Parental knowledge on infant crying and abusive head trauma and relevant shaking behaviors in China.
Parental knowledge on infant crying and abusive head trauma and relevant shaking behaviors in China.
复制标题
中国家长对婴儿哭闹、虐待性头部创伤及相关摇晃行为的了解。
DOI：
10.1016/j.chiabu.2021.105025
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发表时间：
2021
影响因子：
4.8
通讯作者：
Huiping Zhu
中科院分区：
文献类型：
--
作者：
Q. Gao;Linhang Tong;Li;Weiqiang Zhong;Huiping Zhu
本研究旨在了解目前中国儿童家长对婴儿哭闹和虐待性头部创伤（AHT）以及摇晃行为的认知。方法于2020年进行横断面调查。我们收集了关于婴儿哭泣和AHT的典型模式的知识信息，并询问了关于暴力摇晃对儿童健康影响的信念，以及父母的摇晃行为。结果共568名家长完成问卷调查，仅有1.6%的家长正确回答了与婴儿哭闹相关的9个知识问题。总体而言，42.6%的参与者报告说他们听说过AHT，但只有17.1%的父母报告说他们对婴儿摇晃的危险有足够的了解。大约45%的父母承认他们至少摇过一次孩子。父母来自中国西部地区(或 = 3.860;95%可信区间 = 1.871,7.966;p < 0.001),感到很沮丧,因为婴儿的哭了超过一半的时间(或 = 3.401;95%可信区间 = 1.862,6.211;p < 0.001)最高摇晃的风险。大多数家长报告说，他们需要进一步了解婴儿安抚技术，预防和治疗的知识。结论大多数中国家长对婴儿正常哭闹的了解程度不高，但多数家长表达了学习的需求。在中国，社区范围内的倡导努力旨在教育家长对人工流产疗法的认识和知识，这应该成为卫生领域的优先事项。
BackgroundThis study aims to characterize the knowledge about infant crying and abusive head trauma (AHT), and shaking behaviors in parents of children in China, which are lacking currently.MethodsA cross-sectional survey was conducted in 2020. We collected information about the knowledge of the typical patterns of infant crying and AHT, and asked about beliefs of the effects of violent shaking on children’s health, and shaking behavior among parents.ResultsA total of 568 parents completed the questionnaire, and only 1.6 % of them answered all nine knowledge questions related to infant crying correctly. Overall, 42.6 % of participants reported they had heard about AHT, but only 17.1 % of the parents reported they knew enough about the dangers of infant shaking. About 45 % of the parents acknowledged that they had shaken their infants at least once. Parents who were from western region of China (OR = 3.860; 95 % CI = 1.871, 7.966; p < 0.001) and have felt very frustrated because of the baby's crying over half of the time (OR = 3.401; 95 % CI = 1.862, 6.211; p < 0.001) had the highest risk of shaking.Majority of the parents reported that they needed further information about infant soothing techniques, knowledge of prevention and treatment about AHT.ConclusionsMajority of Chinese parents do not have enough knowledge about normal infant crying, nevertheless, most of them expressing needs in learning more.Community-wide advocating efforts aiming to educate parents on awareness and knowledge about AHT should be a health priority in China.