The purpose of this descriptive-exploratory longitudinal study was to investigate the role of developmental factors and the ecological context in the occurrence in child care centers of unintentional injuries to children ages 15 through 36 months of age. Ecological Theory was used as the theoretical rationale for this study. Chi-square analysis was used to explore the relationship between the difference in developmental and chronological age, and reported unintentional injury occurrence to children.Reported education and child care cohort size for child care workers associated with children with reported unintentional injury was descriptively evaluated. The study was a secondary analysis of a national data set from the Study of Early Child Care and Youth Development.The focal population was a total of 1,313 children whose parent or guardian reported the occurrence or lack of occurrence of an unintentional injury in a child care setting.183 children were reported to have an unintentional injury during the specified time periods.Eight children were reported to have an unintentional injury at a child care center during the specified time periods. The variable of mental health development was operationalized using the Bayley Scales of Infant and Toddler Development (Mental Development Index).There were a low number of reported unintentional injuries in the SECCYD population in general and even less specifically occurring in the child care center setting. Statistical analysis revealed no significant association between chronological age and mental development age in relationship to unintentional injury occurrence.Descriptive analysis of the child care center workers education and knowledge of development identified components of the ecological context.The findings suggest that further understanding of development and the ecological context of unintentional injuries to children in child care settings is needed when developing and promoting injury prevention strategies. Numerous methodological issues with this dissertation study are discussed. Future studies should investigate the specific role development plays on unintentional injury occurrence to children as it relates to the ecological context of the setting by exploration of the relationship between identified components of development and the ecological context of unintentional injury occurrence in children.
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Chronological Age versus Mental Health Development in Unintentional Injury Occurrence to Children in Child Care Centers.