.22; 95% CI: 0.01, 0.43, obesity: 0.16; 95% CI: -0.10, 0.41). Parental obesity consistently predicted five-year obesity incidence in early to late adolescence, but not childhood to early adolescence. An adolescent without obesity at baseline with parents with obesity, had 3–4 times greater odds of developing obesity during follow-up (incidence OR = 3.38 (95% CI: 1.14–9.98, mother) and OR = 4.37 (95% CI 1.34–14.27, father) respectively). Conclusions: Having a higher BMI z-score at baseline was a stronger predictor of a higher BMI z-score at follow-up than any parental or sociodemographic factor. Targeting prevention efforts based on parent or sociodemographic factors is unwarranted but early childhood remains a key period for universal obesity prevention.
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    A multilevel bioecological analysis of factors influencing the mental health and psychosocial wellbeing of refugee children
    (Association for Child and Adolescent Mental Health, 2020-12-05) Arakelyan, Stella; Ager, Alastair
    Background: This paper revisits the themes of an influential 1993 review regarding the factors shaping the mental health and psychosocial well-being of refugee children to take stock of developments in the evidence base and conceptualisation of issues over the last 25 years.
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    Educational, psychosocial and protection outcomes of child- and youth-focused programming with Somali refugees in Buramino camp, Dollo Ado, Ethiopia
    (Overseas Development Institute, 2020-04-09) Metzler, Janna; Jonfa, Mesfin; Savage, Kevin; Ager, Alastair; Aktion Deutschland Hilft
    Provision of child- and youth-friendly spaces has become a common feature of emergency humanitarian response. The evidence-base regarding such provision is, however, severely limited. This study reports outcomes of Child and Youth Learning Centres (CYLCs) established in Buramino refugee camp for those fleeing conflict in Somalia. Eighty-five youths completed baseline assessments shortly after arrival at the camp and follow-up assessments between three and six months later. Caregivers of 106 younger children completed similar assessments. Attendances at CYLCs between baseline and follow-up were collated. Baseline and follow-up literacy and numeracy assessments were completed by 693 children attending CYLCs. Those attending CYLCs made major gains in both literacy and numeracy (t=9.06 and t=13.94 for younger children and t=13.87 and t=17.10 for youth respectively, all p<.0001). Children’s CYLC attendance also enhanced perceptions of met needs (t=2.53 amongst caregivers and t=2.57 amongst youth, both p<.05) and, amongst caregivers but not youth, significantly moderated protection concerns amidst increasingly challenging camp conditions (t=2.39, p<0.05, and t=-1.90, p=0.06 respectively). There was general improvement in psychosocial well-being over time for all children; CYLC attendance predicted greater reductions in reported difficulties only amongst younger children (t=2.51, p<.05).