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Parental Decisions (parental + decision)

Distribution by Scientific Domains
Medical Sciences60%

Selected Abstracts

Parental decisions about vaccination: Collective values are important

JOURNAL OF PAEDIATRICS AND CHILD HEALTH, Issue 10 2008
Dr JULIE LEASK
No abstract is available for this article. [source]

Factors influencing parental decision to consult for children with upper respiratory tract infection

JOURNAL OF PAEDIATRICS AND CHILD HEALTH, Issue 4 2008
Chirk-Jenn Ng
Aim: This study aimed to determine which factors could influence (i) parents' decision to seek medical consultatin and (ii) their preference for either public or private medical service in children with upper respiratory tract infection. Methods: This cross-sectional study was conducted at the Gombak district, which is an urban area in Malaysia. We randomly selected parents of kindergarten children aged 4,5 years to participate in this questionnaire survey. The main outcome measures were predictors of early medical consultation and type of service utilisation (public versus private). Results: We achieved a response rate of 84.5% (n = 1033/1223). 64.1% sought early medical consultation and 70.9% preferred to consult a private doctor. Early consultation was predicated by the parent gender being male (OR 1.50; 95% CI 1.09, 2.05), non-Chinese (OR 1.75%; 95% CI 1.10, 2.79), and those who preferred child specialists (OR 2.02; 95% CI 1.27, 3.23). Lower income group (OR 4.28; 95% CI 2.30, 7.95) and not having a regular doctor (OR 4.99%; 95% CI 3.19, 7.80) were predictors of using the public health services. Conclusions: Parent's gender, ethnicity and income influenced their decision to seek early medical consultation for their children's respiratory illness while income and having a regular doctor could predict their choice of healthcare services. [source]

An Analysis of Kin-Provided Child Care in the Context of Intrafamily Exchanges

AMERICAN JOURNAL OF ECONOMICS AND SOCIOLOGY, Issue 2 2000
Linking Components of Family Support for Parents Raising Young Children
Little is known about why parents choose kin-provided child care and less is known about how kin-provided child care is related to other forms of in-kind support from relatives close-at-hand. Previous models of the choice of kin-provided child care assumed that the presence of other forms of in-kind support from relatives nearby was inconsequential to estimating effects of economic and demographic factors on the decision to use kin-provided child care. Using data from the National Longitudinal Survey of the Class of 1972, this study shows that this assumption is incorrect because use of kin-provided child care and intrafamily in-kind resource exchanges are interrelated. When the association between use of kin-provided child care and the presence of other family in-kind exchanges is ignored, the study shows that estimated effects for income, the price of child care, and maternal characteristics are underestimated. The findings provide a better understanding of why parents choose kin-provided child care by confirming that this decision is a part of a larger set of parental decisions about involvement in resource exchanges within extended families. My findings support recent child care bills aiming to increase parental choice of child care provider, broaden the definition of a provider to include non-coresident relatives, and expand price subsidies for kin-provided child care. [source]

Factors affecting outcomes of prenatally-diagnosed tumours

PRENATAL DIAGNOSIS, Issue 5 2002
K. L. Chan
Abstract Objective The outcomes of prenatally-diagnosed tumours affect obstetrical management and parental decisions. The present study reviews the factors affecting outcomes for fetuses with prenatally-diagnosed tumours. Methods Medical records of all fetuses referred to our institutions with antenatally-diagnosed tumours were reviewed for the type and location of the tumours, results of treatment and/or causes of death. Results From January 1994 to May 2001, there were 15 fetuses with antenatally- diagnosed tumours: mesoblastic nephroma (MN) (n=2); neuroblastoma (NB) (n=2); cystic hygroma (CH) (n=3); intracranial germ cell tumour (IGCT) (n=2); sacrococcygeal teratoma (SCT) (n=3) and haemangioma (liver, n=2; limb, n=1). One mother had termination of pregnancy for her fetal SCT. Three mothers had Caesarean section for large fetal heads (CH, n=2; IGCT, n=1). Three fetuses died; two with IGCT and one with SCT, who died of heart failure. Two newborns with CH needed emergency intubation and, later, one of them had tracheostomy. One baby had cardiac failure resulting from a lower limb haemangioma and needed drug therapy. All solid tumours (MN, NB, SCT) of the live births had no recurrence after surgery with or without adjuvant chemotherapy. Conclusion Prenatally-diagnosed tumours without any other associated abnormality cause morbidity and mortality because of their location and vascularity. Solid tumours are relatively benign. Copyright © 2002 John Wiley & Sons, Ltd. [source]

Perceptions of vaccine safety in a global context

ACTA PAEDIATRICA, Issue 2 2010
T Callréus
Abstract Given the serious consequences of low vaccine coverage, concerns and misconceptions need to be taken seriously and responded to appropriately to sustain accomplishments of immunization programmes. For parental decisions related to childhood vaccinations, it seems reasonable to assume that the cultural context of the immunization programme is of importance. This article is a short review of some recent studies of parental decision-making on vaccination in developed countries Kazaktstan, Uzbekistan and Northern Nigeria. Furthermore, an attempt is made to relate the findings in these studies to theoretical models of parental decision-making. Conclusion:, For the implementation of immunization programmes, it is important to develop an in-depth understanding of mechanisms underlying decisions to accept or reject the vaccination of a child. Theoretical models may aid in the understanding of these mechanisms. [source]