Parental knowledge, attitude, and practice on pediatric pneumonia in Beijing, China: a cross-sectional study

Journal of Public Health - Trang 1-7 - 2023
Qiaoxin Hao1, Peng Yan2, Wei Guo3, Jie Ren1, Qiong Li2, Pei Zhang1, Chenghe Huang1, Jiangying Gu4
1Department of Clinical Laboratory, China Aerospace Science & Industry Corporation 731 Hospital, Beijing, China
2Pulmonary and Critical Care Medicine, China Aerospace Science & Industry Corporation 731 Hospital, Beijing, China
3Department of Rehabilitation, China Aerospace Science & Industry Corporation 731 Hospital, Beijing, China
4Medical Department, China Aerospace Science & Industry Corporation 731 Hospital, Beijing, China

Tóm tắt

Pediatric pneumonia, a common disease, is the major cause of mortality in young children in China. However, the knowledge, attitude, and practice (KAP) of parents in China on etiologies, prevention, and care of pediatric pneumonia are still unclear. Here we investigated the KAP of parents on pediatric pneumonia. This cross-sectional study enrolled parents in the Yungang area, Fengtai, Beijing and surrounding areas from September 1, 2022 to October 31, 2022. The demographic characteristics of subjects were collected for KAP score evaluation. The KAP scores of parents with different demographic characteristics were compared. In total, 502 subjects participated in this study, of which the mean knowledge score was 9.61 ± 3.25, the attitude score was 33.85 ± 4.03, and the practice score was 17.87 ± 2.38. The findings showed that gender, age, residence, education, medical-field work, income per capita, previous pediatric pneumonia, and smoking significantly differed in knowledge score (P < 0.05). Gender, residence, education, and previous pediatric pneumonia were significantly different in attitude score (P < 0.05). Parental age, children's numbers, and smoking were significantly different in practice score (P < 0.05). Parents of young children exhibit a good attitude and practice toward prevention and treatment of pediatric pneumonia, while the relevant knowledge about the same disease was lower. It was recommended to carry out further studies in different regions; government and health institutions could take steps to improve the KAP of parents.

Tài liệu tham khảo

Balk DS, Lee C, Schafer J et al (2018) Lung ultrasound compared to chest X-ray for diagnosis of pediatric pneumonia: a meta-analysis. Pediatr Pulmonol 53:1130–1139. https://doi.org/10.1002/ppul.24020 Bellizzi S, Pichierri G, Panu Napodano CM (2021) Family-centered care for children during pandemics. Public Health 198:e9–e10. https://doi.org/10.1016/j.puhe.2021.04.016 Berg AS, Inchley CS, Aase A et al (2016) Etiology of pneumonia in a pediatric population with high pneumococcal vaccine coverage: a prospective study. Pediatr Infect Dis J 35:e69-75. https://doi.org/10.1097/inf.0000000000001009 Biagi C, Pierantoni L, Baldazzi M et al (2018) Lung ultrasound for the diagnosis of pneumonia in children with acute bronchiolitis. BMC Pulm Med 18:191. https://doi.org/10.1186/s12890-018-0750-1 Bradley JS, Byington CL, Shah SS et al (2011) The management of community-acquired pneumonia in infants and children older than 3 months of age: clinical practice guidelines by the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America. Clin Infect Dis 53:e25-76. https://doi.org/10.1093/cid/cir531 Carter BS, Willis T, Knackstedt A (2021) Neonatal family-centered care in a pandemic. J Perinatol 41:1177–1179. https://doi.org/10.1038/s41372-021-00976-0 de Benedictis FM, Kerem E, Chang AB et al (2020) Complicated pneumonia in children. Lancet 396:786–798. https://doi.org/10.1016/s0140-6736(20)31550-6 Falup-Pecurariu OG, Diez-Domingo J, Esposito S et al (2018) Clinical and laboratory features of children with community-acquired pneumonia are associated with distinct radiographic presentations. Eur J Pediatr 177:1111–1120. https://doi.org/10.1007/s00431-018-3165-3 Hooven TA, Polin RA (2017) Pneumonia. Semin Fetal Neonatal Med 22:206–213. https://doi.org/10.1016/j.siny.2017.03.002 Jadavji T, Law B, Lebel MH et al (1997) A practical guide for the diagnosis and treatment of pediatric pneumonia. CMAJ 156:S703-711 Kamidani S, Rostad CA, Anderson EJ (2021) COVID-19 vaccine development: a pediatric perspective. Curr Opin Pediatr 33:144–151. https://doi.org/10.1097/mop.0000000000000978 Kelly M, Sahm LJ, Shiely F et al (2017) Parental knowledge, attitudes and beliefs on fever: a cross-sectional study in Ireland. BMJ Open 7:e015684. https://doi.org/10.1136/bmjopen-2016-015684 Lanks CW, Musani AI, Hsia DW (2019) Community-acquired pneumonia and hospital-acquired pneumonia. Med Clin North Am 103:487–501. https://doi.org/10.1016/j.mcna.2018.12.008 Leung AKC, Wong AHC, Hon KL (2018) Community-acquired pneumonia in children. Recent Pat Inflamm Allergy Drug Discov 12:136–144. https://doi.org/10.2174/1872213x12666180621163821 Marangu D, Zar HJ (2019) Childhood pneumonia in low-and-middle-income countries: an update. Paediatr Respir Rev 32:3–9. https://doi.org/10.1016/j.prrv.2019.06.001 Matta P, El Mouallem R, Akel M et al (2020) Parents’ knowledge, attitude and practice towards children’s vaccination in Lebanon: role of the parent–physician communication. BMC Public Health 20:1439. https://doi.org/10.1186/s12889-020-09526-3 Messinger AI, Kupfer O, Hurst A et al (2017) Management of pediatric community-acquired bacterial pneumonia. Pediatr Rev 38:394–409. https://doi.org/10.1542/pir.2016-0183 Principi N, Esposito S (2017) Biomarkers in pediatric community-acquired pneumonia. Int J Mol Sci 8(2):447. https://doi.org/10.3390/ijms18020447 Ramgopal S, Ivan Y, Medsinge A et al (2017) Pediatric necrotizing pneumonia: a case report and review of the literature. Pediatr Emerg Care 33:112–115. https://doi.org/10.1097/pec.0000000000000585 Reuter S, Moser C, Baack M (2014) Respiratory distress in the newborn. Pediatr Rev 35:417–428; quiz 429. https://doi.org/10.1542/pir.35-10-417 Roh EJ, Shim JY, Chung EH (2022) Epidemiology and surveillance implications of community-acquired pneumonia in children. Clin Exp Pediatr 65:563–573. https://doi.org/10.3345/cep.2022.00374 Siddiquea BN, Shetty A, Bhattacharya O et al (2021) Global epidemiology of COVID-19 knowledge, attitude and practice: a systematic review and meta-analysis. BMJ Open 11:e051447. https://doi.org/10.1136/bmjopen-2021-051447 Sowmya KR, Puranik MP, Aparna KS (2021) Association between mother’s behaviour, oral health literacy and children’s oral health outcomes: a cross-sectional study. Indian J Dent Res 32:147–152. https://doi.org/10.4103/ijdr.IJDR_676_18 Wu J, Wang X, Zhou M et al (2021) The value of lymphocyte-to-monocyte ratio and neutrophil-to-lymphocyte ratio in differentiating pneumonia from upper respiratory tract infection (URTI) in children: a cross-sectional study. BMC Pediatr 21:545. https://doi.org/10.1186/s12887-021-03018-y Zar HJ, Andronikou S, Nicol MP (2017) Advances in the diagnosis of pneumonia in children. BMJ 358:j2739. https://doi.org/10.1136/bmj.j2739 Zhang S, Sammon PM, King I, et al (2016) Cost of management of severe pneumonia in young children: systematic analysis. J Glob Health 6:010408. https://doi.org/10.7189/jogh.06.010408