评估有学龄前儿童的家长的健康声称评估技能：使用知情健康选择声称评估工具的横断面研究。

Evaluating health claim assessment skills of parents with preschool children: A cross-sectional study using Informed Health Choices Claim Evaluation Tool.

机构信息

University of Split School of Medicine, Split, Croatia.

Department of Pediatrics, University Hospital of Split, Split, Croatia.

出版信息

J Glob Health. 2023 Nov 3;13:04156. doi: 10.7189/jogh.13.04156.

DOI:10.7189/jogh.13.04156

PMID:37917876

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10622117/

Abstract

BACKGROUND

Health literacy is a global problem and is particularly relevant when making health care decisions about small children. We analysed how parents of preschool children assess health claims and explored the predictors of their assessment skill.

METHODS

We conducted a survey with questions from the Claim Evaluation Tools (CET) database, part of the Informed Health Choices (IHC) project, in ten paediatric primary care practices of the Split-Dalmatia County Health Center, Split, Croatia, from 1 February to 31 March 2023. Eligible participants were parents accompanying preschool-aged children for check-ups. We also collected data on parents' and children's demographic and health characteristics (including the presence of any chronic illness in the child), visits to paediatric emergency service, hospitalisations, vaccination status, the presence of chronic illness of parents or relatives, and whether parents had to made treatment decisions for themselves and/or their family member.

RESULTS

Overall, 402 parents of preschool children (median age 35 years (interquartile range (IQR) = 31.0-38.3)) had a median IHC CET test score of 10.0 (IQR = 8.0-11.0) out of 12 questions. The multiple regression analysis showed that female gender, higher level of education, being employed, and having a history of a visit to paediatric emergency service were significant predictors of the test score, explaining 21.9% of the variance.

CONCLUSIONS

Parents of preschool children have a very good ability for critical assessment of health-related statements in a complex health care system and an environment of generally unsatisfactory health literacy. Further studies should explore how parents understand health claims in different geographical, socio-economic and cultural setting, and explore educational interventions to increase critical thinking abilities and informed decision-making, especially among fathers, unemployed parents and those with lower levels of education.

摘要

背景

健康素养是一个全球性问题，在为幼儿做出医疗决策时尤为重要。我们分析了学龄前儿童的父母如何评估健康声明，并探讨了其评估技能的预测因素。

方法

我们在克罗地亚斯普利特-达尔马提亚县卫生中心的十个儿科初级保健诊所进行了一项调查，使用了来自知情健康选择（IHC）项目的声称评估工具（CET）数据库中的问题。2023 年 2 月 1 日至 3 月 31 日期间，符合条件的参与者是陪同学龄前儿童进行检查的父母。我们还收集了父母和孩子的人口统计学和健康特征（包括孩子是否患有任何慢性病）、儿科急诊服务就诊、住院、疫苗接种状况、父母或亲属是否患有慢性病，以及父母是否必须为自己和/或其家庭成员做出治疗决策的数据。

结果

总体而言，402 名学龄前儿童的父母（中位数年龄 35 岁（四分位距（IQR）=31.0-38.3））在 12 个问题中，中位数 IHC CET 测试得分为 10.0（IQR=8.0-11.0）。多元回归分析表明，女性性别、较高的教育水平、就业和有儿科急诊服务就诊史是测试得分的显著预测因素，解释了 21.9%的方差。