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Cystic echinococcosis is caused by the zoonotic tapeworm Echinococcus granulosus. There has been ongoing controversy over whether it causes weight loss in cattle. Recently implemented recording of comorbidities at processors has provided opportunity to investigate this effect. Using prevalence-based observational data from 1,648,049 adult cattle processed in seven states and territories in Australia (2019–2022), we explored associations between carcase weight, hydatid cysts, comorbidities, sex, age, and region. Linear mixed-effect regression models estimated the effect of cystic echinococcosis on carcase weight, guided by directed acyclic graphs to reduce bias. The highest, previously unreported, prevalence was in the southeast Queensland region. The estimated effect of cystic echinococcosis cysts on carcase weight ranged from a gain of 0.32 kg/carcase (standard error [se] 0.58 kg; two-tooth 2022) to a loss of −5.45 kg/carcase (se 0.63 kg; six-tooth 2019) with most point estimates (11/16) between 0 and −2.5 kg across all cattle grouped by year and dentition. This effect size would be practically undetectable in live cattle which is an important finding; cattle producers are unlikely to observe increased productivity through weight gain from cystic echinococcosis prevention in cattle, and awareness to strengthen prevention in domestic dogs around cattle properties to reduce human risk remains a public health focus. [ABSTRACT FROM AUTHOR]

Significant numbers of children have diagnosable mental health problems, but only a small proportion of them receive appropriate services. Stigma has been associated with help-seeking for adult mental health problems and for Caucasian parents. The current study aims to understand factors, including stigma, associated with African American parents' help-seeking behavior related to perceived child behavior problems. Participants were a community sample of African American parents and/or legal guardians of children ages 3-8 years recruited from an urban primary care setting ( N = 101). Variables included child behavior, stigma (self, friends/family, and public), object of stigma (parent or child), obstacles for engagement, intention to attend parenting classes, and demographics. Self-stigma was the strongest predictor of help-seeking among African American parents. The impact of self-stigma on parents' ratings of the likelihood of attending parenting classes increased when parents considered a situation in which their child's behavior was concerning to them. Findings support the need to consider parent stigma in the design of care models to ensure that children receive needed preventative and treatment services for behavioral/mental health problems in African American families. [ABSTRACT FROM AUTHOR]

Behavioral parent training is an efficacious treatment for children with externalizing behavior problems, but many parents refuse to attend treatment and/or terminate prematurely. The Obstacles to Engagement Scale (OES) assesses the impact of personal and intervention-based obstacles on attending parent training. The published factor structure of the OES has an unstable, two-item subscale and has not been confirmed. We ran exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) and, consistent with literature, hypothesized that factors would differ across different demographic groups. An EFA was conducted on 192 parents of 2-8 year old children presenting to primary care pediatric clinics, with a CFA on a similar sample. CFA failed to support a stable factor structure for the full sample. An EFA on 129 parents with at least a college degree revealed a 3-factor solution: Health and legal barriers, Belief in utility and effectiveness, and Personal barriers. This structure was confirmed with a CFA on 53 parents. Consistent with our hypothesis, this model did not fit for parents with less than a college education. Findings of differences based on amount of education of parents supports the need for additional research on the factor structure and predictive validity of the OES for parents with more or less education. Research should continue to examine educational differences in willingness to attend and belief in efficacy of psychological treatments. Interventions to improve attendance at empirically supported treatments need to be customized based on education of parents. Larger samples will be needed to assess the factor structure for other relevant groups. [ABSTRACT FROM AUTHOR]

While most primary care pediatricians acknowledge the importance of identifying child behavior problems, fewer than 2% of children with a diagnosable psychological disorder are referred for mental health care in any given year. The present study examined the potential role of parental characteristics (parental affect, parenting style, and parenting self-efficacy) in pediatrician identification of child behavior problems, and determined whether these relationships differed across practices. Parents of 831 children between 2 and 16 years completed questionnaires regarding demographic information, their child's behavior, their affect, their parenting style, and their parenting self-efficacy. Pediatricians completed a brief questionnaire following visits in four community-based primary care practices in the Midwest. Logistic regressions controlling for child behavior and demographic predictors of pediatrician identification found that an authoritarian parenting style, in which parents yell or strongly negatively react to problem behavior, was negatively associated with likelihood of identification in the overall sample. However, the variables that were predictive of pediatrician identification differed depending on the specific practice. Parental characteristics can aid in understanding which children are likely to be identified by their pediatrician as having behavioral problems. The finding that practices differed on which variables were associated with pediatrician identification suggests the need to potentially individualize interventions to certain physicians and practices to improve identification of child behavior problems in primary care. [ABSTRACT FROM AUTHOR]