在COVID-19期间,随着时间的推移,对有医疗复杂性的儿童的学校认知和上学的情况
Ryan J Coller1, Gregory P DeMuri1, Jens C Eickhoff2
1Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
从2021年到2022年,医疗复杂性 (CMC) 的儿童的全日制,亲自上学的情况显著改善. 健康信念的感知,如动机和感知到的好处,预测这些孩子的出席率更高.
科学领域:
- 儿科健康 儿科健康
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 在COVID-19期间,有医疗复杂性 (CMC) 的儿童面临着学校出勤差异.
- 对学校安全感知和CMC的出勤预测指标的纵向数据仍然有限.
研究的目的:
- 检查家庭对学校安全感的变化以及CMC的全日制,亲自上学的预测因素.
- 分析健康信念模型对学校上学率的影响.
主要方法:
- 具有3个调查波 (2021年6月至2022年6月) 的前性纵向队列研究.
- 包括CMC的英语和西班牙语家庭,年龄在5-17岁,流行前就读.
- 多变量通用线性建模与重复测量分析了感知和出席的变化.
主要成果:
- 随着时间的推移,学校的安全感知得到了改善,但对COVID-19的感知易感性增加了.
- 全日制,面对面的上学率从48.4%上升到90.0% (p < .0001).
- 出席与动机,利益和线索有关 (例如,在第3波时,低动机与高动机的预测概率为76%与98%).
结论:
- 在研究期间,CMC的亲自上学率显著改善.
- 健康信仰的感知是全日制,亲自上学的关键预测因素.
- 学校的卫生政策应该在流行病期间促进家庭动机,福利和线索.
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