US Pediatricians' Attitudes, Beliefs, and Perceived Injunctive Norms About Spanking.
US Pediatricians' Attitudes, Beliefs, and Perceived Injunctive Norms About Spanking.
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美国儿科医生对打屁股的态度、信念和强制规范。
DOI：
10.1097/dbp.0000000000000592
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发表时间：
2018
期刊：
影响因子：
--
通讯作者：
Branco,Nelson
中科院分区：
文献类型：
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作者：
Taylor,CatherineA;Fleckman,JuliaM;Scholer,SethJ;Branco,Nelson
目的：评估美国儿科医生的态度，信念，和感知的专业禁令规范关于spanking.Method：一个自我管理的问卷邮寄到一个全国性的随机抽样的1500名儿科医生在美国，从IMS健康维护的数据库。进行了四次调查邮寄，并提供了高达20美元的现金奖励。结果：大多数受访者是美国儿科学会的成员（85%），有15年或更长时间的执业医生（66%），白色（69%）和女性（59%）。美国所有地区都有代表。大约四分之三的儿科医生不支持使用打屁股，大多数人认为他们的同事也不支持使用。男性、黑人和/或小时候被打过屁股的儿科医生对打屁股的态度更积极，并且比他们的同行更期待打屁股的积极结果。近80%的儿科医生从来没有或很少预期的积极成果从打屁股，和大多数（64%）预期的负面结果的一些time.Conclusion：大多数儿科医生在美国不支持使用打屁股与儿童和意识到的经验证据，打屁股与儿童健康状况不佳的风险增加。儿科医生是一个关键的，值得信赖的专业来源，在建议家长对儿童的纪律。这些发现表明，大多数儿科医生会劝阻对儿童使用打屁股，随着时间的推移，这可能会减少其使用和相关的危害。这具有临床意义，因为尽管有强有力的证据表明打屁股对儿童造成伤害，但打屁股在美国仍然被广泛接受和实践
Objective:To assess United States pediatricians' attitudes, beliefs, and perceived professional injunctive norms regarding spanking.Method:A self-administered questionnaire was mailed to a nationwide random sample of 1500 pediatricians in the US, drawn from a database maintained by IMS Health. Four survey mailings were conducted and cash incentives of up to $20 were provided. The response rate was 53%(N= 787).Results:Most respondents were members of the American Academy of Pediatrics (85%), had been practicing physicians for 15 years or more (66%), and were white (69%) and female (59%). All US regions were represented. About 3-quarters of pediatricians did not support the use of spanking, and most perceived that their colleagues did not support its use either. Pediatricians who were male, black, and/or sometimes spanked as children had more positive attitudes toward spanking and expected more positive outcomes from spanking than their counterparts. Nearly 80% of pediatricians never or seldom expected positive outcomes from spanking, and a majority (64%) expected negative outcomes some of the time.Conclusion:The majority of pediatricians in the US do not support the use of spanking with children and are aware of the empirical evidence linking spanking with increased risk of poor health outcomes for children. Pediatricians are a key, trusted professional source in advising parents about child discipline. These findings suggest that most pediatricians will discourage the use of spanking with children, which over time could reduce its use and associated harms in the population. This is of clinical relevance because, despite strong and consistent evidence of the harms that spanking raises for children, spanking is still broadly accepted and practiced in the US