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影响入学健康筛查后家长依从性的因素。

Factors influencing parental compliance following school entry health screening.

作者信息

Volkmer R E, Wigg N R, Mavromatis C E

机构信息

Child, Adolescent and Family Health Service, Adelaide, South Australia.

出版信息

J Paediatr Child Health. 1992 Oct;28(5):372-8. doi: 10.1111/j.1440-1754.1992.tb02695.x.

Abstract

This study investigated the factors influencing parental action on behalf of their child following a school entry health screening failure. It was predicted that compliance with recommendations to seek further assessment would be related to the screening process variables and the number of barriers to compliance parents faced and that these barriers, and hence compliance, would be influenced by the socio-economic status of the family. It was also expected that when schools were differentiated on adversity factors, the type of school attended would be related to compliance. Results from a sample of parents (n = 1231) showed that the parental non-compliance rate to a referral of their child for further assessment following health screening was 26.1%. Non-compliance was related to both screening process knowledge and satisfaction and the type of barriers to compliance parents experienced. Although the type and number of barriers experienced by parents was related to socio-economic status, the results of correlational and discriminant function analyses indicated that the barriers most strongly related to compliance (e.g. partner's views, time pressure, more serious problems to worry about) were not related to socio-economic status nor type of school attended. These findings provide valuable information for child health service providers as well as those involved in policy making and planning in the general area of community health services.

摘要

本研究调查了入学健康筛查未通过后影响家长为孩子采取行动的因素。研究预测,遵循寻求进一步评估建议的情况将与筛查过程变量以及家长面临的依从障碍数量相关,并且这些障碍以及依从情况将受到家庭社会经济地位的影响。研究还预期,当根据逆境因素对学校进行区分时,孩子所就读学校的类型将与依从情况相关。对1231名家长样本的研究结果显示,在健康筛查后家长未依从为孩子转诊进行进一步评估的比例为26.1%。未依从与筛查过程知识、满意度以及家长所经历的依从障碍类型均有关。尽管家长所经历的障碍类型和数量与社会经济地位相关,但相关分析和判别函数分析结果表明,与依从最密切相关的障碍(如伴侣的看法、时间压力、更严重的问题需要担忧)与社会经济地位以及孩子所就读学校的类型均无关。这些研究结果为儿童健康服务提供者以及社区卫生服务一般领域中参与政策制定和规划的人员提供了有价值的信息。

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