The time benefits of young adult home stayers in France and Italy: a new perspective on the transition to adulthood?
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ABSTRACT:
SUBMITTER: Mencarini L
PROVIDER: S-EPMC5527049 | biostudies-other | 2017
REPOSITORIES: biostudies-other
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Project description:BackgroundAdult children are often key carers of frail older parents providing care for a long period of time in different care contexts. However, research concerning adult children's caregiving experiences, from providing home-based care to facing the death of a parent in a nursing home is sparse. Thus, the aim was to explore the transition from living at home to moving into and living in a nursing home and the time after death from the perspective of next of kin to an older person.MethodsA qualitative design using individual interviews with 15 adult children of older persons. The text was analysed using inductive content analysis.ResultsOne main category was identified, until death do us part. With three generic categories, living at home, living at a nursing home and time after death, and eight sub-categories. The results describe the transition when an older person lives at home and moves into and lives in a nursing home and the time after death from the perspective of next of kin.ConclusionThis study highlights many examples of tasks that adult children provide over a long period of time and in different care contexts since they felt that professional care was unable to provide safe and secure care for their older parents. It also highlights the importance for staff to recognize the support that next of kin provide. Furthermore, the study reveal that staff do not offer the relief that they are obligated to provide, to enable next of kin coping with this strenuous transition in life. First after the parent died, there was time for relief since the worrying and the doing of practical things for the parent had stopped.Trial registrationCurrent Controlled Trials NCT02708498 ; date of registration: 26 February 2016.
| S-EPMC8626904 | biostudies-literature
Project description:INTRODUCTION:Eating behavior often becomes unhealthier during the transition from adolescence to young adulthood, but not much is known about the factors that drive this change. We assess the available evidence on this topic through a literature review and pay special attention to the research designs employed in the studies available as well as the modifiability of the factors investigated in previous research. METHOD:We systematically conducted a scoping review by searching literature published in or after 2000 in three databases that described one or more factors associated with eating behavior or changes in eating behavior during the transition from adolescence to adulthood in the general population. Our search identified eighteen articles meeting these inclusion criteria. The socio-ecological DONE (Determinants of Nutrition and Eating) framework, a recently developed dynamic framework of factors shaping dietary behavior, was used to structure and categorize the factors identified. RESULTS:Most factors identified in the literature were individual-level factors (67%) such as food beliefs, time constraints, and taste preferences; on the other hand, interpersonal-level factors (e.g., social support), environmental-level factors (e.g., product characteristics) and policy-level factors (e.g., market regulations) have been reported on less extensively. Furthermore, most factors discussed in the literature have been classified in the DONE framework as not easily modifiable. Moreover, previous studies largely used static research designs and focused primarily on one specific population (US freshmen). DISCUSSION:This systematic scoping review identified several gaps in the available literature that hinder insight into the drivers of eating behavior (change) during the transition from adolescence to young adulthood. There is an urgent need for research on broader populations, employing dynamic repeated-measures designs, and taking modifiability of factors into account.
| S-EPMC6024552 | biostudies-literature
Project description:OBJECTIVES:The present database contains information on sociodemographic and clinical data as well as data from the Care Transition Measure (CTM 15-Brazil) of cancer patients undergoing clinical or surgical treatment. Data collection was carried out 7 to 30 days after patients' hospital discharge from June to August 2019. Understanding these data can contribute to improving quality of care transitions and avoiding hospital readmissions. DATA DESCRIPTION:This data set encompasses 213 cancer patients characterized by the follow variables: gender, age range, place of residence, race, marital status, schooling, paid work activity, type of treatment, cancer staging, metastasis, comorbidities, main complaint, main complaint grouped as, continuing medication, diagnosis, diagnosis grouped as, cancer type, year of diagnosis, oncology treatment, first hospitalization, readmission in the last 30 days, number of hospitalizations in the last 30 days, readmission in the last 6 months, number of hospitalizations in the last 6 months, readmission in the last year, number of hospitalizations in the last year and the questions 1-15 from CTM 15-Brazil.
| S-EPMC7268360 | biostudies-literature
Project description:Recent years have witnessed a resurgence in the interest in family size intentions and ideals in developed societies, partially stemming from the idea that realized fertility in these societies is lower than intended fertility. This paper addresses the question of the stability of family size intentions. Based on Heckhausen's life-span theory of control, it is hypothesized that young adults' family size intentions are likely to change as a result of their experiences in the family and occupational life domains. To study this issue, data are used from a Dutch panel survey in which respondents are questioned on their family size intentions six times over the course of 18 years. The results show that family size intentions are not stable, but are adjusted as people age. On average, the adjustment is downward, but some people do not adjust their intentions or even adjust them upwards. Much of this difference in age patterns can be explained by changes in the partner, educational, and occupational careers of young adults. Not finding a suitable partner and pursuing a career-for women-are important factors. But also the timing of the fertility career itself is of major importance. If respondents postpone having children until their thirties, they are much more likely to adjust their intentions downwards than if they start their childbearing career earlier.
| S-EPMC2791833 | biostudies-other
Project description:ObjectivePoor sleep poses negative health consequences for youth, yet few longitudinal actigraphy studies have examined basic developmental trends in sleep across adolescents' transition to young adulthood. In this longitudinal actigraphy study, stability of individual differences and trajectories of sleep during and after high school were examined. The degree to which sleep trajectories differed by college attendance status was also studied.MethodsA total of 343 youth with Asian, Latino, and European American backgrounds completed eight days of wrist actigraphy at two-year intervals in Wave 1 (n = 295, Mage = 16.39), Wave 2 (n = 211 including 34 new participants to refresh the sample, Mage = 18.31), and Wave 3 (n = 144, Mage = 20.29). Sleep duration, efficiency, and latency were estimated for weekdays and weekends. Intra-individual variability in duration across nights was also obtained.ResultsSleep parameters were correlated modestly between Wave 1 and Wave 2, but not correlated between Wave 1 and Wave 3, indicating modest shorter-term and little longer-term stability of individual differences. Multilevel growth models demonstrated declines in weekday sleep duration and efficiency across high school and post-high school years. Intra-individual variability in duration increased over the years. Latency trajectories changed more for non-college attendees compared with college attendees.ConclusionsOverall the findings suggest developmental trends of worsening sleep during adolescents' transition to young adulthood. Interventions to improve sleep may need to target specific issues faced by youth at that particular period in their lives.
| S-EPMC6650269 | biostudies-literature
Project description:Given that autonomy is a fundamental process in the transition to adulthood, there are several scales that measure the concept as a main construct or a constituent feature of broader constructs. However, most of these scales are based on a notion of autonomy focused on the individual, while the proposed scale aims to incorporate the idea of the individual mediated by others and society. This article aims to show the results of the design and validation process of the Transition to Adulthood Autonomy Scale (EDATVA), which was developed using this approach. A group of 61 items with a Likert-type response scale of four options was used on a sample of 1,148 Spanish and Colombian individuals, aged between 16 and 21. A systematic process was performed using an exploratory factorial analysis. Additional indexes were calculated from the Rasch Model. The matrices obtained from the factorial analysis gave rise to a 4-factor structure comprising a total of 19 items with weights >0.3. In the case of Spain, the KMO test returned a value of 0.80 and in the case of Colombia, 0.83. In the Rasch model, the Item Separation Reliability (0.99) indicates that the items constitute a well-defined variable that meets the local independence assumption. Cronbach's alpha for the Spanish sample was 0.86 and for the Colombian sample 0.85. In conclusion, this new scale consists of four dimensions: self-organization, understanding context, critical thinking, and socio-political engagement. The scale is easy to use and interpret, especially considering the age range of the target population and its possible uses within the contexts of assessing and intervening in young people's behavior. Due to its characteristics, it can be used in family, educational, and social contexts. This scale is valuable for research because its optimal psychometric properties provide an alternative way of understanding autonomy.
| S-EPMC7100080 | biostudies-literature
Project description:Background/objectivesIt is not known if diets lower in greenhouse gas (GHG) emissions are also healthier. We evaluated the population health implications of changing to more sustainable diets in the UK, France, Finland, Italy and Sweden.Subjects/methodsWe developed a life table model to simulate mortality and morbidity from diet-related diseases over the lifetime of the current population. Populating the model with locally available data for each country, we simulated the impact of country-specific dietary scenarios that had been optimised to meet dietary recommendations and reduce GHG emissions. Outcome measures included a change in disease-specific deaths, life expectancy and disability-adjusted life years (DALYs).ResultsDiets that meet nutritional recommendations lead to substantial improvements in population health, ranging from 0.19 (95% uncertainty interval: 0.18-0.21) DALYs per person in Italy up to 0.89 (0.80-0.98) DALYs per person in Finland. Simultaneously reducing GHG emissions does not reduce the size of this impact, and in some cases produces additional health benefits. If sustainable diets can be maintained throughout adulthood, life expectancy would increase by between 2.3 (1.6-3.2) and 6.8 (5.5-8.5) months by country. However, results are sensitive to assumptions about how quickly changes in diet can influence disease, and future trends in disease.ConclusionsModelling the health impact of diets that are both nutritional and low in GHG emissions shows the potential for significant co-benefits in health and sustainability from dietary changes. Future work is needed to find effective interventions to deliver healthy sustainable diets.
| S-EPMC6484724 | biostudies-literature
Project description:Several studies have focused on the association between parental and personal socioeconomic position (SEP) and health, with mixed results depending on the specific health outcome, research methodology and population under study. In the last decades, a growing interest is given to the influence of intergenerational mobility on several health outcomes at young ages. This study addresses the following research question: Is educational intergenerational mobility associated with all-cause and cause-specific mortality in young adulthood? To this end, the Belgian 1991 and 2001 censuses are used, providing characteristics of young persons at two time points (T1 = 01/03/91;T2 = 01/10/01) and follow-up information on mortality and emigration between T2 and 31/12/09 (T3). The study population consists of all official inhabitants of Flanders and the Brussels-Capital Region at T2, born between 1972 and 1982 and alive at T2. Parental and personal education are divided into primary (PE), lower secondary (LSE), higher secondary (HSE) and higher education (HE). We analyse mortality between T2 and T3 calculating age-standardised mortality rates (ASMRs) and using Cox regression (hazard ratios = HR). Personal rather than parental education determines the observed mortality rates, with high all-cause mortality rates among those with PE, irrespective of parental education (e.g., among men ASMRPE-PE = 200.0 [95% CI 158.0-241.9]; ASMRHE-PE = 319.7 [183.2-456.3]) and low all-cause mortality among those in higher education, regardless of parental education (ASMRPE-HE = 41.7 [30.8-52.6]; ASMRHE-HE = 38.0 [33.2-42.8]). There is some variation by gender and according to cause of death. This study shows the strong association between personal education and young-adult mortality.
| S-EPMC4697474 | biostudies-literature
Project description:IntroductionSexual minority (SM; e.g., lesbian, gay, bisexual) youth are disproportionately more likely to use tobacco than non-SM youth, yet there exist several critical gaps in knowledge. This study assessed (a) the timing of SM tobacco use disparities (e.g., during adolescence or early adulthood), (b) whether disparities generalize across different tobacco products, and (c) whether disparities differ by sex.MethodsData were from a 6-year prospective cohort of diverse high school students from Southern California who were followed into early adulthood (9 waves, 2013-2019). SM (vs. non-SM) differences in past 6-month use were assessed for: any tobacco products, cigarettes, e-cigarettes, other products (e.g., hookah), and multiple products. Disparities were modeled longitudinally across adolescence (high school) and the transition to early adulthood (end of high school to post-high school). Differences were tested by sex.ResultsAmong females, SM disparities were evident for all outcomes during both adolescence and early adulthood; no differences were observed among males. For example, SM (vs. non-SM) females had higher odds of cigarette (aOR = 4.4 [3.0-6.5]) and e-cigarette (aOR = 1.7 [1.2-2.4]) use, averaged across adolescence. The timing of disparities varied by product. For example, cigarette use disparities emerged prior to high school and persisted through adolescence and young adulthood, while e-cigarette use disparities were present in early adolescence and young adulthood only.ConclusionsYoung SM females are at especially high risk for tobacco use, across various tobacco products, throughout adolescence and young adulthood. Interventions must consider differences in the timing of disparities by product type.
| S-EPMC7946356 | biostudies-literature
Project description:Myotonic dystrophy type 1 (DM1), also called Steinert's disease, is a genetic multisystem disorder that has raised, in the last years, high interest because of the high variable clinical spectrum and related disability. Children with myotonic dystrophy are affected by behavioural problems and intellectual disability, finally impacting on their degree of engagement in family, work and social activities. The transition phase, representing the process of moving from adolescence to adulthood, can be severely affected by growing up with a neuromuscular disorder, with significant impact on patient's and families' quality of life. Although conceptual models of health assistance for individual with genetic disorders have already been proposed the burden for the patient and his family is still relevant. Therefore to afford this critical condition it would be suitable to plan proper educational and psychosocial programs, identifying areas of unmet needs and targeted health objectives that ensure the right support to DM1 population.
| S-EPMC5416743 | biostudies-literature