Inequality within the family (i.e. differential parenting) is associated with a variety of measures of child adjustment. To date there is no research examining the effects of this phenomenon on children’s physical health, or on the fashion in which this phenomenon may combine and interact with socioeconomic markers. The present study assessed 375 mothers and their children over a period of 18 months. Differential maternal negativity between siblings predicted change in child health, controlling for child gender, age, maternal education, income/assets, and absolute level of negativity in the household. The association between maternal education and change in child health was strongest when children were also exposed to high differential negativity, suggesting that these predictors combined in a cumulative fashion. Findings indicate that multiple forms of social disadvantage (i.e. between families and between siblings) can operate independently or in combination with one another to predict change in child health.

Inequality within the family (i.e. differential parenting) is associated with a variety of measures of child adjustment. To date there is no research examining the effects of this phenomenon on children’s physical health, or on the fashion in which this phenomenon may combine and interact with socioeconomic markers. The present study assessed 375 mothers and their children over a period of 18 months. Differential maternal negativity between siblings predicted change in child health, controlling for child gender, age, maternal education, income/assets, and absolute level of negativity in the household. The association between maternal education and change in child health was strongest when children were also exposed to high differential negativity, suggesting that these predictors combined in a cumulative fashion. Findings indicate that multiple forms of social disadvantage (i.e. between families and between siblings) can operate independently or in combination with one another to predict change in child health.

Background/Project Description: There is a growing interest in the contribution of late preterm (34 – 36 week gestational age (GA)) birth to neonatal morbidity and mortality. Late preterm infants have an increased incidence of both respiratory and non- respiratory complications over the first year of life. Rates of prematurity as well as morbidity/mortality in infancy are higher in lower socioeconomic status (SES) groups but how GA and SES interact is relatively unexplored. Methods/Participant Population: A retrospective cohort study was undertaken utilizing anonymized data housed at the Manitoba Centre for Health Policy (MCHP). A population-based cohort of infants born at 34 to 41 weeks of GA was assembled; individual and area-level income information was used to develop SES groups. Outcomes studied included diagnoses received during the birth hospitalisation, neonatal and post-neonatal admissions. Regression models were constructed to explore the effects of GA and SES as well as control for multiple perinatal variables. Appropriate approvals and safeguards for data privacy were maintained. Results: GA and SES exerted a gradient effect on morbidity, which persisted after controlling for multiple confounding variables. The effect of GA was strongest during the birth hospitalisation but persisted throughout the first year with increased morbidity evident with each week of decreasing GA. The detrimental association of low SES with morbidity increased in effect size throughout the first year surpassing that of GA for post-neonatal admissions. An interaction effect of maternal diabetes, respiratory morbidity and SES was suggested and merits further investigation. Neonatal stays of 3 days or longer negated the association of GA with readmission within the first 28 days; in addition shorter stay infants had the highest risks of readmission at 37 weeks as compared to the late preterm gestations. Conclusions: The consistent associations between poverty, prematurity and morbidity require both further study and attention. Attention to the neonatal health of both late preterm and term infants is important due to their large numbers and population impact. The added risk of poverty merits urgent and multifaceted interventions to lay the groundwork for healthy childhood and long-term success.

Background/Project Description: There is a growing interest in the contribution of late preterm (34 – 36 week gestational age (GA)) birth to neonatal morbidity and mortality. Late preterm infants have an increased incidence of both respiratory and non- respiratory complications over the first year of life. Rates of prematurity as well as morbidity/mortality in infancy are higher in lower socioeconomic status (SES) groups but how GA and SES interact is relatively unexplored. Methods/Participant Population: A retrospective cohort study was undertaken utilizing anonymized data housed at the Manitoba Centre for Health Policy (MCHP). A population-based cohort of infants born at 34 to 41 weeks of GA was assembled; individual and area-level income information was used to develop SES groups. Outcomes studied included diagnoses received during the birth hospitalisation, neonatal and post-neonatal admissions. Regression models were constructed to explore the effects of GA and SES as well as control for multiple perinatal variables. Appropriate approvals and safeguards for data privacy were maintained. Results: GA and SES exerted a gradient effect on morbidity, which persisted after controlling for multiple confounding variables. The effect of GA was strongest during the birth hospitalisation but persisted throughout the first year with increased morbidity evident with each week of decreasing GA. The detrimental association of low SES with morbidity increased in effect size throughout the first year surpassing that of GA for post-neonatal admissions. An interaction effect of maternal diabetes, respiratory morbidity and SES was suggested and merits further investigation. Neonatal stays of 3 days or longer negated the association of GA with readmission within the first 28 days; in addition shorter stay infants had the highest risks of readmission at 37 weeks as compared to the late preterm gestations. Conclusions: The consistent associations between poverty, prematurity and morbidity require both further study and attention. Attention to the neonatal health of both late preterm and term infants is important due to their large numbers and population impact. The added risk of poverty merits urgent and multifaceted interventions to lay the groundwork for healthy childhood and long-term success.

Thesis (M.A.)--University of Wisconsin--Madison, 1966. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references.

Abstract Oral diseases are, to a notable extent, behavioral diseases. The concept of lifestyle makes it possible to study behavior in a broad sense. The aim was to study the association of lifestyle with oral health and dental health behavior. All of the 1,012 55-year-old citizens of Oulu were invited to a clinical examination, and 780 of them participated. A lifestyle variable to measure health orientation was constructed. Smoking, alcohol consumption, dietary habits and physical activity were used as indicators of lifestyle. The association of lifestyle with dental caries, periodontal health, denture stomatitis and dental health behavior was studied with a cross-sectional design. An unhealthy lifestyle was associated with a higher number of dental decay, periodontal pockets and a higher prevalence of denture stomatitis. Lifestyle accounted for a large part of the differences between socioeconomic groups and between men and women in number of dental decay and periodontal pockets. An unhealthy lifestyle was associated with an increased prevalence of denture stomatitis in yeast carriers. A higher toothbrushing frequency and the use of extra cleaning methods were related to healthier lifestyle. Socioeconomic status was more important than lifestyle as a determinant of dental visits. Smoking was associated with higher lactobacillus counts and the presence of yeasts in saliva. Lifestyle explained a great part of the differences between the socioeconomic groups and between men and women in oral health. It seems that part of the association between oral and general health can be explained by lifestyle. It is important to control for general lifestyle when the biological connections between oral and general health are studied.

Rhetoric about the ‘crisis’ state of language learning in predominantly Anglophone countries is nothing new, given the widely-held belief about English having ‘global lingua franca’ status. Similarly long-standing are notions of language learning being a particularly gendered or classed activity, specifically, one that is perceived as being appropriate for female, and middle-class, pupils. This thesis explores the extent of the role played by notions of gender and class in the formation of language-learning attitudes among native speakers of the ‘global’ language, through a mixed qualitative methodology. Providing some context to the issue of language-learning attitudes in Scotland is textual analysis of news articles and political party manifestos, to ascertain the nature of media reporting, and claimed political commitment, to foreign language education. Against this background, case studies of four urban secondary schools are built up, using textual analysis of their publicly available promotional literature, classroom observation, and interviews with pupils, classroom teachers and members of senior management. Schools were chosen specifically to represent a range of socioeconomic backgrounds, as well as both mixed- and single-sex environments, in order to probe the aforementioned stereotyped notions attached to these two variables, as they relate to language-learning attitudes. Influencing the methodological approach is Norton’s (1995; 2000; 2008) ‘investment’ framework, which has pushed conceptualisations of language-learning motivation forward beyond simple dichotomies, such as ‘integrative versus instrumental’. I re-adapt her framework to better suit the specific context of native speakers of the ‘global’ language embarking upon foreign, rather than second, language learning. This study makes a contribution to knowledge in three separate areas of research literature, namely, language-learning attitudes and motivation among speakers of English (which as yet has been little explored, at least in comparison to motivation theories developed specifically for those learning English as an L2); the role of gender in the formation of language-learning attitudes; and the role of socioeconomic status in the same context, and also its influence on attitudes towards education more generally. Among the key findings are the importance of placing an emphasis on enjoyment of language learning for native English speakers, given the general lack of imperative felt by most; gendered notions attached to different areas of the curriculum, including modern foreign languages (for example, language learning is a ‘girlie’ subject), do exist, but are less pervasive than is suggested by much of the previous literature; the role played by socioeconomic status, however, appears much more influential, and teachers’ expectations of pupils in this regard can exercise a significant impact on a child’s language-learning motivation.

With the increasing advocacy for maintaining a healthy lifestyle in regards to exercise and the average age of the population in the U.S. growing older, there has been an increased incidence of arthritic knee damage as a result of osteoarthritis. Once non-procedural methods of treatment have been exhausted, such as NSAIDs and physical therapy, the most effective therapy to regain previous range of motion and quality of life is total knee arthroplasty (TKA). Additionally, TKA is useful to treat patients with rheumatoid disease once their knees have reached end-stage cartilage damage, although it does not restore function as well in these patients as it does in patients with osteoarthritis. Current technological developments have produced prostheses that mimic physiological movement and allow attachment of components positioned similarly to ligaments in the human knee, providing better longevity and functional recovery from the damaged state. The TKA procedure has become fast-tracked to limit the length of stay for patients and the cost to both the individual and the hospital. Though this change to fast-track procedures has helped limit post-operative complications, such as venous thromboembolism, multiple comorbidities and componentry failure continue to increase the risk of failure or revision of the procedure. With the projected increase in the need for TKAs in the future, it is important to review factors that may influence access and success of this procedure, for example, the effect socioeconomic status has on the ability of different patients to receive quality replacements and experience sustained quality of life. Multiple studies have shown that utilization of TKA differs between low income and high income populations, with racial minority populations undergoing the procedure less often as they represent a greater percentage of low income populations. Interestingly, low income patients report greater improvement in function when compared to high income patients, most likely due to low income patients being admitted with more severe knee damage when compared to the other population. Their satisfaction, along with financial constraints and insurance, are factors that lower the rate of revision for low income populations even though their measured range of motion post-operatively is not as good as that in high income populations on average. Social support has been determined to be a significant factor in determining whether patients will undergo TKA and follow the rehabilitation prescribed to them appropriately. Studies have shown less social support reported from minority groups, but not low income cohorts specifically. Using the current knowledge of the impact these differences in socioeconomic status can have on the outcomes of TKA, can help create healthcare environments which will optimize the success rate of TKA for all patients, regardless of socioeconomic status, and prevent unnecessary strain on the healthcare system due to avoidable post-operative issues. Future studies should determine what policies and procedures can be implemented to help aid patients, such as greater social support, and to support hospitals with limited resources in an effort to improve surgical outcomes.

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