Noah and Sophia Were CT's Most Popular Newborn Names in 2015

Connecticut’s most frequent names for newborns in 2015 were Noah and Sophia, according to the Social Security Administration.  Nationwide, Noah topped the list for boys, but Emma was number one for girls. Among the baby girls, Connecticut’s top three names selected were Sophia, Emma and Olivia.  Nationwide, the names were the same but the order was different – Emma, Olivia and Sophia.

Among the boys, Mason was number 2 in Connecticut and number 3 nationwide. Alexander, Connecticut’s third most popular name for boys, placed eighth nationally.

In 2014, Mason and Olivia topped the list of most popular baby names in Connecticut, with Noah, Alexander, Emma and Sophia not far behind.  In 2013, Olivia again was atop the girls list, but William ranked first among the baby boys.

The source of the data is a 100 percent sample based on Social Security card application data.

The top 10 names for boys in Connecticut in 2015 were Noah, Mason, Alexander, Liam, Benjamin, Jacob, William, Michael, Logan and Matthew.  For girls, Connecticut’s top 10 were Sophia, Emma, Olivia, Isabella, Ava, Mia, Charlotte, Emily, Abigail, and Madison.

Since the beginning of this decade, as most elementary school teachers can likely attest, the most popular boys names in the U.S. are Jacob, Noah, Mason, William and Ethan; for girls, the leaders have been Sophia, Emma, Isabella, Olivia and Ava.  In the first decade of this century, the top names were Jacob, Michael, Joshua, Matthew and Daniel for boys; Emily, Madison, Emma, Olivia, and Hannah for girls.

A century ago, the list was very different.

The top girls names between 1900 and 1909 were Mary, Helen, Margaret, Anna, Ruth, Elizabeth, Dorothy, Marie, Florence, and Mildred: among the boys it was John, William, James, George, Charles, Robert, Joseph, Frank, Edward and Thomas.

204,000 Self-Employed in CT; Freelancers Increasing Nationwide

The ranks of the self-employed are growing in Connecticut, as the number of freelancers continues to expand nationwide.  In Connecticut, there are now an estimated 204,000 individuals who are self-employed, more than 11 percent of the state’s workers, which exceeds the national average. As of March 2016, approximately 15.3 million people in the United States designated their employment status as “self-employed,” according to the U.S. Bureau of Labor Statistics, and increase of about 700,000 since May 2014, just over 10 percent of all U.S. employment.

In 2015, 29 states and the District of Columbia had self-employment rates below the U.S. rate of 10.1 percent, and 21 states had rates as least as high. Montana had the highest rate among states, 16.1 percent, followed by Maine (15.4 percent), Vermont (14.4 percent), and South Dakota (14.2 percent). The lowest rates were in the District of Columbia (7.1 percent), Delaware (7.2 percent), and Alabama (7.5 percent), according to BLS data.

Additionally, published reports last fall indicated that 54 million individuals report doing freelance work, either full-time or on the side, in the U.S., representing about one-third of the nation’s workforce.  That is an increase of 700,000 since 2014, according to a comprehensive study conducted by the independent research firm Edelman Berland.

“Americans who are freelancing already contribute more than $700 billion to our national economy and help U.S. businesses compete and find the skills that they need,” said Fabio Rosati, CEO of Elance-oDesk, which commissioned the survey with Freelancers Union.  The study identified five freelancer segments:

• Independent Contractors (36% of the independent workforce / 19.3 million professionals)
• Moonlighters (25% / 13.2 million)
• Diversified workers (26% / 14.1 million)
• Temporary Workers (9% / 4.6 million)
• Freelance Business Owners (5% / 2.5 million)

In its scale, scope, and complexity, the transformation (of the workforce) will be unlike anything humankind has experienced before," Klaus Schwab, founder and executive chairman of the World Economic Forum, which organized the Davos gathering,  wrote earlier this year. "The speed of current breakthroughs has no historical precedent. ... These changes herald the transformation of entire systems of production, management, and governance."

Already, 2.9 million freelancers earned more than $100,000 last year, up from 2 million who hit the six-figure mark just four years earlier, according to MBO Partners.  The report indicated that 60 percent of freelancers surveyed said they started freelancing by choice—up from 53 percent last year—and 67percent of freelancers agree that more people are choosing to work independently today compared to three years ago.

The survey commissioned by Freelancers Union and Upwork in 2015 found that than one-third of freelancers report that demand for their services increased in the past year, and 3 in 4 non-freelancers are open to doing additional work outside their primary jobs to earn more money, if such an opportunity was available.  The report stated that “freelancing is becoming a more prevalent, viable option for workers—a trend that spans across borders, industries and occupations.”

Greater Hartford Grows as Regional Workforce Ecosystem

It may not be widely recognized, but the Greater Hartford area has become a dynamic, participatory, collaborative regional ecosystem.  And during National Workforce Development Week, which is celebrated nationally this week, that is an especially salient development. What exactly does that mean?  First, the definition: any time that partners within a region come together to solve problems, and meet regularly to answer new challenges, a regional ecosystem in is play.  An “ecosystem” is defined as a system, or a group of interconnected elements, formed by the interaction of a community of organisms with their environment. A “Regional Ecosystem” is just that –specific to a geographic region. 

In North Central Connecticut, the regional ecosystem is helping business grow, and find the talent they need, and it is affecting the greater welfare of society, even in these extremely challenging times with budget deficits, and economic pressures that abound.  So says Thomas Phillips, President and CEO of Capital Workforce Partners, among the drivers of progress underway across the 37-town region.

Regional ecosystems are like a chain of links, he explains, with each link playing a key role in holding the work together.  “In workforce development – the regional ecosystem is comprised of strategic partnerships with industry, education, economic development, community organizations, labor and business-led workforce boards – leading programs that are nimble, flexible, adaptable and generating economic opportunity for business and job seekers.”

Among the leading examples of the local regional ecosystems - focusing on workforce development - which use a set of common goals and outcomes:

1. MoveUp! – a regional ecosystem addressing the challenges relating to adult literacy, with 26 partners working collectively
2. Opportunity Youth – a regional ecosystem addressing the challenges of reconnecting out-of-work, out-of-school youth to education, training and careers, with over 50 partners and funders working collectively
3. Best Chance – a regional ecosystem addressing the challenges of returning citizens – finding sustainable employment for former offenders, with 15 partners working collectively
4. The Hartford Coalition on Education and Talent (soon to be renamed) – a regional ecosystem designed to help more youth complete post-secondary education while closing the gap experienced by employers, with 8+ partners working collectively. “Be on the lookout for the work this group is doing – building pathways of success for the youth in our region,” says Paul Holzer, President of Achieve Hartford, spearheading this effort.
5. The Knowledge Corridor – a region that crosses the Connecticut and Massachusetts border, this area is also a home to a robust regional ecosystem that includes 64,000 businesses, 41 colleges and universities, a labor force of 1.34 million and an international airport.

The organizations involved - scores of them - range from well-known names, such as Leadership Greater Hartford, Literacy volunteers, Capitol Region Education Council and the Hispanic Health Council, to those lesser known but just as vital.

“As ‘conveners,’ workforce development boards are often the ‘clasp’ of the chain, keeping all the links together, moving with changes in time,” says Phillips. “That means workforce development, economic development and education are responding collectively to work together toward sustainable jobs, talent creation and business growth.”

The number of organizations that collaborate continues to grow, with different organizations playing a lead role in select initiatives.  But there is definitely strength in numbers, they point out.

At the national level, officials note, the U. S. Conference of Mayors (USCM), Workforce Development Council is spearheading an effort to help each region have better access to best practices in building strong regional ecosystems.  The organizations is also working toward building more consistent communications and program focus that is designed to result in better outcomes.

That can best be accomplished region-by-region –addressing local area needs with locally based organizations.

Andrew McGough, Executive Director of the Portland, Oregon Workforce Development Board and Chair the USCM Workforce Development Committee, stresses that “Business-led local workforce boards lead the system through strategic partnerships with industry, education, community organizations, and labor, resulting in greater effectiveness and efficiency in serving businesses and job seekers in our communities.”

The Capital Workforce Partners website includes a list of participating community organizations.

Diversity Lacking Among Nation's Philanthropic Organization Leaders; Graustein Memorial Fund Cited As Model of Progress

Five years ago, America’s philanthropic community recognized it had a problem, not uncommon in board rooms nationwide – a lack of diversity.  More than a dozen organizations with connections to thousands of grantmakers came together to found the D5 Coalition to advance diversity, equity, and inclusion (DEI) in philanthropy. Now, the coalition’s final report on progress is out, and the picture is barely encouraging. In an op-ed published this month in the Chronicle of Philanthropy, the co-chairs of the D5 initiative Robert Ross, Luz Vega-Marquis and Stephen Heintz said bluntly that “philanthropy remains on a par with country clubs when it comes to exclusivity,” observing that “there have been pockets of progress in the last five years, but philanthropy still does not adequately reflect the diversity of our nation.”

“The only source we have on foundation demographics, shows that the proportion of CEOs of color among respondents has remained flat over the past five years at eight percent. The corresponding figure for senior executive staff is a tad more positive – 17 percent, compared to 14 percent five years ago – but there’s been a slight decline in program officers of color.”

The status quo, they emphasized, “is unacceptable.”  They point out that “as matters of inequality in income, employment, housing, public education, justice systems, and health care stake a growing claim on the national agenda, philanthropy must set the tone and pace for inclusiveness, and for who plays a key role in deciding where money goes.”

Robert Ross is the President and CEO of the California Endowment; Luz Vega-Marquis is the President and CEO of the Marguerite Casey Foundation; Stephen Heintz is the President of the Rockefeller Brothers Fund.  Heintz, a former Connecticut resident, served as a state commissioner in the 1980’s in the administration of Gov. William O’Neill at the outset of his career.

The D5 final report features stories about leaders in foundations and other philanthropic organizations taking meaningful action to advance DEI.  “Storytelling is one of the most powerful ways to inspire action and change. We hope people working within foundations—whether they are a CEO, an HR manager or a program officer—draw on the important lessons from these stories, and apply them to their own unique situations,” said Kelly Brown, D5 Director. Kelly also cited statistics indicating that “when companies commit themselves to diverse leadership, they are more successful. Foundations and nonprofits,” she said, “have the opportunity to take a page from successful business playbooks.”

Among eight stories included in the final report which point to progress being made is one focused on Hamden-based William Caspar Graustein Memorial Fund, headlined “A Family Foundation’s Shift Toward Diversity and Equity.”  The story explained that “Bill Graustein and his trustees had come to feel that the Fund would not make the desired progress addressing social issues unless it more explicitly addressed issues of race and inequality. To oversee that transition, in 2014 it hired as executive director David Addams, a former director of diversity at the ACLU and Vice President of Special Initiatives at the New York Urban League, who had made a mark running the Oliver Scholars in New York City, which identifies promising minority students and prepares them to succeed in top independent high schools and colleges.”

The report goes on to highlight that “a new mission statement, unveiled in 2015, pledges the Fund “to achieve equity in education by working with those affected and inspiring all to end racism and poverty.” The article indicates that they “will continue to attack barriers to achievement within schools and school districts, but, in an interview, Addams says a new focus will be ‘the barriers outside schools that undermine kids and undermine communities.’ Board members and staff members are thinking hard about how to translate the mission statement into new programmatic activity; they hope to present guidelines for the next phase of grant giving by mid-2016.”

Asked in the feature story whether it was important that the Graustein Fund turn to a leader of color at this juncture, Addams, who is African American, responded: “I don’t know if it has to be an African American person, but it has to be someone who can bring a missing perspective to the Fund. Part of that is understanding racism as well as — for me — having had the direct experience of coming up from poverty, and experiencing the barriers, and having been raised by a single black mother.” Addams, the article indicated, “grew up on the South Side of Chicago, in a neighborhood that was, and remains, nearly all black.”

The co-chairs of the D5 initiative note that “proponents of diversity and inclusion are successfully broadening the definition of diversity, which has evolved from a focus primarily on race and gender to include sexual orientation and disability. This strengthens our ability to have constructive conversations and help everyone understand how to get more perspectives into philanthropy.”

D5 has worked to help foundations and other philanthropic organizations recruit diverse leaders, identify the best actions for organizations to take, increase funding to diverse communities and improve data collection and transparency. Launched in 2010 as a five-year initiative, D5 has worked to help foundations and other philanthropic organizations recruit diverse leaders, identify the best actions for organizations to take, increase funding to diverse communities and improve data collection and transparency.

Baseball Cards, eBay and Racial Discrimination Drive Research Study

Racial discrimination is often difficult to prove, with a variety of influencing factors making a clear cut determination often impossible.  But it is also widely recognized that racial discrimination is also difficult to eliminate. Now, academic researchers have found yet another way of demonstrating that racial prejudice continues to impact daily lives – often in ways we are unaware of or hadn’t considered. In the 27-page study, published this past winter in the RAND Journal of Economics, Ian Ayres and Christine Jolls of Yale University, and Mahzarin Banaji of Harvard University investigated the impact of a seller’s race in a field experiment involving baseball card auctions on eBay. The results, according to the researchers, left little doubt.

In the experiment, photographs posted on eBart showed the cards being held by either a dark-skinned/African-American hand or a light-skinned/Caucasian hand. The study found that cards held by African-American sellers sold for approximately 20 percent ($0.90) less than cards held by Caucasian sellers.

“Our evidence of race differentials is important,” the researchers said, “because the online environment is well controlled (with the absence of confounding tester effects) and because the results show that race effects can persist in a thick real-world market such as eBay.”

They added that the experiment is “well suited to studying and isolating race effects because online bidders have no access to the types of seller information—such as demeanor and socioeconomic background—that are usually observable in field experiments examining the effects of race on economic behavior.”

The study, “Race Effects on eBay,” was featured in the Winter 2015 edition of the Journal, and has been referenced in national publications thereafter.  The Washington Post reported that “the cards that were held by the African-American hand actually ended up being worth more, suggesting they should have sold for more than the other batch. That is, when the researchers added up how much they had originally paid for all of the cards sold by the black hand versus the white hand, the first total was larger.”

The Post also reported that researchers found that cards sold by the African-American seller to bidders living in Zip codes with a higher proportion of white residents sold for less than those sold to in Zip codes with a larger Black population. In addition, the Post pointed out, “one interesting feature of the study is that, on eBay, the value of the auctioned good is decided in a kind of collective process. Buyers are not just trying to determine how much the good is worth to them; they are also trying to figure out how much everyone else is likely to bid for it. In an eBay auction, buyers can see others’ bids and continue to submit their price until the last minute. In other words, buyers might submit lower bids for the African-American seller not because they personally are biased, but because they expect everyone else to be.”

Christine Jolls (left) is the Gordon Bradford Tweedy Professor at Yale Law School and the Director of the Law and Economics Program at the National Bureau of Economic Research (NBER) with headquarters in Cambridge, Massachusetts. Ian Ayres (center) is a lawyer and an economist. He is the William K. Townsend Professor at Yale Law School, the Anne Urowsky Professorial Fellow in Law, and a Professor at Yale's School of Management. Mahzarin Banaji (right), a psychology professor at Harvard University, studies unconscious thinking and feeling as they unfold in social context, relying on multiple methods including cognitive/affective behavioral measures and neuroimaging (fMRI).  Previously, she was Director of Undergraduate Studies at Yale.

Paid Family Medical Leave Has Broad Support in CT, Survey Shows

Eighty-two percent of registered Connecticut voters age 45-plus and a similar majority of voters age 25-plus, 83 percent, support a paid family medical leave plan now being considered by the state legislature, according to a recent survey by AARP Research. The large majority is also present across the ideological spectrum, with 94 percent of registered Democrats, 79 percent of independents and 68 percent of Republicans indicating their support for state paid family medical leave to support Connecticut workers and family caregivers.

One-thousand state voters age 25-plus were asked two questions about the paid family medical initiative, whether they supported such a plan, and whether they would support political candidates who did.

Among the 83 percent over age 45 who said they supported a paid family medical leave plan, 65 percent indicted they strongly supported such a plan, which would give employees an opportunity to contribute to and utilize a limited amount of paid leave from work to care for themselves or a loved one who is recovering from a serious medical condition.

“Connecticut voters overwhelmingly support paid family leave for workers,” said Nora Duncan, AARP CT state director. “We urge lawmakers to give serious consideration to passage of SB 221, An Act Concerning Paid Family and Medical Leave, in the remaining weeks of the 2016 legislative session. Voters are clearly interested in this policy and will make it a part of their considerations at the ballot box this fall.”

Asked if they would support a candidate for state elections who worked to implement a paid family leave plan that included working caregivers, 74 percent indicated their support, with half saying they would strongly support such a candidate. 

SB 221 would create a statewide system of paid family and medical leave for workers needing time off to care for themselves, an ill loved one or a new baby. The system that’s being suggested would be fully funded by employees with no employer contribution. According to The Institute for Women’s Policy Research, the cost to Connecticut employees would be very low at just about one half of one percent of someone’s income.

Nearly half (46 percent) of registered voters in Connecticut ages 45-plus say they are currently providing or have provided unpaid caregiving to an adult loved one.  Among them, two in three (63 percent) say they have been employed either full or part time while providing that care, the survey found.

Versions of paid family medical leave laws have been approved in California, New Jersey, Rhode Island and Washington.  California's law took effect in 2004, New Jersey's in 2009 and Rhode Island's in 2014.  Washington's has yet to take effect.

Greater Hartford Residents Prefer Focus on Vibrant Communities Over Recruiting Businesses

In a time of reduced resources and stark choices for policy makers, a survey of Greater Hartford residents suggests that investments aimed at creating vibrant communities, with the focus on local schools, transportation options, walkable, attractive physical environment is preferred to devoting greater resources to recruiting employers. In a survey for the Hartford Foundation for Public Giving as part of the Metro Hartford Progress Points effort, and conducted by Inform CT, residents of Hartford and Tolland County, by 57 percent to 43 percent, said that investing in communities was a better approach than recruiting businesses.

The findings reaffirm one of the key goals in the new three-year strategic plan of HFPG, launched earlier this year, developing vibrant communities.  The plan states that “All of our region’s residents should have the opportunity to live and contribute to strong, safe vibrant communities,” and calls for a “focus on people and places with the greatest need by engaging and supporting partners who promote meaningful civic engagement, safe affordable housing, quality health and mental health care and a rich diversity of cultural and other experiences to improve the quality of life.”

The data from the survey reflect a difference of opinion among older residents of the region.  Individuals over age 46 took the opposite view from younger residents, with a majority expressing a preference for spending skewed toward recruiting companies.   The reversal was dramatic, with two-thirds of those age 36-45 preferring investing in communities, by a margin of 67%-33%, and individuals age 46-55 expressing a preference for resources to be aimed at recruiting companies, with two-thirds holding the opposite view, 63%-38%.

Across all age groups, a majority of homeowners preferred that the emphasis be on vibrant communities, 52%-48%, and an even larger majority of respondents who are not homeowners, 64%-36%, shared the same view.

The preference for policy to be targeted more towards assuring vibrant communities than recruiting companies was consistent across a majority of respondents of various education levels and among white, black and Hispanic residents of the region, according to the survey.  A majority of survey respondents who are currently employed full-time, as well as those working part-time, and those unemployed all expressed a preference for investing in communities rather than recruiting companies.

The Greater Hartford survey results are not inconsistent with data gathered elsewhere.  A March 2014 national survey by the American Planning Association (APA) found that Millennials and Baby Boomers want cities to focus less on recruiting new companies and more on investing in new transportation options, walkable communities, and making the area as attractive as possible. The national survey found that 65 percent of all respondents and 74 percent of millennials believe investing in schools, transportation choices and walkable areas is a better way to grow the economy than investing in recruiting companies to move to the area, according to the APA.

A 2013 study in Michigan, posing similar questions, brought similar results.  In the statewide survey, 64 percent of Michigan citizens said they believed the most important thing state government can do for job creation is to “provide quality education, good roads and transportation, good public services like safety, water, fire, parks and libraries that create an environment in which people want to live, work and run a business.”  This contrasts with 29 percent who said the most important thing state government can do is to “cut taxes for individuals and businesses.”

Earlier this month, at the annual Municipal Collaboration Summit organized by the Hartford Business Journal, one of the session’s was devoted to an exploration of “Building Vibrant Communities,” with observations from representatives of Connecticut Main Street Center, the Partnership for Strong Communities and the Connecticut Economic Resource Center.

The Hartford Foundation for Public Giving serves 29 towns, hundreds of nonprofits and more than 750,000 residents in the Greater Hartford region.  As Greater Hartford’s community foundation, HFPG brings together members of the community to “share information, understand local problems and put resources behind effective solutions.”

Developed by a group of key regional stakeholders, Metro Hartford Progress Points is a periodic 'check-up' to build greater understanding about issues facing the Greater Hartford community. The second edition of Progress Points, released late last year, takes a deeper look at key issues impacting our communities and how they are connected, with a particular focus on access to better schools, better jobs and stronger neighborhoods.  Along with the Hartford Foundation, partners include the Hispanic Health Council, MetroHartford Alliance, United Way of Central and Northeastern Connecticut, Urban League of Greater Hartford, Capitol Workforce Partners, Capitol Region Council of Governments, the Center for Urban and Global Studies at Trinity College and the City of Hartford.

The survey was conducted for the Foundation during the 4^th quarter of 2015 by Inform CT.

Gender Identity in Schools Among Topics at Connecticut School Health Issues Conference

The keynote address “When Boys Will be Girls: Getting A Grip on Gender” will greet attendees – school nurses and school health officials from across Connecticut - attending the 38^th Annual School Health Conference on Thursday in Cromwell. “Critical Issues in School Health 2016,” a two-day conference, will have expert presentations on issues ranging from absenteeism to infectious diseases, food allergies to mental health.  But no issue has grown in attention and interest recently than how to respond to LGBT students in the school setting.

The conference is coordinated by the Connecticut chapter of the American Academy of Pediatrics with the assistance of the Association of School Nurses of Connecticut.  

The keynote will be given by Robin McHaelen, MSW, founder and executive director of True Colors, a Hartford-based non-profit organization that works with social service agencies, schools, organizations, and within communities to ensure that the needs of sexual and gender minority youth are both recognized and competently met. McHaelen is co-author of several books and articles on LGBT youth concerns, and has a national reputation as a thought leader in LGBT youth concerns, programs and interventions.

In her presentation, titled “When Pink and Blue Are Not Enough,” McHaelen offers suggestions on working with LGBT students, and seeks to increase “understanding, knowledge and cultural competency regarding LGBT students,” while identifying issues of “risk, challenge and strengths specific to LGBT youth.”  She also will point to “opportunities for intervention that will ensure appropriate care within a safe, affirming environment.”

Among the recommendations:  offer gender-neutral bathroom options, always use the patients’ chosen name and chosen gender pronouns, and “recognize that there are additional stressors (and that there may be significant feat on the part of) transgender patients.” 

McHaelen will be offering a similar presentation at the New England School Nurse Conference, to be held in late April in Mystic, hosted by the Association of School Nurses of Connecticut.  The president of the Association is Suzanne Levasseur, Supervisor of Health Services for the Westport Public Schools.  The New England affiliates include Massachusetts, Vermont, New Hampshire and Maine.  The conference theme is “Waves of Change, Oceans of Opportunity.”

Lesbian, gay, bisexual, and transgender students are the targets of bullying, harrassment, and disproportionately high discipline rates at school, researchers have pointed out. But without consistently collected, reliable, large-scale sources of data, it's difficult to track the extent of those problems or the effectiveness of proposed solutions, a group of researchers at Indiana University said in a briefing paper released this week.

Expanding existing federal surveys on youth safety and well-being to include more questions about gender identity and sexual orientation could provide a clearer picture, according to the researchers, noting that “if you don’t measure it, you can’t improve it.”  They suggest addressing the data gap by adding discipline and harassment items to existing health surveys that currently include measures of sexual orientation and gender identity, such as the Youth Risk Behavior Survey, collected by the Centers for Disease Control and Prevention.

“Although these measures provide more specific information about sexual orientation and in some cases gender identity, they do not provide sufficient information about the specific negative outcomes experienced by LGBT students,” the research paper points out.  They conclude: “the availability of data documenting the experiences of LGBT students is a civil rights concern, and the expansion of data collection efforts to include sexual orientation and gender identity is a critical next step in ensuring the rights of LGBT and all students to participation and protection in school.”

The mission of the Association of School Nurses of Connecticut is to support, assist and enhance the practice of professional school nurses in their development and implementation of comprehensive school health services that promotes students' health and academic success.  The Connecticut Chapter of the American Academy of Pediatrics has over 600 active members committed to both improving the health and safety of Connecticut's children and supporting those who provide care to these children.

Survey Says: Parents Don't Trust On-line Doctor Ratings, But Use Them

As the annual observance of National Doctors’ Day approaches this week, a new national survey indicates that nearly one-third (30%) of parents report looking at online doctor ratings for themselves or a family member in the past year, with mothers (36%) more likely than fathers (22%) to visit such sites. Among these parents, two-thirds say they selected or avoided a doctor based on the ratings they viewed. Among parents who choose doctors based on the ratings, most (87%) say the online ratings accurately reflect their experience with the doctor. The survey was conducted for C.S. Mott Children’s Hospital at the University of Michigan.

The survey also found, however, that a majority of parents have concerns about doctor rating websites in general. About two-thirds of parents believe some ratings may be fake; slightly fewer feel there are not enough ratings on the websites to make a good decision. More than half of parents feel doctors may influence who leaves ratings. Among parents in this survey who had ever left an online rating about a doctor (11% overall), nearly one-third (30%) reported that the doctor or office staff had asked them to do so.

National Doctors’ Day was established to recognize physicians, their work, and their contributions to society and the community. National Doctors’ Day is observed on March 30 each year.  The holiday was officially signed into U.S. law in the early 1990s by President George H. W. Bush, although since the early 1930s patients and healthcare organizations across the country have been celebrating their physicians on this day.

In the on-line ratings survey, older parents generally had more concerns than younger parents. Of parents age 30 and older, 71 percent were concerned about the possibility of fake reviews compared to 59 percent of parents under age 30. Older parents (65%) also were more concerned about the low number of ratings compared to younger parents (55%).

The survey analysis pointed out that “while the use of online physician rating sites is expected to keep rising, their growth may be limited by concerns from parents about accuracy and authenticity.”

In recognition of National Doctors’ Day, Connecticut Children’s Medical Center in Hartford has urged patients to post a message to their doctor, and many of the messages have been displayed on the hospital’s web site.  Other organizations around the state also take note of the contributions of physicians to the well-being of the population.

Combatting Childhood Obesity Starts From Day One; Wide-Ranging Policies Proposed

Less “screen time,” more physical activity, more nutritional foods and fewer sugary beverages – that’s the formula to prevent obesity from taking root in infants and toddlers in the formative years of childhood, according to new recommendations by the Child Health Development Institute (CHDI) of Connecticut.  A series of “science-based policy opportunities” for Connecticut, outlined this week, also include support for breastfeeding in hospitals and child care centers. The need for stronger action is underscored by recent statistics.  In Connecticut, one of every three kindergartners is overweight or obese, as is one of every three low-income children. Children who are overweight or obese are more likely, according to the policy brief, to have:

• risk factors for future heart disease, such as high cholesterol and high blood pressure
• a warning sign for type 2 diabetes called “abnormal glucose tolerance,” although many children are being diagnosed with the full-blown disease in increasing numbers
• breathing problems such as asthma
• gallstones, fatty liver disease, and gastroesophageal reflux (acid reflux and heartburn)
• problems with their joints

“Recent research shows that obesity may be very difficult to reverse if children are not at a healthy weight by 5 years of age,” the policy brief indicated. “Investing early in preventing childhood obesity yields benefits for all of us down the line by fostering healthier children, a healthier population overall and greatly reducing obesity-related health care costs over time.”

The policy brief recommends five ways Connecticut’s child care settings and hospitals can help our youngest children grow up at a healthy weight:

1. Support breastfeeding in hospitals and in child care centers and group child care homes.
2. Serve only healthy beverages in all child care settings.
3. Help child care centers and group child care homes follow good nutrition guidelines.
4. Increase physical activity time for infants and toddlers in all child care settings.
5. Protect infants and toddlers in all child care settings from “screen time.”

The recommendations stress that “talking, playing, singing and interacting with people promotes brain development and encourages physical activity,” and urges that healthy infant and toddler development be encouraged by:

• Never placing them in front of televisions, computers, or tablets to occupy them
• Never allowing infants and toddlers to passively watch a television, computer, mobile phone or other screen that older children in the same room are watching

“Healthy lifelong weight begins at birth,” said Judith Meyers, President and CEO of CHDI and its parent organization the Children’s Fund of Connecticut. “Investing in obesity prevention policies makes sense for Connecticut.”  Meyers added that “the numbers are staggering,” and it has become clear that “to really address this problem we need to prevent it in the first place.”

If Connecticut were to implement the five recommendations highlighted in the policy brief, it would be the first state in the nation to do so, officials said.  A number of the proposals have been successfully implemented in other jurisdictions, including states and cities.  Marlene Schwartz, Director of UConn's Rudd Center for Food Policy and Obesity, noted that Connecticut has long been a leader in providing nutritional lunches in schools, and said that now the state’s attention needs to move to the earlier years of childhood.  “The field has realized that we need to start even earlier,” she said.  Rudd also indicated that determining "policy changes that might help reduce the disparities" in Connecticut, which are apparent in race, ethnicity and socioeconomic data, is also essential.

Legislation now pending at the State Capitol, which is not as comprehensive as the policy brief recommendations, is designed to "increase the physical health of children by prohibiting or limiting the serving of sweetened beverages in child care settings, prohibiting children's access to certain electronic devices in child care settings, and increasing children's participation in daily exercise."  The proposed legislation, HB 5303, was recently approved by a 10-3 vote in the Committee on Children, but has an uncertain future before the full legislature.

Dealing with childhood obesity has been a challenge because of the “many different systems and programs that impact childhood development – which can also provide “many different places for opportunities to influence what happens.”  Officials said that some of the policy proposals can be realized through legislative action, others by regulatory changes, and others through voluntary initiatives.  They indicated that since Connecticut established the Office of Early Childhood in recent years, coordination of oversight and services has improved, which is an encouraging development.  Child care settings provide an opportunity to impact a large proportion of the state’s pre-kindergarten children, but plans to disseminate the message more broadly, including through pediatrician’s offices, are being considered. 

The recommendations call for “allowing toddlers 60-90 minutes during an 8-hour day for moderate to vigorous physical activity, including running, and “adherence to federal nutrition guidelines” including more whole grains and low-sugar cereals, no sugary drinks, and fewer fried foods and high-sodium foods.  Through 11 months, infants should be served “no beverages other than breast milk or infant formula, and those 12 months through 2 years old should be served no beverages other than breast milk, unflavored full-fat milk water, and no more than 4 ounces of 100% fruit juice.”

The CHDI policy brief indicates that “childhood obesity can contribute to poor social and emotional health because overweight and obese children are often bullied and rejected by their peers as a result of their weight. That stress can affect every part of their development, interfering with their learning (cognitive), health (physical and mental), and social well-being.”

The recommendations, described as “affordable, achievable, common sense measures,” were prepared for CHDI as part of a grant to the UConn Rudd Center for Food Policy and Obesity, funded by the Children’s Fund of Connecticut.  The author was public health policy consultant Roberta R. Friedman, ScM.

CHDI began focusing on strategies to promote healthy weight in children from birth to age two after publishing the IMPACT “Preventing Childhood Obesity: Maternal-Child Life Course Approach” in 2014. The report reviewed scientific research on the causes of obesity and explored implications for prevention and early intervention. In 2015, the Children’s Fund of Connecticut funded four obesity prevention projects in Connecticut that addressed health messaging, data development, policy development and baby-friendly hospitals.