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A survey of parental health-seeking behaviour, knowledge, and expectations around ear infection symptoms in children
Catherine V Hayes1, Haroon Ahmed2, Julie V Robotham3
1Primary Care and Interventions Unit, AMR and HCAI division, UK Health Security Agency, Gloucester, UK Catherine.hayes@UKHSA.gov.uk.
Insights
Parents frequently seek medical care for children's ear infections, driven by symptom severity and daily life disruptions. Addressing parental knowledge gaps could reduce unnecessary consultations and antibiotic use for common childhood ear infections.
Area of Science:
- Pediatrics
- General Practice
- Health Services Research
Background:
- Middle ear infections lead to approximately 500,000 UK primary care consultations annually.
- Ear infections are a leading cause of antibiotic prescriptions in children.
Purpose of the Study:
- To investigate parental experiences and actions when their child exhibits symptoms of an ear infection.
- To identify factors influencing healthcare consultations and antibiotic prescriptions for childhood ear infections.
Main Methods:
- An online survey was administered to 503 parents in England whose children (aged 10 or younger) had suspected ear infection symptoms within the past 12 months.
- Retrospective self-reported data were analyzed using multivariable logistic regression to examine associations with consulting healthcare providers and antibiotic prescription rates.
Main Results:
- 90% of parents consulted healthcare for their child's ear infection symptoms, with 74% doing so within 1-2 days.
- Factors associated with consulting included symptom severity, duration, impact on work/childcare, and presence of fluid in the ear.
- 55.7% of children who consulted received antibiotics, and 36% of parents believed antibiotics are always necessary for ear infections.
Conclusions:
- Parental decisions to consult are influenced by perceived risk, treatment needs, and daily life impacts.
- Knowledge gaps regarding the self-limiting nature of some ear infections exist among parents.
- Targeted educational interventions could potentially decrease primary care visits and antibiotic prescribing for pediatric ear infections.
Background:
An estimated half a million UK primary care consultations are due to middle ear infections annually. In children, ear infections are one of the most common reasons for antibiotic use.
Aim:
To describe parents' experiences and actions for their child's ear infection symptoms.
Design & Setting:
Online survey with parents of children aged ≤10 years who had suspected ear infection symptoms in the previous 12 months in England.
Method:
Data were collected retrospectively and through self-report. Multivariable logistic regression explored association of variables with consulting and reported prescription of antibiotics.
Results:
In total, 503 parents participated. Most parents perceived their child's symptoms as mild (25.8%) or moderate (64.6%). Consulting health care was the most reported action (90.3%); 74.0% consulted within 1-2 days. Perceived severity and duration of symptoms were associated with consulting. Parents were concerned about serious illness and the need for treatment. Other factors associated with consulting were missing work (adjusted odds ratio [aOR] 4.8, 95% confidence interval [CI] = 1.6 to 14.8), childcare impacts (aOR 3.1, 95% CI = 1.0 to 9.5), and fluid in child's ear (aOR 3.9, 95% CI = 1.48 to 10.5). Of consultors, 55.7% (253/454) reported receiving an antibiotic. Of all parents (503), 36.4% believed children always require antibiotics for ear infections.
Conclusion:
Most parents consult for their child's ear infection symptoms and are prompted by impacts on daily life and perceptions of risk and treatment needs. There are knowledge gaps that, if addressed, may help to reduce primary care consultations and antibiotic use by supporting parents to manage self-limiting ear infections in children.
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