Demographic factors have long been suspected to relate to perfectionist traits in adolescents. A broad epidemiological sample conducted in Norway, based on self‐reports, found that scores of perfectionism did not differ by gender or age, although girls were more prone to score highly on overall perfectionism, self‐oriented perfection (SOP), and socially prescribed perfections (SPP). than boys. Perceived economic well‐being was associated with high perfectionism. Parental education was not a significant factor in the perfectionist traits of teens.
BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has disrupted healthcare systems worldwide, leading to concerns about reduced access to routine childhood immunisations. However, comprehensive data on how the pandemic specifically impacted paediatric vaccination coverage in Switzerland remain limited across the country. The present study provides an analysis of the timeliness and coverage of routine childhood immunisations in Switzerland before and during the COVID-19 pandemic, offering insights into potential fluctuations in coverage. AIMS: To assess the impact of the COVID-19 pandemic on routine childhood immunisation in Switzerland by comparing vaccination coverage and timeliness for children under 35 months of age before and during the pandemic. Additionally, the study seeks to identify factors associated with the likelihood of children receiving vaccinations, considering demographic and geographic variables. METHODS: We used 2019–2023 data from the Swiss National Vaccination Coverage Survey (SNVCS), a cross-sectional survey that collected immunisation information of children under 35 months of age from a nationally representative sample of households. Children who were eligible for a vaccine from March 2020 to March 2021 were considered as the COVID-affected group and those eligible for a vaccine before this date were included in the pre-COVID-19 cohort. Coverage of the following vaccine doses was considered: diphtheria at one, two and three doses (Di1, Di2, Di3); pneumococcus at one, two and three doses (PCV1, PCV2, PCV3); and measles first and second dose (MCV1, MCV2). Vaccine timeliness was defined as receiving a dose on time with a tolerance period of 30 days. We used logistic regression models to identify and understand the factors that might influence vaccination rates. RESULTS: For the diphtheria vaccines (Di1, Di2, Di3), while coverage remained high, there was a slight decrease observed in timely vaccination rates for some doses, with reductions of around 1% to 3% compared to pre-COVID-19 levels. The impact on PCV1, PCV2 and PCV3 showed similar trends, with slight reductions in coverage during the pandemic, but these differences were not statistically significant. For measles-containing vaccines (MCV1 and MCV2), coverage during the pandemic was higher compared to pre-COVID-19 rates. Geographic and demographic factors, such as an urban setting, nationality and linguistic region, significantly influence childhood vaccination rates in Switzerland. CONCLUSION: While minor declines in vaccine timeliness were observed (diphtheria vaccine, pneumococcal conjugate vaccine), the overall likelihood of vaccination was not significantly affected by the COVID-19 pandemic. However, changes in vaccination recommendations introduced in 2019 may have influenced these trends.
Vasiliki Baroutsou, Monica N. Wymann, Jan S. Fehr et al.
The COVID-19 pandemic has affected national healthcare systems worldwide, with around 282 million cumulative confirmed cases reported in over 220 countries and territories as of the end of 2021. The Italian National Health System was heavily affected, with detrimental impacts on preventive service delivery. Routine vaccination services were disrupted across the country during the first months of the pandemic, and both access to and demand for vaccines have decreased during the pandemic. In many cases, parents preferred to postpone scheduled appointments for routine paediatric vaccinations because of stay-at-home orders or fear of COVID-19 infection when accessing care. The objective of the current study was to assess the routine childhood vaccine coverage (VC) rates during the COVID-19 epidemic in Italy. We compared 2020 and 2019 VC by age group and vaccine type. The Italian Ministry of Health collected anonymised and aggregated immunisation national data through the local health authorities (LHAs). Results were considered statistically significant at a two-tailed p-value ≤ 0.05. VC rates for mandatory vaccinations decreased in 2020 compared to 2019 (range of VC rate decrease: −1% to −2.7%), while chicken pox increased (+2.2%) in 7-year-old children. Recommended vaccinations were moderately affected (range of VC rate decrease in 2020 vs. 2019: −1.4% to −8.5%), with the exception of anti-HPV in males, Men ACWY, and anti-rotavirus vaccination (VC increase 2020 vs. 2019: +1.8%, +4.7% and +9.4%, respectively). In the COVID-19 era, the implementation of coherent, transparent, and effective communication campaigns and educational programs on safe childhood vaccinations, together with the increase in the number of healthcare staff employed, is essential to support strategies to reinforce vaccination confidence and behaviour, thus avoiding health threats due to VPD during and beyond COVID-19 times.
Michela Sabbatucci, Anna Odone, Carlo Signorelli et al.
AIMS We recently conducted a large survey amongst parents of young children exploring attitudes concerning immunisation and the general immunisation status of the children and their parents in Switzerland. Since little is known about the immunisation status of fathers of young children, we present our findings here; data on mothers were previously published elsewhere. METHODS We performed standardised interviews with parents of children born on or after 1 January 2013, and hospitalised at the University of Basel Children’s Hospital, Switzerland, between January and June 2017. If participation was declined, partial consent was sought for four questions regarding age, education level, attitudes towards vaccinations in general and availability of vaccination records of the parents. To compare our study results with other studies focusing on the completeness of the immunisation status of fathers, we conducted a literature search using broad search terms for studies published between 1 April 2009 and 1 December 2019. RESULTS Thirty-nine (20%) fathers of 199 enrolled children participated. The great majority had a positive or mostly positive attitude towards vaccinations, but only 2 (15%) of 13 fathers who participated in immunisation counselling were up-to-date with all generally recommended immunisations. Fifty-two percent of participating fathers reported that the last assessment of their immunisation status by a physician was >5 years ago. After the birth of their child, 56% of fathers had received a recommendation for immunisation against pertussis and 65% of them followed the recommendation. We identified three studies matching our review’s inclusion criteria. None of them reported specific findings for fathers. CONCLUSIONS This is the first study to analyse the complete immunisation status of fathers of young children. It is often incomplete with potentially missed opportunities for updating vaccinations during recent physician consultations. The low participation rate of fathers is a limitation which prohibits generalisation of our findings. However, as healthcare personnel have been shown to have the strongest impact on vaccination uptake, we propose that this group be further sensitised and educated with the goal of improving immunisation rates in fathers of young children.
Mirjam L. Erb, Tobias E. Erlanger, Ulrich Heininger
Neither market income nor consumption expenditure provides an adequate picture of individual standard of living. It is time which enables and restricts individual activities and is a further brick to a more comprehensive picture of individual well-being. In our study we focus on a prominent part of time use in non-market services: it is parental child care which contributes not only to individual but also to societal well-being. Within a novel approach we ask for multidimensional polarization effects of parental child care where compensation/substitution of time for parental child care versus income is interdependently evaluated by panel estimates of society's subjective well-being.The new interdependent 2DGAP measure thereby provides multidimensional polarization intensity information for the poor and the rich and disentangles the single time and income contribution to subjective well-being for targeted policies ensuring at the same time the interdependence of the polarization dimensions. Socio-economic influences on the polarization pole risk and intensity will be quantified by two stage Heckman estimates. The analyses are based on the German Socio-Economic Panel with 21 waves and robust fixed effects estimates as well as the German Time Use Surveys 1991/92 and actual 2012/13 with detailed diary time use data.Prominent result: compensation between parental child care time and income proved to be significant, but there are multidimensional regions with no compensation, where parental child care time deficit is not compensated by income. Interdependent multidimensional polarization by headcount and intensity increased significantly over the twenty years under investigation with remarkable risk and intensity differences.
The aim of this paper is to highlight major shifts in research regarding children and childhood as a narrative of the author. It starts from presenting a retrospective of child poverty research in Estonia, and it is demonstrated how it has developed from the social and political acknowledgement of poverty as a social issue in the early 1990s. Then it revisits main shifts in theory and methodology of childhood research and reaches international comparative approaches to child subjective and relational well-being.
Emotional wellbeing in adolescence develops within interconnected personal and relational systems, but the relative salience of family, peer, and school contexts may vary across sociocultural experiences. The present study examined associations among perceived functioning in school, family, and peer domains, everyday emotion-regulation difficulties, and affective emotional wellbeing in 79 third-year middle-school students in Rome (M age = 13.80 years, SD = 0.45; 45.6% female), including 42 adolescents without and 37 with a migratory background, defined as having at least one foreign-born parent. Participants completed self-report assessments of relational functioning across the three domains, emotion-regulation difficulties, and positive and negative affect. Two separately estimated observed-variable path models were used for exploratory purposes. Among adolescents with a migratory background, school ( β = 0.44, p = 0.002) and family ( β = 0.53, p < 0.001) indicators were independently associated with greater emotional wellbeing. No direct relational-context path to emotional wellbeing reached significance in the group without a migratory background. Emotion-regulation difficulties were not independently associated with emotional wellbeing in either group, and percentile bootstrap confidence intervals based on 5,000 resamples did not support indirect pathways through emotion regulation. The findings point to the possible importance of family and school as interconnected relational systems while providing no support for the hypothesized regulatory pathway in this sample. Given the modest subgroup sizes, cross-sectional design, single-item contextual indicators, and heterogeneous migratory-background category, the results should be considered exploratory and hypothesis-generating.
Francesca Federico, Michela Mellone, Sergio Melogno et al.
Background This study aimed to explore young people's knowledge and attitudes around illicit drug use, its prevention, and the barriers and facilitators to accessing support, with the aim of informing the development of preventative interventions that resonate with young people and address their specific needs and concerns. By drawing on these insights, interventions can be tailored to be more engaging, relevant and impactful for young people. Methods A qualitative approach was used to analyse data collected from focus groups and interviews with young people ( N = 97) in the United Kingdom, living in areas of socioeconomic disadvantage. Questions focused on the knowledge of young people around substances, the sort of substance use prevention education, or interventions, they would see as beneficial, and the obstacles and facilitators to accessing support for issues around substance use. Findings The findings suggest that prevention strategies which are likely to appeal to young people should provide non-stigmatizing, harm-reduction approaches to prevention education, which are provided as early as possible. Interventions should provide the skills to enable autonomous decision making, consider including parents/families in education and include trusted sources of support such as those with experience and knowledge of substance use. Conclusions This study informs the development of preventative interventions for young people by providing insight around the knowledge and views of young people in the United Kingdom. It highlights the importance of taking a multifaceted approach to prevention that considers individual, social, and systemic factors.
Abstract Therapeutic advances and the rapid, cost-effective development of next-generation sequencing (NGS) have increased interest in expanding newborn screening (NBS) through genomics. The SeDeN-p2 study assessed the acceptability among healthcare professionals in France, of expanding NBS, particularly with genetics as a first-line test, by examining areas of convergence and divergence in their expectations. A national cross-sectional survey was conducted between June and December 2021 via professional networks and learned societies involved in NBS and genetics, in partnership with the French Society of Newborn Screening. The questionnaire comprised 101 closed-ended and 14 open-ended questions. After data cleaning, 1077 responses were analysed. Respondents were mainly paediatricians (43%), gynaecologists or midwives (36%), and medical geneticists or genetic counsellors (17%). Support for the inclusion of treatable childhood-onset conditions was very high, with over 95% endorsing their integration into NBS, although 29% still considered the current NBS programme sufficient. Views varied substantially by specialty, particularly regarding the scope of conditions and the use of NGS. Genetics professionals were more conservative, especially concerning variants with limited actionability, organisational constraints, and interpretive uncertainty, while midwives and gynaecologists were generally more favourable. Convergence was strongest for treatable paediatric conditions and shared ethical concerns, notably data misuse, psychosocial burden, and the child’s future autonomy. The need for improved communication with families was widely emphasised. The SeDeN-p2 study shows strong but conditional support among French healthcare professionals for integrating genetics into NBS, providing key insights to inform future policy and practice.
Camille Level, Frédéric Huet, Dominique Salvi et al.
The aim of this study was to compare pre-service teachers' preference of information stemming from different diagnostic approaches. Participants ( N = 185) evaluated vignettes containing diagnostic information from norm-referenced testing, criterion-referenced testing, and two types of information coming from dynamic testing (Graduated Prompt training scores and pretest/posttest scores). They rated these vignettes regarding their usefulness for understanding a child's difficulties and for planning individualized education. Additionally, attitudes towards diagnostics, beliefs about diagnostic goals and prior knowledge of diagnostic approaches were examined as potential moderators. Overall, information from norm-referenced testing was seen as least useful. No differences were found between the other diagnostic approaches. Moderation effects were found for all of the assessed variables.
Taina Gabriel, Jochanan Veerbeek, Moritz Börnert-Ringleb
