This study assessed parents' knowledge of injury risks for children, attitudes within children's injury-risk behaviours, and beliefs related to a number of aspects of childhood injuries. Parents completed questionnaires and participated in discussions using scenarios depicting child-injury situations that involved a parent and child. Results indicated that parents view injuries largely as a natural consequence of childhood and they believe children learn about risk avoidance from injury experiences. Parents' responses did not indicate a strong belief that injuries to children are preventable or that they should assume primary responsibility for preventing injuries to children. Parents readily identified potential injury consequences and alternative behaviours but provided a number of rationales for making choices that place their child at injury risk: explanations related to convenience, minimizing stress, placing their own goals as a priority, and believing they can keep the child safe in a hazardous situation. Injury prevention programming that targets parents needs to focus on increasing awareness of the scope of the problem and altering attitudes and beliefs related to prevention.
"The concept of injury prevention is also varied between the different participants and depended upon their professional backgrounds as also described in the literature . Qualitative studies on child injuries explore a range of factors elucidating their association with the occurrence of injury to children and its preventability: preventability of injuries at home , parents’ knowledge, attitude and beliefs related to child injuries [10,33], and knowledge and beliefs of mothers about child injuries . The promising response of the female community volunteers in Makwanpur and their keenness to help in preventing injuries could be the starting point for developing a community-based child injury prevention programme. "
[Show abstract][Hide abstract] ABSTRACT: Background
In Nepal, childhood unintentional injury is an emerging public health problem but it has not been prioritised on national health agenda. There is lack of literature on community perceptions about child injuries. This study has explored community perceptions about child injuries and how injuries can be prevented.
Focus group discussions were conducted with mothers, school students and community health volunteers from urban and rural parts of Makwanpur district in Nepal. FGDs were conducted in Nepali languages. These were recorded, transcribed and translated into English. A theoretical framework was identified and thematic analysis conducted.
Three focus group discussions, with a total of 27 participants, took place. Participants were able to identify examples of child injuries which took place in their community but these generally related to fatal and severe injuries. Participants identified risk factors such as the child’s age, gender, behaviours and whether they had been supervised. Consequences of injuries such as physical and psychological effects, impact on household budgets and disturbance in household plans were identified. Suggestions were made about culturally appropriate prevention measures, and included; suitable supervision arrangements, separation of hazards and teaching about safety to the parents and children.
Community members in Nepal can provide useful information about childhood injuries and their prevention but this knowledge is not transferred into action. Understanding community perceptions about injuries and their prevention can contribute to the development of preventive interventions in low income settings.
BMC Public Health 05/2014; 14(1):476. DOI:10.1186/1471-2458-14-476 · 2.26 Impact Factor
"This pattern is surprising, given that infants would be acquiring greater motor skills during this time frame and one might expect, therefore, that caregivers would provide more intense supervision to moderate the child's increasing ability to reach and interact with more hazards. Past research has found that parents do not routinely think about injury risk and are optimistically biased to assume they can keep young children safe (Morrongiello & Dayler, 1996). Hence, it might be that caregivers do not recognize that increasing mobility equates to greater injury risk. "
[Show abstract][Hide abstract] ABSTRACT: The present study examined the effect of child gender and maternal depressive symptoms on routine supervisory practices of mothers longitudinally.
Self-report supervision practices were obtained at various time points from 3 months through 3 years of age.
From 3 to 36 months, the quantity of time mothers reported supervising decreased from 7.1 to 6.3 hours, and the proportion of time spent in an intense style decreased from 63 to 46%, whereas that spent in a peripheral style increased from 14 to 32%. Mothers reported more time supervising girls and a greater proportion of this was in an intense style. Mothers with elevated depressive symptoms reported more time supervising but a lower proportion in an intense style.
Over the first 36 months of life, routine patterns of supervision change and these vary as a function of maternal depression symptoms and child gender. Implications for child injury risk are discussed.
"A lack of knowledge of practices that prevent children from being subjected to electrical injuries was also demonstrated in this study. This disagreed with a study in Canada 1996 that found that 63% of mothers protect their child from injury by electrical appliances.
The spectrum of electrical injury is broad, ranging from minimal injury to severe multi-organ involvement, to death. Children are primarily injured in the household setting.
Statistics on electrocutions from power points of 0 to 9 year olds obtained from the Victorian Emergency Minimum Dataset (VEMD) show that over 70% of accident"
[Show abstract][Hide abstract] ABSTRACT: Background: Accidental injuries are the most common cause of death in children over the age of one. Every year, millions of children are permanently disabled or disfigured because of accidents. Objective: To assess the level of knowledge of women with respect to children's domestic accidents, and to determine its association with some demographic factors. Method: This cross-sectional study was conducted in both sides of Baghdad City during the period from April through to August 2013. The targeted population were women attending the primary health care centers (PHCCs). A random sample of 20 PHCCs was taken through a stratified random sampling technique by dividing Baghdad City into its two main parts Karkh and Russafa. Ten centers were then chosen from each sector by a simple random sampling technique. A well-structured questionnaire was developed that constituted of questions on four main types of accidents involving children (poisoning by chemicals and detergents, electric shock, injuries from sharp instruments in the kitchen, and burns). Results: The total number of women enrolled in this study was 1032 aged from 15-50 years. The results revealed that only 9.2% of the mothers acquired a good level of knowledge in prevention of injuries from chemicals and detergents, and more than 90% were found to have poor knowledge. The same was found regarding knowledge about preventing electrical accidents caused by power sockets and electrical appliances where only 10.2% of the mothers were found to have a good level of knowledge. The results were not much better regarding accidents caused by fire, only 11.6% of the mothers scored well. With respect to dealing with accidents caused by sharp instruments in the kitchen, only 6.3% of the mothers obtained a score that indicated a good level of knowledge. Older mothers were statistically found to have a better level of knowledge than younger mothers. Higher educated mothers' were statistically associated with a lower level of knowledge in accident prevention. Mothers with more children and those whose children had previously been involved in an accident were found to have a better level of knowledge. Conclusion: It can be concluded from this study that women in Baghdad are poorly educated about how to protect their children against domestic accidents.
Qatar Medical Journal 12/2013; 2013(2):50-6. DOI:10.5339/qmj.2013.17
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