Lucas P, Arai L, Baird J, Kleijnen J, Law C, Roberts H
School for Policy Studies, University of Bristol, Bristol, UK.
Arch Dis Child. 2007 Feb;92(2):120-7. doi: 10.1136/adc.2005.087288. Epub 2006 Aug 11.
To understand lay views on infant size and growth and their implications for a British population.
A systematic review of parental and other lay views about the meanings and importance of infant size and growth using Medline, PsycInfo, CINAHL, Sociological Abstracts, IBSS, ASSIA, British Nursing Index ChildData, Caredata, SIGLE, Dissertation Abstracts (US), Index to Theses. 19 studies, most of which reported the views of mothers, from the US, Canada, the UK and Finland were reviewed.
Notions of healthy size and growth were dominated by the concept of normality. Participants created norms by assessing and comparing size and growth against several reference points. When size or growth differed from these norms, explanations were sought for factors that would account for this difference. When no plausible explanation could be found, growth or size became a worry for parents.
Parents consider the importance of contextual factors when judging what is appropriate or healthy growth. For public health advice to be effective, lay, as well as scientific, findings and values need to be considered.
了解英国民众对婴儿体型和生长发育的看法及其影响。
通过检索Medline、PsycInfo、CINAHL、Sociological Abstracts、IBSS、ASSIA、British Nursing Index ChildData、Caredata、SIGLE、Dissertation Abstracts(美国)、Index to Theses,对父母及其他民众关于婴儿体型和生长发育的意义及重要性的观点进行系统综述。共纳入19项研究,其中大部分报告了美国、加拿大、英国和芬兰母亲的观点并进行综述。
健康体型和生长发育的观念以正常概念为主导。参与者通过将体型和生长发育与几个参考点进行评估和比较来建立标准。当体型或生长发育与这些标准不同时,会寻找能够解释这种差异的因素。当找不到合理的解释时,生长发育或体型就会让父母感到担忧。
父母在判断什么是适当或健康的生长发育时会考虑背景因素的重要性。要使公共卫生建议有效,需要考虑民众的研究结果和价值观以及科学研究结果和价值观。