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Correlates of unsupervised bathing of infants: a cross-sectional study
Mirjam E J van Beelen1, Eduard F van Beeck, Paul den Hertog
1Department of Public Health, Erasmus MC-University Medical Center, P.O. Box 2040, Rotterdam 3000 CA, The Netherlands. m.vanbeelen@erasmusmc.nl
Insights
Infant drowning is a major risk. Parents with more children or lower self-efficacy are more likely to leave infants unsupervised during bathing, increasing drowning risks.
Area of Science:
- Pediatric Safety
- Injury Prevention
- Public Health
Background:
- Drowning is a leading cause of infant mortality.
- Unsupervised bathing significantly increases drowning risk in infants.
- Understanding factors associated with unsupervised bathing is crucial for prevention.
Purpose of the Study:
- To identify correlates of unsupervised infant bathing.
- To explore socio-demographic and psychological factors influencing bathing supervision.
- To inform targeted drowning prevention strategies.
Main Methods:
- Cross-sectional study of 1,410 parents with infants.
- Data collected via questionnaire on bathing supervision, socio-demographics, and Protection Motivation Theory constructs.
- Logistic regression analysis to determine correlates of unsupervised bathing.
Main Results:
- 6.2% of parents reported leaving their infant unsupervised in the bathtub.
- Parents with older children were more likely to leave infants unsupervised.
- First-time parents, non-Western migrant fathers, and those with higher self-efficacy, response efficacy, and perceived severity were less likely to leave infants unsupervised.
Conclusions:
- Parental self-efficacy and risk perception are protective factors against unsupervised infant bathing.
- Targeted interventions for parents with multiple children and specific demographic backgrounds may reduce drowning risk.
- Healthcare professionals should emphasize the critical importance of constant supervision during infant bathing.
Abstract:
Drowning represents the third leading cause of fatal unintentional injury in infants (0-1 years). The aim of this study is to investigate correlates of unsupervised bathing. This cross-sectional study included 1,410 parents with an infant. Parents completed a questionnaire regarding supervision during bathing, socio-demographic factors, and Protection Motivation Theory-constructs. To determine correlates of parents who leave their infant unsupervised, logistic regression analyses were performed. Of the parents, 6.2% left their child unsupervised in the bathtub. Parents with older children (OR 1.24; 95%CI 1.00-1.54) were more likely to leave their child unsupervised in the bathtub. First-time parents (OR 0.59; 95%CI 0.36-0.97) and non-Western migrant fathers (OR 0.18; 95%CI 0.05-0.63) were less likely to leave their child unsupervised in the bathtub. Furthermore, parents who perceived higher self-efficacy (OR 0.57; 95%CI 0.47-0.69), higher response efficacy (OR 0.34; 95%CI 0.24-0.48), and higher severity (OR 0.74; 95%CI 0.58-0.93) were less likely to leave their child unsupervised. Since young children are at great risk of drowning if supervision is absent, effective strategies for drowning prevention should be developed and evaluated. In the meantime, health care professionals should inform parents with regard to the importance of supervision during bathing.
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