Week 9 - Healthy Children Flashcards

1
Q

What is one of the greatest indicators of health and wellness in a community?

A

The extent to which it invests in a nurtures its children

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2
Q

What are some common health and developmental issues faced by Australian children?

A
  • obesity
  • intellectual disabilities
  • behavioural problems
  • respiratory illnesses
  • oral health
  • accident prevention
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3
Q

What are some of the challenges for parenting and child health?

A
  • increasing population diversity
  • the need for work and family harmony
  • financial constraints
  • the need for accessible, affordable child care
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4
Q

Name some determinants of healthy childhood

A
  • warm consistent parenting
  • a good education and health services when required
  • having more protective factors than risk factors in their environment
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5
Q

What are the four systems of influence on childhood development identified by Bronfenbreneer’s theory of social ecology

A

1) Cultural beliefs and values (microsystem)
2) Neighbourhood and community (ecosystem)
3) Family (microsystem)
4) Individual characteristics and development stage (individual)

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6
Q

What resources does a family bring to a child’s life?

A
  • socio-economic position
  • time
  • attentiveness
  • cognitive and emotional support
  • moral values
  • expectations & motivations
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7
Q

Define a healthy child?

A

one who experiences warm and consistent parenting, a good education, receives health services when needed and has access to more protective factor than risk factors in his/her environment

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8
Q

Explain Bandura’s self efficacy theory

A

Based on the expectation that a person can master certain behaviours by engaging in those behaviours to achieve their goals.

When parents are provided with both information and trust in their own judgement in the context of their lives, they will be more likely to make decisions that promote better health for their children. As a results, their children are more likely to develop physical, cognitive and self-regulating capabilities that will endure over the life course

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9
Q

What is Bolwby’s theory of human attachment?

A

That newborn infants are predisposed to seek attachment to their caregivers in times of stress, illness or fatigue.
When parents have secure attachments in their lives they are more likely to be sensitive, responsive, engaged caregivers for their own children and supportive of one another as partners

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10
Q

What is reciprocal determinism (children specific)

A

Children affect and are affected by influences in their external world

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11
Q

What is the theory of biological embedding (gene-environment interactions)

A

Children’s interactions with the world around them at ‘critical moments’ along their development pathway determine their endocrine, neurological, cardiovascular and immunological development, and how they learn to modify incoming stressors

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12
Q

What is biological embedding?

A

The process through which extrinsic factors experienced at different stages ‘get under the skin’ or alter the body’s biological functions or structures during critical periods, habituation, learning, damage or repair

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13
Q

What are some adverse childhood experiences (ACE) that can impact on biological embedding?

A
  • Emotional, physical, sexual abuse
  • Emotional, physical neglect
  • Witnessing domestic violence
  • Household with mentally ill or substance abusers
  • Losing a parent
  • Household member incarcerated
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14
Q

What is allostatic load?

A

The cumulative effect of stress, which dysregulates, overuses and transforms adaptive processes into pathogenic processes, which accelerates ageing

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15
Q

What health issues can allostatic load, or cumulative effect of stress from adverse events lead to?

A
  • heart disease
  • cancers
  • lung disease
  • skeletal fractures
  • liver disease
  • sexually transmitted diseases
  • a range of mental health disorders
  • general health and social problems
  • premature mortality
  • development of a range of risk factors such as smoking, alcohol abuse, obesity, physical activity and other risky behaviours
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16
Q

What is one of the most effective ways for communities and global societies to ensure health and wellbeing in the population across the course of life?

A

Investing in ‘equity from the start’ through supportive environments and programs to develop parenting skills

17
Q

UNICEF considers child wellbeing as comprising six dimensions. What are they?

A
  • material wellbeing
  • health and safety
  • educational wellbeing
  • family and peer relationships
  • behaviours and risks
  • subjective wellbeing
18
Q

What are the 5 steps along the critical pathway to child health?

A
  • Biological embedding
  • Family resources, cohesion
  • Access to education
  • Safe, cohesive, culturally sensitive, equitable, supportive, caring community
  • Healthy adulthood
19
Q

What is relative poverty?

A

The proportion of people who live below the median (50-60%) household income of the population. It is a measure of inequity

20
Q

How many Australian children are affected by relative poverty?

A

approximately 11%

21
Q

What are some impacts of impoverishment in childhood

A
  • high infant mortality
  • high unintentional injury rates
  • low birth weight
  • poor overall child wellbeing
  • low immunisation rates
  • juvenile homicide
  • Low educational attainment
  • non-participation in higher education
  • dropping out of school
  • aspiring to low-skilled work
  • poor peer relations
  • bullying at school
  • teenage pregnancy
  • physical inactivity and childhood obesity
  • not having breakfast
  • mental health problems, including loneliness
  • living in a cold, damp house
  • missing out on school outings and sports activities
22
Q

Despite the gains in child health indicators several areas for improvement remain. What are they?

A
  • reducing the number of women who smoke in pregnancy (1 in 7) or consume alcohol
  • Breastfeeding continuation, 90% initiate but only 40% exclusively breastfed at 4 months
  • Dental decay (45% of children)
  • 25% of children enter school with a developmental delay
  • 15% have mental health problems
  • Bullying at school/cyber bullying
23
Q

What percentage of Australian children are overweight and/or obese

A

23% overweight

6% obese

24
Q

What is a key determinant for a healthy childhood?

A

Healthy pregnancy

25
Q

What does the Communion on the Social Determinants of Health (CSDH 2008) recommend for a healthy pregnancy/early childhood

A
  • support for exclusive breastfeeding initiation within the first hour of life and for the first 6 months
  • skin-to-skin contact immediately after birth
  • extended breastfeeding to age 2
  • educational support for children and their mothers
26
Q

What are some benefits of breastfeeding?

A
  • protection against chronic disease and death
  • reduces exposure to harmful agents
  • reduces the risk of SIDS/SUDI
  • better cognitive development
  • benefits for the mother including weight loss, reduction in the risk of some cancer and maternal depression
27
Q

What factors encourage breastfeeding?

A
  • mothers health and risk
  • timing of decision to breastfeed
  • consistent advice
  • education, knowledge, skills
  • positive expectations
  • realistic expectations of infant weight gain
  • faith in breastmilk
  • mother-infant separation
  • parental leave
  • support for workplace feeding or to pump breastmilk
  • flexible work schedules
28
Q

Feelings of depression can intensify for women who are :

A
  • socially isolated
  • lacking an intimate confidant, find or extended family
  • Migrant/non-english speaking background
  • Women living in rural areas
29
Q

What percentage of women are reported to have Postnatal Depression in Australia

A

15%

30
Q

What are the protective factors that have been identified as helping children develop resilience?

A
CHILD
Persistent
self-regulating temperament
talents
interests
FAMILY
Positive values
close relationships
Community connectedness
COMMUNITY
A secure base
social capital
positive activities
safe
31
Q

What are the possible effects of postnatal depression on mothers and growth and development as children?

A
  • disruption of bonding and early attachment between mother and baby
  • reduced changes of maternal intention with child in areas such as reading, speech development, paying and socialisation outside the home
  • potential subsequent psychological consequences to child development
  • potential consequences in child’s ability to develop relationships with other adults and children