King's College London, Department of War Studies, Strand Campus, London, WC2R 2LS, UK.
King's College London, Institute of Psychiatry, Psychology and Neuroscience, Department of Psychological Medicine, Weston Education Centre, Cutcombe Road, London, SE5 9RJ, UK.
Public Health. 2021 May;194:29-32. doi: 10.1016/j.puhe.2021.02.013. Epub 2021 Mar 2.
The objective of the study is to explore parents' perceptions of COVID-19-like symptoms in their child and attitudes towards isolating from others in the household when unwell.
The study used qualitative, semistructured interviews.
The study involved thirty semistructured telephone interviews with parents of children between 4 and 18 years. Thirty semistructured telephone interviews with parents of children between 4 and 18 years.
We found four themes relating to symptom attribution ('normalising symptoms', 'err on the side of caution', 'experience of temperature', 'symptoms not normal for us'). In general, parents were more likely to attribute symptoms to COVID-19 if a temperature was present or the symptoms were perceived as 'unusual' for their family. Four themes relating to self-isolation ('difficult to prevent contact with children', 'isolation would be no different to lockdown life', 'ability to get food and supplies', 'limited space'). Parents believed they would find isolation within the household difficult or impossible if they had dependent children, had limited space or could not shop for groceries.
The findings highlight complexities in symptom perception, attribution and household isolation. We suggest that they can be overcome by (a) providing better guidance on what symptoms require action, (b) providing guidance as to how to prevent infection within the household and (c) by supporting families with grocery shopping through a potential second or third wave.
本研究旨在探讨父母对其子女出现类似 COVID-19 症状的看法,以及子女在患病时与家中其他人隔离的态度。
本研究采用定性、半结构式访谈。
本研究涉及对 4 至 18 岁儿童的家长进行了 30 次半结构式电话访谈。
我们发现了与症状归因相关的四个主题(“正常化症状”、“谨慎起见”、“体温体验”、“对我们来说症状不正常”)。一般来说,如果出现体温或症状被认为是“不寻常”的,父母更有可能将症状归因于 COVID-19。与自我隔离相关的四个主题(“难以避免与儿童接触”、“隔离与封锁生活无异”、“获取食物和用品的能力”、“有限的空间”)。如果父母有受抚养的子女、空间有限或无法购买杂货,他们认为在家中隔离会很困难或不可能。
研究结果突显了症状感知、归因和家庭隔离的复杂性。我们建议,可以通过以下方式克服这些问题:(a)提供有关哪些症状需要采取行动的更好指导;(b)提供有关如何在家庭内预防感染的指导;(c)通过在第二或第三波疫情中为家庭提供杂货购物支持。