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367 result(s) for "Joshi, Heather"
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How active are our children? Findings from the Millennium Cohort Study
Objective To describe levels of physical activity, sedentary time and adherence to Chief Medical Officers (CMO) physical activity guidelines among primary school-aged children across the UK using objective accelerometer-based measurements. Design Nationally representative prospective cohort study. Setting Children born across the UK, between 2000 and 2002. Participants 6497 7-year-old to 8-year-old singleton children for whom reliable accelerometer data were available for at least 10 h a day for at least 2 days. Main outcome measures Physical activity in counts per minute (cpm); time spent in sedentary and moderate-to-vigorous intensity physical activity (MVPA); proportion of children meeting CMO guidelines (≥60 min/day MVPA); average daily steps. Explanatory measures Gender, ethnicity, maternal current/most recent occupation, lone parenthood status, number of children in the household and country/region of residence. Results The median daily physical activity level was 595 cpm (IQR 507, 697). Children spent a median of 60 min (IQR 47–76) in MVPA/day and were sedentary for a median of 6.4 h/day (IQR 6–7). Only 51% met CMO guidelines, with girls (38%) less active than boys (63%). Children took an average of 10 229 (95% CI (8777 to 11 775)) steps each day. Children of Indian ethnicity were significantly less active overall than all other ethnic groups. Children of Bangladeshi origin and those living in Northern Ireland were least likely to meet CMO guidelines. Conclusions Only half of 7-year-old children in the UK achieve recommended levels of physical activity, with significant gender, ethnic and geographic variations. Longitudinal studies are needed to better understand the relevance of these (in)activity patterns for long-term health and well-being. In the meantime population-wide efforts to boost physical activity among young people are needed which are likely to require a broad range of policy interventions.
Children of the 21st century
This book documents the early lives of almost 19,000 children born in the UK at the start of the 21st century, and their families. It is the first time that analysis of data from the hugely important Millennium Cohort Study, a longitudinal study following the progress of the children and their families, has been drawn together in a single volume. The unrivalled data is examined here to address important policy and scientific issues. The book is also the first in a series of publications that will report on the children's lives at different stages of their development. The fascinating range of findings presented here is strengthened by comparison with data on earlier generations. This has enabled the authors to assess the impact of a wide range of policies on the life courses of a new generation, including policies on child health, parenting, childcare and social exclusion. Babies of the new millennium (title tbc) is the product of an exciting collaboration from experts across a wide range of health and social science fields. The result is a unique and authoritative analysis of family life and early childhood in the UK that cuts across old disciplinary boundaries. It is essential reading for academics, students and researchers in the health and social sciences. It will also be a useful resource for policy makers and practitioners who are interested in childhood, child development, child poverty, child health, childcare and family policy.
The Relationship between Childbearing and Transitions from Marriage and Cohabitation in Britain
In this article, we describe a general framework for the analysis of correlated event histories, with an application to a study of partnership transitions and fertility among a cohort of British women. Using a multilevel, multistate competing-risks model, we examine the relationship between prior fertility outcomes (the presence and characteristics of children and current pregnancy) and the dissolution of marital and cohabiting unions and movements from cohabitation to marriage. Using a simultaneous-equations model, we model these partnership transitions jointly with fertility, allowing for correlation between the unobserved woman-level characteristics that affect each process. The analysis is based on the partnership and birth histories that were collected for the 1958 birth cohort (National Child Development Study) aged 16-42. The findings indicate that preschool children have a stabilizing effect on their parents' partnership, whether married or cohabiting, but the effect is weaker for older children. There is also evidence that although pregnancy precipitates marriage among cohabitors, the odds of marriage decline to prepregnancy levels following a birth.
Developmental Trajectories of Conduct Problems and Cumulative Risk from Early Childhood to Adolescence
Pathways into and out of conduct problems differ by circumstances experienced since infancy. There is a research gap in understanding how these developmental patterns vary according to the timing and persistence of risk and whether there are differences across ecological domains. This study examines variations in trajectories of conduct problems between ages 3 to 14 years and associated child, family and socio-economic risk factors from ages 9 months to 14 years, drawing on the UK Millennium Cohort Study (n = 17,206, 49% female), a nationally representative longitudinal study of children born between 2000/02. Group-based modeling was used to identify four distinct trajectories of conduct problems: low (56%), persistent high (8%), childhood-limited (23%) and adolescent-onset (13%). All three problem pathways were associated with high levels of exposure to risk, particularly early socio-economic and persisting child and family risks. However, while for the persistent and adolescent-onset pathways, exposure to higher levels of family and child risks continued through adolescence, it receded for the childhood-limited trajectory. The effects of early socio-economic disadvantage persisted for those on the adolescent-onset trajectory, highlighting the importance of early markers for this later onset group. Maternal smoking in pregnancy continued to be a significant predictor for all three conduct problem groups, even up to age 14 years. The findings indicate that different influences and processes may explain diverse pathways of conduct problems. This offers insights into who and what might be targeted and when might be the most effective developmental window for intervention.
Predictors of non-response in a UK-wide cohort study of children's accelerometer-determined physical activity using postal methods
Objectives To investigate the biological, social, behavioural and environmental factors associated with non-consent, and non-return of reliable accelerometer data (≥2 days lasting ≥10 h/day), in a UK-wide postal study of children's activity. Design Nationally representative prospective cohort study. Setting Children born across the UK, between 2000 and 2002. Participants 13 681 7 to 8-year-old singleton children who were invited to wear an accelerometer on their right hip for 7 consecutive days. Consenting families were posted an Actigraph GT1M accelerometer and asked to return it by post. Primary outcome measures Study consent and reliable accelerometer data acquisition. Results Consent was obtained for 12 872 (94.5%) interviewed singletons, of whom 6497 (50.5%) returned reliable accelerometer data. Consent was less likely for children with a limiting illness or disability, children who did not have people smoking near them, children who had access to a garden, and those who lived in Northern Ireland. From those who consented, reliable accelerometer data were less likely to be acquired from children who: were boys; overweight/obese; of white, mixed or ‘other’ ethnicity; had an illness or disability limiting daily activity; whose mothers did not have a degree; who lived in rented accommodation; who exercised once a week or less; who had been breastfed; were from disadvantaged wards; had younger mothers or lone mothers; or were from households with just one, or more than three children. Conclusions Studies need to encourage consent and reliable data return in the wide range of groups we have identified to improve response and reduce non-response bias. Additional efforts targeted at such children should increase study consent and data acquisition while also reducing non-response bias. Adjustment must be made for missing data that account for missing data as a non-random event.
The Influence of Context, Timing, and Duration of Risk Experiences for the Passage from Childhood to Midadulthood
This study investigated the long-term effects of social disadvantage on academic achievement and on subsequent attainments in adulthood. The study drew on data collected for over 30,000 individuals born 12 years apart, following their development from birth to adulthood. The pathways that link social disadvantage to individual development across the life course were analyzed in a developmental-contextual systems model. The results showed that the influence of risk factors associated with socioeconomic disadvantage depended on the developmental stage of the individual, the experience of long-term or continuous disadvantage, and the overall sociohistorical context. Early risk had a moderate influence on the formation of individual competences. The greatest risk was associated with persisting and accumulating experiences of socioeconomic disadvantage throughout childhood and adolescence. Material conditions improved for the later-born cohort, yet pervasive social inequalities existed that affected outcomes during childhood and were consequently reflected in adult attainment.
The Impact of Complex Family Structure on Child Well‐Being: Evidence From Siblings
Evidence from the United Kingdom Millennium Cohort on children at ages 3 and 5 with older siblings addresses the questions of whether those living with both biological parents and only full siblings have better emotional and behavior outcomes than other children, and whether nonfull siblings affect children's outcomes independently of parents' partnership status. Adjusting for measured family circumstances and resources in cross‐sectional regressions accounted for much of the adverse association of family complexity with child outcomes. Controlling for unobserved family and child fixed effects did not, however, attenuate all estimates further. Fixed unobservable factors appeared to be masking underlying associations. Allowing for them intensified some, albeit modest, estimates. These revealed excess externalizing behavior problems for boys with single or stepparents but only full siblings. For girls with single mothers, the chances of internalizing problems were raised. Whether siblings were full or not made little difference to outcomes in general.
Emotional and behavioural resilience to multiple risk exposure in early life: the role of parenting
Ecological and transactional theories link child outcomes to neighbourhood disadvantage, family poverty and adverse life events. Traditionally, these three types of risk factors have been examined independently of one another or combined into one cumulative risk index. The first approach results in poor prediction of child outcomes, and the second is not well rooted in ecological theory as it does not consider that distal risk factors (such as poverty) may indirectly impact children through proximal risk factors (such as adverse life events). In this study, we modelled simultaneously the longitudinal effects of these three risk factors on children’s internalising and externalising problems, exploring the role of parenting in moderating these effects. Our sample followed 16,916 children (at ages 3, 5 and 7 years; N  = 16,916; 49 % girls) from the UK Millennium Cohort Study. Parenting was characterised by quality of parent–child relationship, parental involvement in learning and parental discipline. Neighbourhood disadvantage, family poverty and adverse events were all simultaneously related to the trajectories of both outcomes. As expected, parenting moderated risk effects. Positive parent–child relationship, rather than greater involvement or authoritative discipline, most consistently ‘buffered’ risk effects. These findings suggest that a good parent–child relationship may promote young children’s emotional and behavioural resilience to different types of environmental risk.
Postponement and childlessness
This paper starts by reviewing existing projections of childlessness among British men and women. Low current fertility implies high eventual childlessness unless the postponement of parenthood is taken into account. Such re-timing of first births appears to be occurring differentially across social groups. Exploiting the disaggregated evidence of two British cohort studies, the 1958 National Child Development Study and the 1970 British Cohort Survey, this paper investigates the extent of postponement across cohorts and projects its impact on eventual levels of childlessness. Men and women are considered separately in our models of a population stratified by educational attainment. We find the most striking postponement occurring among graduate men. Among graduate women, after taking family building intentions into account, we estimate that about a quarter of 1970 born graduate women will remain childless, rather than something nearer 40 per cent as had been conjectured elsewhere.
Universal versus Economically Polarized Change in Age at First Birth: A French-British Comparison
France and Britain in the 1980s and 1990s represented two contrasting institutional models for the integration of employment and motherhood: the \"universalistic\" regime in France offered subsidized childcare and maternity-leave benefits at all income levels; the \"means-tested\" regime in Britain mainly offered income-tested benefits for single mothers. Comparing the two countries, we test the hypothesis that the socioeconomic gradient of fertility timing has become increasingly mediated by family policy. We find increasing polarization in women's age at first birth by pre-childbearing occupation in Britain but not in France. Early first births persisted in Britain only among women in low-skill occupations, while shifts toward increasingly late first births occurred in clerical/secretarial occupations and higher occupational groups. Age at first birth increased across all occupations in France, but age at first birth in France was still much earlier on average than for all but low-skill British mothers.