Alexandra Veltsista

Social determinants of self-reported emotional and behavioral problems in Greek adolescents

ObjectiveThis study aimed to assess the social factors associated with self-reported emotional and behavioral problems among Greek adolescents.MethodsAt age 18, a population-based sample of 3373 Greek adolescents completed the Youth Self-Report (YSR) questionnaire.ResultsThe results from the multivariate analysis indicated that both lack of intimate friendships and not having parental monitoring were independently associated with problem behavior among both male and female adolescents. Engagement in sexual activities was significantly associated with higher YSR scores among both genders. Absence of academic motivation was associated with higher YSR scores in girls only.ConclusionsOur results confirm that social factors, including negative family functions, lack of academic motivation and not having close friends, were associated with emotional and behavioral problems among adolescents and imply the need to develop a supportive social network for adolescents.

Prevalence of recurrent complaints of pain among Greek schoolchildren and associated factors: A population-based study

Aim: To determine the prevalence of recurrent complaints of pain (RCP) in Greek children, and to examine associations with socio‐demographic characteristics and psychosocial factors. Methods: Cross‐sectional study comprising a nationally representative population of 8130 7‐y‐old Greek schoolchildren. Data were collected by mailed questionnaires (response rate 89%). RCP was defined as present if at least one of the complaints of headache, abdominal pain or limb pain occurred at least once a week. Results: The RCP prevalence rate was 7.2%, with significant gender differences (8.8% of girls, 5.7% of boys; p<0.001). RCP was significantly positively associated with a chronic health problem among the children, frequent change of residence, poor school performance, often watching TV and rarely playing with other children. There were no statistically significant associations of RCP with family structure and socio‐economic status.

Working mothers breastfeed babies more than housewives.

Aim: To examine the prevalence and determinants of breastfeeding and to identify perinatal, sociodemographic, psychosocial and environmental factors associated with maternal infant feeding intention.

Mother's education and the risk of preterm and small for gestational age birth: a DRIVERS meta-analysis of 12 European cohorts

Background A healthy start to life is a major priority in efforts to reduce health inequalities across Europe, with important implications for the health of future generations. There is limited combined evidence on inequalities in health among newborns across a range of European countries. Methods Prospective cohort data of 75 296 newborns from 12 European countries were used. Maternal education, preterm and small for gestational age births were determined at baseline along with covariate data. Regression models were estimated within each cohort and meta-analyses were conducted to compare and measure heterogeneity between cohorts. Results Mothers education was linked to an appreciable risk of preterm and small for gestational age (SGA) births across 12 European countries. The excess risk of preterm births associated with low maternal education was 1.48 (1.29 to 1.69) and 1.84 (0.99 to 2.69) in relative and absolute terms (Relative/Slope Index of Inequality, RII/SII) for all cohorts combined. Similar effects were found for SGA births, but absolute inequalities were greater, with an SII score of 3.64 (1.74 to 5.54). Inequalities at birth were strong in the Netherlands, the UK, Sweden and Spain and marginal in other countries studied. Conclusions This study highlights the value of comparative cohort analysis to better understand the relationship between maternal education and markers of fetal growth in different settings across Europe.

Relationship between Eating Behavior, Breakfast Consumption, and Obesity Among Finnish and Greek Adolescents

OBJECTIVE To investigate the relationship between eating-related behaviors, particularly breakfast consumption, and weight status in Finnish and Greek adolescents. METHODS A total of 6,468 16-year-old Finnish adolescents and 2,842 17- and 18-year-old Greek adolescents, based on the latest follow-up of 2 population-based cohorts, were studied. Univariate analysis examined the associations between breakfast consumption, family meals, emotional eating, bingeing, and weight status in both populations. Multiple logistic regression models focused on the relationship between breakfast consumption and overweight/obesity taking potential confounders into account. RESULTS Daily breakfast consumption was associated with lower levels of overweight/obesity among Finnish and Greek boys, but not among girls. Adjusting for confounders did not change the result among Greek boys, but adjustment for fathers body mass index, weight control, and fear of getting fat attenuated the association among Finnish boys. CONCLUSIONS AND IMPLICATIONS This study highlights the importance of breakfast consumption, particularly among male adolescents, in obesity prevention programs.

Can we be optimistic about asthma in childhood? A Greek cohort study.

Objective. To examine the prevalence and natural course of asthma from childhood to adolescence in a population-based, Greek birth cohort and to identify associated factors. Methods. Longitudinal information on asthma symptoms, physician diagnosed and treated, was available for 2133 children at 7 and 18 years of age. Results. The prevalence of current asthma was 9.0% and 5.0% at 7 and 18 years, respectively. The prevalence of lifetime asthma was 26.3% at 18 years. More than half of the children (58.2%) with early onset asthma were asymptomatic at 7 years and only 7.6% continued to have symptoms during adolescence. However, in 48.2% of those with late onset asthma, symptoms persisted up to 18 years. Logistic regression analyses showed that male gender, family history of atopy, active adolescent smoking and maternal smoking were significantly positively associated with lifetime asthma at 18 years. In addition, smoking during pregnancy was associated with an increased risk for persistence of asthma symptoms at 18 years. Asthma during childhood and active adolescent smoking were positively associated, and daily consumption of fruit and vegetables was negatively associated with current asthma at 18 years of age. Finally, children who were breastfed had a lower risk for lifetime asthma at 7 years. Conclusion. The prevalence of asthma symptoms at 7 and 18 years of age was low throughout Greece. Our results suggest that, among others, nutrition is an important correlate of asthma in Greek children.

Parental stress affects the emotions and behaviour of children up to adolescence: a Greek prospective, longitudinal study.

Systematic research about the continuity of mental health problems from childhood to adolescence is limited, but necessary to design effective prevention and intervention strategies. We used a population-based representative sample of Greek adolescents, followed-up from birth to the age of 18 years, to assess early influences on and the persistence of mental health problems in youth. We examined the role of peripartum, early development and parental characteristics in predicting mental health problems in childhood and adolescence. Results suggest a strong relationship between behavioural problems in childhood and adolescence for both genders, while emotional problems were more likely to persist in boys. Age and sex-specific models revealed significant positive associations between higher scores on the behavioural and emotional problems scales and higher frequency of accidents in preschool years, physical punishment in early childhood, lack of parental interest in childs school and activities, and perceived maternal stress in all children. Perceived paternal stress was associated with higher scores on the Total and Internalizing problems scales in the total population. Our results suggest that early interventions are necessary as mental health problems strongly persist from childhood to late adolescence. The adverse effects of parental stress and poor care-giving practices on childs psychopathology need to be recognised and improved.

Comparison of self-reported emotional and behavioural problems in adolescents from Greece and Finland.

Aim: To compare self‐reported emotional and behavioural problems among Greek and Finnish adolescents.

Tracking of overweight and obesity in Greek youth.

Objectives: The aim of this study was to determine the prevalence and tracking of overweight and obesity in a representative sample of Greek youth and the relation with child and parental factors. Methods: Data were derived from 2 follow-ups of the Greek 1983 National Perinatal Survey by means of a questionnaire completed by parents in 1990 and parents/adolescents in 2001. Parent- and self-reported height and weight measurements were available for 7,219 participants aged 7, and 2,842 participants aged 18. Results: The overall overweight/obesity prevalence was 24.3% at age 7, and 15.1% at age 18. The overweight prevalence increased from childhood to adolescence in boys (16.1 to 19.1%) and decreased in girls (19.2 to 8.0%), while the obesity prevalence showed a decrease in both boys (6.2 to 3.6%) and girls (5.8 to 1.0%). Overall, tracking of weight status was 73.7%. More boys (49.2%) remained overweight/obese than girls (24.7%). At age 7, overweight/ obesity was positively associated with male gender, paternal education, and urban residence. Overweight/obesity also correlated with male gender at age 18, and with parental weight status. Conclusions: The prevalence of overweight among Greek youth is high and showed an increase from childhood to adolescence in boys, and a decrease in girls.

The generation gap in numbers: parent-child disagreement on youth's emotional and behavioral problems : A Greek community based-survey

ObjectiveTo evaluate discrepancies between parent and child reports on youth’s emotional and behavioral problems in a representative, community based sample of Greek 18-year-olds, and to identify associated factors.MethodsA total of 2,927 completed pairs of parent-child questionnaires were studied, including the child behavior checklist (CBCL) and the youth self-report (YSR). Linear regression analysis was used to identify both child and parental characteristics significantly associated with parent/child disagreement on scores for youth’s Internalising, Externalising and Total problems scales for both genders separately.ResultsAlthough there was a strong correlation between scores on the YSR and CBCL corresponding scales, parent/child discrepancies were more likely to occur when the later: had good academic performance, were dissatisfied from their self-image or their life. Parental factors that influence discrepancies in parent/child scale scores were: low paternal education for both genders, father being the informant for boys, and maternal stress and lack of awareness of leisure activities for girls.ConclusionThe associations found highlight the contributions of both parents and children to the discrepancies on emotional and behavioral problems in adolescence. This study may facilitate constructive parenting practices through generations.