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Xie Y, Yu X, Wu X, Zhang W, Feng Z, Xiao F, Deng X, Dai W, Zhao S. Association between the guardians' educational levels and unintentional injuries in children aged 6-18 in Shenzhen, China. BMC Public Health 2024; 24:2344. [PMID: 39210286 PMCID: PMC11360880 DOI: 10.1186/s12889-024-19748-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2023] [Accepted: 08/09/2024] [Indexed: 09/04/2024] Open
Abstract
BACKGROUND Unintentional injuries is the leading cause of death in children aged 6-18 in China. Previous studies on the association between the guardians' educational levels and unintentional injuries in children have been inconclusive, and it remains unclear among the Chinese population. Therefore, this study aimed to identify the association between guardians' educational levels and unintentional injuries in children aged 6-18 in Shenzhen, China. METHODS This cross-sectional study enrolled 9,903 children aged 6-18 in Shenzhen in 2020 using a multistage cluster sampling method. Information on the children and guardians were collected, and unintentional injuries in the past year was examined by using two nested questions. Logistic regression analyses were used to test the association between the guardians' educational levels and unintentional injuries in children aged 6-18, and the crude odds ratios (ORs) and adjusted ORs with 95% confidence intervals (95% CI) were calculated. RESULTS 275 of the 9,903 children reported experiencing at least one unintentional injuries in the past year, and the weighted incidence of unintentional injuries was 6.3% (95% CI: 5.8-6.8%) in children aged 6-18 in Shenzhen, China. The incidence of unintentional injuries differed significantly in the guardians' education levels (P < 0.05). After adjustment for the children's variables, multiple binary logistic regression analysis showed that compared to children whose guardians' educational levels were low, children whose guardians' educational levels were high (adjusted OR = 0.57, 95% CI: 0.37-0.87) and medium (adjusted OR = 0.56, 95% CI: 0.39-0.81) had a lower odds of unintentional injuries. Similar results were also observed when further adjustment for both the children's and guardians' variables. CONCLUSION The overall incidence of unintentional injuries in children aged 6-18 in Shenzhen was low, and it was associated with the guardians' educational levels. Children whose guardians' educational levels were low should be given special concern to prevent unintentional injuries, and it is suggested to reduce the incidence of unintentional injuries in children by improving the guardians' educational levels.
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Affiliation(s)
- Yu Xie
- Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, Hunan, China
| | - Xiaoxuan Yu
- Department of Stomatology and Prevention, Longhua District Chronic Disease Control Center, Longhua District, Shenzhen, Guangdong, China
| | - Xinyin Wu
- Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, Hunan, China
| | - Wenyan Zhang
- Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, Hunan, China
| | - Ziling Feng
- Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, Hunan, China
| | - Fang Xiao
- Department of Toxicology, Xiangya School of Public Health, Central South University, Changsha, Hunan, China
| | - Xiao Deng
- Division of Injury Prevention and Mental Health, National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Wenjie Dai
- Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, Hunan, China.
| | - Shaojuan Zhao
- Department of Business Management, Longhua District Chronic Disease Control Center, Longhua District, Shenzhen, Guangdong, China.
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Slemaker A, Espeleta HC, Heidari Z, Bohora SB, Silovsky JF. Childhood Injury Prevention: Predictors of Home Hazards in Latino Families Enrolled in SafeCare®. J Pediatr Psychol 2017; 42:738-747. [PMID: 28369463 DOI: 10.1093/jpepsy/jsx045] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2016] [Accepted: 01/06/2017] [Indexed: 11/14/2022] Open
Abstract
Objective This archival project (a) examined potential risk and protective factors for hazards in the homes of Spanish-speaking immigrant Latino families and (b) provided an independent examination of the SafeCare®+ Home Safety module adapted for Latino families at high risk for child neglect. Methods The sample comprised 92 Latina caregivers of young children enrolled in SafeCare®+. Results Results of the negative binomial regression model of predictors of home hazards before the Home Safety module found none of the factors were significant. The longitudinal analysis with a negative binomial model found significant effects both during (b = -0.905, p < .001) and after (b = -2.118, p < .001) the intervention. Depression was negatively associated with the number of hazards (b = -0.026, p < .05, β = -.1858). Conclusions Support for application of SafeCare®+ Home Safety module to prevent access to hazards for Latino children was found.
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Affiliation(s)
| | | | - Zohal Heidari
- Department of Pediatrics, University of Oklahoma Health Sciences Center
| | - Som B Bohora
- Department of Pediatrics, University of Oklahoma Health Sciences Center
| | - Jane F Silovsky
- Department of Pediatrics, University of Oklahoma Health Sciences Center
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Abstract
In response to a dearth of research on injuries among children of immigrants, this study examined child injury rates by immigrant generation. We used generalized estimating equations and nationally representative data to estimate injury risk for school-aged children of immigrants of different generations compared to children of native, US-born parents. After controlling for multiple other factors including socioeconomic status, citizenship, and children's general health, both 1st and 2nd generation school-aged children had significantly lower odds of having injuries compared to children of natives. Additional analyses also found lower odds of injuries among 1st and 2nd generation children relative to children of natives that persisted in both lower- and higher-income families. The findings suggest that 1st and 2nd generation immigrant families possess factors that protect children from injury independent of socioeconomic status. Policy and program development would benefit from a clearer understanding of these protective factors.
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Johnston CA, Vaughan E, Moreno JP. The Difficulty of Prevention: A Behavioral Perspective. Am J Lifestyle Med 2016; 10:14-16. [PMID: 30202254 PMCID: PMC6124857 DOI: 10.1177/1559827615609532] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2015] [Accepted: 09/11/2015] [Indexed: 11/16/2022] Open
Abstract
Behavioral medicine provides insight in to the problem of injury prevention. Society often views unintentional injuries as only an accident when in reality many accident-related injuries are preventable. However, barriers to behavioral change in injury prevention exist for both patients (eg, inconvenience, perceived risk-benefit ratio) and health care providers (eg, feeling of badgering nonadherent patients, patient misinformation). To overcome barriers, the article discusses strategies for health care providers to address injury prevention such as choosing active over passive strategies, informing patients of predictable injury-prone circumstances, and individualizing patient risks.
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Affiliation(s)
- Craig A. Johnston
- Craig A. Johnston, PhD, Department of Health and Human Performance, University of Houston, Houston, TX 77030; e-mail:
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Hurtado AM, Lambourne CA, Hill KR, Kessler K. The public health implications of maternal care trade-offs. HUMAN NATURE-AN INTERDISCIPLINARY BIOSOCIAL PERSPECTIVE 2015; 17:129-54. [PMID: 26181411 DOI: 10.1007/s12110-006-1014-y] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/15/2003] [Revised: 01/25/2005] [Accepted: 02/04/2005] [Indexed: 11/30/2022]
Abstract
The socioeconomic and ethnic characteristics of parents are some of the most important correlates of adverse health outcomes in childhood. However, the relationships between ethnic, economic, and behavioral factors and the health outcomes responsible for this pervasive finding have not been specified in child health epidemiology. The general objective of this paper is to propose a theoretical approach to the study of maternal behaviors and child health in diverse ethnic and socioeconomic environments. The specific aims are: (a) to describe a causal pathway between the utility that women obtain through work outside the home and through child care and disease hazard rates in childhood using an optimization model; (b) to specify the influence of ethnic and socioeconomic factors on model constraints; (c) to use the model as a tool to learn about how different combinations of maternal wage labor and child care time might influence child health outcomes in diverse social contexts; (d) to identify parameters that will require measurement in future research; (e) to discuss research strategies that will enable us to obtain these measurements; and (f) to discuss the implications of the model for biostatistical modeling and public health intervention. Optimization models are powerful heuristic tools for understanding how ethnic, environmental, family, and personal characteristics can place important constraints on both the quality and quantity of care that women can provide to their children. They provide a quantitative appreciation for the difficult trade-offs that most women face between working in order to purchase basic goods that children cannot do without (e.g., food, clothing, shelter, health insurance), and increasing offspring well-being through child care (e.g., training in social skills, affection, protection from environmental hazards, help with homework).
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Affiliation(s)
- A Magdalena Hurtado
- Department of Anthropology, MSC 01-1040, University of New Mexico, 87131-0001, Albuquerque, NM.
| | - Carol A Lambourne
- Department of Anthropology, MSC 01-1040, University of New Mexico, 87131-0001, Albuquerque, NM.
| | - Kim R Hill
- Department of Anthropology, MSC 01-1040, University of New Mexico, 87131-0001, Albuquerque, NM
| | - Karen Kessler
- Department of Anthropology, MSC 01-1040, University of New Mexico, 87131-0001, Albuquerque, NM
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Maternal perceptions of supervision in pre-school-aged children: a qualitative approach to understanding differences between families living in affluent and disadvantaged areas. Prim Health Care Res Dev 2014; 16:346-55. [PMID: 24871079 DOI: 10.1017/s1463423614000218] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
AIM To explore maternal perceptions of supervision and childhood unintentional injury in order to develop understanding and explanation for differences in unintentional injury rates between an advantaged and disadvantaged area. BACKGROUND Unintentional injury is the second cause of mortality and a significant cause of morbidity in the zero to four year age group. Children living in socio-economic disadvantage are at a greater risk of unintentional injury than their more affluent counter-parts. METHODS Qualitative study using semi-structured interviews; content data analysis was undertaken. Participants included 37 mothers with a child aged less than five years; 16 living in an area of disadvantage (and high rate of childhood unintentional injury) and 21 living in an advantaged area (and low rate of childhood unintentional injury). FINDINGS Parents in both areas described the importance of parental supervision in reducing child unintentional injury risks. Parents in both areas used listening as a supervision strategy. Parents in both areas described how 'when the child goes quiet' that is a cue for them to make a visual check on the child. Listening was used more for boys than girls in both areas, but parents in the advantaged area used listening as a supervision strategy more frequently than those in the disadvantaged area. Parents described supervision strategies as being shaped by child character and age rather than child gender. Parents in both areas described similar strategies for managing distractions. An important difference was found with regard to older siblings; parents living in the advantaged area described older siblings as an injury risk to younger children. Parents in the disadvantaged area described older siblings as providing some supervision for younger children. Parents living in disadvantaged circumstances may face greater challenges with regard to supervision than parents living in advantaged circumstances and this may partly explain differences in injury risk.
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Setien MA, Han D, Zuniga GC, Mier N, Lucio RL, Treviño L. Does Injury Prevention Education Initiate Household Changes in a Spanish-Speaking Minority Population? J Community Health 2013; 39:167-72. [DOI: 10.1007/s10900-013-9755-0] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Zhu HP, Xia X, Xiang HY, Yu CH, Du YK. Disability, home physical environment and non-fatal injuries among young children in China. PLoS One 2012; 7:e37766. [PMID: 22624063 PMCID: PMC3356301 DOI: 10.1371/journal.pone.0037766] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2012] [Accepted: 04/24/2012] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVES We compared the patterns of medically attended injuries between children with and without disabilities and explored the residential environment risks in five counties of Hubei Province in the People's Republic of China by a 1:1 matched case-control study based on the biopsychosocial model of the International Classification of Functioning, Disability and Health--ICF. METHODS 1201 children aged 1-14 with disabilities and 1201 their healthy counterparts matched as having the same gender, same age, and lived in the same neighborhood were recruited in our study. Characteristics of injuries in the past 12 months were compared between children with and without disabilities. The associations among disability status, home environment factors and injuries were examined in logistic regression analysis taking into account sociodemographic factors. RESULTS Children with disabilities had a significantly higher prevalence of injury than children without disabilities (10.2% vs. 4.4%; P<.001). The two groups differed significantly in terms of number of injury episodes, injury place and activity at time of injury. Falls were the leading mechanism of injury regardless of disability status. Most of the injury events happened inside the home and leisure activities were the most reported activity when injured for both groups. The univariate OR for injury was 4.46 (2.57-7.74) for the disabled children compared with the non-disabled children. Disabled children whose family raised cat/dog(s) were 76% more likely to be injured during the last 12 months (OR = 1.76; 95% CI = 1.02, 3.02), comparing with those whose family did not have any cat/dog. And for children without disabilities, those whose family had cat/dog(s) were over 3 times more likely to having injuries comparing with those whose family did not have any cat/dog. CONCLUSIONS Children with disabilities had a significantly increased risk for injury. Interventions to prevent residential injury are an important public health priority in children with disabilities.
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Affiliation(s)
- Hui-ping Zhu
- Department of Maternal and Child Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Xin Xia
- Department of Social Medicine and Health Management, School of Public Health, Wuhan University, Wuhan, China
| | - Hui-yun Xiang
- Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, The Ohio State University, Columbus, Ohio, United States of America
| | - Chuan-hua Yu
- Department of Epidemiology and Statistics, School of Public Health, Wuhan University, Wuhan, China
| | - Yu-kai Du
- Department of Maternal and Child Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
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Crosslin KL, Tsai R, Romo CV, Tsai A. Acculturation in Hispanics and childhood poisoning: are medicines and household cleaners stored properly? ACCIDENT; ANALYSIS AND PREVENTION 2011; 43:1010-1014. [PMID: 21376895 DOI: 10.1016/j.aap.2010.11.032] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/10/2010] [Revised: 11/15/2010] [Accepted: 11/30/2010] [Indexed: 05/30/2023]
Abstract
BACKGROUND Unintentional poisonings are a major public health issue in the United States (US). With the increasing number of Hispanics in the US, childhood poisoning is a salient public health issue to address within this population. There is a paucity of research examining the relationship between acculturation in Hispanics and the safe storage of medicines and cleaners. The purpose of the study was to determine if demographic variables, such as acculturation in Hispanics, age, gender and education, were predictive of incorrectly storing medicines and household cleaners. METHODS We conducted a study among parents/guardians of small children at two pediatric primary care clinics in the Dallas/Fort Worth (DFW) Metropolitan area. We enrolled 201 parents to identify where they stored medicines and household cleaners, and measured acculturation with the Short Acculturation Scale for Hispanics. RESULTS Of Hispanic participants, 49% were categorized as less acculturated (n = 99) while 21% were more acculturated (n = 42). Less acculturated participants were over 4 times more likely to store medicines incorrectly, and participants with a high school education or less were over 3 times more likely to improperly store cleaners. With each additional child in the household, the risk for improper storage of cleaners increased by 44%. CONCLUSION The fact that children of less acculturated families are at greater risk for poisoning and have lower levels of education demonstrates the need for readable educational materials on this salient topic. Because social networks are integral in Hispanic culture, especially among new immigrants, poison prevention messages should be disseminated by interpersonal communications.
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Affiliation(s)
- Katie L Crosslin
- Department of Health Studies, Texas Woman's University, PO Box 425499, Denton, TX 76204-5499, USA.
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Smithson J, Garside R, Pearson M. Barriers to, and facilitators of, the prevention of unintentional injury in children in the home: a systematic review and synthesis of qualitative research. Inj Prev 2010; 17:119-26. [PMID: 21097943 PMCID: PMC3184217 DOI: 10.1136/ip.2010.026989] [Citation(s) in RCA: 48] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
Abstract
Background This review considers barriers to, and facilitators of, success for interventions to reduce unintentional injury to children in the home through supply and/or installation of home safety equipment, and looks at risk assessments. Methods A systematic review of qualitative research. Bibliographic databases were searched for studies on interventions to reduce unintentional child injury in the home, or on related attitudes and behaviours. Studies were quality appraised, findings extracted, and a conceptual framework was developed to assess factors affecting the success of interventions. Results Nine peer-reviewed journal articles were included. Barriers and facilitators were highlighted at organisational, environmental and personal levels. Effective provision of safety equipment involves ongoing support with installation and maintenance. Take up and success of interventions depends on adjusting interventions according to practical limitations and parents' cultural expectations. A particular barrier was parents' inability to modify rented or shared accommodation. Conclusions The review highlights ways in which health inequalities affect the take up and success of home safety interventions, and how health workers can use this knowledge to facilitate future interventions.
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Affiliation(s)
- Janet Smithson
- College of Life and Environmental Sciences, University of Exeter, Washington Singer Laboratories, Exeter, UK.
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Waldstein A. Popular medicine and self-care in a Mexican migrant community: toward an explanation of an epidemiological paradox. Med Anthropol 2010; 29:71-107. [PMID: 20391159 DOI: 10.1080/01459740903517386] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
While Hispanics are among the most economically disadvantaged groups in the United States, immigrants from Latin America have health profiles equal to or better than Americans of European descent. Research on this epidemiological paradox suggests that aspects of Hispanic culture prevent negative health outcomes associated with poverty, poor education, and barriers to professional care. However, little attention has been given to the ethnomedical beliefs and practices of any Hispanic subgroup. Here I present an ethnographic study of women's popular medicine in a Mexican migrant community in Athens, Georgia. Migrant women promote healthy behaviors, diagnose sick family members, and prescribe home remedies. These practices stem from long traditions of self-medication and family care, which have experienced less disruption by the biomedical profession than have other North American popular medical systems. Examining Mexican popular medicine within the context of scientific literature suggests that these self-care practices protect health and should be considered by investigators of the "Hispanic health paradox." The study also suggests that directing more attention to self-care will be fruitful for medical anthropology.
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Affiliation(s)
- Anna Waldstein
- School of Anthropology and Conservation, University of Kent, Marlowe Building, Canterbury CT2 7NR, UK.
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Ayón C, Marsiglia FF, Bermudez-Parsai M. LATINO FAMILY MENTAL HEALTH: EXPLORING THE ROLE OF DISCRIMINATION AND FAMILISMO. JOURNAL OF COMMUNITY PSYCHOLOGY 2010; 38:742-756. [PMID: 20890371 PMCID: PMC2947026 DOI: 10.1002/jcop.20392] [Citation(s) in RCA: 88] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/13/2023]
Abstract
The purpose of this study was to examine the role of discrimination and familismo on internalizing mental health symptoms among two generations of Latinos, youth and their parents, residing in the Southwest region of the United States. Data from the Latino Acculturation and Health Project was used to determine the direct and moderation effects of discrimination and familismo on internalizing mental health symptoms. The sample included 150 Latino youth-parent dyads who were immigrants or U.S. born. Descriptive results indicate that youth had significantly higher scores on the familismo scale whereas parents reported higher levels of perceived discrimination. Regression analyses results revealed direct effects of familismo and perceived discrimination on internalizing mental health symptoms. Implications for practice are discussed.
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Gallagher MR, Reifsnider E, Gill S. Home-Based Injury Prevention Practices Used by Mothers of Mexican Descent Living in San Antonio, TX. Public Health Nurs 2009; 26:114-23. [DOI: 10.1111/j.1525-1446.2009.00762.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Olsen L, Bottorff JL, Raina P, Frankish CJ. An ethnography of low-income mothers' safeguarding efforts. JOURNAL OF SAFETY RESEARCH 2008; 39:609-616. [PMID: 19064046 DOI: 10.1016/j.jsr.2008.10.006] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/18/2008] [Revised: 09/23/2008] [Accepted: 10/27/2008] [Indexed: 05/27/2023]
Abstract
PROBLEM Children living in lower-income environments are at greater risk for unintentional injuries. However, little is known about the safety practices of mothers living in low-income situations. METHOD This ethnographic study explored the child safeguarding experiences of low-income mothers using in-home interviews and observations. RESULTS Mothers' safeguarding efforts included cognitive and emotional work, child directed work, and work directed at the physical and social environments. Factors that influenced the women's safeguarding included the quality of the indoor space, availability of safe play space, traffic hazards, sibling interactions, child care supports, relationships with neighbors, and trust in community services. DISCUSSION These findings have implications for the conceptualization of safeguarding practices and provide insight about the experiences of mothers living on low-incomes. IMPACT ON INDUSTRY When developing safety interventions, program planners should consider the views and practices of mothers as well as contextual factors in the physical and social environments.
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Affiliation(s)
- L Olsen
- Centre for Community Child Health Research, University of British Columbia, Vancouver, British Columbia, Canada.
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Hendrickson SG. Maternal Worries, Home Safety Behaviors, and Perceived Difficulties. J Nurs Scholarsh 2008; 40:137-43. [DOI: 10.1111/j.1547-5069.2008.00218.x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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de Castro Ribas R, Tymchuk AJ, Ribas AF. Brazilian mothers’ knowledge about home dangers and safety precautions: An initial evaluation. Soc Sci Med 2006; 63:1879-88. [DOI: 10.1016/j.socscimed.2006.04.026] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2005] [Indexed: 11/16/2022]
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Fallat ME, Costich J, Pollack S. The Impact of Disparities in Pediatric Trauma on Injury-Prevention Initiatives. ACTA ACUST UNITED AC 2006; 60:452-4. [PMID: 16508517 DOI: 10.1097/01.ta.0000196936.72357.2e] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Mary E Fallat
- Division of Pediatric Surgery, Department of Surgery, University of Louisville, Louisville, Kentucky 40202, USA.
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Lalloo R, Sheiham A, Nazroo JY. Behavioural characteristics and accidents: findings from the Health Survey for England, 1997. ACCIDENT; ANALYSIS AND PREVENTION 2003; 35:661-667. [PMID: 12850066 DOI: 10.1016/s0001-4575(02)00044-1] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
This study analysed the relationship between major and minor accidents, and major accidents involving a moving vehicle, and behavioural and emotional factors in children, aged 4-15 years, using the Strengths and Difficulties Questionnaire (SDQ), and adjusting for demographic, socio-economic and family type factors. Data from a large representative national sample of about 6000 children were analysed using simple and multiple logistic regression. The analysis shows that the prevalence of SDQ scales, such as hyperactivity and conduct disorder were significantly higher in boys, lower social classes and step- and single-parent families. After adjusting for the demographic, socio-economic and family type factors, children who scored borderline or high for hyperactivity were almost two times more likely to report having major accidents. Children who scored high for hyperactivity and emotional symptoms were one and a half times more likely to report having minor accidents. For major accidents involving moving vehicles, the relationships with the behavioural and emotional factors were generally stronger than for major accidents in general. Hyperactivity, in particular, was significantly associated with the occurrence of major and minor accidents, and major accidents involving moving vehicles. The behavioural risk factors were significantly more common in the lower social classes, families receiving benefits and step- and single-parent families.
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Affiliation(s)
- R Lalloo
- Department of Epidemiology and Public Health, Royal Free and University College London Medical School, 1-19 Torrington Place, London WC1E 6BT, UK.
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