Knowledge, awareness, and practice (KAP) of Thai paediatricians in their child advocacy role regarding the health effects of particulate matter on children

Abstract

The impact of fine particulate matter (PM_2.5) airway pollution is common in many large cities globally but is particularly prevalent in Asia. Paediatricians have been involved in a front role of child advocacy, but little is known about the knowledge, awareness, and practice (KAP) of PM_2.5 among them. This survey assessed the KAP of PM_2.5 among Thai paediatricians and explored links to improve PM_2.5 health protection in children. The electronic questionnaire was given to paediatricians across various regions of Thailand. Out of 400 respondents, 399 participated. Results showed high self-evaluated knowledge of PM, PM₁₀ and PM_2.5. Recognition of PM_2.5 impact on children's health, such as asthma, sinusitis, and recurrent infections, was notable. Less understood were the effects of abortion, congenital anomalies, and obesity. Over 90 % agreed their communities faced PM_2.5 problems and advocating for PM_2.5 protection was a paediatrician's role, but 55 % felt confident in community communication about PM_2.5. Based on the recommendations of the Royal College of Pediatricians of Thailand (RCPT), the practice score indicated that 94 % could advise on PM_2.5 prevention. Knowledge, awareness, and practice related to PM_2.5 issues were associated with each other. Age, subspecialty graduation, advocacy role agreement, and awareness of PM_2.5 in their community were also linked to confidence in public communication with PM_2.5 issues.

In conclusion, associations between knowledge, awareness, and practice related to PM_2.5 were observed among Thai paediatricians. While awareness and general knowledge were high, confidence in community communication was relatively low. Recommendations include improving public communication skills and providing environmental health learning opportunities during training and continuing education.