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We Asked, They Told Us: The Use of an Electronic Survey to Address Parental Health Concerns for Children
Melody Schaeffer1,2, Nicole Kozma1, Nila Garba1
1St. Louis Children's Hospital, St. Louis, MO, USA.
Insights
Community health needs assessments reveal evolving pediatric health concerns. In St. Louis, parents identified lack of exercise and bullying as top issues, with depression emerging as a growing concern.
Area of Science:
- Pediatrics
- Public Health
- Health Services Research
Background:
- Population health encompasses medical conditions and social determinants, assessed via community health needs assessments (CHNAs).
- Pediatric hospitals use CHNAs to understand community health priorities and guide services.
- Parental perspectives are crucial for identifying pressing health concerns affecting children.
Purpose of the Study:
- To analyze trends in parental-reported pediatric health concerns in the St. Louis Metropolitan area.
- To compare findings from two CHNA surveys conducted in 2016 and 2019.
- To identify emerging health topics requiring pediatric attention.
Main Methods:
- A pediatric hospital administered the Parent Health Concerns Survey to parents in two phases (2015-2016 and 2018).
- A total of 1156 parents responded in the first installment and 1022 in the second.
- Respondents were analyzed based on demographics, with top health topics ranked by perceived severity.
Main Results:
- Lack of exercise was the primary concern in 2016, while bullying emerged as the top concern in 2018.
- Depression showed the most significant increase in parental concern between the two survey periods.
- Emerging topics in 2018 included tobacco/smoking, depression, and access to health insurance.
Conclusions:
- Pediatric health concerns are dynamic, shifting from lifestyle factors to mental health and access issues.
- Pediatricians must be equipped to address a diverse and expanding range of health topics.
- CHNAs provide valuable insights for pediatric healthcare providers to tailor interventions and services effectively.
Abstract:
Population health includes medical conditions and social determinants of health, and it can be measured through community health needs assessments (CHNAs). A pediatric hospital utilized a survey to ask parents to rank different health topics based on the severity they present to children in the St. Louis Metropolitan for 2 installments of a CHNA (2016 and 2019). Between November 2015 and April 2016, 1156 parents and, between May 2018 and September 2018, 1022 parents responded to the Parent Health Concerns Survey. Respondents were most likely to be 25 to 44 years old, white, educated, have an income of at least $60 000, and work-related insurance. The top needs identified in 2016 and 2018 were lack of exercise and bullying, respectively. Depression saw the largest increase. Emerging topics in 2018 include tobacco/smoking, depression, and health insurance access. Our findings suggests that pediatricians should be prepared to address concerns across a wide variety of topics.
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