The Environment in Pediatric Practice: A Study of New York Pediatricians’ Attitudes, Beliefs, and Practices towards Children’s Environmental Health
| Autor: | Danielle Laraque, Raphael Falk, Sophie J. Balk, Philip J. Landrigan, Jacqueline Moline, David O. Carpenter, Joel Forman, Clyde B. Schechter, Jessica Geslani, Maida P. Galvez, George Dunkel, Richard K. Miller, Howard Frumkin, Leonardo Trasande, Evonne Kaplan-Liss, Joseph A. Boscarino, Nathan Graber, Katrina Smith Korfmacher |
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| Rok vydání: | 2006 |
| Předmět: |
Adult
Male Health Knowledge Attitudes Practice medicine.medical_specialty Health (social science) Attitude of Health Personnel media_common.quotation_subject New York Child Welfare Pediatrics Health informatics Article Likert scale Excellence Physicians Environmental health Epidemiology Humans Medicine media_common Response rate (survey) Licensure business.industry Data Collection Public health Public Health Environmental and Occupational Health Middle Aged Urban Studies Child Preschool Female Residence business Environmental Health |
| Zdroj: | Journal of Urban Health. 83:760-772 |
| ISSN: | 1468-2869 1099-3460 |
| DOI: | 10.1007/s11524-006-9071-4 |
| Popis: | Chronic diseases of environmental origin are a significant and increasing public health problem among the children of New York State, yet few resources exist to address this growing burden. To assess New York State pediatricians self-perceived competency in dealing with common environmental exposures and diseases of environmental origin in children, we assessed their attitudes and beliefs about the role of the environment in children's health. A four-page survey was sent to 1,500 randomly selected members of the New York State American Academy of Pediatrics in February 2004. We obtained a 20.3% response rate after one follow-up mailing; respondents and nonrespondents did not differ in years of licensure or county of residence. Respondents agreed that the role of environment in children's health is significant (mean 4.44 +/- 0.72 on 1-5 Likert scale). They voiced high self-efficacy in dealing with lead exposure (mean 4.16-4.24 +/- 0.90-1.05), but their confidence in their skills for addressing pesticides, mercury and mold was much lower (means 2.51-3.21 +/- 0.90-1.23; p0.001). About 93.8% would send patients to a clinic "where pediatricians could refer patients for clinical evaluation and treatment of their environmental health concerns." These findings indicate that New York pediatricians agree that children are suffering preventable illnesses of environmental origin but feel ill-equipped to educate families about common exposures. Significant demand exists for specialized centers of excellence that can evaluate environmental health concerns, and for educational opportunities. |
| Databáze: | OpenAIRE |
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