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Letters to Santa A Non-Systematic, Narrative Review of Some Literature

Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,

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Page 1: Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,

Letters to SantaA Non-Systematic, Narrative Review of Some

Literature

Page 2: Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,

Goals• To identify published articles about “Letters to

Santa”• To summarize the findings of these articles• To discuss the findings

Page 3: Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,

The Search• Searched Google Scholar

• Search term: “Letters to Santa Claus”• Sorted by relevance using the Google Scholar sort

feature• Scanned the first 20 results

Page 4: Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,

Search Results

Page 5: Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,

Study Characteristics• Published between 1975 and 2008• All study subjects were pre-school to elementary-

school aged• Most studies were U.S. based (n=8)

• Other countries: Finland, Australia, Canada, UK

Page 6: Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,

Study Focus

0

1

2

3

4

5

6

7

Santa as a marketing/brandingtool

Sex/gender preference in gifrequests

Tourism Requests vs received

n

Page 7: Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,

Using “Santa” as a Marketing Tool• Evidence of Santa as a brand is more common in

urban areas• Boys and girls proportionally have the same

number of brand requests on their Christmas lists• Children from higher SES families request more

band-named items• Children who watch more TV request more band-

named items

Page 8: Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,

What is a Gender-specific Gift?

Page 9: Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,

“Girl” gifts

Page 10: Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,

“Boy” gifts

Page 11: Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,

Neutral gifts

Page 12: Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,

Sex/Gender Preferences in Letters to Santa• Seven studies showed sex/gender preference in toy

requests• Gender-neutral requests were more often seen in

girls• Girls and boys generally request the same number

of toys

Page 13: Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,

Journal ClubDecember 19th 2017

Johns Hopkins UniversityEvidence-based Practice Center

Allen Zhang

Page 14: Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,

Dispelling the Nice or Naughty Myth: retrospective observational

study of Santa Claus

Park J.J., Coumbe B.G.T., Park E.H.G., Tse G., Subramanian S.V., Chen J.T.

BMJ. 2016;355:i6355

Page 15: Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,

Objective/Background

Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day.• -Santa Claus

• aka Saint Nicholas, St Nick, Father Christmas, Kris Kringle, Santy, or simply Santa

• -Long-held belief Santa Claus visits children depending if they are naughty or nice.

• -Lack of empirical evidence to support this claim

Page 16: Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,

Methods

Design – Retrospective Observational

Setting – Pediatric wards in the UK (N=186)

Participants – Pediatric ward staff members

Outcome measures – Presence/absence of Santa Claus during Christmas 2015

Page 17: Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,

Determinants

• Hospital distance from North Pole (km, as the reindeer flies)

• Index of Multiple Deprivation• Income• Employment• Health deprivation/disability• Education skills/training• Barriers to housing and services• Crime• Living environment

• Rates of absenteeism from primary school

• Conviction rate for crimes by young people, 10-17 years old

Page 18: Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,
Page 19: Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,

Results• Santa Claus visitation rates

per country:• 89.4% in England• 100% in Northern Ireland• 93% in Scotland• 92% in Wales.

Visitation in English regional areas

Page 20: Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,

Results

• The odds of no visitation significantly higher in areas of higher socioeconomic deprivation in England

• OR 1.23 (95% CI: 1.00 to 1.54) in the UK• OR 1.31 (95% CI: 1.04 to 1.71) in England

• No correlation with school absenteeism, conviction rates, or distance to the North Pole.

Page 21: Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,

Determinant Association

Page 22: Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,

Discussion

• Dispels the “naughty or nice” myth

• Differing association between England and UK maybe due to Index of Multiple Deprivations calculated differently in the four countries.

•Should children be told about this?•Possible increase in outbursts of bad behavior by children over Christmas.

Page 23: Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,

Limitations/Future Research

• Naughtiness• Future research should obtain better individual level estimates.

• Could not include all predictors, including size and characteristics of pediatric wards.

• Other factors to explore:• Quality of whisky left for Santa Claus in hospitals• Availability of Christmas dinners• Availability of chimneys• NHS parking spaces for reindeers

Page 24: Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,

Other Visitors

Page 25: Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,

Christmas Potpourri

by Vadim Dukhanin, MD, MHSSr. Research Program Coordinator IICenter for Health Services and Outcomes Research (CHSOR)

Prepared forEPC Journal ClubDecember 19, 2017

Page 26: Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,

HOW DOES CHRISTMAS AFFECT WEIGHT LOSSPROGRAMMES IN DOGS?

Page 27: Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,

Study set-up

Small animals (obese dogs)Royal ClinicFood diaryTreats & table scraps21 days of Christmas

Page 28: Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,

Study results

Vets to do extreme vetting of Royal Clinics

Page 29: Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,

HOW DOES CHRISTMAS AFFECT HUMANS?

Page 30: Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,

Study set-up

Very contemporaneous7 days of Christmas

Page 31: Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,

Study results

Pool data to identify satiety from overconsumption

Page 32: Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,

SHOULD WE BLAME SCANDINAVIA FOR CHRISTMAS?

“late modern culture, a society that is physically modern, but socially liquid.”Internet

Page 33: Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,

Study set-up

There is no way reading through this article

The last line sounds like fun

Page 34: Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,

Study fun

Trust Swedish Wikipedia

“inasmuch”… Should I have read the article to understand this philosophical construct?

Page 35: Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,

Instagram rules

Use graphs to draw conclusions!

Page 36: Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,

Study becomes not fun

Yes, it is OK to blame Scandinavia for Christmas

Page 37: Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,

CAN CHRISTMAS GIVE A HEADACHE?

Page 38: Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,

Relax, it is Christmas!

People don’t Google “Headache” on Christmas

Page 39: Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,

All I want for Christmas is…

Have non-academic fun!

Page 40: Letters to Santa · Objective: To determine which factors influence whether Santa Claus will visit children in hospital on Christmas Day. • -Santa Claus • aka Saint Nicholas,

Thank you!

Have a great Christmas time!