Suja S Rajan, Debanshu Roy, Rigoberto Delgado
Factors Associated With Childhood Vaccination Adherence in Kindergartens of the Houston Independent School District
Journal of public health management and practice : JPHMP
responding international research showing early introduction common food allergens reduce chance developing allergies 2016 australasian society clinical immunology allergy ascia revised allergen introduction guidelines recommending earlier introduction allergens infants first year australia high food allergy rates limited understanding adherence allergen introduction guidelines especially rural areas project explored rural parent adherence ascia guidelines mixed method cross sectional study using online survey including multiplechoice qualitative short answer responses sample 336 women two rural health districts new south wales aged 18 either pregnant delivered baby since july 2018 descriptive statistics used measure behavioural alignment recommended guidelines thematic analysis used analyse attitudes explanations 843 children feeding adhered four guidelines studied including elimination allergens pregnancy 98 age introduction solids 977 continuation breast milkcows milk formula introduction solids 95 age introduction allergens 929 adherence significantly correlated education x2 179 p 056 prior history allergy neither mother x2 0945p 623 previous children x2 0401p 818 primary care received pregnancy 90 participants agreed strongly agreed guidelines realistic trustworthy important health child however thematic analysis revealed parents perceptions childs individual progress medical conditions circumstances challenges breastfeeding often take precedence adherence specific guideline recommendations high rates adherence ascia guidelines found comparable findings metropolitan studies encouraging future population health participant comments guidelines imply rural policymakers multiple influences parent decisions infant feeding often including parents intuition experiences studies improve understanding role information carers influences parent decisionmaking concerning feeding attitudes behaviours necessary optimise adherence rural areas