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Measuring the Functional Abilities of Children Aged 3-6 Years Old with Observational Methods and Computer Tools
Published on: June 20, 2020
Reported safety environment predicts injuries among children aged 1-6 years in specific communities
Maya Siman-Tov1,2, Kobi Peleg1,3, Orna Baron-Epel2
1Israel National Center for Trauma and Emergency Medicine, Gertner Institute for Epidemiology and Public Health Policy, Ramat Gan, Israel.
Insights
Unsafe outdoor environments increase child injury risk, especially for children in religious families. Improving outdoor safety is crucial for preventing injuries in young children.
Area of Science:
- Pediatrics
- Environmental Health
- Public Health
Background:
- Childhood injuries are a significant public health concern.
- Identifying risk factors is essential for developing effective prevention strategies.
Purpose of the Study:
- To identify individual and environmental risk factors for reported child injuries.
- To investigate the role of the home environment and parental factors in child injury.
- To explore the influence of religiosity on child safety.
Main Methods:
- Prospective follow-up study with 380 parents of children aged 1-6 years in Israel.
- Three interviews conducted 3 months apart over a 6-month follow-up period.
- Data collected on minor and medically attended injuries, indoor/outdoor safety, socio-demographics, and parental attitudes.
Main Results:
- 37% of children sustained injuries, with 29% requiring medical attention.
- Unsafe outdoor environments significantly predicted child injuries.
- The association between outdoor safety and injury risk was more pronounced in traditional and religious families.
Conclusions:
- Safe outdoor environments are critical in reducing child injury risk.
- Interventions should focus on improving the safety of children's immediate outdoor play areas.
- The influence of religious background on child safety requires further attention from policymakers.
Aim:
To measure individual and environmental risk factors predicting reported child injuries.
Methods:
A prospective, follow-up study was performed including 380 parents of children aged 1-6 years, living in various communities throughout Israel. Parents were interviewed three times, 3 months apart. Injuries were defined as including minor injuries that required parental attention and medically attended injuries: doctor or nurse visit, emergency medical services or hospitalisation. Parents reported the level of safety for both indoor and outdoor environments, covering 11 items pertaining to safety elements dedicated to prevent child injury. Socio-demographic and parents' attitudes towards child injury were also measured.
Results:
During the 6-month follow-up period, 37% of parents reported that their child was injured, and 29% of them received medical attention. Reported outdoor safety environment was found to be a predictor of child injury, suggesting that the risk of child injury is higher among children living in unsafe outdoor environments. However, this depended on levels of religiosity (with an odds ratio of 2.48 and 95% confidence interval of 1.09-5.64 for traditional families and an odds ratio of 3.65 and 95% confidence interval of 1.58-8.46 for religious families).
Conclusions:
Safe environments play a major role in decreasing the risk of injury among children. In order to decrease injury rates among young children, attention should be given to the immediate outdoor environment in which children grow up and play. Decision makers might particularly want to pay closer attention to the influence of religious backgrounds on child safety through safe environments.
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