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Published on: August 7, 2017
Effects of infant bronchiolitis on family life
Rémy Assathiany1, Marc Sznajder1, Fabienne Cahn-Sellem1
1Association Française de Pédiatrie Ambulatoire (AFPA), Ancenis, France.
Insights
Bronchiolitis in infants significantly impacts families, causing anxiety and disrupting home and work life. Healthcare providers should recognize these familial and socioeconomic effects to better support affected families.
Area of Science:
- Pediatrics
- Public Health
- Family Medicine
Background:
- Bronchiolitis is a common viral respiratory infection in infants, frequently caused by respiratory syncytial virus.
- It is a leading cause of hospitalization for children under two years old, sometimes necessitating intensive care.
- Potential short-term infectious complications and long-term risks, such as asthma development, exist.
Purpose of the Study:
- To investigate the familial and socioeconomic consequences of infant bronchiolitis.
- To understand the broader impact of bronchiolitis beyond its immediate medical effects.
Main Methods:
- A study involving 2,059 parents whose children had bronchiolitis between January 2021 and May 2022.
- Data collected via questionnaires from two parent groups: the Mpedia site and the Malin Programme (serving families with financial difficulties).
Main Results:
- Hospitalization was required in 37% of cases, with similar rates across groups.
- Moderate to severe anxiety affected 73% of parents, rising to 87% for hospitalized children.
- Significant impacts on daily home life (84%) and work life (90%) were reported, with 60% taking leave from work.
Conclusions:
- Infant bronchiolitis has profound familial and socioeconomic repercussions, including psychological distress and disruption to daily life.
- Physicians need increased awareness of these non-medical consequences to mitigate their impact on families.
- Addressing the broader familial impact is crucial for comprehensive infant bronchiolitis care.
Background:
Bronchiolitis is a respiratory infection of viral origin and is often linked to syncytial respiratory virus. It is the most frequent cause of hospitalisation in children aged under 2 years and sometimes requires transfer to intensive care. Infectious complications may also arise in the short term, and longer-term progression towards asthma is also possible. The occurrence of bronchiolitis in children may affect families in different ways, and may have psychological, organisational, employment-related, and possibly financial consequences.
Objective:
The aim of the study was to determine the familial and socioeconomic repercussions of bronchiolitis in infants.
Setting:
Parents with a child with bronchiolitis between January 2021 and May 2022, who were registered at the site of the Association Française de Pédiatrie Ambulatoire (Mpedia site) or at the site of the Malin Programme, which serves families experiencing financial difficulties, were included in the study.
Participants:
All parents consenting to participate in the study.
Results:
A total of 2,059 valid questionnaires were retrieved: 1,318 (64%) were obtained from parents through the Mpedia website and 741 (36%) were obtained through the Malin Programme. Parents associated with the Malin Programme had more children, as well as higher rates of unemployment and financial difficulties, and required greater medical assistance. Hospitalisation was necessary in 37% of cases and was comparable between groups. During the illness, moderate to severe anxiety was present in 73% of parents; this percentage rose to 87% if the child required hospitalisation. Many parents reported effects on daily home (84%) and work life (90%), and 60% had taken a leave of absence from work.
Conclusion:
Beyond the immediate or longer-term medical consequences of bronchiolitis in infants, the illness affects families in multiple ways and can lead to anxiety, as well as changes in day-to-day home and work life. Physicians should have greater awareness of these consequences and should strive to decrease their impact.
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