Department of Public Health, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran; Social Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran; Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran.
Department of Public Health, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran; Department of Population and Family Health, Children's Health Group, Health Center of Kermanshah Province, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Burns. 2022 Mar;48(2):328-336. doi: 10.1016/j.burns.2021.01.013. Epub 2021 Feb 9.
Burns are one of the most important childhood injuries that can be controlled and prevented. Mothers play an important role in preventing child burns. Health education and promotional theories facilitate a precise recognition of the behavioral factors in mothers that help preventing burn injury in their children. Burns in children under five years old and the factors in prevention of burn by their mothers were examined using PRECEDE Model. The study environment was rural and urban areas of Kermanshah, Iran.
This cross-sectional study was conducted on 330 mothers in urban and rural areas of Kermanshah County in the west of Iran. The participants were randomly selected among mothers who had at least one child younger than five years old. Data was collected through interviewing the mothers using a valid and reliable questionnaire. The questionnaire included questions on demographic characteristics, PRECEDE Model, and history of burn. The data were analyzed using SPSS-16.
The mean age of the mothers in urban areas (29.33 ± 5.987) was higher than that of those in rural areas (28.77 ± 6.236). More than 90% of the mothers were housewives, both in urban and rural areas. The rate of a history of burn in rural children under the age of five (8.3%) was greater than that in urban children (5.2%). Most of the burn cases in urban areas were mild whereas those in rural areas were moderate. The majority of burn cases had happened at home in children 1-3 years' age range; this rate was higher in boys. The majority of burns cases had happened when the child was playing (urban: 64.3%, rural: 100%). In addition, liquids and hot objects were the main causes of the burns (urban: 78.5%, rural: 100%). Among the constructs of PRECEDE models in the urban areas, knowledge (P < 0.001), attitudes (P = 0.027), and environmental factors (P = 0.03) had a significant relationship with burn-preventive behaviors in mothers. In addition, in the rural areas, attitudes (P = 0.038) had a significant relationship with burn-preventive behaviors in mothers.
Burn was an important injury in the study population, especially in the rural areas. The PRECEDE model can help us to identify the factors in burn injuries in children and the preventive behaviors in mothers. The findings can be used to develop preventive interventional programs to better protect this vulnerable group in society.
烧伤是儿童最常见的意外伤害之一，可以进行控制和预防。母亲在预防儿童烧伤方面起着重要作用。健康教育和促进理论有助于准确识别母亲在预防儿童烧伤方面的行为因素。本研究采用 PRECEDE 模式，调查了 5 岁以下儿童烧伤和母亲预防烧伤的因素。研究环境为伊朗克尔曼沙阿省的农村和城市地区。
本横断面研究对伊朗西部克尔曼沙阿县农村和城市地区的 330 名母亲进行了研究。通过随机选择至少有一名 5 岁以下儿童的母亲，对参与者进行了问卷调查。数据通过对母亲进行访谈，使用有效和可靠的问卷收集。问卷包括人口统计学特征、PRECEDE 模型和烧伤史。使用 SPSS-16 对数据进行分析。
城市地区母亲的平均年龄（29.33±5.987）高于农村地区母亲的平均年龄（28.77±6.236）。农村和城市地区 90%以上的母亲都是家庭主妇。农村地区 5 岁以下儿童烧伤史发生率（8.3%）高于城市地区（5.2%）。城市地区烧伤多为轻度，农村地区烧伤多为中度。1-3 岁儿童烧伤多发生在家庭中，男孩发生率较高；城市地区烧伤多发生在儿童玩耍时（64.3%），农村地区烧伤多发生在儿童玩耍时（100%）。此外，液体和热物体是烧伤的主要原因（城市：78.5%，农村：100%）。在城市地区 PRECEDE 模型的结构中，知识（P<0.001）、态度（P=0.027）和环境因素（P=0.03）与母亲的烧伤预防行为有显著关系。此外，在农村地区，态度（P=0.038）与母亲的烧伤预防行为有显著关系。
烧伤是研究人群中一个重要的伤害，特别是在农村地区。PRECEDE 模式可以帮助我们识别儿童烧伤因素和母亲预防烧伤的行为。研究结果可用于制定预防干预计划，以更好地保护社会中这一弱势群体。
