Black N
Int J Epidemiol. 1985 Dec;14(4):594-9. doi: 10.1093/ije/14.4.594.
The influence of elements of a family's health culture (its health beliefs, attitudes and behaviour) on the decision for children to undergo surgery for glue ear was investigated by means of a case-control study. One hundred and forty-two children who had undergone such surgery were compared with the same number of children from their school class. Data derived from a structured questionnaire administered to the parents in their own homes revealed that the families were similar with regard to most biosocial factors. However, there were clear differences in the labelling of middle ear disease. Children in case families were more likely to be diagnosed as suffering from glue ear rather than recurrent acute otitis media, particularly if an older sibling of the same sex had previously been so diagnosed (for boys RR 6.68; for girls RR 4.55). This influence of the family's health culture was supported by the findings that parents tended to view their children as having presented more developmental problems; and to be more conscious themselves of health promoting activities. Further studies employing different methodologies are required to confirm these findings.
通过病例对照研究，调查了家庭健康文化要素（其健康信念、态度和行为）对儿童进行中耳积液手术决策的影响。将142名接受此类手术的儿童与其班级中相同数量的儿童进行比较。通过在家长家中对其进行结构化问卷调查得出的数据显示，在大多数生物社会因素方面，这些家庭相似。然而，在中耳疾病的诊断方面存在明显差异。病例组家庭中的儿童更有可能被诊断为患有中耳积液而非复发性急性中耳炎，特别是如果同性别的哥哥姐姐此前曾被如此诊断（男孩的相对危险度为6.68；女孩的相对危险度为4.55）。父母倾向于认为自己的孩子存在更多发育问题，并且自己更注重健康促进活动，这些发现支持了家庭健康文化的这种影响。需要采用不同方法的进一步研究来证实这些发现。
