Seattle Children's Research Institute, Center for Child Health, Behavior and Development, USA; University of Washington, Department of Pediatrics, USA; Harborview Injury Prevention and Research Center, USA.
Seattle Children's Research Institute, Center for Child Health, Behavior and Development, USA.
Soc Sci Med. 2019 Feb;222:359-366. doi: 10.1016/j.socscimed.2018.12.037. Epub 2019 Jan 21.
Assess demographic patterns of parental concern or worry about concussion for their children; compare parent worry about concussion to worry about other health threats.
Survey data were obtained using a probability-based nationally representative cross-sectional online survey of parents (n = 1025, 52% response rate). The association between family demographic characteristics and parent worry about concussion was assessed using multivariate logistic regression. The extent to which parents were worried about concussion was compared to worry about 14 other pediatric health threats. Patterns of worry about all measured health threats were modeled using latent class analyses, with comparisons made by parent demographic characteristics.
Around half of parents (51%) were worried about child's risk of concussion (responses of "very worried" or "somewhat worried"), statistically indistinguishable to the amount worried about risk of car crashes (55%) and anxiety (54%). Parents were more worried about screen time (71%) and bullying (57%) than concussion. In a multivariate logistic regression model with step-wise variable selection, there was statistically significantly greater worry about concussion among parents who were less educated, less affluent and who identified as Hispanic or Black. The latent class analysis resulted in three groups: high, moderate, and low worry about all health threats. There were significantly higher odds of being in the high worry group as compared to the moderate or low worry group among parents who were less educated and of Hispanic ethnicity.
Many parents are worried about concussion, and this worry is greatest among the most socioeconomically disadvantaged parents. Further research is needed to determine the cause of this difference. Such work can identify whether there are appropriate individual or community-level targets for intervention to improve the ability of parents to understand and address the potential threat of concussion to their child.
评估父母对子女脑震荡的担忧或关注的人口统计学模式；将父母对脑震荡的担忧与对其他健康威胁的担忧进行比较。
使用基于概率的全国代表性横断面在线父母调查（n=1025，52%的回复率）获得调查数据。使用多元逻辑回归评估家庭人口统计学特征与父母对脑震荡担忧之间的关联。使用潜在类别分析比较父母对脑震荡的担忧程度与对 14 种其他儿科健康威胁的担忧程度，并按父母的人口统计学特征进行比较。
约一半的父母（51%）担心孩子患脑震荡的风险（表示“非常担心”或“有些担心”），与担心车祸（55%）和焦虑（54%）的程度相当。父母更担心屏幕时间（71%）和欺凌（57%），而不是脑震荡。在逐步变量选择的多元逻辑回归模型中，受教育程度较低、收入较低以及认为自己是西班牙裔或黑人的父母对脑震荡的担忧明显增加。潜在类别分析产生了三个组别：对所有健康威胁高度担忧、中度担忧和低度担忧。与中度或低度担忧组相比，受教育程度较低和西班牙裔父母中，高度担忧组的可能性显著更高。
许多父母对脑震荡感到担忧，而这种担忧在社会经济地位最低的父母中最为强烈。需要进一步研究以确定这种差异的原因。这项工作可以确定是否有适当的个人或社区层面的干预目标，以提高父母理解和应对脑震荡对子女潜在威胁的能力。
