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At least 19 recordsLinked to original sources

Effect of high school students' knowledge of child development and child health on approaches to child discipline.

Because there is an association between the lack of knowledge of normal child development, high and unrealistic expectations for a child's performance, and child abuse, a questionnaire about normal child development, child health maintenance, child discipline aspects of childrearing, and child development was given to a representative sample of high school students in Iowa. Though high school students in Iowa rank high in academic performance, the results of this study indicated that students in grades 9 through 12 had a poor knowledge of child development and child health maintenance. Students whose highest probability of response to a child discipline problem was either to punish or abuse knew less about child development and child health maintenance than their peers. Boys at all grade levels knew less about child development and child health maintenance and were more likely to choose punishment and abuse than girls. Though the causes for child abuse are multifactorial and complex, there is a need to guarantee that all who are at risk for parenthood be informed about child development, child health maintenance, and child discipline to minimize the effects that ignorance of these factors may have on their approaches to discipline and their potential for child abuse.

Adolescent

[Apropos of mother-child hospitalizations: mother-child hospitalization in a child psychology service].

Mother-child hospitalization is still rarely practiced in child psychiatric services. The experience of this kind of care in the child and adolescent psychopathology service in the Herold Hospital (Paris), however, demonstrates its interest. It permits one to respect the bond of attachment and proves to be a useful instrument of psychiatric evaluation of children, particularly in greater diagnostic precision to which the observation of the mother-child unit also contributes. The conjoint hospitalization, however, involves some risks, which can be anticipated in pre-hospitalization work up: repercussion on the family, difficulties in the functioning of the care taking team, and especially the impact on the mother of the hospitalization which creates a real crisis situation which must be handled in order to be able to use the maturative possibilities.

Adolescent

Analysis of child abuse cases admitted in pediatric service in Japan. II. Backgrounds of child abuse in non-low birth-weight infants.

Child abuse of 126 non-low birth-weight (non-LBW) cases reported from pediatric clinics of major hospitals in Japan in 1986 were examined. Compared to LBW infants abused children's medical problems were few (25.4%) but the presence of step-parents and a history of rearing outside the home were evident (41.3%). The abuse of a child with medical problems by real parents showed similar characteristics to abuse of LBW, occurring at 0-1 and 4 years and two types of abuser's problems were apparent; one problem was the lack of child rearing ability and the other was the inability to cope with the stress involved in child rearing. In abuse of a child by step-parents, most abusers expressed emotional problems with their abused children. Child abuse by a real parent following a period of non-home care occurred soon after the child returned home, and abusers complained that the abused child did not take to its real parents. Abuse of a child without medical problems by real parents occurred at or around birth and indicated a poor ability to rear a child due to parental problems or low tolerance to cope with child rearing. Abuse both of a child and siblings by real parents implied a deficiency of understanding and inability in child rearing due to parental problems that may have resulted in abuse of the children at 0-1 year. It seems that two processes are critical in non-LBW child abuse as well as LBW child abuse.(ABSTRACT TRUNCATED AT 250 WORDS)

Child Abuse

Fatal child abuse in Georgia: the epidemiology of severe physical child abuse.

Decisions about the occurrence of child abuse are increasingly difficult to make because concepts of what qualifies as reportable child abuse may be broadening. We examined this question by comparing 51 fatal child abuse cases occurring in Georgia between July 1975 and December 1979 to non-fatal cases and to the Georgia population. Overall rates of fatal child abuse were higher for male perpetrators compared with female and black perpetrators compared with white. However, the latter finding varied with economic and geographic status. The highest child abuse fatality rates were found in poor, rural, white families (3.3/100,000 children) and in poor, urban, black families (2.4/100,000 children). Risk factors for fatal abuse included early childhood (RR 6:1), parental teenage childbearing (RR 4:1), and low socioeconomic status. These characteristics were similar to those of the severe child abuse cases noted in the early child abuse literature. Non-fatal cases did not clearly share these risk factors. Severe abuse, here represented by fatal cases, is a distinct subset of reported child abuse, but characteristics associated with it are frequently attributed to all reportable child abuse. Medical personnel should be aware that they cannot rely on the presence or absence of these characteristics in screening for risk of reportable child abuse. Child abuse research should use restricted, stated case definitions. When intervention and prevention programs are being organized, they should not generalize research findings to all forms of child abuse.

Adolescent

Evaluation of menus planned in Mississippi child-care centers participating in the Child and Adult Care Food Program.

OBJECTIVES: To collect information from licensed child-care centers in Mississippi on their foodservice operations relative to participation in the Child and Adult Care Food Program sponsored by the US Department of Agriculture (USDA); to collect information on who planned the menus; and to evaluate the energy and nutrient content of the planned menus relative to the suggested goal of one third of the Recommended Dietary Allowances (RDAs) and the recommendations made in the Dietary Guidelines for Americans. DESIGN: Survey questionnaire. SETTING: Licensed child-care centers in Mississippi. SAMPLES: Ninety-two licensed child-care centers provided cycle menus for analysis. One hundred eighteen centers returned the questionnaire. MAIN OUTCOME MEASURES: Content of the menus relative to the meal-pattern guidelines established for the Child and Adult Care Food Program; the energy and nutrient content of the menus relative to the RDAs and the Dietary Guidelines for Americans. STATISTICAL ANALYSES PERFORMED: One-way analysis of variance and frequencies. RESULTS: Seventy-five percent of the centers reported participating in the Child and Adult Care Food Program. All but one of the centers planned menus that met the meal-pattern requirements established by the program, licensure, and Head Start Performance Standards. Results showed that following the established meal-pattern guidelines for the child nutrition programs may not guarantee consistent nutritional quality of planned menus in child-care centers. The mean amounts of energy and many nutrients were significantly lower (P < .05) for centers that reported participating in the Child and Adult Care Food Program. Mean fat levels for all centers exceeded the recommendation of no more than 30% of total energy from fat: 40.8% of total energy from fat was reported by centers that participated in the program and 38% by those that said they did not. APPLICATIONS: Additional guidance is needed for menu planning in child-care centers to ensure compliance with the nutritional goal of meeting one third of the RDAs and Dietary Guidelines for Americans.

Child