期刊论文详细信息
BMC Public Health
Mothers’ perspectives on the delivery of childhood injury messages: a qualitative study from the growing up in Wales, environments for healthy living study (EHL)
Ronan Lyons1  Frances Rapport1  Kelly Morgan1  Sinead Brophy1  Rebecca A Hill1  Ashrafunnesa Khanom1 
[1] College of Medicine, Swansea University, Swansea SA2 8PP, Wales
关键词: Health professional;    Migration;    Neighbourhood deprivation;    Message delivery;    Prevention;    Childhood injury;   
Others  :  1161842
DOI  :  10.1186/1471-2458-13-806
 received in 2013-05-03, accepted in 2013-08-29,  发布年份 2013
PDF
【 摘 要 】

Background

Childhood injury is the second leading cause of death for infants aged 1–5 years in the United Kingdom (UK) and most unintentional injuries occur in the home. We explored mothers’ knowledge and awareness of child injury prevention and sought to discover mothers’ views about the best method of designing interventions to deliver appropriate child safety messages to prevent injury in the home.

Methods

Qualitative study based on 21 semi-structured interviews with prospective mothers and mothers of young children. Mothers were selected according to neighbourhood deprivation status.

Results

There was no difference in awareness of safety devices according to mothers’ deprivation status. Social networks were important in raising awareness and adherence to child safety advice. Mothers who were recent migrants had not always encountered safety messages or safety equipment commonly used in the UK. Mothers’ recommended that safety information should be basic and concise, and include both written and pictorial information and case studies focus on proactive preventive messages. Messages should be delivered both by mass media and suitably trained individuals and be timed to coincide with pregnancy and repeated at age appropriate stages of child development.

Conclusions

The findings suggest that timely childhood injury-related risk messages should be delivered during pregnancy and in line with developmental milestones of the child, through a range of sources including social networks, mass media, face-to-face advice from health professionals and other suitably trained mothers. In addition information on the safe use of home appliances around children and use of child safety equipment should be targeted specifically at those who have recently migrated to the United Kingdom.

【 授权许可】

   
2013 Khanom et al.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20150413043329530.pdf 231KB PDF download
【 参考文献 】
  • [1]Audit Commission for Local Authorities: Better safe than sorry: preventing unintentional injury to children. London: Audit Commission; 2007.
  • [2]Vincenten JA, Sector MJ, Rogmans W, Bouter L: Parents' perceptions, attitudes and behaviours towards child safety: a study in 14 European countries. Int J Inj Contr Saf Promot 2005, 12(3):183-189.
  • [3]Edwards P, Roberts I, Green J, Lutchmun S: Deaths from injury in children and employment status in family: analysis of trends in class specific death rates. BMJ 2006, 333(7559):119.
  • [4]Peden M, Oyegbite K, Ozanne-Smith J (Eds): World Report on Child Injury Prevention. Geneva: WHO and UNICEF; 2008.
  • [5]Towner E, Dowswell T, Errington G, Burkes M, Towner J: Injuries in children aged 0–14 years and inequalities. London: Health Development Agency; 2005.
  • [6]Agran PF, Anderson C, Winn D, Trent R, Walton-Haynes L, Thayer S: Rates of pediatric injuries by 3-month intervals for children 0 to 3 years of age. Pediatrics 2003, 111(6):e683-e692.
  • [7]Dal Santo JA, Goodman RM, Glik D, Jackson K: Childhood unintentional injuries: factors predicting injury risk among preschoolers. J Pediatr Psychol 2004, 29(4):273-283.
  • [8]Kendrick D, Coupland C, Mason-Jones Amanda J, Mulvaney C, Simpson J, Smith S, Sutton A, Michael W: Home safety education and provision of safety equipment for injury prevention. In Cochrane Database of Systematic Reviews, Volume 1. UK: John Wiley & Sons, Ltd Chichester; 2007.
  • [9]Myhre MC, Thoresen S, Grøgaard JB, Dyb G: Familial factors and child characteristics as predictors of injuries in toddlers: a prospective cohort study. BMJ Open 2012, 2(2):e000740. 10.1136/bmjopen-2011-000740
  • [10]Gofin R, Palti H: Injury prevention practices of mothers of 0 to 2 year olds: a developmental approach. Early Child Development and Care 1991, 71(1):117-126.
  • [11]Garzon DL, Roberta K, Homan SM: There's No place like home: a preliminary study of toddler unintentional injury. Journal of pediatric nursing 2007, 22(5):368-375.
  • [12]Morrongiello BA, Corbett M, McCourt M, Johnston N: Understanding unintentional injury-risk in young children I. The Nature and Scope of Caregiver Supervision of Children at Home. Journal of Pediatric Psychology 2006, 31(6):529-539.
  • [13]Dowswell T, Towner EM, Simpson G, Jarvis SN: Preventing childhood unintentional injuries–what works? A literature review. Inj Prev 1996, 2(2):140-149.
  • [14]Kendrick D, Smith S, Sutton A, Watson M, Coupland C, Mulvaney C, Mason-Jones A: Effect of education and safety equipment on poisoning-prevention practices and poisoning: systematic review, meta-analysis and meta-regression. Arch Dis Child 2008, 93(7):599-608.
  • [15]Kendrick D, Barlow J, Hampshire A, Stewart-Brown S, Polnay L: Parenting interventions and the prevention of unintentional injuries in childhood: systematic review and meta-analysis. Child: Care, Health & Development 2008, 34(5):682-695.
  • [16]Ehiri JE, Ejere HO, Magnussen L, Emusu D, King W, Osberg SJ: Interventions for promoting booster seat use in four to eight year olds travelling in motor vehicles. Cochrane Database Syst Rev 2006, (1):CD004334.
  • [17]Nyberg C, Schyllander J, Stark Ekman D, Janson S: Socio-economic risk factors for injuries in Swedish children and adolescents: a national study over 15 years. Glob Public Health 2012, 7(10):1170-1184.
  • [18]Delgado J, Ramírez-Cardich ME, Gilman RH, Lavarello R, Dahodwala N, Bazán A, Rodríguez V, Cama RI, Tovar M, Lescano A: Risk factors for burns in children: crowding, poverty, and poor maternal education. Inj Prev 2002, 8(1):38-41.
  • [19]Gielen AC, Sleet D: Application of behavior-change theories and methods to injury prevention. Epidemiol Rev 2003, 25(1):65-76.
  • [20]Garzon DL: Contributing factors to preschool unintentional injury. Journal of pediatric nursing 2005, 20(6):441-447.
  • [21]National Institute for Health and Clinical Excellence: Strategies to prevent unintentional injuries among under-15s in the home. London: NICE; 2010. NICE public health guidance PH30; 2010.
  • [22]Preventing unintentional injuries in children and young adolescents. Effective Health Care Bulletin. Vol. 2 No. 5. University of York: NHS Centre for Reviews and Dissemination; 1996. http://www.york.ac.uk/inst/crd/ehc25.htm webcite
  • [23]Tsoumakas K, Dousis E, Mavridi F, Gremou A, Matziou V: Parent's adherence to children's home-accident preventive measures. International nursing review 2009, 56(3):369-374.
  • [24]Hill R, Brophy S, Brunt H, Storey M, Thomas N, Thornton C, Palmer S, Dunstan F, Paranjothy S, McClure R, et al.: Protocol of the baseline assessment for the environments for healthy living (EHL) wales cohort study. BMC Public Health 2010, 10(1):150. BioMed Central Full Text
  • [25]Williams JR: The declaration of helsinki and public health. Bull World Health Organ 2008, 86:650-651.
  • [26]Welsh Government: Welsh Index of Multiple Deprivation Summary Report. Cardiff: Statistical Directorate, Statistical Publication Unit; 2011.
  • [27]Bryman A, Burgess R: Analyzing Qualitative Data. London: Routledge; 1994.
  • [28]Dey I: Qualitative data analysis. London: Routledge; 1993.
  • [29]Fontana A, Frey JH: Interviewing: the art of science, In Handbook of Qualitative Research Edited by Denzin NK. Sage, London: Lincoln YS; 1994.
  • [30]McLeroy K, Bibeau D, Steckler A, Glanz K: An ecologic perspective on health promotion programs. Health Educ Q 1988, 15(4):351-377.
  • [31]Hanson DW, Finch CF, Allegrante JP, Sleet D: Closing the gap between injury prevention research and community safety promotion practice: revisiting the public health model. Public Health Rep 2012, 127(2):147-155.
  • [32]Strauss A, Corbin J: Grounded Theory Methodology: An Overview. In Handbook of Qualitative Research. Edited by Denzin NK, Lincoln YS. London: Sage; 1994.
  • [33]Boyatzis R: Thematic Analysis and Code Development: Transforming Qualitative Information. London and New Delhi: Sage Publications; 1998.
  • [34]Gordon I, Travers T, Whitehead C: The Impact of Recent Immigration on the London Economy. London School of Economics; 2007. http://www.lse.ac.uk/collections/LSELondon/pdf/theImpactofRecentImmigrationOnTheLondonEconomy.pdf webcite
  • [35]Robinson D, Reeve K, Casey R: The housing pathways of new immigrants. York: Joseph Rowntree Foundation; 2007.
  • [36]Hickman M, Crowley H, Mai N: Immigration and social cohesion in the UK: the rhythms and realities of everyday life. York: Joseph Rowntree Foundation; 2008.
  • [37]United Nations Statistical Division: International Migration. http://unstats.un.org/unsd/demographic/sconcerns/migration/migrmethods.htm webcite
  • [38]Office for National Statisitics: Statistical bulletin: Migration Statistics Quarterly Report. http://www.ons.gov.uk/ons/rel/migration1/migration-statistics-quarterly-report/may-2013/msqr-may13.html; webcite May 2013
  • [39]British Standards Institute: British Standards Institute Education. http://www.bsieducation.org/Education/about/default.shtml; webcite 2008
  • [40]Morrongiello BA, Kiriakou S: Mothers' Home-safety practices for preventing Six types of childhood injuries: what do they do, and why? J Pediatr Psychol 2004, 29(4):285-297.
  • [41]Gibbs L, Waters E, Sherrard J, Ozanne-Smith J, Robinson J, Young S, Hutchinson A: Understanding parental motivators and barriers to uptake of child poison safety strategies: a qualitative study. Inj Prev 2005, 11(6):373-377.
  • [42]Anderson CL, Agran PF, Winn DG, Tran C: Demographic risk factors for injury among hispanic and non-hispanic white children: an ecologic analysis. Inj Prev 1998, 4(1):33-38.
  • [43]Peden M, Oyebite K, Ozanne-Smith J, Hyder AA, Branche C, Rahman FA, Rivara F (Eds): World Report on Child Injury Prevention. Geneva, Switzerland: World Health Organisation; 2009.
  • [44]Schwebel DC, Brezausek CM, Ramey CT, Ramey SL: Injury risk among children of low-income U.S.-born and immigrant mothers. Health Psychol 2005, 24(5):501-507.
  • [45]Leininger LJ, Ryan RM, Kalil A: Low-income mothers' social support and children's injuries. Soc Sci Med 2009, 68(12):2113-2121.
  • [46]Aldoory L, Bonzo S: Using communication theory in injury prevention campaigns. Inj Prev 2005, 11(5):260-263.
  • [47]Mulvaney C, Kendrick D: Engagement in safety practices to prevent home injuries in preschool children among white and non-white ethnic minority families. Inj Prev 2004, 10(6):375-378.
  • [48]Rawlins JM, Khan AA, Shenton AF, Sharpe DT: Burn patterns of Asian ethnic minorities living in West Yorkshire, UK. Burns 2006, 32(1):97-103.
  文献评价指标  
  下载次数:7次 浏览次数:7次