Psychosocial and Socioeconomic Barriers to Treatment Adherence in Pediatric Atopic Dermatitis

Research Background: Atopic dermatitis (AD) is a chronic inflammatory skin condition in children that significantly impacts physical health and quality of life. Adherence to treatment regimens is crucial for effective disease management but is often hindered by various psychosocial and socioeconomic barriers. Parental mental health issues, family dynamics, financial constraints, and limited access to specialized care contribute to inconsistent treatment adherence, exacerbating the condition. Purpose/Aim: The aim of this study is to explore the multifaceted barriers to treatment adherence in children with AD and evaluate the effectiveness of current interventions targeting these challenges. The study seeks to identify strategies that can improve adherence and health outcomes by addressing psychosocial and socioeconomic factors. Method: The method involves a comprehensive review of existing literature on the impact of psychosocial and socioeconomic factors on treatment adherence in children with AD. The study also examines various interventions designed to address these barriers, including community support programs, family-centered interventions, financial aid, integrated care models, and telehealth solutions. Results: Results indicate that psychosocial barriers, such as parental anxiety and depression, significantly hinder effective disease management. Family dynamics, including poor communication and single-parent households, complicate adherence efforts. Socioeconomic factors, such as financial constraints and limited healthcare access, further impede adherence. Interventions that address these barriers show promise in improving treatment adherence and health outcomes. Community support programs and family-centered interventions enhance parental mental health and family communication. Financial aid programs and integrated care models help mitigate economic and logistical challenges. Telehealth solutions improve access to specialized care, particularly in underserved areas. Conclusion: The study concludes that a holistic approach integrating medical treatment with psychosocial and socioeconomic support is essential for managing pediatric AD effectively. Policy recommendations include increased funding for community support programs, expanded telehealth services, and the integration of social services with medical care. Addressing these barriers comprehensively can enhance treatment adherence and improve the quality of life for children with AD. Further research should focus on long-term outcomes and diverse populations to refine these interventions and ensure they meet the needs of all affected children.

Scottish Primary School Children Who Consume Greater Levels of Fruit and Vegetables Have Improved Health Markers

Background: There is conflicting information about whether Scottish children follow the UK government recommendation of consuming 5 portions of fruit and vegetable (F & V) a day, or whether increased intake of F & V promotes improved health. Objective: This study aimed to 1) perform a cross-sectional study of the number of F & V portions that primary school children consume in relation to age (4 - 13 years old) and sex, 2) establish the relationship between F & V intake and health parameters. Methods: Data were collected from 466 children using a specific F & V intake questionnaire. Health parameters (weight, height, blood pressure, waist circumference, hip circumference and lung function) were measured from all of the children. Results: Children consumed on average a total of 4.50 (SD 1.86) portions of F & V per day. F & V intake was not significantly different between girls and boys (t(464) = -0.397, P = 0.69). Children had greater intake of F&V on week day compared to weekend day (t(465) = 6.42, P ≤ 0.001). 42.2% children achieved the recommended F & V intake of five or more portions per day. After adjusting for age, sex and school, children who consumed more F & V had several markers of positive health including greater height, and parameters reflecting pulmonary function (FEV1 and FVC) were improved, while body weight, body fat, systolic blood pressure, pulse, waist circumference, hip circumference, waist to hip and waist to height ratio were all reduced. Conclusion: The recommended level of F & V or more can promote health among primary age children.