Department of Community Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia.
Malaysian Research Institute of Ageing (MyAgeing TM), Universiti Putra Malaysia, UPM Serdang, Selangor, Malaysia.
PLoS One. 2023 Aug 16;18(8):e0282995. doi: 10.1371/journal.pone.0282995. eCollection 2023.
Unintentional injury is a global burden that occurs everywhere, including in our homes. Young children are most vulnerable to home injuries because they still develop their physical and psychological skills and spend most of their time at home. Despite being largely preventable, three consecutive national surveys show no reduction in the rate of injury among children under five. More surprisingly, children from high-income families were found to have the highest incidence of injury, contradicting the findings from other countries.
This study aims to identify the determinants of non-adherence to unintentional home injury prevention practice among parents of under-five children in the North Seberang Perai district, Penang.
This sequential explanatory mixed-methods study consists of two phases consisting of a quantitative study which looks into respondents and their child's sociodemographic status, their home injury prevention practice and the independent variables, followed by a qualitative study that interviews parents with non-adherence to home injury prevention practice and explore their barriers. In phase I, the parent or primary caregiver of a child age less than five years old who age 18 or older and is a Malaysian will be included in the study while being disabled or having a severe psychiatric disorder or having the index child diagnosed with chronic disease will make them not eligible to participate in the study. Derived using the two-group proportion formula, a sample size of 453 parents will be sampled among those with under-five children following up at the Maternal Child Health Department in the health clinics of North Seberang Perai using stratified systematic sampling. Chi-square/Fisher Exact test, simple logistic regression and multiple logistic regression will be used for data analysis. The sample will be stratified according to household income to look for associated factors and determinants of low prevention practice. In phase II, parents with a low score from the quantitative study will be selected to participate in the qualitative study using purposive sampling. A semi-structured interview using the help of an interview guide will be carried out and recorded with a voice recorder. The thematic analysis approach will be used to analyse the qualitative data.
The study has been registered under the National Medical Research Registry.
It is hoped that findings from this study can shed light on the barriers faced by under-five parents in carrying out preventive measures at home.
意外伤害是一种全球性负担，无处不在，包括在我们的家中。幼儿最容易受到家庭伤害，因为他们仍在发展身体和心理技能，并且大部分时间都在家里。尽管意外伤害在很大程度上是可以预防的，但连续三次的全国性调查显示，五岁以下儿童的受伤率并没有降低。更令人惊讶的是，来自高收入家庭的儿童受伤发生率最高，这与其他国家的调查结果相悖。
本研究旨在确定槟城北海塞柏兰岸地区五岁以下儿童父母未遵守意外伤害预防措施的决定因素。
本序贯解释性混合方法研究包括两个阶段，第一阶段为定量研究，调查受访者及其子女的社会人口统计学状况、家庭伤害预防措施以及自变量，然后进行定性研究，对未遵守家庭伤害预防措施的父母进行访谈，探讨其障碍。在第一阶段，将纳入年龄在 18 岁或以上且为马来西亚人的 5 岁以下儿童的父母或主要照顾者，但有残疾或严重精神疾病或其子女患有慢性疾病的父母将不符合参与研究的条件。根据两独立样本比例公式，使用分层系统抽样，从北海塞柏兰岸地区妇幼保健署的健康诊所中，对有 5 岁以下儿童就诊的家庭中抽取 453 名父母作为样本。将使用卡方检验/Fisher 确切检验、简单逻辑回归和多逻辑回归进行数据分析。将根据家庭收入对样本进行分层，以寻找与低预防措施相关的因素和决定因素。在第二阶段，根据定量研究的低得分，使用目的抽样选择参与定性研究的父母。将使用访谈指南进行半结构化访谈，并使用录音机进行记录。将使用主题分析方法对定性数据进行分析。
该研究已在国家医学研究登记处注册。
希望本研究的结果能揭示 5 岁以下儿童父母在家中实施预防措施所面临的障碍。
