Department of Pediatrics, Social Pediatrics Unit, Hacettepe University School of Medicine, Ankara, Turkey.
Balkan Med J. 2017 Aug 4;34(4):335-342. doi: 10.4274/balkanmedj.2016.1776. Epub 2017 Apr 6.
Childhood unintentional injuries are perceived as a leading public health issue since they are one of the preventable causes of paediatric mortality and morbidity. Whether and how parental factors are related to childhood injury has been researched insufficiently.
To investigate parents' attitudes to preventive measures of unintentional childhood injury, and the parental adherence to these measures.
Cross-sectional, descriptive study.
The data were collected from the parents of children younger than ten years of age admitted to university hospital outpatient clinics for any reason and who agreed to be involved in the study. The first part of the questionnaire included sociodemographic profiles of participating children. Serious injuries were considered to be any injury that requires hospital admission. The second part of the questionnaire was prepared to evaluate parents' adherence to injury prevention rules. A total score calculation about the adherence of the parents to the injury prevention rules was worked out the addition of the scores of each answer given in each age group. Answers for each item given by the parents were scored as wrong (0), sometimes (1) or correct (2). The score for each item was added and the result normalized to 100 points. Only complete questionnaires were used for analysis.
A total of 1126 children and parent pairs agreed to participate in the survey. It was found that 13.8% of the participating children had experienced at least one serious injury. Although three-quarters of the parents had received information about injury prevention, the overall injury prevention scores were found to be low. As children's age increased, the total injury prevention scores of parents decreased significantly. Injury prevention scores were shown to increase significantly with high education and maternal occupation. However, scores were shown to decrease significantly with increased child age and family size.
Our study shows that parental adherence to the child safety measures aimed at decreasing the unintentional injury risk of children is not satisfactory in Turkey. In particular, parents of 5-9-year-old children, big families (more than five people), parents with less than 8 years of education and non-working mothers should be the main target groups for intervention strategies according to our study results.
儿童意外伤害被视为一个主要的公共卫生问题，因为它们是导致儿科死亡率和发病率的可预防原因之一。父母因素与儿童伤害之间的关系是否以及如何相关，研究还不够充分。
调查父母对预防儿童意外伤害措施的态度，以及父母对这些措施的遵守情况。
横断面描述性研究。
数据来自因任何原因在大学医院门诊就诊的 10 岁以下儿童的父母，并同意参与研究。问卷的第一部分包括参与儿童的社会人口统计学特征。严重伤害被定义为任何需要住院治疗的伤害。问卷的第二部分旨在评估父母对预防伤害规则的遵守情况。通过计算每个年龄组中每个答案的得分总和，得出父母遵守预防伤害规则的总得分。父母对每个问题的回答得分分别为错误（0）、有时（1）或正确（2）。对每个项目的得分进行加总，并将结果归一化为 100 分。只有完整的问卷才用于分析。
共有 1126 对儿童和家长同意参与调查。结果发现，13.8%的参与儿童至少经历过一次严重伤害。尽管四分之三的家长已经接受过预防伤害的信息，但总体预防伤害得分较低。随着儿童年龄的增长，父母的整体预防伤害得分显著下降。随着教育程度和母亲职业的提高，预防伤害得分显著增加。然而，随着儿童年龄和家庭规模的增加，得分显著下降。
我们的研究表明，土耳其父母对旨在降低儿童意外伤害风险的儿童安全措施的遵守情况并不令人满意。特别是根据我们的研究结果，5-9 岁儿童的父母、大家庭（5 人以上）、受教育程度低于 8 年的父母和不工作的母亲应成为干预策略的主要目标群体。
