Busey Sharon L, Kinyoun-Webb Cathy, Martin-McKay Jennifer, Mao Jingnan
Department of Pediatrics, Medical College of Wisconsin, Downtown Health Center, Milwaukee, WI 53233, USA.
Patient Educ Couns. 2006 Dec;64(1-3):191-6. doi: 10.1016/j.pec.2006.01.001. Epub 2006 Feb 20.
(1) Identify how receptive inner city parents of young children are to routine anticipatory guidance about behavior at well child care visits. (2) Determine whether inner city parents correlate early behavior problems with a risk of later behavior problems. (3) Determine whether inner city parents believe that physician-provided anticipatory guidance about behavioral issues and violence prevention can help their child avoid future violence-related problems.
A convenience sample of parents of children < or =5 years old attending an inner city pediatric teaching clinic were invited to complete a self-administered survey including questions about behavior, parenting, and physician-provided behavior and violence counseling.
One hundred and ninety-five participants completed surveys; most were African-American (81%) mothers (92%). In response to T/F questions, 84% of parents responded "False" to "Bad behavior in kids cannot be prevented" (95% CI; 78.8, 89.1), 97% responded "False" to "[Bad behavior in kids] cannot be changed" (95% CI; 94.5, 99.3), and 67% responded "True" to "My child's doctor can help me protect my child from violence" (59.8, 73.6). A majority of parents indicated that doctors should routinely ask about behavior and discuss parenting even if the parent was not worried about their child's behavior.
Inner city parents believe that bad behavior in children can be changed and prevented. They welcome physician-provided guidance about behavior and believe physicians can help their children avoid violence.
（1）确定市中心区幼儿的父母在健康儿童护理就诊时对常规行为预期指导的接受程度。（2）确定市中心区的父母是否将早期行为问题与后期行为问题的风险相关联。（3）确定市中心区的父母是否认为医生提供的关于行为问题和预防暴力的预期指导能够帮助他们的孩子避免未来与暴力相关的问题。
邀请了在市中心区一家儿科教学诊所就诊的5岁及以下儿童的父母作为便利样本，让他们完成一份自我管理的调查问卷，内容包括关于行为、育儿以及医生提供的行为和暴力咨询的问题。
195名参与者完成了调查；大多数是非洲裔美国人（81%），母亲占92%。对于是非题，84%的父母对“孩子的不良行为无法预防”回答“错误”（95%置信区间；78.8，89.1），97%的父母对“[孩子的不良行为]无法改变”回答“错误”（95%置信区间；94.5，99.3），67%的父母对“我的孩子的医生可以帮助我保护孩子免受暴力”回答“正确”（59.8，73.6）。大多数父母表示，即使父母不担心孩子的行为，医生也应该常规询问行为并讨论育儿问题。
市中心区的父母认为孩子的不良行为是可以改变和预防的。他们欢迎医生提供的关于行为的指导，并相信医生可以帮助他们的孩子避免暴力。
