Fearful or functional - a cross-sectional survey of the concepts of childhood fever among German and Turkish mothers in Germany.docVIP

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Fearful or functional - a cross-sectional survey of the concepts of childhood fever among German and Turkish mothers in Germany.doc

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Fearful or functional - a cross-sectional survey of the concepts of childhood fever among German and Turkish mothers in Germany

Langeretal.BMCPediatrics2011,11:41 /1471-2431/11/41 RESEARCH ARTICLE OpenAccess Fearfulorfunctional-across-sectionalsurveyof theconceptsofchildhoodfeveramongGerman andTurkishmothersinGermany ThorstenLanger1,2*,MiriamPfeifer1,AynurSoenmez1,3,BilgeTarhan1,ElkeJeschke4andThomasOstermann5 Abstract Background:Feverisoneofthemostcommonpresentingcomplaintsinpaediatricsandgeneralpractice.Inthe majorityofcasesnothingharmfulisdiagnosed.However,thesubjectivemeaningoffeveroftenvariesbetween doctorsandparents.Knowledgeoftheparents’conceptoffevermayhelptailorcounsellingtotheirneeds. Inthisstudywedetermine1)theinfluenceofsocio-economicstatusandculturalbackgroundontwoconceptsof feverwhichwelabelled“functional”and“fearful”,eachrepresentingtypicalexperiencesofmothers,and2)the actionstakenbythemothersrelatedtotheseconcepts. Methods:AstandardizedinterviewstudywasconductedamongGermanandTurkishmothersinGermanyin 2009.Thequestionnaireconsistedof36questionsand205items.Interviewswereconductedin16private practicesofpaediatriciansand2paediatricemergencydepartmentsinanurbanregionofGermany.Thetwofever conceptswererepresentedin6statementsthatcouldberatedwithasix-pointLikertscale.Theassociationofthe socio-economicstatusandtheculturalbackgroundwithoneofthefeverconceptswasdeterminedbyamultiple logisticregression. Results:Atotalof338mothers(49%withaTurkishbackground)completedtheinterview(responserate92%).The averageageofmotherswithaGermanbackgroundwashigher(34.1yearsvs.32.0years,p=0.0001).Motherswith aTurkishbackgroundweremorelikelytorelatetotheconcept“fearful”[adjustedOddsRatio(AOR)1.99; confidenceinterval(CI)1.16-3.44].Motherswithamiddleorhighsocio-economicstatusweremorelikelyto respondtotheconcept“functional”[middle:AOR,0.53;CI,0.30-0.92;high:AOR,0.44;CI,0.21-0.95]. Mothersadheringtotheconcept“fearful”moreoftengaveacetaminophenbeforetherecommendedintervalof6 hours(46.8%vs.31.3%,p=0.005)andvisitedout-of-hoursservicesmorefrequentlyinthepreceding9months thantheothergroup(0.7vs.0.4,p=0.001). Concl