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Pediatric exposure to choking hazards is associated with parental knowledge of choking hazards
Brent G Nichols1, Alexis Visotcky, Michael Aberger
1Medical College of Wisconsin, United States. bnichols@mcw.edu
Insights
Parental knowledge of choking hazard foods (CHF) is incomplete, with less than half of parents correctly identifying and disallowing common hazards for children under 4. Increased education is crucial to improve child safety.
Area of Science:
- Pediatric Safety
- Public Health
- Child Development
Background:
- Choking is a leading cause of accidental death in young children.
- Household food and non-food items pose significant choking risks.
- Understanding parental knowledge is key to developing effective prevention strategies.
Purpose of the Study:
- To assess parental awareness of common food and non-food choking hazards for children under 4 years old.
- To identify factors associated with parental knowledge and practices regarding choking hazards.
- To inform targeted educational interventions for parents.
Main Methods:
- A cross-sectional survey was conducted with 492 parents of children under 4 years old at a tertiary care children's hospital.
- The survey assessed knowledge of choking hazard foods (CHF), non-food choking hazards, and parental practices.
- Logistic regression analysis was used to determine associations between knowledge and actions.
Main Results:
- Parental knowledge of CHF was incomplete; for example, only 25% correctly disallowed fruit chunks, and 49% disallowed popcorn.
- Knowledge of non-food hazards was generally high (e.g., 97% knew coins were a hazard).
- Physicians were the most common source of information (67%), followed by family/friends (52%).
Conclusions:
- Parental knowledge regarding food choking hazards is significantly incomplete.
- Incomplete knowledge is associated with allowing children to consume choking hazard foods.
- Enhanced parental education on choking prevention is urgently needed.
Objective:
To evaluate parental knowledge regarding household food and non-food choking hazards.
Design:
Cross Sectional Survey.
Setting:
Tertiary Care Children's Hospital.
Participants:
Parents presenting to a Pediatric Otolaryngology Clinic with a child <4 years old.
Methods:
Parental survey asking which choking hazard foods (CHF) they allow their child to eat, previous instruction of CHF, knowledge of non-food choking hazards, and their knowledge sources.
Statistics:
adjusted odds ratios (AOR) and logistic regressions.
Results:
492 respondents. Adjusted for significant covariates associations between correct knowledge of CHF and correct parents actions of disallowing CHF: fruit chunks (prior instruction=42%; correct action=25%; AOR=3.51; P<0.0001), hot dogs (59%; 28%; 1.75; 0.0178), raw vegetables (41%; 47%; 1.28; 0.198) popcorn (67%; 49% 2.64; <0.0001), whole grapes (68%; 51%; 2.2; <0.0001), nuts (73%; 66%; 2.47; <0.0001), chunks of peanut butter (45%; 79%; 2.55; 0.0003), sticky candy (79%; 80%; 2.16; <0.0033), gum (72%; 84%; 1.75; 0.028), seeds (65%; 87%; 1.4; 0.247), 76% always supervise meals, 57% always cut food, 62% know CPR. KNOWLEDGE OF NON-FOOD HAZARDS: Coins (97%), marbles (94%), small batteries (93%), small toy parts (93%), dice (92%), pen caps (92%), safety pins (85%), balloons (84%), syringes (40%). Sources of choking hazard knowledge: physicians (67%), family/friends (52%), books/magazines (40%), and the Internet (25%).
Conclusions:
Parental knowledge of CHF is incomplete. The consumption of CHF in children under 4 is significantly associated with decreased parental knowledge. Therefore, more parental education is needed.
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