Changing the Home Food Environment: Parents’ Perspectives Four Years after Starting Obesity Treatment for Their Preschool Aged Child

Changing the home food environment is key to childhood obesity treatment. However, new challenges arise as the child grows older. This study investigates parents’ views on the longer-term management of the home food environment, 4 years after starting obesity treatment for their preschool-aged child. Semi-structured interviews were conducted with 33 parents (85% mothers, 48% with a university degree) of 33 children (mean age 9.3 (SD 0.7), 46% girls) from Sweden. The interviews were analyzed using thematic analysis. Two main themes were developed. Making changes in the home food environment illustrates the types of changes families make over time in relation to child development. It consists of three subthemes: covert changes, overt changes and child-directed changes. The second theme, an ongoing negotiation, captures parents’ experiences of managing the home food environment as a continuous process of balancing and recalibrating in relation to present challenges and concerns about the future. It includes three subthemes: concern and care, two steps forward one back and maintaining everyday balance. Managing the home food environment is a constant process affected by everyday life, parents’ strategies and the child’s development. Our findings can strengthen childhood obesity treatment and help prepare parents for challenges that lie ahead.

How Do Mothers’ and Fathers’ Work–Family Conflict Impact Children’s Problem Behaviors?

Using 509 mother/father–child dyads drawn from Wave 8 of The German Family Panel (pairfam), this study examines the direct effects of mothers’ and fathers’ work–family conflict (WFC) on children’s internalizing (emotional) and externalizing (conduct) problem behaviors. We also test whether these effects are moderated by several child characteristics and family characteristics. Results suggest that both mothers’ and fathers’ WFC are associated with greater emotional problems, whereas only mothers’ WFC is associated with greater conduct problems. The detrimental effect of fathers’ (mothers’) WFC on emotional problems is stronger for older children and girls (households with a preschool-aged child and boys). While there is no direct effect of fathers’ WFC on conduct problems, results show that the detrimental effect of mothers’ WFC on conduct problems is stronger for boys, as well as in households with more children and those with a preschool-aged child.

Re: Calvarial Tuberculosis in a Preschool-Aged Child: An uncommon entity

Letter to the Editor

Calvarial Tuberculosis in a Preschool-Aged Child: An uncommon entity

Calvarial tuberculosis is a rare manifestation of tuberculosis, especially in children under five years of age. We report a two-and-a-half-year-old male child who presented to the Nilratan Sircar Medical College, Kolkata, India, in 2015 with frontoparietal fluctuant swelling of three months’ duration. He had also had chronic sinus discharge from the left lower eyelid over the previous six months. Computed tomography of the head revealed a frontal swelling along with erosion of both the outer and inner plates of the left frontal bone. Fine needle aspiration of the pus indicated the presence of acid-fast bacilli. Unfortunately, no primary focus of tuberculosis could be established. The patient improved after one year of antitubercular therapy without requiring any surgical intervention and with no sign of subsequent disease recurrence.