Patterns of help-seeking behaviour for toddlers from two contrasting socio-economic groups: New evidence on a neglected topic

Patterns of help-seeking behaviour for toddlers from two contrasting socio-economic groups: New evidence on a neglected topic
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DOI:
10.1093/fampra/13.4.377
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发表时间:
1996-08-01
期刊:
影响因子:
2.2
通讯作者:
Pill, R
Pill, R
中科院分区:
医学4区
文献类型:
--
作者:
Edwards, A;Pill, R

文献摘要

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客观的。这项描述性研究旨在评估常见儿童症状的寻求帮助行为模式。方法。研究人员对英国泰恩赛德两家儿童健康诊所的 9 至 18 个月大的就诊者进行了研究,其中一家诊所的经济状况十分贫困。结果衡量标准是家长报告常见症状、利用专业建议和全科医生的咨询记录。结果。富裕地区的儿童接受全科医生咨询的次数(平均 7.3 次)少于贫困地区的儿童(平均 15.1 次;95% CI,差异为 4.3-11.4)。他们出现腹泻或感冒的可能性较小,但与较贫困的群体一样出现发烧的可能性。行为问题的报告频率较低(23% 对 47%),但如果存在,则比贫困组更有可能导致寻求帮助(86% 对 33%;P < 0.05)。结论。确定了两个经济上截然不同的群体之间寻求帮助行为的差异;这对初级保健的临床理解和服务提供具有影响。
Objective. This descriptive study aimed to assess patterns in help-seeking behaviour for common childhood symptoms.Method. Clinic attenders aged 9-18 months of two child health clinics on Tyneside, UK, one with substantial economic deprivation, were studied. Outcome measures were parental reporting of common symptoms, utilization of professional advice and general practitioner records of consultations.Results. Children in the affluent area had had fewer general practitioner consultations (mean 7.3) than those in the poorer area (mean 15.1; 95% CI for difference 4.3-11.4). They were less likely to present with an episode of diarrhoea or cold but were as likely as the poorer group to present with fever. Behaviour problems were reported less frequently (23% versus 47%), but if present, this was far more likely to result in help seeking than in the poorer group (86% versus 33%; P < 0.05).Conclusions. Variations in help-seeking behaviour between two economically contrasting groups were identified; this has implications for clinical understanding and service provision in primary care.