Literature DB >> 18605356

Unrealistic concerns about fever in children: the influence of cultural-ethnic and sociodemographic factors.

Hedva Tessler1, Rafael Gorodischer, Joseph Press, Natalya Bilenko.   

Abstract

BACKGROUND: Parental fear and misconceptions about fever are widespread in western society. Ethnicity and sociodemographic factors have been suggested as contributing factors.
OBJECTIVES: To test the hypothesis that undue parental concern about fever is less in traditional than in western cultural-ethnic groups.
METHODS: Bedouin (traditional society) and Jewish (western society) parents of children aged 0-5 years with fever were interviewed in a pediatric emergency unit. Interviews were conducted in the parents' most fluent language (Arabic or Hebrew). A quantitative variable (a 9 item "fever phobia" scale) was constructed.
RESULTS: The parents of 101 Jewish and 100 Bedouin children were interviewed. More Bedouin parents were unemployed, had less formal education and had more and younger children than the Jewish parents. Parents in both groups expressed erroneous beliefs and practices about fever; quantitative but not qualitative differences in fever phobia variables were documented. Compared with their Jewish counterparts, more Bedouin parents believed that fever may cause brain damage and death, administered antipyretic medications for temperature < or = 38 degrees C and at excessive doses, and consulted a physician within 24 hours even when the child had no signs of illness other than fever (all Pvalues <0.001). The mean fever phobia score was higher in the Bedouin than in the Jewish group (P< 0.001). By multivariate analysis, only the cultural-ethnic origin correlated with fever phobia.
CONCLUSIONS: A higher degree of fever phobia was found among parents belonging to the traditional Bedouin group as compared to western society parents.

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Year:  2008        PMID: 18605356

Source DB:  PubMed          Journal:  Isr Med Assoc J            Impact factor:   0.892


  9 in total

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4.  Randomised controlled trial of an intervention to improve parental knowledge and management practices of fever.

Authors:  M Kelly; L Sahm; S McCarthy; R O'Sullivan; A Mc Gillicuddy; F Shiely
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6.  Parental and medical knowledge and management of fever in Italian pre-school children.

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7.  Activation of the maternal caregiving system by childhood fever--a qualitative study of the experiences made by mothers with a German or a Turkish background in the care of their children.

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8.  Fever phobia in caregivers presenting to New Zealand emergency departments.

Authors:  Donagh MacMahon; Christine Brabyn; Stuart R Dalziel; Christopher Jd McKinlay; Eunicia Tan
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9.  Fever phobia in Korean caregivers and its clinical implications.

Authors:  Young Ho Kwak; Do Kyun Kim; Hye Young Jang; Jin Joo Kim; Jeong-Min Ryu; Seong Beom Oh; Eui Jung Lee; Ji Sook Lee; Jin Hee Lee; Jin Hee Jung; Seung Baik Han
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  9 in total

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