在COVID-19期间为患有医疗复杂性的儿童做出学校出勤决定
Ryan J Coller1, Michelle M Kelly1, Jens Eickhoff2
1Departments of Pediatrics.
Pediatrics
|July 2, 2023
概括
五分之一患有医疗复杂性 (CMC) 的儿童因感知障碍而错过了面对面的学校. 解决家庭对学校安全和鼓励的看法,可以改善这些弱势学生的上学率.
科学领域:
- 儿科 儿科 儿科
- 公共卫生 公共卫生
- 健康 行为 健康行为
背景情况:
- 对于有医疗复杂性 (CMC) 的儿童来说,上学对于他们的发展和福祉至关重要.
- 父母对COVID-19风险的看法显著影响了CMC面对面学校教育的决定.
- 了解学校上学的预测因素对于开发有针对性的干预措施至关重要.
研究的目的:
- 在COVID-19大流行期间,量化CMC中个人上学率.
- 确定亲自上学的关键预测因素,重点关注父母的看法和健康信念模型 (HBM).
主要方法:
- 一项调查研究涉及美国中西部1330名CMC (5-17岁) 的家长.
- 利用健康信念模型构造 (益处,障碍,动机,线索,易感性,严重性) 来评估父母的看法.
- 采用探索性因子分析和多变量后勤回归来识别出勤预测因素.
主要成果:
- 19%的CMC没有亲自上学.
- 父母感知到的障碍,动机和线索是出席的重要预测因素.
- 年龄较小和之前的COVID-19感染也预测了出席率,而感知到的好处,易感性和严重程度则没有.
结论:
- 很大一部分CMC缺少了面对面的教育.
- 家庭对学校安全措施的看法和鼓励是影响出席率的关键因素.
- 干预措施应侧重于解决家长的担忧,并促进有利于参加CMC的学校环境.
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