Factors associated with concussion-symptom knowledge and attitudes toward concussion care seeking in a national survey of parents of middle-school children in the US.
Factors associated with concussion-symptom knowledge and attitudes toward concussion care seeking in a national survey of parents of middle-school children in the US.
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DOI：
10.1016/j.jshs.2020.09.001
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发表时间：
2021-03
影响因子：
11.7
通讯作者：
Register-Mihalik JK
中科院分区：
文献类型：
--
作者：
Kerr ZY;Nedimyer AK;Kay MC;Chandran A;Gildner P;Byrd KH;Haarbauer-Krupa JK;Register-Mihalik JK
中学生家长的脑震荡症状知识得分相对较高;然而，家长们很难将情绪症状，如感到悲伤，更情绪化，感到紧张或焦虑，识别为脑震荡症状。父母普遍对脑震荡护理寻求积极的态度，虽然他们指出，在寻求脑震荡护理的感知容易一些困难。许多因素被发现与更大的脑震荡症状知识和更积极的脑震荡求医态度。例如，得分较高的几率与父母年龄的增加以及与白色或非西班牙裔与来自另一个种族或民族群体有关。在中学（MS）环境中开发适当的脑震荡预防和管理模式需要了解家长的脑震荡相关知识和态度的一般水平。本研究探讨与脑震荡症状的知识和寻求照顾的态度MS儿童（10-15岁）的父母之间的因素。一组随机选择的1224名年龄≥ 18岁的美国居民，确定为MS儿童的父母，完成了一份在线问卷，收集父母和儿童的特征。父母的脑震荡症状的知识，使用25个问题，可能的答案是“是”，“可能”和“否”。正确答案得2分，“可能”答案得1分，不正确答案得0分（范围：0-50;分数越高=知识越好）。脑震荡寻求护理的态度也收集了5个7点量表项目（范围：5-35;分数越高=更积极的态度）。多变量有序逻辑回归模型确定了较高分数的预测因子。模型符合比例优势假设。调整后的比值比（aOR）和95%置信区间（95%CI）（不包括1.00）被认为具有统计学意义。症状知识的中位数得分为39（四分位数范围：32-44），寻求护理的态度为32（四分位数范围：28-35）。在多变量模型中，女性比男性更了解症状的几率更高（aOR = 2.28; 95%CI：1.71-3.05），白色/非西班牙裔vs.其他种族或民族（aOR = 1.88; 95%CI：1.42-2.49），父母年龄较大（10年增长aOR = 1.47; 95%CI：1.26-1.71）和更大的竞争力（10%规模增长aOR = 1.24; 95%CI：1.13-1.36）。白色/非西班牙裔与其他种族或族裔群体相比，更积极的求医态度的几率更高（aOR = 1.45; 95%CI：1.06-1.99），父母年龄更大（10岁增加aOR = 1.24; 95%CI：1.05-1.47）。中学生家长的特点（例如，性别、种族或民族、年龄）与他们的脑震荡症状知识和寻求护理的态度有关。父母在脑震荡知识和态度上的差异需要量身定制的脑震荡教育和预防。
Middle school parents’ concussion-symptom knowledge scores were relatively high; however, parents struggled to identify emotional symptoms, such as feeling sadness, being more emotional, and feeling nervous or anxious, as concussion symptoms. Parents generally had positive attitudes toward concussion care seeking, although they noted some difficulty in the perceived ease of seeking concussion care. Numerous factors were found to be associated with greater concussion-symptom knowledge and more positive concussion care-seeking attitudes. For example, the odds of higher scores were associated with increased parental age and with being white or non-Hispanic vs. being from another racial or ethnic group. Developing appropriate concussion prevention and management paradigms in middle school (MS) settings requires understanding parents’ general levels of concussion-related knowledge and attitudes. This study examined factors associated with concussion-symptom knowledge and care-seeking attitudes among parents of MS children (aged 10–15 years). A panel of 1224 randomly selected U.S. residents, aged ≥ 18 years and identifying as parents of MS children, completed an online questionnaire capturing parental and child characteristics. The parents’ concussion-symptom knowledge was measured using 25 questions, with possible answers being “yes”, “maybe”, and “no”. Correct answers earned 2 points, “maybe” answers earned 1 point, and incorrect answers earned 0 point (range: 0–50; higher scores = better knowledge). Concussion care-seeking attitudes were also collected using five 7-point scale items (range: 5–35; higher scores = more positive attitudes). Multivariable ordinal logistic regression models identified predictors of higher scores. Models met proportional odds assumptions. Adjusted odds ratios (aORs) with 95% confidence intervals (95%CIs) (excluding 1.00) were deemed statistically significant. Median scores were 39 (interquartile range: 32–44) for symptom knowledge and 32 (interquartile range: 28–35) for care-seeking attitude. In multivariable models, odds of better symptom knowledge were higher in women vs. men (aOR = 2.28; 95%CI: 1.71–3.05), white/non-Hispanics vs. other racial or ethnic groups (aOR = 1.88; 95%CI: 1.42–2.49), higher parental age (10-year-increase aOR = 1.47; 95%CI: 1.26–1.71), and greater competitiveness (10%-scale-increase aOR = 1.24; 95%CI: 1.13–1.36). Odds of more positive care-seeking attitudes were higher in white/non-Hispanics vs. other racial or ethnic groups (aOR = 1.45; 95%CI: 1.06–1.99) and in older parental age (10-year-increase aOR = 1.24; 95%CI: 1.05–1.47). Characteristics of middle school children's parents (e.g., sex, race or ethnicity, age) are associated with their concussion-symptom knowledge and care-seeking attitudes. Parents’ variations in concussion knowledge and attitudes warrant tailored concussion education and prevention.
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