Impacts on Quality of Life Among School Children

Impacts on Quality of Life Among School ChildrenPAVITRA A/P INDRAJOTHYINTRODUCTIONIt is the truth to say that children are our future and if that is true, more time and energy should be put into the beginning stages of sever eachy childs behavior. The early courses of a childs life are the most measurable in terms of their general well being, their turned on(p) and social development, and their physical, intellectual and emotional growth. Children develop at different paces and a very high analogy of what they learn takes place in the first five to seven years of life. What happens in the home is extremely important to development in early childhood. in that location are things that apprize and should be done to sustain each child live a life that is productive and beneficial to those that they will interact with in their future. There are many aspects in todays world that make the gauge of life of school children better and meaningful. For instance of aspects that gr eat deal affect eccentric of life are obesity, bullying, lifestyle, emotional problems, divorce, socio cultural home environment, child misdirect, oral wellness and back pain.First and foremost, there are reports saying that obese children demonstrate more negative self-perceptions, f on the whole self-worth, increased behavioural problems, lower self-esteem and lower body esteem and perceived cognitive ability. However, because of methodological limitations, definitions of obesity that differ with authoritative recommendations and with non-validated measurements of health related quality of life, it is difficult to generalize the conclusions of these studies (Friedlander et al., 2003).According to research done by Nathan Woon in year 1981, Peninsular Malaysia is a multi-racial country of 12 million people, 41% of whom are less than 14 years of age (Vital Statistics Peninsular Malaysia 1975-Department of Statistics, Malaysia). The population consists of three main ethnic group s the Malays (53%), the Chinese (35%) and the Indians (11%) (Vital Statistics, Peninsular Malaysia, 1975). Whilst in recent years, there has been an increasing tendency for the various ethnic groups to intermingle and to respect and understand the various cultures and traditions that coexist within the country, in the specific discipline of child rearing, as with marriages, deep-rooted traditions and customs continue to remain a crucial factor and probably contribute, to some extent, to the pattern and incidence of child abuse in the various races.Bullying has been conceptualized globally as acting in any way that threatens or hurts someone less powerful. Furthermore, bullying besides tooshie be distinguished among the different way in which strong-growing acts are performed. There are different types of bullying which is physical, verbal, or indirect bullying. Furthermore, distinctions among aggressors possible aims can also be made. For instance, bullying physically to hurt th e victim or for damage the victims relationship with others (Rigby, 2003).Next, parental insulation is unremarkably the first major and drastic change in a childs life. This distressing event drastically alters the familys future, bringing to a sense of loss due to interference in daily routines as well as absence of daily contact with both parents (Eymann et al., 2009).Lastly, obesity, dental pit and periodontal diseases are among major public health concerns which may affect childrens growth and development. Sedentary lifestyle and unhealthy eating habits could lead to brusk people oral hygiene statuses and increase the tendency to develop periodontitis and obesity at young ages (Anand et al., 2014).DISCUSSIONOBESITYWorldwide estimates of childhood obesity are as high as 43 million, and rates continue to increase each year. Childhood obesity is a growing problem in the present tense era and it causes serious consequences in the later years (Anand et al., 2014). According to F riedlander et al., childhood obesity is a major public health problem with increasing preponderance approximately 30% of US school-aged children are defined as overweight or at risk for overweight. Anand and Friedlander states that overweight children are more likely to come from a range of chronic health problem such as cardiovascular disease, diabetes mellitus, hypertension, sleep apnoea and asthma. They also concluded that children who are overweight are more likely to become overweight adults.There was a oeuvre conducted by Friedlander et al. among 371 students aged 8-10 years old excluding those who had sleep apnoea or who were born prematurely. Based on BMI categories of the study, 17.5% of the children were overweight, 12.4% were at risk for overweight, 8.1% were tightly fitting, and 62.0% were of normal weight. Moreover, children who are overweight have a 2 to 4 times increased odds of having low scores for physiological health, self-esteem, and physical functioning. Si milarly, children who are at risk for being overweight have higher odds of having low physical functioning scores. Furthermore, lower self-esteem also was observed in children who are underweight. Children with higher BMIs are more likely than normal weight children to be perceived by their parents as having feelings of anxiety and depression, of exhibiting aggressive or immature behaviour, as having role limitations in their schoolwork and social activities, and as having low self-esteem. And, their parents also report higher levels of emotional distress and humble personal time because of their childrens health or behaviour (Friedlander et al., 2003).As a suggestion, if the child or teenager is overweight, further weight gain can be prevented. Parents can help their children in maintaining their weights in the healthy range. In infancy, breastfeeding and delaying introduction of solid foods may help in preventing obesity. In early childhood, children should be given healthy, low- fat snacks and they should be allowed to take part in moderate-vigorous physical activity every day. Older children can be taught to select healthy, nutritious foods and to develop obedient exercise habits (Anand et al., 2014).BULLYINGBullying invariably involve an imbalance of power in which the aggressor is more powerful than the victim. Moreover, bullying occurs when there is conflict between people of unequally power (Rigby, 2003).As identified by Rigby in year 2003, four categories of negative health conditions are low mental well-being, unfortunate social adjustment, psychological distress and physical unwellness. Low psychological well-being overwhelms states of mind that are generally considered unpleasant but not acutely distressing, such as general unhappiness, low self-esteem, and feelings of anger and sadness. Next, poor social adjustment normally includes feeling of loathing toward ones social environment, unmingled through expressed dislike for workplace or schoo l, manifest loneliness, segregation and absenteeism. Moreover, psychological distress is considered more serious than the low psychological well-being and poor social adjustment categories and comprises high levels of depression, anxiety and suicidal thinking. Last but not least, physical unwellness can determine by precise signs of physical disorder, evident in medically diagnosed illness. Furthermore, psychosomatic symptoms also can be incorporated in this category.Various strategies or treatment should be considered and give a perspective to reduce the chances of a childs further severe involvement in bullying that can worsen the childs condition. The approach include helping victimized children to evolve self-protective assertiveness skills and functional therapeutically with bullying children to create a greater awareness of the repercussion of their antisocial behaviour (Rigby, 2003). life styleTelevision is still the most widely-viewed screen worldwide. Globally, people are spending more time sitting at work and at home, and theres mounting evidence that this sit time is a major contributor to the obesity epidemic. Sedentary activities not sole(prenominal) TV watching, but also working at desk jobs, using computers, playing video games and driving cars. Increasingly, theres evidence that watching TV and, especially, watching junk food ads on TV promotes obesity by changing mainly as to what and how much people eat (Anand et al., 2014). Too much television viewing among children has been linked with inadequate study patterns. Inappropriate television-viewing has been linked to erratic sleep/wake schedules and poor sleep quality, violent or aggressive behaviour, substance use, sexual activity resulting in decreased school transaction or even school drop-out (Karande Kulkarni, 2005).EMOTIONAL PROBLEMSConditions which cause emotional problems in children such as chronic neglect, sexual abuse, parents getting dissociate or losing a sibling might cause long term distress resulting in academic under acquisition. Besides that, children can face severe emotional upheavals during the treatment of chronic health impairments such as asthma, cancer, cerebral palsy, congenital heart disease, diabetes mellitus, epilepsy, hemophilia, rheumatic diseases, or thallasemia, resulting in low self-esteem and loss of want to study (Karande Kulkarni, 2005).As recommended by Karande Kulkarni in year 2005, children with emotional problems need counselling sessions with a child psychologist or a child psychiatrist. Depending on the severity, at times, appropriate medications (anxiolytics, antidepressants) may be needed.DIVORCEAs emphasizes by Eymann et al. in year 2009, divorce is becoming increasingly common in our society, seriously touch on all parties involved, especially children. There were studies conducted in USA and in Europe and roughly calculated that 30 to 50% of children will suffer the effect from a divorce, almost same rates have bee n reported in Argentina.Eymann et al. conducted a study at the Hospital Italiano, Argentina. A total of 330 families were invited to take part and only 313 completed the questionnaire 160 from married family and 153 from divorced family. They defined divorced family (DF) as parents who choose to stay at separate residence regardless of legal marital status while married family (MF) as parents who choose to share residence with their children regardless of legal marital status. The aim of this study was to evaluate psychological quality of life among school aged children of divorced parents by using Child Health Questionnaire Parent Form 50 (CHQ-PF 50). The results showed that CHQ-PF 50 scores were higher in children of MF than in those of DF for various domains, such as self-esteem, time furbish up on family, mental health, behaviour, social-emotional functioning and behaviour, and lastly the psychosocial summary score joining all these factors.As turn out in the results, boys h ad poorer psychosocial quality of life than girls. This was explained perhaps by the effects of less daily father-child connection on gender-specific identity traits. Furthermore, it is well cognize that separated mothers who have legal child custody usually suffer a greater slope in their standard of living. Norton Glick and Duncan et al. have clearly proved the unfavourable economic repercussion of divorce on child well-being.In this study, maternal remarriage didnt appear to influence quality of life of child. Maternal remarriage could impact children who must readapt to new family basis and dynamics. However, a new partner perhaps could provide additional financial support since parental sepa symmetryn usually involves a fall in family income. Moreover, the new couple may construct an improved marital relationship, hence could minimize the distressing emotional burden on children and making the stepfather as a positive and ideal role model (Eymann et al., 2009).Lastly, in this study, interval by mutual agreement because of higher maternal nurture or maternal university education level and longer the length of time passed since separation has inclined psychosocial quality of life scores, while scores declined in boys and for each one-year increment of maternal age. Eymann et al. proves that higher maternal educational level could give positive impact on psychosocial quality of life, which may be explained as a consequence of the skills build through education years, allowing better and organized control of the marital problems and crisis and greater agreement on conflict issues (Eymann et al., 2009).CHILD misdirectA prospective study was made of all cases of child abuse seen at the University Hospital, between July 1978 and June 1980. A total of 19 cases, 16 of physical and 3 of sexual abuse were diagnosed during this period. The relatively high (32%) incidence of child abuse amongst Malay families was quite surprised, as Malay children are generally m uch love and pampered. Nathan and Woon suspect that the increasing incidence of child abuse amongst the Malays is probably related to their urban migration in recent years with the resultant breakdown of the extended family clay and the need to cope with the pressures of life in an unfamiliar urban setting (Nathan Woon, 1981).The commonest injuries found on admission were bruises and injuries to the face and scalp. The majority of the abusers in our series were parents, the ratio of father to mother being. Both social and personal factors in the life of the abuser seem to contribute to the act of child abuse. Marital disharmony appears to romp prominently amongst the interpersonal problems, while two abusers gave a history of having been abused physically during their early childhood (Nathan Woon, 1981).SOCIOCULTURAL HOME ENVIRONMENTIt has been recognized that children from poor socioeconomic status families have higher chances of poor school performance. Malnutrition due to pov erty coupled with low education and status of parents adversely affect their cognitive development. Such children also have higher chances of experiencing, right from their pre-school years, parental attitudes which do not motivate them to study and an unsatisfactory home environment which does not back up learning (witnessing domestic violence, family stressors, and adverse life events). Alleviation of hunger, by providing one balanced meal in school is one of the mechanisms to improve academic achievement in undernourished low-income elementary school children (Karande Kulkarni, 2005).Besides that, many of these disadvantaged children are studying in English medium schools as their parents believe that this would help them progress in life. These children face the added burden of language barrier, namely, they are not conversant in English as they came from non-English speaking families, which leads to poor school performance or even school failure. Parents of children with lang uage barrier should be counselled to educate their children in their own language medium schools or to attend a adroitness for language stimulation if that is available and affordable (Karande Kulkarni, 2005).ORAL HEALTHIn the research carried out by Anand et al. in year 2014, they noticed that poor oral hygiene statuses in children who spent more time watching television, playing video games, as their consumption of soft drinks and fast foods was more and due to insufficiency of adequate exercise.BACK PAINMusculoskeletal pain is exceedingly common in young adults. A questionnaire survey was carried out by Brattberg in year 1994 among children 8, 11, 13 and 17 years old. The prevalence of back pain and headaches among 1,245 Swedish school children was studied. 29% of the students reported back pain and 48% headache. In all age groups studied, both back pain and headaches were more common among girls than boys. Girls also reported more frequent symptoms than boys (Brattberg, 1994) .CONCLUSIONChildren who are at risk for or who are overweight having odds 2 to 4 times greater for lower health related quality of life scores for physiological health, self esteem and physical functioning. Parents of children who are overweight also were more likely to evidence higher levels of emotional distress because of their childrens health. Being relatively underweight also was associated with lower self-esteem (Friedlander et al., 2003).Ken Rigby in year 2003 concluded that being victimized by peers is notably related to relatively low levels of psychological well-being and social adjustment and lastly to high levels of psychological distress and unfavourable physical health symptoms.Eymann et al. in year 2009 concluded that childrens psychosocial quality of life was affected by divorce. Psychosocial quality of life improved when parents had divorced by mutual agreement, the mother had a university education, when more time had elapsed since separation and was poorer in boy s and in children of older mothers. And, quality of life can be improved as more time elapses after the divorce, this is because may be it can be interpreted as a process of accepting the family modification.And lastly, poor oral hygiene was observed in children who spent more time in leisure activities and that lifestyle factors could make an impact on oral hygiene and periodontal health. A need exists for addressing obesity, oral health and nutrition, jointly in health promotion strategies, to improve well-being of children and also to empower good life-style factors (Anand et al., 2014).