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Background Despite persistent concerns about only children's disadvantage relative to individuals with siblings, existing health-related evidence is inconsistent. Recent evidence from Nordic countries about only children having poorer health outcomes may not apply elsewhere because selection processes differ across contexts. We investigate the midlife health of only children in the UK where one-child families tend to be socio-economically advantaged relative to large families. Methods Using the 1946, 1958 and 1970 British birth cohort studies, we examine various biomarkers and self-reported measures of chronic disease by sibship size when respondents are aged in their mid-40s, mid-50s and mid-60s. We estimate separate linear probability models for each cohort, age and outcome, adjusting for childhood and early adulthood circumstances. Results We found no evidence of only children differing from those with one, two or three or more siblings, at any age, in any of the cohorts, on: heart problems, hypertension, high triglycerides, high glycated haemoglobin or high C-reactive protein. However, compared with only children, the probability for cancer (0.019, 95% confidence interval [CI]: 0.002, 0.035; age 46/1970) and poor general health (0.060, CI: 0.015, 0.127; age 55/1958; and 0.110, CI: 0.052, 0.168; age 63/1946) was higher among those with three or more siblings. Conclusions There is no consistent pattern of only child health disadvantage for midlife chronic disease outcomes across ages or cohorts in the UK. Research should focus on better understanding how sibship size differentials are contingent on context. [ABSTRACT FROM AUTHOR]

A lack of resistance resources in the family, such as a lack of sibling support, might cause the family to be more prone to family crises; however, little if anything is known about whether being the only child will influence the experience of work–family conflict (a family crisis). Using an online questionnaire sample of 622 Chinese employees, we investigated the influence of only child status on work–family conflict and further explored the moderating effect of only child status on the relationship between work–family conflict and its performance outcomes. Analyses revealed that being the only child would spend less time on family responsibilities, thereby decreasing the level of family-to-work conflict; in addition, being the only child would ease the negative impact of work-to-family conflict on family performance. The recommendations for future studies, implications of this study, and the need for further research on only child's work–family conflict experience are discussed. [ABSTRACT FROM AUTHOR]

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Introduction Sibling dynamics play a crucial role in individual development, health and wellbeing. We established a national birth cohort using administrative health, education and social care data in England featuring clusters of mothers and their children (mothers and only-children, MoC; and mothers and siblings, MSib). Methods From 13.6 million mother-baby pairs from births between April 1997 and January 2022 captured in Hospital Episode Statistics in England, we identified MoC and MSib clusters by identifying livebirths linked to the same mother. We compared only-children and children with siblings, by ethnicity, sociodemographic variables, and birth characteristics. We calculated birth intervals for children with siblings. Results We identified 4,086,648 MoC and 3,957,856 MSib clusters. Compared with only-children, children with siblings were more likely to be Asian, live in more deprived areas, and have younger mothers, but were less likely to be overdue births (>=42 weeks), or to have very low birth weight (< 1500g). Children with siblings were also less likely to have been admitted to special neonatal care after birth compared to only-children. Among the MSib clusters, sibship sizes varied between 2 and 15, with a mean of 2.4 children per mother. The median birth interval was 3.0 years. Conclusion This national cohort ECHILD-oCSib of 4.1 million MoC and 4.0 million MSib clusters in England is an important resource for investigating the effects of maternal exposures, sibling dynamics and their interplay on individual development, health and wellbeing. Potential sources of bias should be considered in analyses of these data.

Abstract Background Nowadays, the challenge of having single child is spreading in many countries. Only- child family is prevalent in 26% of families in Canada, 21% in the United States, 47.5% in Europe and 20% in Iran, which can lead to fertility below replacement level. Therefore, the current review was conducted to identify the needs of single-child couples. Methods The PRISMA checklist was used to prepare this systematic review report. English and Persian articles published between 2000 and April 2023 were searched in the English databases of ISI, PubMed, Cochrane library and Google Scholar search engine as well as Persian databases of SID and Magiran using keywords of only child, needs assessment and Reproductive behavior. All cross-sectional and correlational studies that addressed the needs of single-child couples were included in the study. The quality assessment of the articles was done by the STROBE checklist. Data extraction was done by two independent researchers using a self-structured checklist. To analyze the data, following tabulating the extracted data, the process of qualitative synthesis was done for systematic review taking into account ethical considerations. Results Out of 1,581 articles found, 17 articles were included in the systematic review. The needs of single-child couples were divided into four general areas included 1) Financial needs, 2) Cultural needs, 3) Educational needs, and 4) Supportive needs. The support needs included two kinds of social and family support. Conclusion Solving financial needs, creating a culture of positive values of childbearing and men's participation in household affairs, considering women's preferences in order to increase education and employment, childbearing training and counseling and creating social and family support in line with work and family harmony and quality care of children, as the most important needs of single-child couples, should be incorporated in the formulation of childbearing incentive programs.

China was the first country in the world to explicitly implement a one-child policy by means of its National Administrative Directive. Nourished by Confucianism, Chinese people attach great importance to the continuation of the bloodline and consider "many children and many blessings" as a symbol of a happy family. Due to the rapid modernization of Chinese society after the period of reform and "opening up," the one-child generation has figured as a central feature of this social acceleration. Children are also commonly characterized as the "only hope" of their parents for continuation of their families. In this article, we use the generation of "only children" in China (born in 1980s, 1990s, and 2000s), as a case study to explore the hopes and emotions of Chinese families in the context of modernization. We focus on the following aspects by comparing theories related to hope, especially Fei Xiaotong's family theory and Bloch's theory of concrete utopia: (a) the change in the paradigm of family-centered hope from traditional China to the modern society; (b) the context of modernization in which the Chinese one-child generation grows up and becomes the hope for the future of the Chinese family and society; and (c) the new challenges encountered by the one-child generation, and by the hopes of the family and society, in terms of the continuity of cultural inheritance. [ABSTRACT FROM AUTHOR]

Background: Nowadays, the challenge of having single child is spreading in many countries. Only- child family is prevalent in 26% of families in Canada, 21% in the United States, 47.5% in Europe and 20% in Iran, which can lead to fertility below replacement level. Therefore, the current review was conducted to identify the needs of single-child couples. Methods: The PRISMA checklist was used to prepare this systematic review report. English and Persian articles published between 2000 and April 2023 were searched in the English databases of ISI, PubMed, Cochrane library and Google Scholar search engine as well as Persian databases of SID and Magiran using keywords of only child, needs assessment and Reproductive behavior. All cross-sectional and correlational studies that addressed the needs of single-child couples were included in the study. The quality assessment of the articles was done by the STROBE checklist. Data extraction was done by two independent researchers using a self-structured checklist. To analyze the data, following tabulating the extracted data, the process of qualitative synthesis was done for systematic review taking into account ethical considerations. Results: Out of 1,581 articles found, 17 articles were included in the systematic review. The needs of single-child couples were divided into four general areas included 1) Financial needs, 2) Cultural needs, 3) Educational needs, and 4) Supportive needs. The support needs included two kinds of social and family support. Conclusion: Solving financial needs, creating a culture of positive values of childbearing and men's participation in household affairs, considering women's preferences in order to increase education and employment, childbearing training and counseling and creating social and family support in line with work and family harmony and quality care of children, as the most important needs of single-child couples, should be incorporated in the formulation of childbearing incentive programs. [ABSTRACT FROM AUTHOR]

Russia is not the only country in the world that relies heavily on informal caregiving, but what makes Russia unique is the number of single-parent one-child families. With the collapse of the Soviet Union and the transition from state socialism to market capitalism, little has changed in terms of the social protection of older adults. Unaffordable home care services, low pensions, bifurcation of the formerly free healthcare into state and private sectors, the invisibility of people with disabilities, and the absence of quality nursing homes, have left adult children in Russia no choice but to bear the full burden of caregiving for their aging parents completely alone. Given the scarcity of research that examines informal caregiving in Russia in general and in provincial cities in particular, this study addresses this gap by centering on previously unheard voices of a unique group of women: only children of single mothers from Ufa, a metropolitan city in the Ural Mountains. Twenty middle-aged (M = 40.75, SD = 3.43), college-educated women participated in a two-hour, semi-structured interview. Inductive thematic analysis revealed three themes: incongruence with the microenvironment, aging in the "cement box," and distrust of outsiders. The findings suggest material and cultural constraints that female caregivers face as they negotiate the mothers' discordance with the microenvironment of Khrushchev-era apartments. [ABSTRACT FROM AUTHOR]

Adult children with siblings can share caring for older parents but adult only children face this responsibility alone. Given increased longevity and reliance on informal care-giving, as well as an increase in one-child families, there is a need to investigate only children's care-giving further. Using data from three large-scale British birth cohorts, this paper investigates patterns of parent-care, care intensity and wellbeing at ages 38 and 42 (N = 17,255, N = 16,703; born 1970), 50 and 55 (N = 12,775, N = 11,339; born 1958) and 63 (N = 2,364; born 1946), how sibling composition intersects with gender in relation to care-giving and whether different care-giving patterns are associated with wellbeing. Only children are more likely to provide parent-care and the pattern is consistent with an interpretation that differences by sibling status might increase with age. Provision is gendered, and the sibling group composition matters for involvement. Although care-giving is related to wellbeing, we found no evidence that this differs between only children and those with siblings. The literature on only children has hitherto focused largely on childhood, suggesting that on some outcomes they benefit from a concentration of parental resources. Our results suggest that in middle adulthood parental care needs may instead be concentrated for the only child without the 'resource' of siblings. This indicates a need to develop further our understanding of this growing demographic subgroup. [ABSTRACT FROM AUTHOR]

In an era of rapid aging and shrinking family sizes, only children have gradually become the main providers of old-age support. China offers a unique opportunity to investigate old-age support provision in one-child families due to its strict family planning policies. Using four-wave panel data from the China Health and Retirement Longitudinal Study, we ask whether old-age support in one-child families is more or less motivated by parental investments than in multi-child families. Results show a coexistence of fairness maintenance thesis and singleton compensation thesis: children's returns to parents in one-child families are weakly motivated by their parents' large-sum investments, but strongly motivated by parental daily transfers. In one-child families, sons are more obliged to provide old-age support in return for parental transfers than are daughters. The policy implications for old-age support provision in an aging society with a declining family size are also discussed. [ABSTRACT FROM AUTHOR]

Purpose: This qualitative study aimed to gather insights into the experiences of older adults after losing their only child and explore meaningful life needs as a basis for social interventions. Methods: We conducted individual face-to-face interviews with 29 participants from 10 communities in Changsha, Hunan Province, China. Interviews were transcribed verbatim and then analysed using the inductive category development of conventional content analysis. Results: The experience of losing an only child was devastating and linked with a helpless life in old age. The analysis generated the following three themes encompassing their lived experiences and needs: afraid of getting sick, lying on the edge of misery and surrounded by loneliness. Conclusions: Losing an only child triggered older adults' feelings of being misunderstood, disconnected and hopeless. They had an increased likelihood of lacking more on love and belonging, esteem and self-actualization needs than their physiologic and safety needs. Findings from our study will raise awareness on this vulnerable group and help design intervention programmes targeting the specific needs of this neglected segment of the population. [ABSTRACT FROM AUTHOR]

Abstract Introduction An imaginary companion is an invisible or personified entity created by children for themselves. An imaginary companion typically serves as a companion to the child and plays a significant role in their life, especially for only children who may experience more loneliness compared to other children. This research was conducted to investigate the role of an imaginary companion in the lives of only children. Method The present study was conducted using a qualitative method and a content analysis approach. Through purposeful sampling, a total of 34 preschool and primary school children, aged 6 to 9 years, from schools in Mashhad city, were selected until saturation was reached. They were subjected to semi-structured interviews. After data collection, the data were coded, and then the main and sub-themes were extracted. Results The research findings were represented in the form of 196 statements, 28 sub-themes, and 9 main themes. The main themes included the role of an imaginary companion in alleviating loneliness, the role of an imaginary companion in amusement, the role of an imaginary companion in emotional regulation, conversations with an imaginary companion, guidance from an imaginary companion for good and bad behaviors, the assistance of an imaginary companion in tasks, helping to generate new scenarios, the advantages of having an imaginary companion, and the disadvantages of having one. Conclusion Based on the aforementioned findings, it can be concluded that the presence of an imaginary companion can not only support children but also promote creativity and distance them from the virtual space and realities of the real world. Parental awareness of this matter can aid in the child’s growth, fulfill their needs, and, on the other hand, prevent potential harm to children.

Introduction: An imaginary companion is an invisible or personified entity created by children for themselves. An imaginary companion typically serves as a companion to the child and plays a significant role in their life, especially for only children who may experience more loneliness compared to other children. This research was conducted to investigate the role of an imaginary companion in the lives of only children. Method: The present study was conducted using a qualitative method and a content analysis approach. Through purposeful sampling, a total of 34 preschool and primary school children, aged 6 to 9 years, from schools in Mashhad city, were selected until saturation was reached. They were subjected to semi-structured interviews. After data collection, the data were coded, and then the main and sub-themes were extracted. Results: The research findings were represented in the form of 196 statements, 28 sub-themes, and 9 main themes. The main themes included the role of an imaginary companion in alleviating loneliness, the role of an imaginary companion in amusement, the role of an imaginary companion in emotional regulation, conversations with an imaginary companion, guidance from an imaginary companion for good and bad behaviors, the assistance of an imaginary companion in tasks, helping to generate new scenarios, the advantages of having an imaginary companion, and the disadvantages of having one. Conclusion: Based on the aforementioned findings, it can be concluded that the presence of an imaginary companion can not only support children but also promote creativity and distance them from the virtual space and realities of the real world. Parental awareness of this matter can aid in the child's growth, fulfill their needs, and, on the other hand, prevent potential harm to children. [ABSTRACT FROM AUTHOR]

This study aims to examine moderated mediation of depression and gender on the relationship between alexithymia and mobile phone addiction, also compares the differences between only child and non-only child. A total of 1049 college students from a university in Jilin Province were recruited for this study. All participants were asked to complete questionnaires regarding depression, alexithymia, and mobile phone addiction. This study indicated that alexithymia could predict mobile phone addiction directly and also indirectly via depression; gender moderated the first part of the mediating part (i.e., the link from alexithymia to depression) for the only child, but not the non-only child. Moreover, the moderated mediating effect was stronger for males than females among the only child. Although it is generally believed that females belong to vulnerable groups in life, this study suggested that we should also pay more attention to male only child, reduce their pressure, and improve their mental health. [ABSTRACT FROM AUTHOR]

Background: Couples' childless and one-child intention is one of the crucial challenges in all societies. Considering the aging of the world's population and the need to review birth control policies, it is necessary to take evidence-based measures. Therefore, the present study aimed to investigate the influencing factors on the tendency of couples to be childless and have only one child. Methods: The present study is the first part of a mixed (qualitative-quantitative) study. The study is qualitative with a conventional content analysis approach. The research population consists of all couples aged 15-49 in 2021 in Babol city, who were single or childless and had no intention of pregnancy in the future. Sampling is based on the purpose, and the number of samples is 40 couples. To collect data, face-to-face and semi-structured interviews were conducted with the participants. Results: The results of the analysis include 140 codes, 30 sub-categories, 9 categories (Economic problems, uncertainty in the future security, threatened priorities, uncertainty about the continuation of life, Fear of becoming a parent, lack of support, diminishing religious beliefs, social role modeling and negative experiences) and two themes. These factors indicate the mandatory conditions for childlessness or one- child choice or voluntary child-free. Conclusion: The results revealed that voluntary childlessness and single-child depend on various aspects. Support of the government, parenting education and efforts to change the attitude of couples by the government can help to improve the health of the family and achieve the goals of population growth policies. [ABSTRACT FROM AUTHOR]

Abstract Background Obstetrical infection is one of the causes of maternal death and a difficult problem for many clinicians. Changes in the demographic and obstetric background of pregnant women following the Universal Two-Child Policy may have an impact on some fertility phenomena. And with the increase in the number of deliveries, the limited medical resources become more scarce. How will China's health system quickly adapt to the growing needs and expectations for maternal health and ensure the provision of qualified and accessible medical services? In addition, what social support measures should be provided to reduce preventable obstetric complications? Given the relatively low per capita share of medical resources in China, how should China deal with the impact of the Universal Two-Child Policy? Therefore, more studies based on the change of fertility policy are needed. We try to analyze the epidemiological characteristics and risk factors of obstetric infection before and after the Universal Two-Child Policy, with a view to providing reference for the prevention and control of obstetric infection in regions after the change of fertility policy, and also hope to make corresponding contributions to the solution of the above problems through relevant studies. Methods The subjects of the survey were 268,311 pregnant women from Hebei Province Maternal Near Miss Surveillance System (HBMNMSS) of Hebei Women and Children's Health Center from January 1, 2013 to December 31, 2017. We analyzed the region, time and population distribution characteristics of obstetric infection, compared the epidemiological factors of obstetric infection before and after the Universal Two-Child Policy, and analyzed the relevant risk factors of obstetric infection. Results The incidence of obstetric infection increased nearly twice after the Universal Two-Child Policy. The incidence of obstetric infection was highest in Chengde (1.9%), a city with a northward geographical distribution, Baoding (1.6%), Cangzhou (1.5%) followed; The higher the hospital grade, the higher the incidence; The incidence of obstetric infections in hospitals at all levels has increased; The age of onset before the Universal Two-Child Policy was (27.82 ± 5.047) years old, and the age after the Universal Two-Child Policy was (28.97 ± 4.880) years old; The incidence of obstetric infections is higher in winter. The rate of abortion-related infection (increased from 0.61 to 1.65%) and the rate of pregnant women with high school education (increased from 0.35 to 0.74%) increased significantly. The results of multivariate Logistic regression analysis after the Universal Two-Child Policy showed that anemia (OR = 1.249, 95%CI: 1.071–1.458), chronic hypertension (OR = 1.934, 95%CI: 1.375–2.722), mild preeclampsia (OR = 2.103, 95%CI: 1.323–3.344) and severe preeclampsia (OR = 2.228, 95%CI: 1.703–2.916) were independent risk factors for obstetric infection. Gestational age ≥ 37 weeks was a protective factor. Conclusion After the Universal Two-Child Policy, the prevention and control of obstetric infections should be strengthened, especially for abortion-related infections and elderly maternal with obstetric complications and complication in high-grade hospitals in winter. Educational background is also one of the factors that should be considered in the prevention of obstetric sensation. Prolonging gestational age is helpful to reduce the incidence of obstetric infection.

This study examined the development of children's sharing behaviour towards friends and strangers using dictator games with a longitudinal design in a sample of rural Chinese children (n = 589, 47.0% girls) at 3–4 years old and 2 years later (n = 453, 44.2% girls). Results showed that the willingness to share and the amount of sharing changed over time and were affected by family structure. Only children shared fewer stickers than non‐only children at ages 3–4, but the amount they shared did not differ at ages 5–6. Only children may develop reciprocal friendships at an older age due to their lack of experience with siblings. Children shared more stickers with friends than strangers at ages 3–4, and such ingroup bias became stronger at ages 5–6. [ABSTRACT FROM AUTHOR]

Only children (with no full biological siblings) are a growing subgroup in many high-income settings. Previous studies have largely focused on the short-term developmental outcomes of only children, but there is limited evidence on their health outcomes. Using Swedish population register data for cohorts born 1940–75, we compare the health of only children with that of children from multi-child sibling groups, taking into account birth order, family size, and presence of half-siblings. Only children showed lower height and fitness scores, were more likely to be overweight/obese in late adolescence, and experienced higher later-life mortality than those with one or two siblings. However, only children without half-siblings were consistently healthier than those with half-siblings, suggesting that parental disruption confers additional disadvantages. The health disadvantage was attenuated but not fully explained by adjustment for parental characteristics and after using within-family maternal cousin comparison designs. [ABSTRACT FROM AUTHOR]

Summary: Background: Living in single parent and blended families or as an only child—compared to living in two‐parent biological families or with siblings, respectively—is associated with a higher body mass index (BMI) in cross‐sectional studies. However, longitudinal research addressing the children's BMI in this context is scarce. Further, little is known about the association between family structure and metabolic health. Objectives: This study aimed at investigating the association between both aspects of family structure with BMI and a metabolic score (MetS). Methods: Cross‐sectional data from 7804 children participating in the European multi‐center I.Family study (2013/2014) and longitudinal data from 5621 children who also participated previously in the IDEFICS study (2007–2010) were used. Family structure was assessed by a detailed interview. BMI z‐score and the MetS were based on measured anthropometry, blood pressure, high‐density lipoprotein, blood glucose, and triglycerides. Linear regressions were performed to model associations between family structure with BMI and MetS. Results: Children from single‐parent families had higher BMI z‐scores in the cross‐sectional (β = 0.09, 95% confidence interval [CI]: 0.001 to 0.18) and longitudinal analyses compared to those from two‐parent families. Cross‐sectionally, the number of siblings was associated with lower BMI z‐scores (β = −0.07, 95% CI: −0.10 to −0.03) and lower MetS (β = −0.14, 95% CI: −0.26 to −0.01). Longitudinally, only children between baseline and follow‐up had higher BMI z‐scores at follow‐up (β = 0.07, 95% CI: 0.01 to 0.14) compared to stable siblings. Conclusion: Obesity prevention measures should focus on single‐parent households and families with an only child. [ABSTRACT FROM AUTHOR]

Background: Obstetrical infection is one of the causes of maternal death and a difficult problem for many clinicians. Changes in the demographic and obstetric background of pregnant women following the Universal Two-Child Policy may have an impact on some fertility phenomena. And with the increase in the number of deliveries, the limited medical resources become more scarce. How will China's health system quickly adapt to the growing needs and expectations for maternal health and ensure the provision of qualified and accessible medical services? In addition, what social support measures should be provided to reduce preventable obstetric complications? Given the relatively low per capita share of medical resources in China, how should China deal with the impact of the Universal Two-Child Policy? Therefore, more studies based on the change of fertility policy are needed. We try to analyze the epidemiological characteristics and risk factors of obstetric infection before and after the Universal Two-Child Policy, with a view to providing reference for the prevention and control of obstetric infection in regions after the change of fertility policy, and also hope to make corresponding contributions to the solution of the above problems through relevant studies.Methods: The subjects of the survey were 268,311 pregnant women from Hebei Province Maternal Near Miss Surveillance System (HBMNMSS) of Hebei Women and Children's Health Center from January 1, 2013 to December 31, 2017. We analyzed the region, time and population distribution characteristics of obstetric infection, compared the epidemiological factors of obstetric infection before and after the Universal Two-Child Policy, and analyzed the relevant risk factors of obstetric infection.Results: The incidence of obstetric infection increased nearly twice after the Universal Two-Child Policy. The incidence of obstetric infection was highest in Chengde (1.9%), a city with a northward geographical distribution, Baoding (1.6%), Cangzhou (1.5%) followed; The higher the hospital grade, the higher the incidence; The incidence of obstetric infections in hospitals at all levels has increased; The age of onset before the Universal Two-Child Policy was (27.82 ± 5.047) years old, and the age after the Universal Two-Child Policy was (28.97 ± 4.880) years old; The incidence of obstetric infections is higher in winter. The rate of abortion-related infection (increased from 0.61 to 1.65%) and the rate of pregnant women with high school education (increased from 0.35 to 0.74%) increased significantly. The results of multivariate Logistic regression analysis after the Universal Two-Child Policy showed that anemia (OR = 1.249, 95%CI: 1.071-1.458), chronic hypertension (OR = 1.934, 95%CI: 1.375-2.722), mild preeclampsia (OR = 2.103, 95%CI: 1.323-3.344) and severe preeclampsia (OR = 2.228, 95%CI: 1.703-2.916) were independent risk factors for obstetric infection. Gestational age ≥ 37 weeks was a protective factor.Conclusion: After the Universal Two-Child Policy, the prevention and control of obstetric infections should be strengthened, especially for abortion-related infections and elderly maternal with obstetric complications and complication in high-grade hospitals in winter. Educational background is also one of the factors that should be considered in the prevention of obstetric sensation. Prolonging gestational age is helpful to reduce the incidence of obstetric infection. [ABSTRACT FROM AUTHOR]

Objective: To explore the relationship between preschool children’s anxiety and mother’s psychological flexibility and the moderating role of whether children are only children. Methods: Totally 387 mothers of preschool children aged 3-7 years were recruited, of which the only children accounted for 47.8%.A survey was conducted with the second version of the Acceptance and Action Scale (AAQ-Ⅱ) and the Spence Child Anxiety Scale (SC AS) .Results: The results of the group regression showed that the AAQ-Ⅱ scores were negatively correlated with total SCAS scores and 4 dimension scores of separation anxiety, fear of physical harm, social fear, and generalized anxiety in preschool only children (β=-0.27, -0.25, -0.18, -0.22, -0.34, Ps<0.05), and negatively correlated with total SCAS scores and 5 dimension scores of separation anxiety, fear of physical harm, social fear, obsessive-compulsive-impulsive disorder, and generalized anxiety in preschool non-only children (β=-0.45, -0.37, -0.37, -0.38, -0.33, -0.39, Ps<0.001) .The results of the moderated effects test showed that the regression coefficients of AAQ-Ⅱ scores and total SCAS scores in the only child and non-only child groups had statistical significance (P <0.05) .Conclusion: The lower the mother’s psychological flexibility, the higher the preschooler’s anxiety level, and preschool non-only children are more likely to be affected by the mother’s psychological flexibility. [ABSTRACT FROM AUTHOR]

Parental coercive and structured feeding practices are linked with children's weight gain. Thus, identifying their predictors will assist in childhood obesity prevention. We explored how parents' concerns and perceptions of children's weight, parenting stress, parenting competence, parents' family roles, and only child status (of both parent and child) predict the use of restriction, pressure to eat, and monitoring practices among parents of preschoolers. Parent–child dyads (n = 2990) were recruited in Beijing in 2019. Parenting competence, parents' weight perceptions and feeding practices were assessed using the Chinese version of Parenting Sense of Competence Scale and Child Feeding Questionnaire (CFQ), respectively. Parenting stress and other variables were collected through self-administered questionnaires. Multivariate linear associations between parents' weight perceptions and feeding practices were significant among normal-weight children. Parents' concerns about children being overweight were positively associated with restriction and monitoring, and negatively associated with pressure to eat. Higher levels of parenting stress and parenting competence significantly improved the adoption of restriction and pressure to eat. Parents' only child status and that of children had an impact on parents' feeding practices. The fathers' feeding preferences were substantially different from what mothers preferred. In conclusion, such parenting and family characteristics significantly influenced feeding practices of preschoolers' parents. These were long neglected in China. [ABSTRACT FROM AUTHOR]

Objective To investigate the differences in non-suicidal self-injury (NSSI) behaviors between only-child and non-only-child adolescents with mood disorders. Methods A three-stage sampling method was used to perform a cross-sectional survey of 529 adolescents, aged 12-18 years, who had mood disorders and NSSI behaviors. These adolescents were sampled from the outpatient service of 20 mental hospitals in 9 provinces of China from August to November 2020. A self-made questionnaire was used to collect general demographic data. The Functional Assessment of Self-Mutilation, Beck Scale for Suicide Ideation, Kessler Psychological Distress Scale, Stress Mindset Measure-General, Multidimensional Scale of Perceived Social Support, Multidimensional Students' Life Satisfaction Scales, and Rosenberg Self-Esteem Scale were used to collect the information on self-injury behaviors and psychological factors in these adolescents. Results A total of 529 adolescents with mood disorders and NSSI behaviors were surveyed, among whom 375 were only-child adolescents and 154 were non-only-child adolescents. Compared with the non-only-child group, the only-child group had a significantly higher total score of Functional Assessment of Self-Mutilation (P<0.05) . The type and frequency of self-injury in the only-child group were significantly higher than those in the non-only-child group (P<0.05). Psychological analysis showed that compared with the non-only-child group, the only-child group had a significantly lower score of self-esteem (P<0.05) and significantly higher scores of psychological distress and depressive symptoms (P<0.05). The multiple linear regression analysis showed that the score of suicidal ideation was positively correlated with the frequency of NSSI behaviors in both only-child and non-only-child adolescents with mood disorders (P<0.05); in the only-child adolescents, the level of self-esteem was negatively correlated with the frequency of NSSI behaviors (P<0.05), and the score of stress perception was positively correlated with the frequency of NSSI behaviors (P <0.05); in the non-only-child adolescents, the score of anxious emotion was positively correlated with the frequency of NSSI behaviors (P<0.05). Conclusions Among the adolescents with mood disorders and NSSI behaviors, the only-child adolescents tend to have a higher frequency of self-injury and poorer mental health, and therefore, the only-child adolescents with mood disorders and NSSI behaviors need more attention. [ABSTRACT FROM AUTHOR]

Based on the data of 3561 fifth-grade and 4062 eighth-grade students from the Beijing Assessment of Educational Quality in China, the present study used a propensity-value matching model to scientifically analyze only-child and non-only-child children in primary and secondary schools. Female differences in cognitive outcomes (linguistic performance) and non-cognitive outcomes (teacher-student relationships, peer relationships, and emotional management) were also evaluated. The results of the study were as follows. First, fifth-grade only-child students had a higher linguistic performance compared to that of their non-only-child counterparts, and the same result was found for eighth-grade students. Second, fifth- and eighth-grade only-child students had good teacher-student relationships that were not significantly different from those of their non-only-child counterparts. Third-, fifth-, and eighth-grade only-child students had significantly better peer relationships and emotional management compared to these parameters in their non-only-child counterparts. [ABSTRACT FROM AUTHOR]

AimThis study aimed to assess the risk factors for depression among parents who have lost their only child (PLOCs).MethodsWe used a cross-sectional survey to reveal the risk factors of depression among PLOCs. Multi-stage, stratified, cluster sampling was used to recruit the participants. The cluster sampling method was used to select PLOCs in Hangzhou, Zhejiang Province, and Wuhu, Anhui Province, while the stratified cluster sampling method was used in Anshun, Guizhou Province. A total of 651 PLOCs were recruited in this study. Participants completed the Social Support Rating Scale (SSRS) and the Geriatric Depression Scale-15 (GDS-15). Socio-demographics were also collected, including age, sex, monthly income, education level, marital status, self-reported health, and a number of diseases were collected as well. Chi-square tests and binary logistic regression were conducted to analyze the influence of these factors on PLOCs' mental status.ResultsTwo hundred and fifty-eight PLOCs (39.56%) reported depression. Compared to PLOCs living in Wuhu, those living in Hangzhou (OR = 3.374, CI = 2.337–4.870) had a higher risk of depression. Being single (OR = 1.449, CI = 1.019–2.061) and the presence/absence of grandchildren (OR = 0.430, CI = 0.274–0.676)were significantly associated with the depression status of PLOCs.ConclusionThe sampled Chinese PLOCs reported a high prevalence of depression that was influenced by their place of residence, marital status, and presence/absence of grandchildren. This may highlight the need for routine assessment and help of this group by the relevant stakeholders (including government, non-profit social organizations, and professional psychologists) with more attention paid to single and low-income PLOCs that have no grandchildren. It is imperative to build a comprehensive care system of “extended family—community—society—government” for this vulnerable group.

Drawing upon a developmental perspective, we investigated the differences in power acquisition (i.e., rank at work and leader role occupancy in university) between only and non-only children as well as the mediating role of cooperative and competitive orientations and the moderating role of dependency on parents. To test our hypotheses, we conducted two field studies in 155 part-time Master of Business Administration (MBA) students (Study 1) and 375 senior students (Study 2). Results showed that: (1) non-only children were more likely to achieve higher rank at work than only children; (2) only children were less likely than non-only children to acquire power in organizations because they scored lower in cooperative orientation; however, the mediating effect of competitive orientation was not significant; (3) the difference in cooperative orientation between only and non-only children was smaller when dependency on parents was high, whereas it became larger when dependency on parents was low. Our research contributes to the understanding of how family structure influences individual power acquisition. [ABSTRACT FROM AUTHOR]

The Typical Beliefs Questionnaire (TBQ) assesses common grief‐related cognitions, which demonstrated satisfactory psychometric properties in a treatment‐seeking sample with prolonged grief disorder (PGD). Chinese shidu parents (bereaved parents over the age of 49 who have lost their only child) are at a high risk of PGD. The current study aimed to examine psychometric properties of the Chinese version of the TBQ (TBQ‐C) in a community sample of shidu parents with and without PGD, to compare this to the original validation clinical sample in the United States bereaved of any close relationship and to consider its use as a clinical tool. We examined the rate of positive endorsement, factor structure, internal consistency and validity of the TBQ‐C in 310 community‐based shidu parents (including 102 who met the criteria for PGD). Results showed that the rate of positive endorsement for each item ranged from 7.2% to 48.6% among non‐PGD participants and from 20.6% to 92.2% among PGD participants. Confirmatory factor analysis indicated that the original five‐factor structure fit both the non‐PGD and PGD shidu parents. The TBQ‐C showed acceptable internal consistency and satisfactory convergent and concurrent validity in both groups. It had good discriminant validity and can be helpful in distinguishing shidu parents with and without PGD. The TBQ‐C can be used to investigate common grief‐related beliefs that may be problematic for both shidu parents with and without PGD. [ABSTRACT FROM AUTHOR]

Objectives: Losing an only child is a life-altering event that destroys Chinese women’s lives and health in several dimensions. However, there is no unified theory exists to guide nursing practice. This study aimed to discover the substantive theory of how Chinese women live with the loss of their only child. Methods: This qualitative study used the grounded theory method. Purposive sampling, snowball sampling, and theoretical sampling were used to recruit participants. Saturated data from the in-depth interview, observation, and field notes with 13 Chinese women who have lost an only child in Southwest China were analyzed using the constant comparative method concurrently supplemented by the ATLAS.ti program, memo writing, and diagramming. Findings: Struggling to live a new normal life among Chinese women after losing an only child emerged as the substantive theory. It consists of three phases: living in agony, coming to terms, being alive in a new way. Receiving support motivated them to deal with such a loss. However, it brought them back to the previous phase(s) whenever they encountered adverse triggering situations. Therefore, they moved back and forth between these phases. The findings also illustrated that this process was profoundly affected by Chinese culture and personal beliefs. Conclusions: This substantive theory may guide nursing practice based on understanding the living process by working through the three phases. It would help develop a professional care plan recognizing individual diversity and incorporating socio-cultural and religious knowledge to effectively support women to deal with the loss of an only child.

Drawing upon a developmental perspective, we investigated the differences in power acquisition (i.e., rank at work and leader role occupancy in university) between only and non-only children as well as the mediating role of cooperative and competitive orientations and the moderating role of dependency on parents. To test our hypotheses, we conducted two field studies in 155 part-time Master of Business Administration (MBA) students (Study 1) and 375 senior students (Study 2). Results showed that: (1) non-only children were more likely to achieve higher rank at work than only children; (2) only children were less likely than non-only children to acquire power in organizations because they scored lower in cooperative orientation; however, the mediating effect of competitive orientation was not significant; (3) the difference in cooperative orientation between only and non-only children was smaller when dependency on parents was high, whereas it became larger when dependency on parents was low. Our research contributes to the understanding of how family structure influences individual power acquisition.

Objective: This study explored how belief in a just world (BJW) develops among Chinese adolescents and the predictive role of family factors., Background: The development of BJW in adolescence is an important but understudied topic, especially in non-Western contexts., Method: Using a three-wave longitudinal design, 1525 participants (48% girls; M age  = 12.47) were recruited to report their BJW, childhood SES, only-child or not, and parental psychological control in Wave 1 (Wave 2: N = 1262; Wave 3: N = 1124)., Results: The mean slope for personal BJW is positive and significant, but not significant for general BJW. Childhood SES predicted initial level of personal and general BJW and the rate of growth of personal BJW. Only-child predicted initial level and the growth rate of personal BJW. Parental psychological control negatively predicted personal and general BJW at three time points., Conclusion: Personal BJW increased during the observation period, whereas general BJW was stable. Individuals with lower levels of childhood SES had lower initial personal and general BJW but a higher growth rate in personal BJW than those with higher SES. Individuals having siblings had lower levels of initial personal BJW but a higher growth rate in personal BJW than those from only-child family. Parental psychological control may exert consistent and contemporaneous negative effect on BJW across time., (© 2023 Wiley Periodicals LLC.)

This study aimed to investigate the features of only child status related to physical health, mathematics achievement, and school feelings and expectations from a different perspective. A representative sample of 91,619 Grade 4 students with an average age of 10.4 ± 0.7, among which 28,631 were only children, were assessed. We used propensity score matching (PSM) and the average treatment effects on the treatment to analyze data. The treatment was the only child of a family. The results indicated that only children have better academic achievement and school feelings (only for urban only child girls), while non-only children have better physical status and anaerobic fitness (AF). In addition, gender and rural vs. urban areas differences were also explored. The adverse situation for rural only boys is emphasized for families, researchers, and governments to focus on. Some suggestions are given under the Two- and Three-Child Policy. [ABSTRACT FROM AUTHOR]

This study aimed to investigate the features of only child status related to physical health, mathematics achievement, and school feelings and expectations from a different perspective. A representative sample of 91,619 Grade 4 students with an average age of 10.4 ± 0.7, among which 28,631 were only children, were assessed. We used propensity score matching (PSM) and the average treatment effects on the treatment to analyze data. The treatment was the only child of a family. The results indicated that only children have better academic achievement and school feelings (only for urban only child girls), while non-only children have better physical status and anaerobic fitness (AF). In addition, gender and rural vs. urban areas differences were also explored. The adverse situation for rural only boys is emphasized for families, researchers, and governments to focus on. Some suggestions are given under the Two- and Three-Child Policy.

Background: Studies have revealed that Children's psychological, behavioral, and emotional problems are easily influenced by the family environment. In recent years, the family structure in China has undergone significant changes, with more families having two or three children., Aim: To explore the relationship between emotional behavior and parental job stress in only preschool and non-only preschool children., Methods: Children aged 3-6 in kindergartens in four main urban areas of Shijiazhuang were selected by stratified sampling for a questionnaire and divided into only and non-only child groups. Their emotional behaviors and parental pressure were compared. Only and non-only children were paired in a 1:1 ratio by class and age (difference less than or equal to 6 months), and the matched data were compared. The relationship between children's emotional behavior and parents' job stress before and after matching was analyzed., Results: Before matching, the mother's occupation, children's personality characteristics, and children's rearing patterns differed between the groups ( P < 0.05). After matching 550 pairs, differences in the children's parenting styles remained. There were significant differences in children's gender and parents' attitudes toward children between the two groups. The Strengths and Difficulties Questionnaire (SDQ) scores of children in the only child group and the Parenting Stress Index-Short Form (PSI-SF) scores of parents were significantly lower than those in the non-only child group ( P < 0.05). Pearson's correlation analysis showed that after matching, there was a positive correlation between children's parenting style and parents' attitudes toward their children ( r = 0.096, P < 0.01), and the PSI-SF score was positively correlated with children's gender, parents' attitudes toward their children, and SDQ scores ( r = 0.077, 0.193, 0.172, 0.222)., Conclusion: Preschool children's emotional behavior and parental pressure were significantly higher in multi-child families. Parental pressure in differently structured families was associated with many factors, and preschool children's emotional behavior was positively correlated with parental pressure., Competing Interests: Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article., (©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.)

The purpose of this study was to explore theory of mind (ToM) differences in children with different birth orders (only-children, first-born children, and second-born children), and further explore the effect of cognitive verb training for only-children's ToM. Adopting the paradigm of false belief, Study 1 was conducted in which a sample of 120 children aged 3–6, including first-born children, second-born children (siblings aged 1–13 years), and only-children were tested. The results showed that (1) children aged 3–6 had significantly higher scores on first-order false-belief than second-order false-belief. (2) Controlling for age, the only-children scored significantly lower than the first-born children. In Study 2, 28 only-children aged 4–5 (13 in the experimental group and 15 in the control group) who initially failed in false-belief tasks were trained with the cognitive verb animations. Significant post-training improvements were observed for only-children who received training of animations embedded with cognitive verb. Those findings indicated that ToM of only-children was significantly worse than first-born children of two-child families, and linguistic training could facilitate ToM of only-children whose ToM were at a disadvantage. [ABSTRACT FROM AUTHOR]

The purpose of this study is to investigate the mediating role of exercise value cognition between family function (FF) and exercise behavior and the moderating role of an only-child status. A questionnaire survey was conducted on 504 Chinese college students using the FF scale, the exercise value cognition scale, and the exercise behavior scale. The analysis yielded four main findings. (1) There are significant differences between an only-child and a non-only-child for negative exercise behavior and FF. The only-child group has a higher average FF score and a lower average negative exercise score. (2) Exercise behavior and four of its dimensions—exercise autonomy, attention control, exercise planning, and situational induction—are each significantly positively correlated with FF and exercise value cognition. (3) FF is a significantly positive predictor of exercise behavior, both directly and through exercise value cognition, which plays a partial mediating role. (4) Only-child status significantly moderates the mediating effect of exercise value cognition in the link between FF and exercise behavior. The intergroup differences mainly manifest in the influence of FF on exercise behavior and the influence of exercise value cognition on exercise behavior. In the only-child subsample, exercise value cognition plays a complete mediating role. The results of the current study demonstrated the important role that FF and exercise value cognition played in promoting the exercise behavior of college students. These findings have important implications for exercise behavior in adolescents by maintaining sound communication between family members and developing a healthy lifestyle or value cognition.

The purpose of this study is to investigate the mediating role of exercise value cognition between family function (FF) and exercise behavior and the moderating role of an only-child status. A questionnaire survey was conducted on 504 Chinese college students using the FF scale, the exercise value cognition scale, and the exercise behavior scale. The analysis yielded four main findings. (1) There are significant differences between an only-child and a non-only-child for negative exercise behavior and FF. The only-child group has a higher average FF score and a lower average negative exercise score. (2) Exercise behavior and four of its dimensions—exercise autonomy, attention control, exercise planning, and situational induction—are each significantly positively correlated with FF and exercise value cognition. (3) FF is a significantly positive predictor of exercise behavior, both directly and through exercise value cognition, which plays a partial mediating role. (4) Only-child status significantly moderates the mediating effect of exercise value cognition in the link between FF and exercise behavior. The intergroup differences mainly manifest in the influence of FF on exercise behavior and the influence of exercise value cognition on exercise behavior. In the only-child subsample, exercise value cognition plays a complete mediating role. The results of the current study demonstrated the important role that FF and exercise value cognition played in promoting the exercise behavior of college students. These findings have important implications for exercise behavior in adolescents by maintaining sound communication between family members and developing a healthy lifestyle or value cognition. [ABSTRACT FROM AUTHOR]

In this paper, I employ reflexive autoethnography to explore my journey with grief following the unexpected illness and death of my mother. Specifically, I explore my grief as an only child and the reconciliation with my father following a period of estrangement during my immense grief. In addition, I utilize the construct of social support as a framework to process my emotions and perceptions of my grief. By sharing my experiences, I hope to encourage others to reflect on their own perspectives of grief and to foster dialogue about the universal experience of loss. [ABSTRACT FROM AUTHOR]

It appears that the only children are raised in a unique way of life and differentiate from children with siblings concerning their psychosocial experiences. In this study, how adult only children perceive their only-child experiences in the context of psychosocial experiences and how they shape those experiences in their interpersonal relationships were discussed. The experiences of being an only child were evaluated by comparing childhood, adolescence and adulthood. This study was conducted in a phenomenological research design, one of the qualitative research types. In this study, there were 10 only children, five females and five males, aged between 20 and 26 using the criterion sampling technique. Semi-structured interviews were conducted with the participants. The data obtained from the interviews were analyzed with interpretive phenomenological analysis. Toward the findings of the study, a framework was structured on how the only child-experiences are interpreted in adulthood. The main themes of the research were being an only child, the only child in family relationships, the only child in friendship, and the only child experiences in the past and present. From the experiences of being an only child, parenting processes of the only children can be investigated.

Background: The impact of coronavirus disease (COVID-19) on public mental health in 2019 is verified, but the role of only-child status in the mental health of adolescents confined at home during the COVID-19 epidemic has not been investigated and is not clear.Objective: Our study aims to assess the impact of only-child status on the mental health of adolescents confined at home during the COVID-19 outbreak. The exposure risk to COVID-19, adverse experience, parent-child relationship, and resilience have also been measured and considered.Methods: From March 20 to 31, 2020, a cross-sectional survey test was conducted on 11,681 adolescents aged from 12 to 18 years in middle schools (Grade 7 to Grade 9) across five provinces in China. The self-reported online questionnarie was used to collected data of demographic information, the 9-item Patient Health Questionnaire, the 7-item Generalized Anxiety Disorder Scale, the short form of the Childhood Trauma Questionnaire, the Connor-Davidson Resilience Scale and the exposure risk to COVID-19.Results: A total of 11,180 valid questionnaires were collected, with an effective rate of 95.7%. 35.2% of only children and 38.8% of non-only children reported depression symptoms, while 20.5% of only children and 24.7% of non-only children reported anxiety symptoms. It was significant that non-only children were more likely to have anxiety and depression symptoms than only children (OR = 1.164, 95%CI: 1.064-1.273, p = 0.001). The risk of exposure to COVID-19 was a risk factor of depression (OR = 2.284, 95%CI: 1.640-3.180, p < 0.001) and anxiety symptoms (OR = 1.959, 95%CI: 1.402-2.737, p < 0.001) in non-only children, but not in only children. For both only children and non-only children, the resilience and parent-child relationship were protective factors of depression and anxiety symptoms, while emotional abuse was a risk factor (p < 0.001).Conclusion: The non-only children are more likely to develop the symptoms of anxiety and depression than only children, during the outbreak of COVID-19 in China. The adolescents with siblings are psychiatrically more vulnerable to exposure risk of COVID-19 and need more attention, especially those with poor parent-child relationship, low resilience and experience of emotional abuse. [ABSTRACT FROM AUTHOR]

Based on the Chinese General Social Survey 2006 and 2008 data, this paper assesses the influence of the family planning policy on the qualitative development of children using education attainment and individual income of only children versus children with siblings as parameters. Our results show the following: (1) only children are better-educated than their counterparts with siblings; (2) only children earn higher income in comparison to their counterparts with siblings; (3) the income and education gaps between girls with and without siblings are greater than those between boys; (4) the education gaps between only children and children with siblings are greater for those born in the 1970s, but the income difference between only children and children with siblings is only significant for those born in the 1980s; and (5) the income and education gaps between only children and children with siblings are higher in urban regions. Results indicate that families with only one child invest more resources in children's quality under the family planning policy, which is consistent with the "quantity-quality trade-off" theory proposed by Gary Becker. [ABSTRACT FROM AUTHOR]

The number of single-child families has been rising steadily in recent years, resulting in a childhood absent of sibling relationships. Being an only child has been shown to have a negative impact on physical fitness, somatic fitness, and motor development. In this study, we aimed to understand how living with and without siblings can impact the motor competence of children. One hundred and sixty-one children (87 boys, 74 girls) from 3.0 to 6.0 years of age (34 only children, 125 siblings) and with no known motor or cognitive disability were assessed using the Motor Competence Assessment (MCA). Their standardized results on the three MCA subscales (stability, locomotor, and manipulative) and total MCA were used to group them into high, average, and low motor competence groups. Motor competence percentile distribution of the sibling and only child group condition was compared using chi-square tests. Results showed a significative and positive association between the sibling condition and the distribution between the three MC groups (chi-square = 6.29; p = 0.043), showing that children in a household with siblings, independent of their age and sex, show a clear tendency for developing better motor competence. [ABSTRACT FROM AUTHOR]

Based on the data of 3561 fifth-grade and 4062 eighth-grade students from the Beijing Assessment of Educational Quality in China, the present study used a propensity-value matching model to scientifically analyze only-child and non-only-child children in primary and secondary schools. Female differences in cognitive outcomes (linguistic performance) and non-cognitive outcomes (teacher-student relationships, peer relationships, and emotional management) were also evaluated. The results of the study were as follows. First, fifth-grade only-child students had a higher linguistic performance compared to that of their non-only-child counterparts, and the same result was found for eighth-grade students. Second, fifth- and eighth-grade only-child students had good teacher-student relationships that were not significantly different from those of their non-only-child counterparts. Third-, fifth-, and eighth-grade only-child students had significantly better peer relationships and emotional management compared to these parameters in their non-only-child counterparts.

Multiple researches have shown that parenting styles influence socio-emotional development during childhood, in which the family is considered the first socializing entity. The objective of this research was to analyze the incidence of parental competences in the development of the social skills of single children aged between three and five years, taking into account four areas: linkage, formative, protective and reflexive. Regarding social skills, six behavioral attitudes were analyzed: basic social skills; making new friends; conversational; feelings and emotions; ability to face and solve problems; and way of relating to adults. It is a quantitative research, correlational method where the sample corresponded to 36 children and 61 parents. Two tests were applied: Positive Parentally Scale and Social Skills Scale. Pearson Chi-square was used to analyze the information, using Statistica software. The Pearson Chi-square test is a non-parametric test, which aims to determine the existence or not of a significant relationship between two variables. The Parental Competence scale is a very simple questionnaire that applies to the parents or caregivers of a child or adolescent, whose objective is to determine the degree of development of parental competencies that adults use to establish a relationship with the child in care, either as a parent or as a caregiver. The scale groups these competences into four areas: Link, training, protection and reflection. This scale defines three zones to determine the level of competence of the parents: the risk zone, where the parents whose scores are below the reference sample are located; subsequently, the monitoring area is located, where the parents who present scores with percentiles between 30 and 40 are located according to the reference sample. Finally, the optimal zone is defined, where the parents with high scores are located. The social skills scale of Lacunza is a questionnaire that must be applied by parents or caregivers to children between 3 and 5 years old, which measure observable behaviors, which account for the child’s social performance during the last three months. This questionnaire is based on other instruments that measure social skills, but makes an adaptation according to the developmental stages of development in preschool children, perfecting three questionnaires according to age: for 3 years the scale presents a composite questionnaire for 12 items; At the age of 4 years, the evaluation is carried out through the development of 12 questions, while for the age of 5 the questionnaire is made up of a total of 15 items. The findings of this research do not match what theoretically would be expected. It is paradoxical that children who have medium social skills have parents with optimal parental skills, while children with high social skills, have parents whose parental skills are located in any of the three ranges (at risk, monitoring and optimal). Another finding is related to children who presented high social skills in the six areas, in turn, their parents registered protective parental competencies in the monitoring area, which leads us to think that there are other factors that can affect in the development of the social skills of minors. [ABSTRACT FROM AUTHOR]

Background: The influence of parents on physical activity (PA) and body weight of their children is confirmed by scientific studies. However, it is not known whether only children or those with siblings have a higher level of PA and healthier body weight. Objective: The aims of this study are (i) to assess whether there are any differences in the achievement of the daily step count (SC) recommendation and in the prevalence of overweight/obesity between only children and children from families with multiple children, and (ii) to investigate whether the achievement of the SC recommendation by children/parents and parental overweight/obesity is associated with childhood obesity. Methods: The analysis included 566 families (10.6%/89.4% with single child/two or more children) with complete data on weight status and PA monitored with a Yamax pedometer during regular school/work between 2013-2019. The daily SC recommendation amounted to ≥ 13,000/11,000 SC for 5-12-year-old sons/daughters and ≥ 10,000 SC for 12-16-yearold adolescents and adults. The chi-square test was used to compare the achievement of the daily SC recommendation and the prevalence of overweight/obesity. Binary logistic regression analyses were used to investigate whether the achievement of the daily SC recommendation by children/parents and parental overweight/obesity were associated with obesity in their offspring. Results: A significantly higher proportion of children with siblings achieved the recommended daily SC (51.8% vs. 31.7%, p = .003) and showed a lower prevalence of overweight (16.2% vs. 20.0%, p = .041) and obesity (7.1% vs. 20.0%, p < .001) compared with only children. The achievement of the daily SC recommendation in children significantly (p < .05) decreased the odds ratio of obesity (odds ratios 0.22-0.34, 95% confidence intervals 0.07-0.85). Conclusions: Children from families with siblings had higher physical activity and healthier body weight than those from single-child families. However, reaching the recommended daily SC reduces the likelihood of childhood obesity, regardless of the presence of a sibling in the family. [ABSTRACT FROM AUTHOR]

The purpose of this study was to analyze motor development of Spanish preschoolers, taking into account sex and age, being an only child, prematurity, and the practice of extracurricular activities. The sample was composed of 300 preschoolers (132 girls, 168 boys) ages 3 to 6 years. Preschoolers were tested on 12 fundamental motor skills (locomotor and object control) through the Test of Gross Motor Development--Second Edition (TGMD-2). Nonparametric analysis indicated that there are differences between girls and boys in locomotor and object control skills in the age range of 3-4 years. However, boys and girls scored similarly at the age of 5 years in locomotor development. There were not differences between only children and those who are not only children. Similarly, prematurity was not associated with locomotor and object control development. Nevertheless, those preschoolers who practice extracurricular physical activities scored significantly higher in comparison with those children do not. Further research is needed to shed light on the differences between boys and girls in object control. It may be explained by the types of extracurricular activities. [ABSTRACT FROM AUTHOR]

In China, older adults whose only child has died are known as shiduers ; these people are not only deeply impacted by their individual bereavement from losing their child but are also influenced by macro institutional factors. To further investigate this unintended consequence of the one-child policy and to illustrate the mechanism of influence of institutional factors on the sufferings and grief experiences of this population, this study conducted in-depth semi-structured interviews with 20 shiduers in Wuhan, China. In line with Ulrich Beck's theory of risk society, the findings argue that the crises inherent in institutional factors not only affect the post-loss experiences of shiduers in harmful ways but also pose a number of life difficulties that are difficult to control and mitigate. More importantly, most shiduers ' life difficulties are rationalized, gradually transforming into manufactured and widespread shidu risks that persist long-term throughout their aging process., Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

The purpose of this study was to examine if only child show differences on somatic growth and physical fitness compared to be a child with siblings. The participants included 542 children (boys: N = 270; girls: N = 270) between 7 and 15 years of age. Somatic growth (height, weight, body mass index) and physical fitness (handgrip strength; flexed harm hang; 60-s sit-ups; standing long jump; 10-m shuttle run and PACER test) were assessed. Variance analysis revealed significant advantages for children with siblings in the flexed arm hang (p = 0.046), 60-s sit-ups (p = 0.002), 10-m shuttle run (p = 0.013) and PACER (p = 0.032). An examination of the possible differential effect of sex on the results revealed no significance for physical fitness variables, but significant interaction were found for weight (p = 0.004) and body mass index (p = 0.005). Despite a lack of interactions between offspring and sex in physical fitness, significant differences between sexes were found in all fitness variables. In conclusion, having siblings showed to be advantageous for general physical fitness in children. This evidence may be used for future analysis and interventions in motor competence, namely considering the growing number of only children in some regions of the world.