Gielen A C, Wilson M E, Faden R R, Wissow L, Harvilchuck J D
Department of Health Policy and Management, Johns Hopkins University School of Hygiene and Public Health, Baltimore, MD 21205, USA.
Health Educ Q. 1995 Feb;22(1):85-95. doi: 10.1177/109019819502200108.
The present research was designed to contribute to the empirical literature on the scope and determinants of parents' injury prevention practices among families living in disadvantaged, urban areas. One hundred fifty mothers were interviewed about their living environment when they brought their children (ages 6-36 months) to a hospital-based, pediatric primary care clinic. Only 37% of respondents reported that they knew their hot water temperature was 125 degrees or less. A majority (59%) of families reported that they did not use stair gates. More than one fourth (27%) of respondents said they did not have smoke detectors. Mothers uniformly reported very favorable attitudes and beliefs and strong support from others for in-home injury prevention practices. Factors significantly associated with the number of injury prevention practices implemented were family income, housing quality, and environmental barriers. Instead of attempting solely to persuade parents about the value of injury prevention practices, skill-based interventions are needed to help parents overcome specific barriers that result from living in substandard housing and having very limited financial resources.
本研究旨在为有关生活在城市贫困地区家庭中父母伤害预防行为的范围和决定因素的实证文献做出贡献。当150位母亲带着她们6至36个月大的孩子前往一家医院附属的儿科初级保健诊所时，她们接受了关于其生活环境的访谈。只有37%的受访者表示知道自家热水温度为125华氏度或更低。大多数（59%）家庭表示他们没有使用楼梯门。超过四分之一（27%）的受访者称他们没有烟雾探测器。母亲们一致报告称对家庭伤害预防行为持非常积极的态度和信念，且得到他人的大力支持。与实施的伤害预防行为数量显著相关的因素包括家庭收入、住房质量和环境障碍。不应仅仅试图说服父母认识到伤害预防行为的价值，还需要基于技能的干预措施来帮助父母克服因居住在不合标准的住房且经济资源非常有限而导致的特定障碍。
