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18
result(s) for
"Krishnakumar, Ambika"
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Exposures to Airborne Particulate Matter and Adverse Perinatal Outcomes: A Biologically Plausible Mechanistic Framework for Exploring Potential Effect Modification by Nutrition
by
Krishnakumar, Ambika
,
Misra, Dawn P.
,
Kannan, Srimathi
in
Air Pollutants - toxicity
,
Air pollution
,
Airborne particulates
2006
Objectives: The specific objectives are threefold: to describe the biologically plausible mechanistic pathways by which exposure to particulate matter (PM) may lead to the adverse perinatal outcomes of low birth weight (LBW), intrauterine growth retardation (IUGR), and preterm delivery (PTD); review the evidence showing that nutrition affects the biologic pathways; and explain the mechanisms by which nutrition may modify the impact of PM exposure on perinatal outcomes. Methods: We propose an interdisciplinary conceptual framework that brings together maternal and infant nutrition, air pollution exposure assessment, and cardiopulmonary and perinatal epidemiology. Five possible albeit not exclusive biologic mechanisms have been put forth in the emerging environmental sciences literature and provide corollaries for the proposed framework. Conclusions: Protecting the environmental health of mothers and infants remains a top global priority. The existing literature indicates that the effects of PM on LBW, PTD, and IUGR may manifest through the cardiovascular mechanisms of oxidative stress, inflammation, coagulation, endothelial function, and hemodynamic responses. PM exposure studies relating mechanistic pathways to perinatal outcomes should consider the likelihood that biologic responses and adverse birth outcomes may be derived from both PM and non-PM sources (e.g., nutrition). In the concluding section, we present strategies for empirically testing the proposed model and developing future research efforts.
Journal Article
Interparental Conflict and Parenting Behaviors: A Meta-Analytic Review
2000
The purpose of this study is to examine the association between interparental conflict and parenting using meta-analytic review techniques. One-hundred and thirty-eight effect sizes from 39 studies are analyzed. The overall average weighted effect size is -.62, indicating a moderate association and support for the spillover hypothesis. The parenting behaviors most impacted by interparental conflict are harsh discipline and parental acceptance. Several moderating effects for subject and method characteristics are significant.
Journal Article
Development and Validation of the Adolescent Racial and Ethnic Socialization Scale (ARESS) in African American Families
by
Brown, Tiffany L.
,
Krishnakumar, Ambika
in
Adolescents
,
African American Children
,
African Americans
2007
Racial and ethnic socialization are an integral part of African American parenting strategies. Varied conceptualizations and operationalizations of racial and ethnic socialization exist within the literature with limited evidence of the validity of existing measures. The purpose of this study is to develop a comprehensive definition of racial and ethnic socialization and to validate a new measure termed the Adolescent Racial and Ethnic Socialization Scale (ARESS). Using Confirmatory Factor Analysis (CFA), findings from 218 African American adolescents (grades 9-12) support the multidimensional nature of racial and ethnic socialization. Results also indicate that racial and ethnic socialization are distinct constructs reflecting the utility of this instrument for African American youth.
Journal Article
Exposures to airborne particulate matter and adverse perinatal outcomes: a biologically plausible mechanistic framework for exploring potential
by
Krishnakumar, Ambika
,
Misra, Dawn P.
,
Kannan, Srimathi
in
Air pollution
,
Airborne particulates
,
Birth weight
2007
This article has three objectives: to describe the biologically plausible mechanistic pathways by which exposure to particulate matter (PM) may lead to adverse perinatal outcomes of low birth weight (LBW), intrauterine growth retardation (IUGR), and preterm delivery (PTD); review evidence showing that nutrition affects biologic pathways; and explain mechanisms by which nutrition may modify the impact of PM exposure on perinatal outcomes. We propose an interdisciplinary framework that brings together maternal and infant nutrition, air pollution exposure assessment, and cardiopulmonary and perinatal epidemiology. Five possible biologic mechanisms have been put forth in the emerging environmental sciences literature and provide corollaries for the proposed framework. The literature indicates that the effects of PM on LBW, PTD, and IUGR may manifest through the cardiovascular mechanisms of oxidative stress, inflammation, coagulation, endothelial function, and hemodynamic responses. PM exposure studies relating mechanistic pathways to perinatal outcomes should consider the likelihood that biologic responses and adverse birth outcomes may be derived from both PM and non-PM sources. We present strategies for empirically testing the proposed model and developing future research efforts. São três os objetivos deste artigo: descrever rotas mecanísticas biologicamente plausíveis pelas quais a exposição à matéria particulada (MP) pode levar a efeitos perinatais adversos, como baixo peso ao nascer (BPN), retardo do crescimento intra-uterino (RCIU) e nascimentos pré-termo (NPT); fazer uma revisão de evidências mostrando que a nutrição afeta rotas biológicas; explicar os mecanismos através dos quais a nutrição pode modificar o impacto da exposição a MP nos efeitos perinatais adversos. Propomos um referencial interdisciplinar que aproxime nutrição materna e infantil, avaliação de poluição do ar e epidemiologia cardiopulmonar e perinatal. Destacaram-se cinco possíveis mecanismos biológicos. A literatura indica que os efeitos da exposição a MP sobre o BPN, o RCIU e os NPT podem se manifestar através de mecanismos de estresse oxidativo cardiovascular, coagulação, inflamação, função endotelial e respostas hemodinâmicas. Estudos de exposição à MP relatando rotas mecanísticas a efeitos perinatais devem considerar a probabilidade de respostas biológicas e efeitos adversos ao nascer serem derivadas da exposição à MP e de outras fontes. Apresentamos estratégias para testes empíricos do modelo proposto e para o desenvolvimento de futuras pesquisas.
Journal Article
Economic Pressure and Children's Psychological Functioning
by
Krishnakumar, Ambika
,
Robila, Mihaela
in
Behavior Problems
,
Child Development
,
Child psychology
2006
We examined the mediating role of family dynamics (marital quality, parental depression) in the link between economic pressure and child psychological functioning using the data from the National Survey of Family and Households (NSFH). From the initial multiethnic probability sample, we used a subsample of 2998 parents with a focal child 5 to 17 years of age. We used structural equation modeling using AMOS 4.0 to test the model. The results indicated support for associations among economic pressure, marital quality, parental depression, parenting strategies and children outcomes. Economic pressure was associated with lower marital quality and higher depression. Higher conflict and psychological distress was associated with frequent use of harsh discipline techniques and lower psychological functioning in children.
Journal Article
The Impact of Maternal Depression and Parenting Behaviors on Adolescents' Psychological Functioning in Romania
2006
We examined the impact of maternal depression and parenting behaviors on adolescents' psychological functioning in Romania. The direct and indirect links between maternal depression, maternal acceptance, behavioral control, psychological control and adolescent internalizing and externalizing behaviors were analyzed. The sample consisted of 239, 12-14 year-old adolescents and their mothers. Results indicated that higher maternal depression were associated with higher levels of psychological control and higher levels of internalizing and externalizing behaviors. Higher levels of behavioral control were associated with higher levels of internalizing and externalizing behaviors in adolescents. [PUBLICATION ABSTRACT]
Journal Article
Healthy Eating and Harambee: Curriculum Development for a Culturally-Centered Bio-Medically Oriented Nutrition Education Program to Reach African American Women of Childbearing Age
by
Webster, J. DeWitt
,
Lumeng, Julie
,
Krishnakumar, Ambika
in
African Americans
,
African Americans - education
,
Babies
2010
The purpose was to develop, implement and evaluate a peer-led nutrition curriculum
Healthy Eating and Harambee
that addresses established objectives of maternal and infant health and to shift the stage for African American women of childbearing age in Genesee County toward healthier dietary patterns using a socio-cultural and biomedical orientation. The PEN-3 model, which frames culture in the context of health promotion interventions, was integrated with the Transtheoretical Model to guide this 13-week pre-test/post-test curriculum. Materials developed included soul food plate visuals, a micronutrient availability worksheet, a fruit stand, and gardening kits. Learning activities included affirmations, stories, case-scenarios, point-of-purchase product recognition, church health teams, and community health fairs. We investigated health-promoting dietary behaviors (consumption of more fruits and vegetables (F&V), serving more F&V to their families, and moderating dietary sodium and fat intakes), and biomedical behaviors (self-monitoring blood pressure and exercising) across five stages of change. Session attendance and program satisfaction were assessed.
N
= 102 women participated (mean age = 27.5 years). A majority (77%) reported adopting at least one healthy eating behavior (moderating sodium, serving more F&V to their families), 23% adopted at least two such behaviors (reading food labels for sodium; using culinary herbs/spices; serving more F&V to their families), and 45% adopted both dietary (moderating sodium; eating more fruits) and biomedical behaviors. Participants and facilitators favorably evaluated the curriculum and suggested improvements. A multi-conceptual approach coupled with cultural and biomedical tailoring has potential to promote young African American women’s movement to more advanced stages of change and improve self-efficacy for fruit and vegetable intake, dietary sodium moderation, and self-monitoring blood pressure and physical activity.
Journal Article
The Paternal Component of the “Healthy Migrant” Effect: Fathers’ Natality and Infants’ Low Birth Weight
2011
This study examines the predictors of birth outcomes among women of European and African ancestry and considers the birthplace of the babies’ fathers (foreign born vs. native born) as a protective factor. This is a secondary data analysis of 146,431 singleton births among women of European and African ancestry, both native-born and foreign-born, in a 21 birth hospital region of Central New York State from 1996 to 2003. Foreign born fathers were found to have 15% fewer low birth weight infants than US-born fathers, after controlling for the race and birthplace of the mother, tobacco use and Medicaid. Although this secondary data analysis does not allow us to determine the social determinants of the better birth outcomes among infants of foreign born fathers, it does demonstrate that fathers matter and that foreign born fathers are associated with reduced low birth weight in their infants.
Journal Article
Interparental Conflict and Youth Problem Behaviors: A Meta-Analysis
1997
We examined the proposition that interparental conflict is associated with internalizing and externalizing problems in youth ages 5 to 18. This examination was done by conducting a meta-analysis of 348 statistical effects from 68 studies. The average effect size (d-value) was .32. There was considerable variability among effect sizes and this variability was associated with the average time since separation for separated/divorced parents, the socioeconomic status composition of the sample, and average parental education in the sample. The variability among effect sizes also was associated with the source of the informant used to assess interparental conflict and youth problem behaviors. Surprisingly, many of the other study characteristics we coded were not associated with variability in the effect sizes.
Journal Article