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Factors associated with concussion symptom knowledge and attitudes towards concussion care-seeking among parents of children aged 5–10 years
Journal of Safety Research ( IF 3.9 ) Pub Date : 2021-05-20 , DOI: 10.1016/j.jsr.2021.05.003
Juliet K Haarbauer-Krupa 1 , Johna K Register-Mihalik 2 , Aliza K Nedimyer 3 , Avinash Chandran 4 , Melissa C Kay 5 , Paula Gildner 6 , Zachary Y Kerr 2
Affiliation  

Background: Understanding parents’ concussion-related knowledge and attitudes will contribute to the development of strategies that aim to improve concussion prevention and sport safety for elementary school children. This study investigated the association between parent- and child-related factors and concussion symptom knowledge and care-seeking attitudes among parents of elementary school children (aged 5–10 years). Methods: Four hundred parents of elementary school children completed an online questionnaire capturing parental and child characteristics; concussion symptom knowledge (25 items, range = 0–50; higher = better knowledge); and concussion care-seeking attitudes (five 7-point scale items, range = 5–35; higher = more positive attitudes). Multivariable ordinal logistic regression models identified predictors of higher score levels. Adjusted odds ratios (aOR) with 95% confidence intervals (CI) excluding 1.00 were deemed statistically significant. Results: Select parent and child characteristics were associated with higher score levels for both outcomes. For example, odds of better knowledge level in parents were higher with increased age (10-year increase aOR = 1.59; 95% CI = 1.10–2.28), among females (aOR = 3.90; 95% CI = 2.27–6.70), and among white/non-Hispanics (aOR = 1.79; 95%CI = 1.07–2.99). Odds of more positive concussion care-seeking attitude levels were higher among parents with a college degree (aOR = 1.98; 95%CI = 1.09–3.60). Child sports participation was not associated with higher score levels for either outcome. Conclusions: Certain elementary school parent characteristics were associated with parents’ concussion symptom knowledge and care-seeking attitudes. While the findings suggest providing parents with culturally and demographically relevant concussion education might be helpful, they also emphasize the importance of ensuring education/prevention regardless of their children’s sports participation. Practical Applications: Pediatric healthcare providers and elementary schools offer an optimal community-centered location to reach parents with this information within various communities.



中文翻译:


5~10岁儿童家长脑震荡症状知识及脑震荡就医态度的影响因素



背景:了解家长与脑震荡相关的知识和态度将有助于制定旨在改善小学生脑震荡预防和运动安全的策略。本研究调查了小学生(5-10岁)家长的亲子相关因素与脑震荡症状知识和寻求护理态度之间的关系。方法: 400名小学生家长完成了一份在线调查问卷,了解父母和孩子的特征;脑震荡症状知识(25 项,范围 = 0–50;越高 = 知识越好);以及脑震荡寻求护理的态度(五个 7 分制项目,范围 = 5-35;越高 = 更积极的态度)。多变量序数逻辑回归模型确定了较高分数水平的预测因素。调整后的比值比 (aOR) 和 95% 置信区间 (CI)(排除 1.00)被认为具有统计显着性。结果:选择的父母和孩子特征与这两种结果的较高得分水平相关。例如,随着年龄的增长,父母知识水平提高的可能性更高(10 年增长 aOR = 1.59;95% CI = 1.10–2.28),女性(aOR = 3.90;95% CI = 2.27–6.70),以及在白人/非西班牙裔中(aOR = 1.79;95%CI = 1.07–2.99)。拥有大学学历的父母对脑震荡寻求护理的积极态度水平的几率更高(aOR = 1.98;95%CI = 1.09–3.60)。儿童运动参与与这两种结果的较高得分水平无关。结论:某些小学家长特征与家长的脑震荡症状知识和寻求护理的态度有关。 虽然研究结果表明,为父母提供与文化和人口相关的脑震荡教育可能会有所帮助,但他们也强调了无论孩子是否参加体育运动,都必须确保教育/预防的重要性。实际应用:儿科医疗保健提供者和小学提供了一个以社区为中心的最佳位置,以便向各个社区内的家长提供此信息。

更新日期:2021-05-20
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