Search

The study examined the strategies used by teacher educators in their teaching practices and gender integration in Kenya, Uganda and Tanzania. The nature of the engagement of educational leaders and administrators in supporting teaching, learning and mainstreaming gender issues in teaching was also examined. A total of 165 sampled respondents were reached. This included 81 government officials and educational leaders (18 government officials and 63 educational leaders) and 84 tutors. The study used a concurrent mixed-method approach where the combined qualitative and quantitative data collection methodologies were applied to answer the study questions. The study data were collected directly from the project participants through semi-structured interviews and survey questionnaires. 60% of preprimary and primary tutors from Kenya demonstrated knowledge and skills in pedagogical practices compared to 13% from Tanzania and 20% from Uganda. The findings also revealed that most tutors do not think training and application of lifelong professional development strategies on key pedagogical aspects and content are essential for achieving a gender-responsive and inclusive training and support program. These key areas include support for gender-based violence victims, support for pregnant girls and mothers to continue education; gender-sensitive expectations towards girls' and boys' achievements; gender-sensitive expectations around girls' and boys' behavior, lesson demonstration, and lesson observation. The study recommends that there should be integration of gender issues in delivering training for the tutors of the colleges in East Africa. The training should focus on enhancing pedagogical practices and related educational leadership and management.

Potentially serving as the primary national literacy initiative, the Reading Seed Programme (RSP) by PUSTAKA Negeri Sarawak aims to enculturate a reading culture from an early age. For instance, RSP was invented to promote reading culture by having the pregnant mother read to their infant until the child was three years old. The process is vital to helping children learn to read from a young age and eventually empower them to be independent readers for life. Particularly, the objectives of RSP are to promote reading habits by getting parents to read to their children, strengthen a child's vocabulary, and develop their confidence, especially in reading. Thus, this paper is primarily designed to investigate the demographic differences between RSP participation and the programme's objectives, i.e., reading habits, parent's engagement, vocabulary ability, and confidence development. To assess how well the RSP achieved its goal of assisting toddlers in developing their confidence as readers. An online survey yielded 385 completed responses, representing a 92.33% response rate among RSP participants. The key findings indicated that the age of the child, mode of joining the programme, and year received the RSP's kits are the most important indicators of the usefulness of the programme (RSP and RSP's kits) and the programme's objectives attainment, especially in straightening the child's vocabulary and comprehension and developing their confidence, especially in reading and knowledge. Nonetheless, the results of this study highlighted the novelty of the early literacy programme of the RSP in cultivating the reading culture, parent-child engagement in reading, and preparing children to acquire knowledge.

The complexity of the reproductive system necessitates instructional media to facilitate comprehension, as its processes unfold internally and are not readily observable. This study aims to assess the viability of booklet sub-materials on fertilization, gestation, and childbirth, derived from the inventory findings of medicinal plants for postpartum care, as educational resources. The research and development used the Borg & Gall model which included identifying potential problems, data collection, product design, design validation, and product revision. The booklet media underwent validation by five validators using validation sheets, while the evaluation criteria encompassed format, content, and language proficiency. The validation data were analyzed using CVR (Content Validity Ratio) and CVI (Content Validity Index). The results of the booklet media validation obtained a CVR value on each criterion of 1.00 with a valid category and a CVI value of 1.00 with a valid category. The booklet on the subject of gestational fertilization and childbirth from the results of the inventory of medicinal plants for postpartum is suitable for use as a learning media.

Emphasis on continuous infant sleep overnight may be driven by parental concern of risk to child mental health outcomes. The Mercy Pregnancy and Emotional Wellbeing Study (MPEWS) examined whether infant sleep at 6 and 12 months postpartum predicts anxiety disorders at 2-4 years, and whether this is moderated by maternal depression, active physical comforting (APC) or maternal cognitions about infant sleep. Data included 349 women and infants. Infant sleep was measured using the Brief Infant Sleep Questionnaire and child anxiety disorders by the Preschool Age Psychiatric Assessment. The risk of developing generalised anxiety or social phobia disorders at 3-4 years was reduced by 42% (p = 0.001) and 31% (p = 0.001), respectively, for a one standard deviation increase in total sleep at 12 months. No other infant sleep outcomes were associated. Maternal depression, APC and cognitions about infant sleep did not significantly moderate these relationships. Focus may need to be on total infant sleep, rather than when sleep is achieved.

A meta-analysis was performed to evaluate the possible association between maternal alcohol drinking during pregnancy and autism spectrum disorder (ASD) in offspring. Twelve datasets from five observational studies were included. Results showed that maternal alcohol drinking during pregnancy was not independently associated with ASD (risk ratio: 0.90, 95% confidence interval: 0.78 to 1.04, p = 0.16, I[superscript 2] = 0%). The results were consistent for heavy alcohol drinking versus no alcohol drinking during pregnancy, and for studies evaluating the influence of maternal alcohol consumption during different trimesters. In conclusion, current evidence does not support that maternal alcohol consumption during pregnancy is independently associated with ASD in offspring.

This quasi-experimental study aimed to assess the impact of a midwife-led psycho-education intervention on reducing fear of childbirth (FOC) and perceived stress (PS) in pregnant women. The present study involved 96 pregnant women. The intervention group received three 30-45 min telephone sessions using 'BELIEF' (Birth Emotion-Looking to Improve Expectant Fear) psycho-education approach. The outcomes were assessed using questionnaires on childbirth attitudes and PS. Data analysis was performed using Stata version 17. In the intervention group, the mean score for FOC decreased from 39.41 ± 7.02 to 29.91 ± 5.60 (9.5; 24.1%). The mean difference (MD) of 28.22% was statistically significant (adjusted MD: -10.51, 95% CI: -11.60, -9.41, P < 0.001). In the intervention group, mean scores for PS decreased from 22.77 ± 6.94 to 18.23 ± 5.69 (4.54; 19.93%). In the control group, scores increased from 22.68 ± 6.76 to 24.82 ± 6.58 (2.14; 9.43%). The 29.36% MD was statistically significant (aMD: -6.95, 95% CI: -8.73, -5.18, P < 0.001). The findings of this study indicate that the midwife-led psycho-education intervention, utilizing the 'BELIEF' protocol over the telephone, has a significant effect on reducing FOC and PS, as well as increasing the preference for vaginal birth.

Background: With the right support, people with learning disabilities can be 'good enough' parents (Coren et al., 2011; Murphy & Feldman, 2002). Parenting programmes exist to support parents and are made accessible for people with learning disabilities who are expecting a baby, but evaluation of the benefit of these interventions is poor due to a lack of accessible outcome measures (May & Harris, 2020; Wade et al., 2008). The Tool to Measure Parenting Self-Efficacy in the antenatal period (TOPSE ante-natal) measures the impact of parenting interventions on an individual's self-efficacy during the antenatal period. This study aimed to modify the TOPSE ante-natal tool through a process of inclusive research, to support a consistent approach to evaluating parenting interventions from the perspective of parents-to-be with learning disabilities. Methods: A two-phase study using interviews and discussion groups was conducted in a process of inclusive research to modify the TOPSE ante-natal tool. Phase one involved conducting eight cognitive interviews (interviews to understand how individuals process and recall information) with parents with learning disabilities. These were conducted remotely via Microsoft Teams, transcribed verbatim and analysed using content analysis (Krippendorff, 2013). Participants were recruited using snowballing techniques through the advisory groups' networks. Phase two included three discussion groups with study collaborators and advisors (n = 14) to assess the accessibility and acceptability of adaptations of the tool, each making further refinements for consideration. Findings: Interviews and discussion groups highlighted how parents-to-be with learning disabilities experienced some of the original TOPSE-ante-natal negative statements, including negative points on a Likert scale, difficult to comprehend. Figurative statements and unfamiliar words also caused confusion, and statements focussed on the pressures of parenting were experienced as confrontational by people with learning disabilities. Statements were removed or replaced and agreed upon in discussion groups to ensure that the tool was accessible and meaningful to people with learning disabilities. Conclusions: We have used a process of inclusive research to modify a self-efficacy tool for parents-to-be with learning disabilities that is freely available on the TOPSE website (https://www.topse.org.uk/site/). The next steps are for this tool to be used and validated in future studies evaluating parenting interventions for people with learning disabilities. This will inform a knowledge base of what interventions should be used by practitioners who are supporting people with learning disabilities to prepare for parenthood.

Background: Drawing on the family stress model (Conger and Donnellan in Ann Rev Psychol 58:175-199, 2007. https://doi.org/10.1146/annurev.psych.58.110405.085551), parenting programs typically support caregivers' nurturing and cognitively stimulating practices to mitigate the effects of poverty on child development, with small-to-moderate intervention effect sizes. Objective: This study evaluated a nonrandomized parenting program in Turkiye for low-income pregnant women and mothers of infants. The program utilized home visiting (HV) implemented by local municipalities for the first time. It was hypothesized that program mothers would engage in cognitively-stimulating practices more often at child age 9 months, and thereby expand their child's vocabulary at 18 months of age. Subgroup analyses based on maternal depression were also conducted. Methods: Using a quasi-experimental design, 526 mothers were allocated to one of two groups: HV intervention (n = 282, 77% pregnant) vs. control (n = 244, 69% pregnant). Mothers completed questionnaires on family and environmental risk at enrollment (T1), on depression and stimulating parenting at infant age 9 months (T2), and child vocabulary at 18 months (T3). Results: HV mothers reported stimulating parenting more frequently than controls at T2. Enrollment in HV predicted larger child vocabulary at T3 through stimulating parenting at T2. Subgroup differences were not detected. Conclusions: Results suggested that HV is a promising strategy to offer parent coaching to economically disadvantaged Turkish families. Though the present study made statistical adjustments to minimize group nonequivalence in baseline, selection bias might pose a threat to internal validity. A randomized controlled trial is warranted to examine its impact more rigorously prior to wider scale implementation.

Amidst ongoing global debate about reproductive rights, questions have emerged about the role of language in reinforcing stigma around termination. Amongst some 'pro-choice' groups, the use of "pro-life" is discouraged, and "anti-abortion" is recommended. In UK official documents, "termination of pregnancy" is generally used, and "abortion" is avoided. Lack of empirical research focused on lexis means it is difficult to draw conclusions about the role language plays in this polarized debate, however. This paper, therefore, explores whether the stigma associated with "abortion" may reflect negative semantic prosody. Synthesizing quantitative corpus linguistic methods and qualitative discourse analysis, it presents findings that indicate that "abortion" has unfavourable semantic prosody in a corpus of contemporary internet English. These findings are considered in relation to discursive salience, offering a theoretical framework and operationalization of this theory. Through this lens, the paper considers whether the discursive salience of extreme anti-abortion discourses may strengthen the negative semantic prosody of "abortion." It, therefore, combines a contribution to theory around semantic prosody with a caution to those using "abortion" whilst unaware of its possibly unfavourable semantic prosody.

Most studies of sex education center on local Anglo-Euro-American contexts, tracing the origin of sex education to a coordinated response to the spread of venereal diseases. These neglect the circumstances in which sex education developed in the developing world between the 1950s and 1980s: a growing collective anxiety about rising birth rates that culminated in the adoption of population control measures. This paper examines the "glocal" history of population-centered sex education in the developing world in the 1960s and 1970s, through the case study of Singapore. Examining the emergence of the first sex education curriculum in post-independence Singapore between 1966 and 1973, I argue that population-centered sex education that emerged in Singapore was intimately connected with global population politics. Analysis of how the policy was formulated shows that the Singapore state reacted to both domestic and global concerns. In connecting local developments to global contexts, this paper gestures toward the possibilities of studying the global history of population-centered sex education.

Early childbearing is associated with high maternal stress and family violence. However, the long-term effects of rapid repeat pregnancy (RRP) in young motherhood on child outcomes remain largely unknown. This study examined the pathways between maternal RRP at young ages and child psychosocial problems and emergency room visits in later years. A total of 232 Chinese mother-child dyads provided baseline data in 2015 (Time 1; T1) and follow-up data 6 years later in 2021 (Time 2; T2). At T1, mothers completed questionnaires about child physical abuse frequency and family cohesion and reported their own stress levels. At T2, mothers were re-surveyed with the same questionnaires about child physical abuse frequency and family cohesion. Children's psychosocial problems were assessed through parent proxy-reports and records of emergency room visits were retrieved from hospital databases. After adjusting for demographic information, maternal history of RRP was associated with child physical abuse at T1 ([beta] = 0.15, p < 0.05) and in turn linked to child physical abuse recurrence ([beta] = 0.22, p < 0.01) and emergency room visits at T2 ([beta] = 0.22, p < 0.001). Improved family cohesion over time did not break the link between maternal RRP and child physical abuse recurrence. Poor family dynamics can lead to child physical abuse recurrence and worsen developmental outcomes in children, particularly when coupled with other risk factors such as maternal RRP at young ages. Early interventions to enhance support and reduce vulnerabilities are important for preventing child physical abuse in at-risk families.

Background: Newborns of parents with intellectual disabilities face higher risks in their environment for child unsafety, despite parents' good intentions. To help parents prevent unsafe circumstances, a good understanding of the risk factors faced by these parents is needed. Methods: This casefile study examined (1) which risk factors were present for expectant parents with intellectual disabilities in child protection, (2) which domains of risk factors, and (3) whether a cumulation of risk factors was related to child safety. Results: Expectant parents with intellectual disabilities in child protection before the child was born often experienced a cumulation of risk factors. Child, family, and care factors best predicted child safety. A cumulation of risk factors over multiple life domains increased the risks for child unsafety. Conclusions: To reduce the risks of unsafe parenting conditions for newborns, preventive interventions for expectant parents with intellectual disabilities should address their needs from an ecological perspective.

In sub-Saharan African countries, teenage pregnancy received less attention and weak policy responses, and the pooled prevalence of teenage pregnancy is not yet studied. Therefore, this study aimed to determine the pooled prevalence and determinants of teenage pregnancy in sub-Saharan African countries. A total weighted sample of 96,185 teenage girls were included in the study. A multilevel modified poison regression analysis model was fitted to identify factors associated with teenage pregnancy. Finally, the Adjusted Prevalence Odds Ratio (APOR) with its 95% confidence interval was reported. Statistical significance was declared at p-value <0.05. The overall pooled prevalence of teenage pregnancy in sub-Saharan Africa was 21.36% (95% CI: 21.10, 21.62%). Being 18 to 19 years (APOR = 1.70, 95% CI [1.64, 1.77]), teenager's mother is working (APOR = 1.09, 95% CI: 1.06, 1.13), married adolescents (APOR = 5.54, 95% CI [5.01, 6.12]), media exposure (APOR = 0.96, 95% CI [0.94, 0.99]), middle and high wealth index (APOR = 0.96, 95% CI [0.93, 0.98]), and (APOR = 0.79, 95% CI [0.75, 0.83]), low-middle-income countries (APOR = 0.79, 95% CI [0.63, 0.92]), upper-middle-income (APOR = 0.61, 95% CI [0.41, 0.80]) and the Central African region (APOR = 1.46, 95% CI [1.29, 1.64]) were the factors found to be associated with teenage pregnancy. Teenage pregnancy in SSA was unacceptably high. Age, adolescent marital status, teenager's mother's working status, media exposure, wealth index, countries' income, and regions of SSA had a significant association with teenage pregnancy. Therefore, addressing geographical disparities and socio-economic inequalities help to reduce teenage pregnancy.

The impact of community-wide teen pregnancy prevention initiatives (CWIs) on local U.S. birth rates among adolescents aged 15 to 19 years was examined using synthetic control methodology within a quasi-experimental design. CWIs were implemented in 10 U.S. communities from 2010 to 2015. Each initiative implemented evidence-based teen pregnancy prevention interventions at local organizations and enhanced best practices in adolescent reproductive health care at local health centers, while engaging diverse community sectors. The synthetic control method was used to estimate the impact of each CWI on overall and race- and ethnicity-specific teen births relative to rates in synthetic control communities. Additionally, we estimated the overall effect of CWIs across communities by pooling results from the 10 synthetic control case studies using the mean percentile rank. Pooled data across all 10 communities indicated an estimated average of 6.6 fewer births per 1000 teens per year overall during the initiative relative to each community's synthetic control (p = 0.001). By race and ethnicity, there were an estimated average of 6.4 fewer births per 1000 teens per year among Black teens (p = 0.03), 10.7 fewer births among Hispanic teens (p = 0.03), and 4.2 fewer births (p = 0.10) among White teens. Results from individual communities indicated an intervention effect on overall and/or race/ethnicity-specific teen birth rates in five communities. This study demonstrates the value of synthetic control methods in evaluating community-level outcomes of programmatic efforts. Findings indicate the CWIs had a positive impact on teen birth rates and have the potential to address racial and ethnic disparities in those rates.

It is important to examine women's experiences in the infertility process, as being a woman is perceived as a concept that overlaps with motherhood, and the woman herself is exposed to physical pain during the treatment. In this research, which was carried out with a phenomenological pattern, one of the qualitative methods, the experiences of married women diagnosed with infertility regarding the infertility process were examined, and it was tried to determine the themes that would help psychological counselors in the therapeutic process. The study group consists of 10 women selected by criterion sampling using purposeful sampling methods. The results of the research were discussed under seven headings: infertility experience, stress factors, acquired skills, social support resources, the role of the spouse, coping skills, and belief in the treatment. The theme of the infertility experience includes codes of negativeness, helplessness, frustration, and compelling; the theme of stress factors includes codes of expectations, pressure, uncertainty, the passage of treatment, personal conflicts, against his spouse's liability, failure, and the search for a solution; the theme of acquired skills includes codes of coping with the challenges, obtaining medical information, hoping, common share, body recognition, gender awareness, healthy eating, the theme of social support resources includes codes of, contact, spouse, family, friend, and counselor; the theme of the role of spouse includes codes of support; the theme of coping skills includes codes of, religious beliefs, social activities, the sense of common humanity, work and psychological support; the theme of faith for treatment includes codes of hope and despair.

The 2022 U.S. Supreme Court decision in Dobbs v. Jackson Women's Health Organization overturned reproductive, health, and abortion rights for women. Using the NASW Code of Ethics, a course assignment is offered for students to examine the professional, ethical commitment and responsibility of social workers to advocate for these rights and reproductive justice for women. Practical ideas for incorporating content examining ethics into coursework in higher education are examined. An advocacy practice and policy model is provided and examined for consideration and use for advocacy when promoting reproductive rights and justice for women. The course assignment centers on the work of Freire (1970), as students work in small groups to identify generative themes in relationship to the NASW Code of Ethics and reproductive and health rights and justice for women. Practical and useful follow-up considerations, assignments, and takeaways are offered for assessing student learning in relationship to the course assignment.

As concerns for reproductive rights continue to be debated across the United States, the June 24th, 2022, U.S. Supreme Court ruling in the Mississippi case of Dobbs v. Jackson Women's Health Organization that overturned Roe v. Wade essentially upended the disciplinary foundations and ethical underpinnings of helping professions. The Council on Social Work Education (CSWE) does not mandate the integration of reproductive justice content in social work education. And yet, threats to bodily autonomy burgeon across the United States prior to and after the dismantling of Roe v. Wade, affecting the populations social workers serve. The time has come to talk about, not around, reproductive justice in social work education as well as how social workers are being subverted from using their professional training and ethical commitment to clients. It is the intent of this article to explore approaches for safeguarding professional values and ethical principles during these sociopolitically tumultuous times.

On June 24, 2022, the U.S. Supreme Court issued the "Dobbs v. Jackson Women's Health Organization" decision, overturning 50 years of protected abortion rights in the United States. The decision directly impacts the way social work educators address current social issues that relate to bodily autonomy and social justice. This paper used mixed methodology to collect quantitative and qualitative survey data from MSW students to explore how they perceive the overturning of "Roe v. Wade," how the topic was covered in their social work courses, and receive recommendations on how it should be taught. Constructivist Grounded Theory and Thematic Analysis were used to code for reoccurring and emergent themes. Findings indicate that students believe the "Dobbs" decision was not discussed enough in social work courses, that students believe reproductive justice discussions should be grounded in NASW values, and that students view the "Dobbs" decision negatively. Student suggestions for teaching reproductive justice are to focus on educational information, try to avoid politics, and set a civil classroom tone. The aim of this research study is to elevate the voices of students as educators grapple with navigating how the "Dobbs" decision impacts micro- and macro-level curriculum.

Women seeking higher education frequently do so during peak childbearing years and women with higher levels of education are more likely to postpone motherhood until a later age. Fertility rate, defined as the average number of children born to a woman over her lifetime, has decreased globally. The decrease in birthrate has been partially attributed to women seeking educational opportunities. Understanding the experience of students in this realm would allow higher education institutions to better support students who are (or wish to be) mothers. Unfortunately, there is a paucity of research examining graduate women and the factors involved in their consideration of having a child while in school. We seek to fill this gap by examining the impact of fertility concerns (FC) and importance of on-time degree completion (DC) on the probability of having a biological child in graduate school (PC) among 469 female graduate psychology students in the USA. We found higher FC was associated with higher PC. In contrast, higher DC was associated with lower PC. Furthermore, FC had a significant unique relation to PC after accounting for the contribution of DC. We discuss how institutions and programs may help support and empower female graduate students by implementing educational policies and procedures that are supportive of graduate student mothers. This is particularly important because a large proportion of women pursue advanced degrees, and this number is projected to increase.

As theories of developmental psychology continue to define educational goals and practice, it has become imperative for educators and researchers to scrutinize not only the underlying assumptions of such theories but also the model of adulthood toward which they point. Carol Gilligan examines the limitations of several theories, most notably Kohlberg's stage theory of moral development, and concludes that developmental theory has not given adequate expression to the concerns and experience of women. Through a review of psychological and literary sources, she illustrates the feminine construction of reality. From her own research data, interviews with women contemplating abortion, she then derives an alternative sequence for the development of women's moral judgments. Finally, she argues for an expanded conception of adulthood that would result from the integration of the "feminine voice" into developmental theory.

This study characterized the patterns and predictors of pre-post changes in knowledge, attitudes, beliefs, behaviors, and intentions (KABBIs) among 641 youth who completed evidence-based teen pregnancy prevention programs. At follow-up, 64.0% of youth showed changes knowledge, communication, and attitudes; 22.5% showed changes in knowledge, attitudes, beliefs, communication, and increased sexual intentions; and 13.6% showed changes in attitudes and decreased sexual intentions. The strongest predictors of changes were youth baseline KABBI scores, mode of delivery, and number and type of adaptations made to the curricula. Results underscore the importance of examining the role of youth and program characteristics in predicting KABBI change patterns.

The aim of this qualitative study was to explore desired ways to deliver comprehensive sexuality education (CSE) and topics, among secondary school students in a low-resource setting in Western Kenya. One school (n = 440) has received 8-9-h CSE intervention, while the other school (n = 496) served as a control. After one-year follow-up the students were asked (one open-ended question) to suggest desired topics of CSE, with a response rate of 93% (n = 867). The following topics were suggested by the students: abortion, contraception, sexual rights, abstinence and STI/HIV, and preferred CSE delivery means were school-based teaching, online resources and social media, community-based elements or trusted individuals. The students who had not received the intervention were more in favor of an abstinence-only approach and demonstrated more negative attitudes toward abortion.

As rhetorical scholars who regularly teach Communication and Women's/Gender Studies courses at a politically conservative university in the United States, Tasha N. Dubriwny and Kristan Poirot are keenly aware of the ways "Dobbs" has made abortion an all-too-relevant yet equally "dangerous" topic form any gender and/or health communication courses. In the current political context, leading classroom discussions about reproduction, from the rhetorical construction of motherhood to scientific explanations of fertilization, is fraught with personal and professional challenges that ought not be dismissed. In this essay, they approach the "Dobbs" decision as a rhetorical turning point, one that offers scholars an opportunity to revision how they engage in discussions, both inside and outside of their classrooms, about reproduction and reproductive health.

Long before the Dobbs decision, abortion was a fraught topic in communication classes. Post-Dobbs, the disincentives to discussing abortion intensified as a slew of state legislative actions-imposed restrictions not only on abortion access, but also on anything that might be construed as support for abortion. The purpose with this essay is to begin thinking through the pedagogical implications not only of the Dobbs decision, but of the state laws restricting how abortion is discussed, particularly by those teaching at state institutions. Further, the authors make the case for why professors should be teaching about abortion despite precarity.

In this article, we provide an overview of the overturning of Roe v. Wade and consider its implications for communication classrooms in higher education. We assert that we as communication educators have a moral imperative to consider the role of intersectionality and reproductive justice in our teaching philosophies and implementation, and to do so, we discuss the interrelated nature of intersectionality, reproductive justice, and critical communication pedagogy.

Teenage pregnancy is a phenomenon that causes concern due to its consequences. In this context, sex education has been considered as a good means of prevention. However, while teenage pregnancy prevails, sex education perspectives from the voices of teenage fathers and mothers remain under-explored. This qualitative study aimed at exploring sex education needs from the perspectives of teenage fathers and mothers at Cuenca, Ecuador. Semi-structured interviews were conducted with 19 young people aged 16 to 19 years, ten of whom were mothers. Following thematic analysis, three themes were identified: (1) pregnancy does not necessarily occur by accident; (2) inconsistencies exist in the use of contraceptive methods; and (3) current forms of sex education ignore the needs of adolescents. Findings are discussed in light of research addressing teenage pregnancy, focusing on adolescents as well as their developmental characteristics. The study identifies limitations in sex education when it comes to meeting the real needs of adolescent mothers and fathers.

This study aimed to assess the fertility knowledge of Japanese education undergraduates who plan to become schoolteachers and examine related factors. A cross-sectional questionnaire survey was conducted with 252 first-year education undergraduates at a Japanese university. The Cardiff Fertility Knowledge Scale (CFKS) was used to measure fertility knowledge, and other items inquiring about basic reproductive knowledge were included. We assessed the relationship between fertility knowledge and gender and the experience of future life planning, among other factors. We found that fertility knowledge varied. Participants possessed a relatively good knowledge of the relationships between fertility and female ageing, and smoking, but limited knowledge about the effect of sexually transmitted infections on fertility. Male participants answered more correctly than female participants (p < 0.01) regarding 'sperm production'; however, female respondents answered more accurately than male respondents (p < 0.01) regarding 'timing of menopause. In Japan, the national curriculum standard for upper secondary schools was revised in 2018, and fertility was added to the Health and Physical Education curriculum. The study results suggested that it is important to include fertility in a sex education teaching curriculum for education undergraduates to enable them to deliver fertility education as teachers in the future.

Genetic factors, particularly, de novo variants (DNV), and an environment factor, exposure to pregnancy-induced hypertension (PIH), were reported to be associated with risk of autism spectrum disorder (ASD); however, how they jointly affect the severity of ASD symptom is unclear. We assessed the severity of core ASD symptoms affected by functional de novo variants or PIH. We selected phenotype data from Simon's Simplex Collection database, used genotypes from previous studies, and created linear regression models. We found that ASD patients carrying DNV with PIH exposure had increased adaptive and cognitive ability, decreased social problems, and enhanced repetitive behaviors; however, there was no difference in patients without DNV between those with or without PIH exposure. In addition, the DNV genes carried by patients exposed to PIH were enriched in ubiquitin-dependent proteolytic processes, highlighting how candidate genes in pathways and environments interact. The results indicate the joint contribution of DNV and PIH to ASD.

Typical health lessons are taught in a classroom setting, where students sit in their chairs and passively receive information. This instructional method may not be the optimal approach, as Ratey discovered in his famous experiment that the human brain is more aroused when the body is physically and actively engaged in the learning environment. The purpose of this two-part article is to illustrate how health content can be delivered with hands-on activities, visual illustrations, and physical tasks that are associated with a specific lesson focus or that require students to repeatedly practice memory recall. Two physical activities in the following five health education topics are presented in this article: (1) mental and emotional health, (2) family and social health, (3) growth and development, (4) nutrition, and (5) personal health and physical activity. Aligned national health education standards and twenty-first-century skills, as well as evaluation for each activity, are also included. Although most of the activities presented in this article are content-specific, a few of the designs can be implemented with a different lesson focus or health topic.

This article demonstrates how discursive constructions of pregnant schoolgirls produce social and material consequences for girls in Southern Africa. Critical feminist scholars have argued that diverse actors frame girls across the global South as either monolithic, sexualised victims and sites for intervention or as hyper-agents, uniquely capable of changing the world. In either case, pregnancy is pathologised and girls' education is put forth as the solution to untimely sexuality and poverty. Through an ethnographic study of student pregnancy in Malawi, I show how education actors leveraged stories of pregnant schoolgirls to inform curriculum, policy, and resource distribution; and how young women engaged with these stories in school. I focus in particular on three students. While my renderings of these girls' stories are inherently partial, they demonstrate how binary discourse can shape girls' educational access and retention, even as it misaligns with their lives.

Parent-child communication concerning sexual and reproductive health (SRH) has significant potential to reduce children's risky sexual behaviour. Despite these benefits, few parents communicate with their children about SRH issues in Uganda. Using multi-stage stratified sampling in a cross-sectional survey, we estimated the prevalence and investigated the factors that were associated with recent parent-child communication among 600 children (10-17 years) in border districts of Uganda (Busia and Tororo). Results indicated that 61% of children reported to having received parent-child communication on SRH. Communication was more likely to happen among children living in urban areas (OR=4.88; 95% CI=1.79-13.33), boys (OR=1.84; 95% CI=1.13-3.00), those aged 15-19 years (OR=2.59; 95% CI=1.51-4.46) and among children from households that owned a mobile phone (OR=2.11; 95% CI=1.05-4.21) than their counterparts. Parent-child communication was also higher among children who were comfortable discussing SRH issues (OR=27.12; 95% CI=16.02-45.89) and children from Tororo district (OR=2.34; 95% CI=1.36-4.01). The findings provide a rich understanding of the factors associated with Parent-child communication in the border districts of Uganda. These results provide a basis for policy enactment or revision regarding the encouragement of parent-child communication about SRH in Uganda.

Qualitative studies of autistic people's pregnancy experiences have indicated sensory and communication related barriers to accessing adequate prenatal healthcare. However, quantitative work on the topic is scarce. This online survey study explored pregnancy experiences among 417 autistic and 524 non-autistic people. Compared with non-autistic people, autistic people reported heightened sensory and physical experiences during pregnancy and were more likely to experience prenatal depression and anxiety. Autistic people experienced lower satisfaction with prenatal healthcare, including having lower perceptions of their relationships with healthcare professionals and greater difficulties with antenatal classes. This study identifies key adjustments that can be made to prenatal healthcare, including sensory and communication adjustments. The findings highlight the need for greater autism understanding and awareness among professionals.

Autism spectrum disorder is a developmental disorder that includes deficits in social communication and interaction, and restricted and repetitive behaviours, interests, or activities. This survey was done to assess autism spectrum disorder prevalence in 16- to 30-month-old children at an urban-rural distribution and determine the association of socioeconomic and demographic conditions. An observational cross-sectional study was conducted in 30 districts of Bangladesh. Three-stage cluster sampling was used with 'Red Flag', Modified Checklist for Toddlers and "Diagnostic and Statistical Manual of Mental Disorders, 5th Edition," respectively. Data editing and analysis were done using CSPro 6 and SPSS 23. The survey included 37,982 households (71% rural, 29% urban) with 38,440 children. 'Red Flag' was positive in 209/10,000 children. Modified Checklist for Toddlers was positive in 149/10,000 children. "Diagnostic and Statistical Manual of Mental Disorders, 5th Edition"--positive autism spectrum disorder prevalence was 17/10,000 young children (boys 24/10,000, girls 9.8/10,000). Prevalence was higher in urban than rural (25/10,000 and 14/10,000 respectively). It was 77/10,000 in mothers aged 35-39 years and 23/10,000 in children of fathers aged 40 years. For families within the lowest wealth quintile, the autism spectrum disorder prevalence was 15/10,000. Autism spectrum disorder at very young ages in Bangladesh is still low. It was higher in urban areas, with the advanced age of parents, especially mothers, and in families with higher wealth quintiles.

Britney Spears's 2020 testimony about her 13-year conservatorship highlighted ethical concerns surrounding surrogate decision making. Social workers engage with families and clients in conservatorship/guardianship arrangements. However, social work educational programs spend little time preparing students for surrogate decision making and advocacy. Guided by the pedagogical technique of scaffolding and the Spears family case, this teaching note presents a foundational understanding of surrogate decision-making arrangements: conservatorship of the estate, conservatorship of a person, temporary conservatorship, permanent conservatorship, medical justification for conservatorship, controlling fertility, legal counsel, labor in conservatorship cases, and alternatives for guardianship. Content in this area will benefit social work students who intend to work with older adults, adults with mental health conditions, and adults with disabilities.

Only a very few studies to date have comprehensively assessed children's knowledge of sexuality. In this study, we examined the level of sexual knowledge among children aged 3-6 years in Finland. We analysed children's explanations of what they saw in drawings related to genital naming, conception and childbirth, safety skills, and adult sexual activity. Levels of knowledge were generally low. The largest number of correct answers were given for genital naming and safety skills. Knowledge increased with age. Children's gender was not related to their total level of knowledge. There was a correlation between children's ability to name their genitals and their knowledge of safety skills. The results suggest that only what is known about can be protected. Building on the findings of this study, age-appropriate sexuality education should be provided to all children.

Infertile women often experience chronic stress that can harm their well-being. Our aim was to investigate the effect of mindfulness-based stress reduction programmes on tolerance of ambiguity, rumination, and metacognitive awareness in infertile women. The sample included all infertile women referred to the Valiasr Hospital Health Center in Iran in 2019 who were treated for infertility. A total of 52 women undergoing infertility treatment were selected by availability sampling and assigned to either the experimental (26) or the control group (26). Using multivariate analysis of covariance (MANOVA) we found that a mindfulness-based stress reduction programme helps to increase tolerance to ambiguity, rumination, and metacognitive awareness among infertile women.