Sci Rep. 2025 Dec 29;15(1):44854. doi: 10.1038/s41598-025-28421-8.
ABSTRACT
Pediatric infections are often closely linked to infections in families, schools, and communities, illustrating the importance of developing a holistic model of pediatric respiratory infection prevention. Research purposes were to construct a new preventive model for pediatric respiratory infection prevention and to clarify the relationships among impact factors in this model. Research method was a cross-sectional survey. A structured questionnaire was used to measure model variables, including “parental prevention measures (PPM),” “concern about pediatric vaccination (CPV),” “school precautionary measures (SPM),” and “children’s self-protection practices (CSPP).” Structural equation modeling analysis was performed to test four proposed hypotheses and identify the relationships among these variables. Research participants were 2420 parents with one or more 3-16-year-old children. Results identified five paths in research model. (1) “Parental prevention measures, PPM” directly affects “concerns about pediatric vaccination, CPV” [direct effect: 0.354], “school precautionary measures, SPM” [direct effect: 0.354], and “children’s self-protection practices, CSPP” [direct effect: 0.354]. (2) PPM affects CPV through the mediating effect of SPM (indirect effect: 0.04), resulting in a total effect of 0.394. (3) PPM affects CSPP through the mediating effect of SPM (indirect effect: 0.3), resulting in a total effect of 0.655. All these effects were statistically significant. Results strongly suggested that coordinating prevention strategies between families and schoolteachers is most effective in equipping children with the knowledge and behaviors to avoid infectious disease. Results confirmed that the newly constructed model for preventing pediatric respiratory infection was well fitted as a double mediation model. Further studies are needed to pursue the family-school health education model in the prevention of pediatric infectious disease. Key words: Parental prevention measures; Concern about pediatric vaccination; School precautionary measures; Children’s self-protection practices; Pediatric Respiratory Infection.
PMID:41461686 | DOI:10.1038/s41598-025-28421-8
