Knowledge and Management of Fever Among Latino Parents

Crocetti, Michael; Sabath, Bruce F.; Cranmer, Lisa M; Gubser, Sasha; Dooley, Danielle G.

doi:10.1177/0009922808324949

Cited by 46 publications

(48 citation statements)

References 12 publications

(22 reference statements)

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“…This was similar to the findings of previous reports in culturally diverse populations in different countries (6,7,17,19). The parents with higher educational level demonstrated a significantly higher rate of accuracy in their knowledge of fever definition in our study (P = 0.001), in accordance with the findings of previous studies conducted among different populations (20)(21)(22).…”

Section: Discussionsupporting

confidence: 92%

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Knowledge and management of fever among Moroccan parents

Rkain¹,

Rkain²,

Safi³

et al. 2014

East Mediterr Health J

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Parents often have misperceptions about childhood fever, and little information is available about the home management of feverish children in Morocco. In this study of the perceptions, knowledge and practices of families regarding children's fever, the parents of 264 febrile children aged 0-16 years were interviewed in a paediatric emergency department in Rabat in 2011. Only 3.5% of parents knew the correct temperature definition for fever, 54.4% determined their children's fever using a thermometer, and the preferred site was rectal. Most of them (96.8%) considered that fever was a very serious condition, which could lead to side-effects such as brain damage (28.9%), seizures (18.8%) paralysis (19.5%), dyspnoea (14.8%) and coma (14.8%). Paracetamol was used by 85.9% and traditional treatments by 45.1%. Knowledge about the correct definition of fever was significantly associated with parents' profession, educational level and receipt of previous information and advice from health professionals. (14,8 %). Le paracétamol a été utilisé par 85,9 % des parents et les traitements traditionnels par 45,1 %. La connaissance de la définition exacte de la fièvre était significativement associée à la profession des parents, à leur niveau d'études et à la prise de conseils et d'informations préalable auprès des professionnels de santé.

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Section: Discussionsupporting

confidence: 92%

“…Of all the parents, 28.9% listed brain damage as the most common harmful effect of fever, 18.8% seizures, 19.5% paralysis and 14.8% coma. In the literature, it was reported that many of these beliefs are also shared by paediatric health care providers (12) and fever phobia was the message that they conveyed to parents (21).…”

Section: Discussionmentioning

confidence: 99%

Knowledge and management of fever among Moroccan parents

Rkain¹,

Rkain²,

Safi³

et al. 2014

East Mediterr Health J

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“…Our findings showing not consulting doctors and not completing full course of prescribed antipyretics, positively correlated 9 folds and 5 folds respectively with incorrect practices, are consistent with results shown by Walsh et al, Crocetti et al, and Zyoud et al 1,19,34 This also seems plausible since parents who are likely to indiscriminately administer antipyretics reflect poor knowledge about indications and usage of antipyretics; they are equally likely to abruptly stop upon disappearance of signs and symptoms. Antipyretics usage for treatment of childhood fever has been shown to be very common, and knowledge of resulting complications was very less among parents.…”

Section: Discussionsupporting

confidence: 91%

Fever awareness, management practices and their correlates among parents of under five children in urban India

Thota¹,

Ladiwala²,

Sharma³

et al. 2018

Int J Contemp Pediatr

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Background Awareness regarding fever is reportedly low among Indian urban parents, leading to its over- management among under five children. We attempted to study the awareness and fever management practices of South Indian urban parents. The objectives were to find the awareness of parents regarding childhood fever management, and correlates of practices. Methods One hundred parents of under-five children with history of fever in past three months were randomly selected and interviewed using a predesigned tool. Children’s weight and height was measured. Awareness scores for causes of fever and fever management were constructed. Logistic regression was done to identify correlates of incorrect practices. Results 95% parents were aware about correct temperature above which fever became harmful. Awareness score for causes of fever was poor (<1) among 41% parents. Mothers’ complications awareness scores were better than fathers (p<0.05). 81% parents used antibiotics; only 18% consulted a doctor before doing so. 17% parents using antibiotics did not complete the prescribed course. The independent correlates of poor fever management practices were working parents (OR: 6.28; 95%CI: 1.7-23.16), lesser number of children (OR: 3.08; 95%CI: 1.01-9.37), poor compliance for antipyretics (OR: 9.20; 95%CI: 1.64-51.52) and giving antipyretics without consulting doctors (OR: 5.43; 95%CI: 1.69-17.47). Poor knowledge of available pediatric antipyretic preparations was negatively correlated (OR: 0.13; 95%CI: 0.02-0.64). Conclusion Fever awareness was fair among urban parents. Mothers had better awareness than fathers. Increased awareness for correct fever management of under-five children is desirable among urban parents to reduce misuse of antibiotics and antipyretics.

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“…However, families often waited many hours to be seen, were seen by whichever provider was available, and felt rushed during visits. The importance of same-day sick care among Latina mothers is not unique to this study and may be related to immigrant Latinos’ being accustomed to a walk-in system of care, common in Mexico and many Central American countries, or culturally-based fears about fever and other signs/symptoms of illness [38, 39, 43–45]. Prioritization of same-day sick care among Latina mothers, may contribute to reported disparities in the timeliness of care for Latino children [13, 46, 47].…”

Section: Discussionmentioning

confidence: 99%

The Voices of Limited English Proficiency Latina Mothers on Pediatric Primary Care: Lessons for the Medical Home

DeCamp

Kieffer

Zickafoose

et al. 2012

Matern Child Health J

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The objective of this study is to inform medical home implementation in practices serving limited English proficiency Latino families by exploring limited English proficiency Latina mothers’ experiences with, and expectations for, pediatric primary care. In partnership with a federally-qualified community health center in an urban Latino neighborhood, we conducted semi-structured interviews with 38 low-income Latina mothers. Eligible participants identified a pediatric primary care provider for their child and had at least one child 3 years old or younger, to increase the probability of frequent recent interactions with health care providers. Interview transcripts were coded and analyzed through an iterative and collaborative process to identify participants’ satisfaction with and expectations for pediatric primary care. About half of the mothers interviewed were satisfied with their primary care experiences. Mothers suggested many ways to improve the quality of pediatric primary care for their children to better meet the needs of their families. These included: encouraging providers to invest more in their relationship with families, providing reliable same-day sick care, expanding hours, improving access to language services, and improving care coordination services. Limited English proficiency Latina mothers expect high-quality pediatric primary care consistent with the medical home model. Current efforts to improve primary care quality through application of the medical home model are thus relevant to this population, but should focus on the parent-provider relationship and timely access to care. Promoting this model among practices that serve limited English proficiency Latino families could improve engagement and satisfaction with primary care.

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Knowledge and Management of Fever Among Latino Parents

Cited by 46 publications

References 12 publications

Knowledge and management of fever among Moroccan parents

Knowledge and management of fever among Moroccan parents

Fever awareness, management practices and their correlates among parents of under five children in urban India

The Voices of Limited English Proficiency Latina Mothers on Pediatric Primary Care: Lessons for the Medical Home

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