Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, China.
Women's and Children's Hospital of Longhua District of Shenzhen, Shenzhen, China.
Prev Med. 2019 Jan;118:98-103. doi: 10.1016/j.ypmed.2018.10.022. Epub 2018 Oct 24.
Child unintentional injuries are one of the most prominent global health threats and parents may play a vital role in these injuries. This study thus aims to explore the associations of parents teaching safety rules with preschool children's safety behaviors and unintentional injuries. A total of 62,922 children registered at 182 kindergartens in Longhua District of Shenzhen, China during the fall semester of 2016, were included in this cross-sectional study. Their parents were invited to complete a self-administered questionnaire covering information about socio-demographics, parents teaching safety rules to children, child safety behaviors and unintentional injuries. Logistic and linear regression models were carried out to test the associations among parents teaching safety rules, child safety behaviors, and child unintentional injuries. Whether child safety behaviors mediated the relationship between parents teaching safety rules and child unintentional injuries was assessed using Hayes' PROCESS macros for SPSS. Regression analyses revealed that the higher scores of both mothers' and fathers' teaching safety rules to children were significantly associated with the reduced risks of child unintentional injuries and the modest improvements in child safety behaviors, after adjusting for potential confounders. Furthermore, mediation analysis illustrated that child safety behaviors mediated 18.1% of the association between mothers teaching safety rules and child unintentional injuries and 30.3% of the association between fathers teaching safety rules and child unintentional injuries, respectively. These findings suggest that parents teaching safety rules to children is beneficial for mitigating unintentional injury risks among Chinese preschool children through improving child safety behaviors.
儿童意外伤害是全球最突出的健康威胁之一，而父母在这些伤害中可能起着至关重要的作用。因此，本研究旨在探讨父母教授安全规则与学龄前儿童安全行为和意外伤害之间的关联。本横断面研究共纳入了 2016 年秋季学期在中国深圳龙华区 182 所幼儿园注册的 62922 名儿童。邀请他们的父母填写一份自填式问卷，内容包括社会人口统计学信息、父母向孩子教授安全规则、儿童安全行为和意外伤害。采用逻辑回归和线性回归模型检验父母教授安全规则、儿童安全行为与儿童意外伤害之间的关联。采用 Hayes 为 SPSS 宏 PROCESS 评估儿童安全行为是否在父母教授安全规则与儿童意外伤害之间的关系中起中介作用。回归分析表明，母亲和父亲向孩子教授安全规则的得分越高，儿童意外伤害的风险越低，儿童安全行为也有适度改善，这在调整了潜在混杂因素后仍然成立。此外，中介分析表明，儿童安全行为分别在母亲教授安全规则与儿童意外伤害之间的关联中中介了 18.1%，在父亲教授安全规则与儿童意外伤害之间的关联中中介了 30.3%。这些发现表明，父母向孩子教授安全规则通过提高儿童安全行为，有助于降低中国学龄前儿童意外伤害的风险。
