Search PubMed⌕ Search

Biomedical subjects

W R Stanton

Publications and source records attributed to W R Stanton.

At least 55 records · Page 3Linked to original sources

A longitudinal study of reasons for smoking in adolescence.

This longitudinal study examined factors related to smoking at age 13 and to persistence of smoking from ages 13 to 15 years in a sample (n = 719) of New Zealand adolescents. History of smoking at 9 and 11 years predicted smoking at 13 (odds ratio = 2.8), persistence of smoking from age 13 to 15 (OR = 2.4) and smoking at 15 among those not smoking at age 13 (OR = 2.4). While there were no significant sex differences in pre-adolescent and early adolescent smoking, by age 15 more girls than boys reported smoking. A concern with the immediate negative effects of smoking (taste, smell, feeling ill and feeling silly) as a reason for not smoking at age 13 was inversely related to smoking at age 15 (OR = 0.4). Reasons for smoking at age 13 were not associated with later smoking. Family disadvantage and use of alcohol and other drugs were also associated with later adolescent smoking.

Adolescent↗

Tracking change in the patterns of parental smoking.

This study examined the prevalence and predictors of parental smoking in a representative sample of mothers and fathers. The results showed that in this New Zealand sample approximately 38% of mothers and 43% of fathers were smokers, and that proportionally more fathers than mothers were ex-smokers. The pattern of maternal smoking was relatively less stable, showing a rate of increase over the first 2-year period and an equivalent rate over the second period for those who started or resumed smoking compared to those who stopped smoking. Predictors of maternal smoking groups included level of educational qualifications, number of changes of residence, personality (extraversion and neuroticism scores) and being a young mother. Predictors of paternal smoking groups from a smaller range of background variables included level of educational qualifications, socio-economic status and age. The measures did not satisfactorily differentiate smokers who decreased their level of smoking from those who increased their level of smoking and those who continued to smoke or not to smoke.

Adult↗

Sleep problems in adolescence.

A sample of 943 adolescents from the general population were questioned about sleep problems. A quarter of the sample reported needing a lot more sleep than they previously had, and 10% of the sample complained of difficulty falling asleep. Adolescents reporting sleep problems showed more anxious, depressed, inattentive, and conduct disorder behaviors than those who had no (or only occasional) sleep problems. Sleep problems, particularly multiple problems, were associated with DSM-III disorder. There were no significant differences between male and female adolescents on any of the above measures. Finally, sleep problems were relatively persistent over time from ages 13 to 15.

Adolescent↗

Prevalence and correlates of the premenstrual syndrome in adolescence.

In a longitudinal study of their health and development, 384 15-year-old females reported their experience of symptoms indicative of premenstrual syndrome (PMS). The prevalence of these symptoms is reported and a group of adolescents is identified with the syndrome (14%). PMS was associated with current self-reported anxiety, inattention, and poor health. Preadolescent self-report and maternal ratings of physical and mental health did not significantly predict adolescent PMS. The results suggest that the experience of PMS in adolescence may be mediated by perceived health status; the roles of mental health and maternal influence in the development of adolescent PMS may be minimal.

Adolescent↗

Tracking relative weight in subjects studied longitudinally from ages 3 to 13 years.

Heights and weights of a large sample of subjects studied longitudinally from ages 3 and 13 years were used to calculate relative weight, using a Body Mass Index score (BMI) which estimates adiposity. Males and females differed significantly in BMI scores only at ages 3 and 13 years. The correlations between BMI scores at all ages were positive and significant. The subjects were divided at each age into a 'light', an 'average' and a 'heavy' group based on the position of their BMI score relative to the 25th and 75th percentiles. Subjects were 'tracked' from ages 3, 7 and 11 years to determine whether they had remained in the same BMI group by age 13 years relative to their peers. Slightly fewer than half of the 3 year old subjects but the majority of 7 and 11 year old subjects remained in the same relative weight group by age 13 years. Only 1% of 7 and 11 year old subjects in the top and the bottom quartiles for BMI scores shifted from one extreme group to the other. Relative weight at 3, 7 and 11 years was more persistent for subjects with extreme bodyweights than subjects with bodyweights in the middle range. Consistent with the pattern of correlations, the tracking pattern for all 3 groups showed that subjects' BMI scores remained more stable as the subjects grew older.

Adolescent↗

Sources of distress among New Zealand adolescents.

This study examined sources of distress experienced by 15-year-old adolescents in a large sample from the general population. We identified four types of stressful life circumstances relating to problems of self-image and independence, academic and physical competence, parental conflict, and moving residence and schools. Girls reported higher levels of distress for the first three types of circumstance. Reports of distress were associated with poor family social support, maternal depression and parental separation. Both DSM-III disorder and poor social competence were associated with differential patterns of distress. Lastly, poor social competence and high distress were independent and additive predictors of mental health disorders.

Adaptation, Psychological↗

The relationship between digit sucking and behaviour problems: a longitudinal study over 10 years.

Data from the Dunedin (New Zealand) Multidisciplinary Health and Development Study were used to examine continuity and discontinuity in digit sucking between 5 and 11 years. The data were also used to examine the relationship between digit sucking and behaviour problems at 5, 7, 9, 11 and 15 years. Cross-sectional analyses showed a relationship between digit sucking and behaviour problems at all ages, except 5 years. Longitudinal analysis by multiple regression showed that digit sucking at 5 and 7 years predicted behaviour problems at 7, 9 and 11 years. This effect was most apparent at 7 years. Children who sucked their digits at 11 years were more likely to have overjets of 6mm or more between their upper and lower dental arches. The behavioural and dental evidence suggest that it would be better for children to stop sucking their digits before they started school and acquired their permanent dentition.

Adolescent↗

Expected gain in body mass and onset of the menarche.

Fertility is dependent on sexual maturity, which is associated with a number of factors, including body mass. In this study the Body Mass Index (BMI) was used to estimate body fat in a large sample of 13-year-old New Zealand girls. Nearly half of the subjects (46%) had experienced the menarche. Expected gain in body mass was calculated from growth rates at earlier ages and used to examine whether deviation from the expected gain was associated with the onset of the menarche. In general, the results show an association between the menarche and gain in body mass. However, many girls who failed to achieve their expected gain had experienced the menarche (18%), indicating that the relationship between body weight and the menarche may not be causal or is mediated by other factors.

Adolescent↗

Longitudinal effects of passive smoking on pulmonary function in New Zealand children.

In this study we examined the longitudinal effects of smoke exposure on lung function in a cohort of New Zealand children observed from 9 to 15 yr of age. Possible exposures included in utero exposure from mothers smoking during pregnancy, passive smoke from parents, and active smoking by the children. Lung function measures of forced expiratory volume in one second (FEV1) and vital capacity (VC) were measured biennially and ratios (FEV1/VC) were computed. The data were analyzed using longitudinal methodology, and all subjects with at least one pulmonary function test and responses to the questions concerning smoke exposures were included (n = 634). Subjects reporting wheeze or asthma were examined as a separate subgroup. In the whole cohort, no significant detrimental effects were detected for absolute FEV1 or VC in either sex, related to active or passive smoke exposures. Parental smoking was, however, associated with persistent but mild and nonprogressive impairment of the FEV1/VC ratio in males, an effect that was present at the time lung function measurements were first made. This effect was not seen in females. In children with reported wheeze or asthma, parental smoking had progressive, more serious, and clinically significant effects on the FEV1/VC ratio among adolescents of both sexes, causing a mean reduction in FEV1/VC ratios by age 15 of 3.9% in males and 2.3% in females, in contrast to the observed increase in FEV1/VC ratios with age seen in nonexposed wheezing children. We conclude that passive smoking is a major contributing factor to the development and persistence of airflow limitation in wheezing children.

Adolescent↗

Perceptions of parenthood: similarities and differences between 15-year-old girls and boys.

Similarities and differences between the contributions of both parents, and some reasons for these similarities and differences, are explored through the responses of a cohort of Dunedin teenagers to questions about their expectations of becoming parents, their relevant experience and knowledge, and their future needs for information. It is concluded that both sexes have a commitment to parenting and expectations of sharing the tasks of parenthood, and that they expect the basis of sharing to be expediency as dictated by economic and other factors rather than any inherent superiority of one sex for the tasks.

Adolescent↗

Handedness and allergic disorders in a New Zealand cohort.

Studies of the proposed association between handedness and allergic disorders have shown results which appear contradictory. In view of differences in the procedures of these studies, further tests of the strength of this association are warranted. Results from this study of a large birth cohort of children showed no support for an association between handedness measured at age 7 years and reports of eczema, urticaria, rhinitis, or asthma in late childhood or early adolescence. There was no significant association found between handedness and reported frequency and duration of symptoms of wheezing, or parental help-seeking for these symptoms. Apparent differences in the results of these studies could possibly be reconciled by the view that preference for use of the left hand may be associated with increased help-seeking behaviour in later life for a range of problems or difficulties. Further tests of the association between handedness and disorder in clinical samples require more rigorous control procedures.

Adolescent↗

Change in children's smoking from age 9 to age 15 years: the Dunedin Study.

Studies have shown that the rate at which children take up smoking is still very high, particularly for female adolescents. While some progress has been made in determining the factors related to the initiation of smoking, an issue that still requires investigation is the relationship between early smoking patterns and later smoking behaviour. This paper reports the results of a longitudinal study which examined the continuity between smoking at an early age and later smoking behaviour. The smoking behaviour of a cohort of New Zealand children was followed from age 9 to age 15 years. Results showed that children's smoking pattern at age 9 years was not highly related to their smoking behaviour at age 15. The children most likely to become daily smokers by age 15 were those who had smoked within the last year at ages 11 and 13. It was concluded that the formative period for children's daily smoking at age 15 was from 10 to 13 years of age.

Adolescent↗

Children's exposure to smoking.

Exposure to smoking and the attitudes of other people have, in many studies, been associated with an increase in smoking through childhood and adolescence. Previous studies which have examined the relative influence of parents, siblings and friends on young people smoking do not show the same pattern of results, indicating that parents and siblings who smoke may or may not have an influence above or beyond that of friends. In this study, the extent to which these sources of exposure influence young people is examined. A related hypothesis which is tested in this study is that the amount of exposure to smoking may be a factor which influences young people to smoke independent of the particular source of the influence. The pattern of results suggests that the source of the influence is more important than the extent of influence among friends and family members. In particular, the influence of friends' smoking was evident at ages 9 to 15 years to the exclusion of the parental example of smoking. Parental smokers may lead their children to try smoking but it seems unlikely that this is related to them smoking at a later age. While peer influence may result in smoking, the influence of parents or older people smoking may be becoming a disincentive in this time of changing attitudes to smoking.

Adolescent↗

Strict and inconsistent discipline in childhood: consequences for adolescent mental health.

Recent reviews have suggested an association between discipline experienced in childhood and the development of later psychopathology. As part of a longitudinal study of the health and development of a large sample of New Zealand children, maternal reports of strict and inconsistent discipline were obtained when the sample members were aged 7 and 9 years. It was found that inconsistency was associated with early behaviour problems, but strictness was not. At age 15 years the prevalence of DSM-III disorders in the sample was established. Univariate analyses showed significant associations between inconsistency and low levels of strictness with externalizing disorder. Logistic regression analyses demonstrated that in the presence of other predictor variables including childhood problem behaviour, these associations only approached significance. However, when the two ratings were combined, rates of disorder for those who experienced more relaxed and inconsistent discipline were double the rates found in the sample remainder. No significant association was found between discipline and internalizing disorder.

Adaptation, Psychological↗

Comparison of United States and New Zealand children's body mass scores.

Body Mass Index (BMI) scores were calculated for two racially similar samples, one from New Zealand and the other from the United States, at ages 3, 5, 7 and 13 years. At ages 3, 7 and 13 years, the New Zealand subjects had higher BMI scores than their American peers. Chi-square analyses showed that a disproportionately large number of American subjects had scores in the bottom 20th percentile for their age and sex than expected at each of the four ages. Similarly, a disproportionately larger number of New Zealand subjects had BMI scores in the uppermost 20th percentile at ages 3 and 13 years. It is hypothesized that the difference in BMI scores for the two samples, which have previously been shown to have similar median heights and weights, reflects a difference in degree of body fat.

Adipose Tissue↗

Adolescents' sporting and leisure time physical activities during their 15th year.

Participation in physical activity may influence health outcomes, so its quantification is important. There is little data on adolescent physical activities. Recall of physical activity in the preceding year was obtained from a birth cohort of 799 fifteen-year-old adolescents in New Zealand using a modified version of the Minnesota Leisure Time Activities Questionnaire. Mean total participation times were relatively high, with 612 hrs/year (1.68 hrs/day) for males and 401 hrs/year (1.1 hrs/day) for females. Individual total participation ranged from less than a minute to 6.5 hrs/day. Over 10% more females than males reported netball, equestrian activities, and dancing, and at least 10% more males reported cricket, rugby, fishing, soccer, squash, golf, and surfing. Ranked by mean participation time, equestrian activity was highest for females and walking was highest for males. Cycling and swimming represented the largest proportion of total group participation time. The sample will be followed up at age 18 years.

Adolescent↗