Parental disease prevention health beliefs and triggers for keeping children home from childcare—a qualitative study in Sydney, Australia

King, Catherine; Leask, Julie

doi:10.1111/cch.12481

Cited by 7 publications

(17 citation statements)

References 17 publications

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“…Choices were made in the context of family/societal obligations, peer expectations and needing to work, which was influenced by perceived illness severity (28). Indeed, gastrointestinal illnesses were considered more serious than colds and influenza despite parents recognizing infections can be spread by coughing (28). We also found a higher proportion of employed mothers among childcare attendees.…”

Section: Discussionmentioning

confidence: 82%

“…This may reflect parental decision making on attendance given their need to return to work and/or challenges with communicable disease control guidelines in childcare facilities. An Australian qualitative study examined parental disease prevention beliefs for sending children to childcare when unwell (28). Choices were made in the context of family/societal obligations, peer expectations and needing to work, which was influenced by perceived illness severity (28).…”

Section: Discussionmentioning

confidence: 99%

“…An Australian qualitative study examined parental disease prevention beliefs for sending children to childcare when unwell (28). Choices were made in the context of family/societal obligations, peer expectations and needing to work, which was influenced by perceived illness severity (28). Indeed, gastrointestinal illnesses were considered more serious than colds and influenza despite parents recognizing infections can be spread by coughing (28).…”

Section: Discussionmentioning

confidence: 99%

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Risk Factors for Chronic Cough in Young Children: A Cohort Study

et al. 2020

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Background and Objective: Data on the predictors of chronic cough development in young children are scarce. Our primary objective was to examine the factors associated with young children developing a chronic cough, with a focus on childcare attendance. Methods: A secondary analysis of data collected in a prospective cohort study of children presenting to three emergency departments and three primary healthcare centers in southeast Queensland, Australia. Eligible children where those aged <6-years presenting with cough and without known underlying chronic lung disease other than asthma. Children were followed for 4 weeks to ascertain cough duration. The primary outcome was persistent cough at day-28. Logistic regression models were undertaken to identify independent predictors of chronic cough including sensitivity analyses that accounted for children with unknown cough status at day-28. Results: In 362 children, 95 (26.2%) were classified as having chronic cough. In models that included only children for whom cough status was known at day-28, symptom duration at enrolment, age <12 months [adjusted odds ratio (aOR) 4.5, 95% confidence interval (CI) 1.1, 18.7], gestational age (aOR 3.2, 95%CI 1.4, 7.9), underlying medical conditions (aOR 2.6, 95% CI 1.3, 5.5), a history of wheeze (aOR 2.6, 95% CI 1.4, 4.8) and childcare attendance (aOR 2.3, 95% CI 1.2, 4.4) were independent predictors of chronic cough. Amongst childcare attendees only, 64 (29.8%) had chronic cough at day-28. The strongest predictor of chronic cough amongst childcare attendees was continued attendance at childcare during their illness (aOR = 12.9, 95% CI 3.9, 43.3). Conclusion: Gestational age, underlying medical conditions, prior wheeze and childcare attendance are risk factors for chronic cough in young children. Parents/careers need to be aware of the risks associated with their child continuing to attend childcare whilst unwell and childcare centers should reinforce prevention measures in their facilities.

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Section: Discussionmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Risk Factors for Chronic Cough in Young Children: A Cohort Study

et al. 2020

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“…The majority of the parents were between 31 and 40 years of age (n = 33), Australian born (n = 26), university educated (n = 28) and working outside the home (n = 28). Demographic details have been published previously . To preserve confidentiality, pseudonyms were assigned to all participants for reporting purposes.…”

Section: Resultsmentioning

confidence: 99%

“…Demographic details have been published previously. 25 To preserve confidentiality, pseudonyms were assigned to all participants for reporting purposes. Key emergent themes in relation to parental experiences of the pandemic are discussed below.…”

Section: Qualitative Interviewsmentioning

confidence: 99%

Much ado about flu: A mixed methods study of parental perceptions, trust and information seeking in a pandemic

King

Chow

Wiley

et al. 2018

Influenza Resp Viruses

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BackgroundEffective public health messaging is essential in both the planning phase and duration of a pandemic.ObjectivesThis study aimed to gain an understanding of parental information seeking, trusted sources and needs in relation to pandemic influenza A 2009 (pH1N1) to inform future policy planning and resource development.Patients/MethodsWe conducted a mixed methods study; parents from 16 childcare centres in Sydney, Australia, were surveyed between 16 November and 9 December 2009, and interviews were conducted with participants from six childcare centres between June 2009 and May 2011.ResultsFrom 972 surveys distributed, 431 were completed; a response rate of 44%. Most parents (90%) reported that doctors were “trusted a lot” as a source of influenza information, followed by nurses (59%), government (56%) and childcare centres (52%). Less trusted sources included media (7% selected “trusted a lot”), antivaccination groups (6%) and celebrities (1%). Parents identified a range of key search terms for influenza infection and vaccine. From 42 in‐depth interviews, key themes were as follows: “Action trigger,” “In an emergency, think Emergency,” “Fright to hype” and “Dr Google and beyond.” Parents relied heavily on media messages, but cynicism emerged when the pandemic was milder than expected. Parents viewed a range of information sources as trustworthy, including doctors, authoritative hospital or government websites, and childcare centres and schools.ConclusionsA user‐centred orientation is vital for pandemic communications including tailored information provision, via trusted sources based on what parents want to know and how they can find it.

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