gms | German Medical Science

Background: Recent studies find health risks associated with exposure to chemical pesticides. Young children are especially vulnerable among those affected.

Aim: The aim of this study is to investigate the considerations and decision-making processes of parents of children under 3 years of age regarding pesticide exposure.

Methods: A qualitative pilot study was conducted in the Netherlands. Six semi-structured interviews with parents with a child under 3 years old were performed. To ensure variation within the sample, geographic location, gender and living environment, were factors taken into account to ensure variation within the sample. Interviews were audio recorded and transcribed verbatim. After a member check, data were analyzed using thematic analysis techniques by two independent midwifery students, and assisted by MAXQDA software. The study followed the COREQ guidelines for reporting.

Results: Four main themes were identified: knowledge, exposure, topic of conversation and alternatives. Parents recognize a lack of knowledge, which affects their considerations and decision-making processes. They expressed the wish for more accessible information and a better understanding of the subject. Parents also suggested that government agencies and healthcare providers could play a role in providing reliable information.

All parents prioritized the health and safety of their children, so they actively try to avoid being exposed to pesticides. When considering a variation of alternatives how to deal with pesticides, they consider factors such as health risks, effectiveness, and price. The extent to which the topic is discussed in local communities varies, with it often not being discussed and the topic being perceived as a polarizing one.

Relevancy: This pilot study was exploratory in nature and provided a useful snapshot of parental considerations. The findings of this study may be valuable in supporting healthcare providers, including midwives, and government agencies in developing educational materials on this topic.

Discussion/conclusion/recommendations: Although no data saturation could be achieved in this pilot study, it gives a global impression. Parents actively make decisions about pesticide use, taking into account factors such as their knowledge of the topic, their children’s exposure, use of alternative products, and the level of discussion on the topic. However, due to limited information, further research is needed to fully understand the health effects of pesticide exposure on young children. This additional research would enable parents to access reliable information and make informed decisions.

Ethics and conflicts of interest: This abstract was written in the context of a bachelor’s thesis. A vote on ethics was not necessary. The research was financed by own resources. There are no conflicts of interest.