Differences in health-seeking behaviors by socioeconomic groups among the pediatric hydrocephalus patient population

摘要

ObjectiveIn collaboration with the Hydrocephalus Association, we assessed caregivers’ ability to identify symptoms related to shunt, ETV, or ETV/CPC failure, in addition to sociodemographic factors that influence health-seeking behaviors.MethodsWe conducted a national survey of 181 primary caregivers who sought hydrocephalus care within the previous year. Surveys assessing recognition of related shunt/ETV failure symptoms (amongst unrelated symptoms) were voluntarily completed. Demographics and socioeconomic characteristics were captured. Descriptive statistics and regression analyses were conducted using R (3.3.1).ResultsOver half (80%) of caregiver’s were 30 or older, and 68% completed college. Seventy-three percent reported a minimum household income of $45,000. Median age of children was 7.2?years (IQR1: 2.1, IQR3: 13.3), and median number of hydrocephalus surgeries was 4 (Q1: 3, Q3: 7). Related failure symptoms were accurately identified 91.5% of the time. Treatment was sought significantly sooner for vomiting and abnormal eye movement, as compared to other presenting symptoms (p?