Catálogo de publicaciones - revistas

<jats:title>Abstract</jats:title><jats:sec><jats:title>Objective</jats:title><jats:p>The purpose of this study is to assess the influences of environment, population characteristics, and service utilization on participation frequency and involvement in the home setting among children 0 to 5 years.</jats:p></jats:sec><jats:sec><jats:title>Method</jats:title><jats:p>Data were collected from parents of 236 children (mean age 3 years and 5 months, <jats:italic>SD</jats:italic> = 1.30, girls = 152 and boys = 84) using a children's treatment centre in Ontario through an online survey. Two path models measuring home frequency and home involvement were assessed using structural equation modelling. The exogenous factors in the models included child's age, child's sex, child's complexity, number of environmental barriers, income, mother's participation, and service utilization. In addition to participation as the primary outcome, each model explored predictors of service utilization and mother's participation.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>The involvement model (<jats:italic>R</jats:italic><jats:sup>2</jats:sup> = 0.46) explained more variance than the frequency model (<jats:italic>R</jats:italic><jats:sup>2</jats:sup> = 0.33). Age (0.35, <jats:italic>P</jats:italic> &lt; 0.001) and barriers (0.07, <jats:italic>P</jats:italic> = 0.001) predicted participation frequency in the home, <jats:italic>χ</jats:italic><jats:sup>2</jats:sup>(9) = 8.51, <jats:italic>P</jats:italic> &lt; 0.4, root mean square error of approximation (RMSEA) = 0.00, comparative fit index (CFI) = 1.00. The home involvement model, <jats:italic>χ</jats:italic><jats:sup>2</jats:sup>(6) = 9.79, <jats:italic>P</jats:italic> &lt; 0.13, RMSEA = 0.06, CFI = 0.97, showed that increasing age (0.09, <jats:italic>P</jats:italic> &lt; 0.001), lower complexity (0.13, <jats:italic>P</jats:italic> = 0.001), and higher mother's participation (0.057, <jats:italic>P</jats:italic> = 0.001) were significantly related to higher participation. An increase in child's age or complexity significantly influenced service utilization across both models. Complexity reduced mother's participation in both the frequency and involvement models.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>This study is one of the first in Canada to examine participation of young children. The aggregation of each unit factor, particularly barriers and complexity, can accrue a large impact on the child's and mother's participation. The potential to mediate this impact by removing environmental barriers and promoting mother's participation merits further study.</jats:p></jats:sec>

<jats:title>Abstract</jats:title><jats:sec><jats:title>Objective</jats:title><jats:p>The objective was to carry out a systematic review on the acceptance of parents to vaccinate their children against COVID‐19 and the factors that contribute for vaccination hesitancy.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>The Preferred Reporting Items for Systematic Re‐ views and Meta‐Analyses (PRISMA) guidelines and the Patient, Intervention, Comparison and Outcome (PICO) strategy were followed. A search was carried out in the VHL Regional Portal, PubMed, Scielo, Web of Science, Embase and Scopus databases. We included articles that assessed the rate of acceptance and/or hesitation of parents and the factors that affect the decision about vaccination against COVID‐19 for their children in cross‐sectional studies. Laboratory studies, animal models, tests and case reports that elected other aspects related to COVID‐19 were excluded. The methodological quality of the studies was based on the JBI Critical Appraisal Checklist for Studies Reporting Prevalence Data, developed by the Joanna Briggs Institute.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>From the 708 articles found, 237 studies remained after removal of duplicates. Titles and abstracts of these publications were evaluated and, applying the exclusion criteria, 56 articles were selected. Inclusion criteria were employed and 28 studies were eligible. Overall average vaccination acceptance rate was 55.81%, and the main reasons for vaccine hesitancy were uncertainty of vaccine efficacy and safety, concerns about side effects, and lack of access to relevant information.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>The research results can be useful for the development of health education and parental awareness strategies in order to promote greater adherence to vaccination against COVID‐19.</jats:p></jats:sec>