Enhancing the effectiveness of infectious disease health education for children and adolescents in China: a national multicenter school-based trial

Wang, Xinxin; Liu, Jieyu; Wang, Yu; Su, Binbin; Chen, Manman; Ma, Qi; Ma, Tao; Chen, Li; Zhang, Yi; Dong, Yanhui; Song, Yi; Ma, Jun

doi:10.1186/s12889-023-16000-3

Cited by 3 publications

(2 citation statements)

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“…Surveys have shown that kindergartens and schools in China are more susceptible to causing Public Health Emergency Events (PHEE) related to Norovirus gastroenteritis [ 4 – 6 ]. Despite the presence of sufficient health education in schools nowadays, with a focus on nutrition, myopia, and other aspects [ 7 ], limited propagation has been recorded worldwide on the effectiveness of health education for infectious diseases. Furthermore, there is still room for improvement in terms of educational institutions' compliance with the Norovirus Outbreak Management and Disease Prevention Guidelines (2015 version) issued by China CDC.…”

Section: Introductionmentioning

confidence: 99%

Improving knowledge, attitude and practice on norovirus infection diarrhea among staff of kindergartens and schools: a before-after study

Lyu,

Liang,

Luo

et al. 2024

BMC Public Health

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Background Norovirus gastroenteritis outbreaks were common in schools and kindergartens and were more related to faculty knowledge, attitude, and practice level. Gastroenteritis outbreaks caused by norovirus in educational institutions were the prominent cause of Public Health Emergency Events in China. This study aimed to explore the transformation in the contribution of KAP items related to outbreak prevention before and after intervention and the impact of demography factors on the intervention. Methods This study sampled 1095 kindergarten and 1028 school staff in Shenzhen, China. We created a questionnaire consisting of 35 items in 4 parts, and each item was rated on a scale of 1–5 according to the accuracy. Univariate analysis of non-parametric tests and binary logistic regression were used to estimate the score difference on demographic characteristics, each item and KAP. The odds ratios (OR) with 95% confidence and intervals (CI) for the association between statistical indicators were mainly used to explain the effects before and after intervention. Results Overall, 98.72% and 74.9% of the kindergarten and school participants were female, and all respondents had the highest scores difference of practice. Following intervention, univariate analysis indicated that primary school and female respondents achieved higher knowledge scores. Staff age beyond 35 (OR = 0.56, CI:0.34–0.92; OR = 0.67, CI:0.50–0.90) and with more than ten years of service (OR = 0.58, CI:0.36–0.91; OR = 0.38, CI:0.17–0.84) demonstrated a significantly lower post-intervention score for attitude and practice in both kindergartens and schools. The staff members exhibited a general lack of familiarity with the transmission of aerosols and the seasonal patterns of NoVs diarrhea pandemics. Item analysis revealed that kindergarten staff aged 26 and above demonstrated superior performance in terms of the efficacy of medical alcohol for inactivation (OR = 1.93, CI:1.13–3.31) and management strategies for unexplained vomiting among students (OR = 1.97, CI:1.21–3.18). Private school personnel displayed more significant improvement in their practices following educational interventions. School administrators' negative attitudes were primarily evident in their perspectives on morning inspections (OR = 0.11, CI:0.05–0.84). Conclusions The potential negative impact of faculty age on NoVs-related knowledge can be mitigated by the positive attitudes fostered through seniority. Furthermore, it is imperative to urgently address the lack of knowledge among administrators, and the identification and treatment of vomiting symptoms should be emphasized as crucial aspects of school prevention strategies. Therefore, education authorities should implement comprehensive public health interventions in the future.

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Section: Introductionmentioning

confidence: 99%

Improving knowledge, attitude and practice on norovirus infection diarrhea among staff of kindergartens and schools: a before-after study

Lyu,

Liang,

Luo

et al. 2024

BMC Public Health

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“…Research has affirmed the effectiveness of health education in enhancing children's behaviors towards infectious diseases in both high and lowincome countries(Gray et al, 2020;Hoyle et al, 2023). While the success of such interventions often depends on children's receptivity, with adolescents generally showing a better understanding of health education on infectious diseases, younger children may demand more targeted attention(Wang et al, 2023). Therefore, the study highlights the necessity of tailored approaches for various age groups: school-based strategies for adolescents and family-centered ones for younger children, to effectively combat infectious diseases.The analysis of article volume per topic in this study provides a window into prevailing research themes, revealing the interests and priorities within the scholarly community.…”

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confidence: 99%

Understanding global research trends in the control and prevention of infectious diseases for children: Insights from text mining and topic modeling

Oh,

Lee,

Heo

et al. 2024

J of Nursing Scholarship

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IntroductionThe emergence of novel infectious diseases has amplified the urgent need for effective prevention strategies, especially ones targeting vulnerable populations such as children. Factors such as the high incidence of both emerging and existing infectious diseases, delays in vaccinations, and routine exposure in communal settings heighten children's susceptibility to infections. Despite this pressing need, a comprehensive exploration of research trends in this domain remains lacking. This study aims to address this gap by employing text mining and modeling techniques to conduct a comprehensive analysis of the existing literature, thereby identifying emerging research trends in infectious disease prevention among children.MethodsA cross‐sectional text mining approach was adopted, focusing on journal articles published between January 1, 2003, and August 31, 2022. These articles, related to infectious disease prevention in children, were sourced from databases such as PubMed, CINAHL, MEDLINE (Ovid), Scopus, and Korean RISS. The data underwent preprocessing using the Natural Language Toolkit (NLTK) in Python, with a semantic network analysis and topic modeling conducted using R software.ResultsThe final dataset comprised 509 journal articles extracted from multiple databases. The study began with a word frequency analysis to pinpoint relevant themes, subsequently visualized through a word cloud. Dominant terms encompassed “vaccination,” “adolescent,” “infant,” “parent,” “family,” “school,” “country,” “household,” “community,” “HIV,” “HPV,” “COVID‐19,” “influenza,” and “diarrhea.” The semantic analysis identified “age” as a key term across infection, control, and intervention discussions. Notably, the relationship between “hand” and “handwashing” was prominent, especially in educational contexts linked with “school” and “absence.” Latent Dirichlet Allocation (LDA) topic modeling further delineated seven topics related to infectious disease prevention for children, encompassing (1) educational programs, (2) vaccination efforts, (3) family‐level responses, (4) care for immunocompromised individuals, (5) country‐specific responses, (6) school‐based strategies, and (7) persistent threats from established infectious diseases.ConclusionThe study emphasizes the indispensable role of personalized interventions tailored for various child demographics, highlighting the pivotal contributions of both parental guidance and school participation.Clinical RelevanceThe study provides insights into the complex public health challenges associated with preventing and managing infectious diseases in children. The insights derived could inform the formulation of evidence‐based public health policies, steering practical interventions and fostering interdisciplinary synergy for holistic prevention strategies.

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Chinese parental strategies to prevent pediatric acute respiratory infections after COVID-19 pandemic: A cross-sectional study (Preprint)

Peng

2024

Preprint

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BACKGROUND Evidence has found that parental knowledge and practices are important in preventing pediatric infectious diseases. Few studies have explored parental preventive measures in the post-COVID-19 era in mainland China. OBJECTIVE Research explored parental preventive measures, children’s self-protection measures, school precautionary measures and impact factors in the post-COVID-19 era. METHODS A cross-sectional study was conducted in ten southern cities and ten northern cities in mainland China using an online structured questionnaire to survey parents of children aged 3-16 years old. RESULTS 2420 participants completed questionnaires including 881 participants in the south and 1539 in the north. The reported number of participants with family history of COVID-19 infection was significantly higher among northern participants than among southern participants (p < 0.001), as was the reported pediatric COVID-19 infection rate (p =0.028). Significant differences between northern and southern participants also appeared in total scores of parental preventive measures (p = 0.008) and school precautionary measures (p < 0.05). Results revealed a positive relationship between children’s self-protection measures and parental preventive measures (p < 0.001) and a positive relationship between children’s self-protection measures and school precautionary measures (p < 0.001). Total children’s self-protection measures scores differed across different parental education attainment (p = 0.021) and occupation (p = 0.001). CONCLUSIONS Findings illustrate the importance of parental knowledge and attitudes in preventing pediatric respiratory infectious diseases. To develop better strategies for prevention and control of pediatric infectious diseases, the public health bureau should focus on providing accurate information to parents and schoolteachers to be transmitted to children and incorporated into daily life. Results may contribute to establishing a pediatric infectious disease prevention model and serve as the basis for promoting public health education.

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Enhancing the effectiveness of infectious disease health education for children and adolescents in China: a national multicenter school-based trial

Cited by 3 publications

References 36 publications

Improving knowledge, attitude and practice on norovirus infection diarrhea among staff of kindergartens and schools: a before-after study

Improving knowledge, attitude and practice on norovirus infection diarrhea among staff of kindergartens and schools: a before-after study

Understanding global research trends in the control and prevention of infectious diseases for children: Insights from text mining and topic modeling

Chinese parental strategies to prevent pediatric acute respiratory infections after COVID-19 pandemic: A cross-sectional study (Preprint)

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