Division of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, OH 45229, USA.
J Pediatr. 2012 Feb;160(2):337-341.e2. doi: 10.1016/j.jpeds.2011.07.016. Epub 2011 Aug 31.
To determine what children know about preventing dog bites and to identify parental desires for dog bite prevention education.
This cross-sectional study sampled 5- to 15-year-olds and their parents/guardians presenting to a pediatric emergency department with nonurgent complaints or dog bites. The parent/guardian-child pairs completed surveys and knowledge-based simulated scenario tests developed on the basis of American Academy of Pediatrics and Centers for Disease Control and Prevention dog bite prevention recommendations. Regression analyses modeled knowledge test scores and probability of passing; a passing score was ≥11 of 14 questions.
Of 300 parent/guardian-child pairs, 43% of children failed the knowledge test. Older children had higher odds of passing the knowledge test than younger children, as did children with white parents vs those with nonwhite parents. No associations were found between knowledge scores and other sociodemographic or experiential factors. More than 70% of children had never received dog bite prevention education, although 88% of parents desired it.
Dog bites are preventable injures that disproportionately affect children. Dog bite prevention knowledge in our sample was poor, particularly among younger children and children with nonwhite parents. Formal dog bite prevention education is warranted and welcomed by a majority of parents.
了解儿童对预防狗咬伤的认知程度,并确定家长对预防狗咬伤教育的需求。
本横断面研究对 5 至 15 岁因非紧急症状或狗咬伤就诊儿科急诊的儿童及其父母/监护人进行抽样。家长/监护人-儿童对完成了基于美国儿科学会和疾病控制与预防中心预防狗咬伤建议制定的调查和基于知识的模拟情景测试。回归分析模型化了知识测试得分和通过概率;通过分数为 14 个问题中答对≥11 个。
在 300 对家长/监护人-儿童对中,43%的儿童未能通过知识测试。与年龄较小的儿童相比,年龄较大的儿童通过知识测试的可能性更高,而白人父母的儿童比非白人父母的儿童通过的可能性更高。知识得分与其他社会人口统计学或经验因素之间没有关联。尽管 88%的家长希望进行,但超过 70%的儿童从未接受过预防狗咬伤教育。
狗咬伤是可预防的伤害,儿童受其影响的比例过高。我们研究样本中的预防狗咬伤知识很差,特别是在年龄较小的儿童和非白人父母的儿童中。需要并受到大多数家长欢迎的是正规的预防狗咬伤教育。