A community-based household survey was utilized to assess the relationship between thermometer use, home treatment and utilization of health care services. Using a cross-sectional design, the study surveyed 688 low income Mexican origin mothers of children between the ages of 8 and 16 months in San Diego County. Mothers were asked how they determine that their child has fever and how often they use a thermometer. Nearly 40% of low income Mexican mothers interviewed in San Diego county never used a thermometer for determining childhood fever. Approximately two-thirds (64.7%) relied either primarily or exclusively on embodied methods such as visual observation or touch to determine fever in their child. A multivariate logistic regression analysis determined that low education and a separated or divorced marital status decreased the odds of thermometer use, whereas regular contact with the health care system doubled the likelihood of thermometer use. Mothers who relied on embodied methods were more likely to use over-the-counter medications than those who relied on thermometers; however, no significant differences were found between groups using other methods of home treatment. Fever determination modalities can be used to screen for lack of access to care and to provide for other health care needs in a culturally appropriate manner. While clinicians' expectations may include parental experience with temperature taking, current pediatric literature questions the need for home-based thermometer use. Possible alternatives to the traditional rectal thermometer might include digital thermometers and color coded thermometer strips.

译文

利用基于社区的家庭调查来评估温度计的使用,家庭治疗和保健服务的使用之间的关系。该研究采用横断面设计,调查了圣地亚哥县688名8至16个月大的低收入墨西哥裔母亲。母亲被问及如何确定孩子发热以及使用温度计的频率。在圣地亚哥县接受采访的近40% 的低收入墨西哥母亲从未使用温度计来确定儿童发热。大约3分之2 (64.7%) 主要或仅依赖于具体的方法,如视觉观察或触摸来确定他们的孩子发热。多元逻辑回归分析确定,低学历和分居或离婚的婚姻状况降低了使用温度计的几率,而定期与医疗保健系统接触则使使用温度计的可能性增加了一倍。依赖具体方法的母亲比依赖体温计的母亲更有可能使用非处方药; 但是,使用其他家庭治疗方法的组之间没有发现显着差异。发热确定方式可用于筛查无法获得护理的机会,并以文化上适当的方式提供其他医疗保健需求。虽然临床医生的期望可能包括父母在体温测量方面的经验,但当前的儿科文献质疑使用家用温度计的必要性。传统直肠温度计的可能替代品可能包括数字温度计和彩色温度计条。

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