Child Health Care in Ireland

Staines, Anthony; Balanda, Kevin P.; Barron, Steve; Corcoran, Yvonne; Fahy, Lorraine; Gallagher, Louise; Greally, T; Kilroe, Jean; Mohan, Caroline Mason; Matthews, Anne; McGovern, Elyce; Nicholson, Alf J; O’Farrell, Anne; Philip, Roy K; Whelton, Helen

doi:10.1016/j.jpeds.2016.04.046

Cited by 12 publications

(7 citation statements)

References 15 publications

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“…Furthermore, antenatal services and maternal wards are effective contact points for interventions initiated during pregnancy that stretch into childhood 56 . However, across Ireland, a split in public and private health service provision has led to varying degrees of availability and quality of health care 57 . Policies therefore must ensure that interventions do not contribute to growing health inequalities.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of early childhood obesity in Ireland: Differences over time, between sexes and across child growth criteria

Jabakhanji¹,

Boland²,

Ward

et al. 2022

Pediatric Obesity

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Background: Various child growth criteria exist for monitoring overweight and obesity prevalence in young children.Objectives: To estimate early overweight and obesity prevalence in Ireland and compare the differences in prevalence across ages, growth criteria and sexes.Methods: Longitudinal body mass index data from the nationally representative Growing Up in Ireland infant cohort (n = 11 134) were categorized ('under-/normal weight', 'risk of overweight', 'overweight', 'obesity') using the sex-and age-specific International Obesity Task Force growth reference, World Health Organization growth standard and World Health Organization growth reference criteria. Differences in prevalences between criteria and sexes, and changes in each weight category and criterion across ages (9 months, 3 years, 5 years), were investigated.Results: Across criteria, 11%-40% of children had overweight or obesity at 9 months, 14%-46% at 3 years and 8%-32% at 5 years of age. Prevalence estimates were highest using the World Health Organization growth reference, followed by International Obesity Task Force estimates. Within each criterion, prevalence decreased significantly over time (p < 0.05). However, when combining both World Health Organization criteria, as recommended for population studies, prevalence increased, due to differences in definitions between them. Significantly more boys than girls had overweight/obesity using either World Health Organization criterion, which was reversed using the International Obesity Task Force growth reference.Conclusions: To increase transparency and comparability, studies of childhood obesity need to consider differences in prevalence estimates across growth criteria.Effective prevention, intervention and policy-making are needed to control Ireland's high overweight and obesity prevalence.

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Section: Discussionmentioning

confidence: 99%

“… 56 However, across Ireland, a split in public and private health service provision has led to varying degrees of availability and quality of health care. 57 Policies therefore must ensure that interventions do not contribute to growing health inequalities.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of early childhood obesity in Ireland: Differences over time, between sexes and across child growth criteria

Jabakhanji¹,

Boland²,

Ward

et al. 2022

Pediatric Obesity

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“…However, increasing resources during times of recession is inherently challenging, as governments are limited in their ability to invest in new mental health supports by the economic reality of a recession. As such, during recessions, governments typically lay off staff, do not replace retiring staff, or avoid creating new heavily human resource intensive mental health services [ 137 , 138 ]. Therefore, health policy and practice implications should also consider the adoption of low cost, evidence-based interventions such as bibliotherapy, Internet-Delivered Cognitive Behavioural Therapy, supportive text messaging, and encouragement of community and family level emotional support [ 138 , 139 , 140 , 141 , 142 , 143 , 144 , 145 , 146 , 147 , 148 , 149 , 150 , 151 , 152 , 153 , 154 , 155 , 156 , 157 , 158 , 159 , 160 , 161 , 162 ].…”

Section: Discussionmentioning

confidence: 99%

The Impact of Economic Recessions on Depression, Anxiety, and Trauma-Related Disorders and Illness Outcomes—A Scoping Review

Guerra

Eboreime

2021

Behavioral Sciences

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In the wake of a global economic recession secondary to the COVID-19 pandemic, this scoping review seeks to summarize the current quantitative research on the impact of economic recessions on depression, anxiety, traumatic disorders, self-harm, and suicide. Seven research databases (PsycINFO, MEDLINE, Embase, Web of Science: Core Collection, National Library of Medicine PubMed, PubMed Central, and Google Scholar) were searched for keywords returning 3412 preliminary results published since 2008 in Organisation for Economic Coordination and Development (OECD)nations. These were screened by both authors for inclusion/exclusion criteria resulting in 127 included articles. Articles included were quantitative studies in OECD countries assessing select mental disorders (depression, anxiety, and trauma-/stress-related disorders) and illness outcomes (self-harm and suicide) during periods of economic recession. Articles were limited to publication from 2008 to 2020, available online in English, and utilizing outcome measures specific to the disorders and outcomes specified above. A significant relationship was found between periods of economic recession and increased depressive symptoms, self-harming behaviour, and suicide during and following periods of recession. Results suggest that existing models for mental health support and strategies for suicide prevention may be less effective than they are in non-recession times. It may be prudent to focus public education and medical treatments on raising awareness and access to supports for populations at higher risk, including those vulnerable to the impacts of job or income loss due to low socioeconomic status preceding the recession or high levels of financial strain, those supporting others financially, approaching retirement, and those in countries with limited social safety nets. Policy makers should be aware of the potential protective nature of unemployment safeguards and labour program investment in mitigating these negative impacts. Limited or inconclusive data were found on the relationship with traumatic disorders and symptoms of anxiety. In addition, research has focused primarily on the working-age adult population with limited data available on children, adolescents, and older adults, leaving room for further research in these areas.

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“…Primary care services play a crucial role in providing care to healthy children and adolescents and in coordinating care for pediatric patients who need multidisciplinary support [ 1 , 2 ]. To strengthen the capacity of the primary pediatric health care model, it is paramount to ensure those resources and services that today continue to be mainly a prerogative of hospitals in several countries [ 3 – 5 ]. In particular, in Italy, a universalistic approach based on a highly-valued community healthcare service has become a concrete reality since the National Healthcare Plan was implemented between 2003 and 2005.…”

Section: Introductionmentioning

confidence: 99%

Pediatric nurses in pediatricians’ offices: a survey for primary care pediatricians

et al. 2021

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Background The role played by nurses in caring for children in pediatricians’ officies in the community is crucial to ensure integrated care. In Italy, pediatricians are responsible for the health of children aged 0–14 years living in the community. This study aimed to describe Italian primary care pediatricians’ opinions about the usefulness of several nursing activities that pediatric nurses could perform in pediatricians’ offices. Methods An online survey with pediatricians working in primary care in Italy was conducted between April–December 2018. A 40-item questionnaire was used to assess four types of nursing activities: clinical care, healthcare education, disease prevention, and organizational activities. The answers ranged from 1 (not useful at all) to 6 (very useful). Moreover, three open-ended questions completed the questionnaire. Results Overall, 707 pediatricians completed the online survey. Participants were mainly female (63%), with a mean age of 57.74 (SD = 6.42). The presence of a pediatric nurse within the pediatrician’s office was considered very useful, especially for healthcare education (Mean 4.90; SD 1.12) and disease prevention (Mean 4.82; SD 1.11). Multivariate analysis confirmed that pediatricians ‘with less working experience’, ‘having their office in a small town’, and ‘collaborating with a secretary and other workers in the office’ rated the nurse’s activities significantly more useful. Conclusions A pediatric nurse in the pediatrician’s office can significantly contribute to many activities for children and their families in the community. These activities include clinical care, healthcare education, disease prevention, and the organizational processes of the office. Synergic professional activity between pediatricians and pediatric nurses could ensure higher health care standards in the primary care setting.

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Child Health Care in Ireland

Cited by 12 publications

References 15 publications

Prevalence of early childhood obesity in Ireland: Differences over time, between sexes and across child growth criteria

Prevalence of early childhood obesity in Ireland: Differences over time, between sexes and across child growth criteria

The Impact of Economic Recessions on Depression, Anxiety, and Trauma-Related Disorders and Illness Outcomes—A Scoping Review

Pediatric nurses in pediatricians’ offices: a survey for primary care pediatricians

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