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Parental non-compliance to childhood safety practices: A cross-sectional study
Ravleen Kaur1, Sambandan Kumaravel2, Nivedita Mondal1
1Department of Paediatrics, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Insights
Most parents of young children show poor compliance with safety practices, particularly regarding vehicle safety and choking hazards. Lack of knowledge and perceived necessity contribute to these risks, highlighting the need for improved parental awareness.
Area of Science:
- Pediatrics
- Public Health
- Injury Prevention
Background:
- Childhood injuries are a significant public health concern.
- Understanding parental non-compliance with safety practices is crucial for prevention.
Purpose of the Study:
- To evaluate non-compliance patterns in childhood safety practices for children aged 1-5 years.
- To identify the underlying reasons for this non-compliance.
Main Methods:
- A descriptive, cross-sectional study involving 120 children aged 1-5 years.
- Data collected via questionnaire-based interviews with primary caregivers.
- Poor compliance defined as adherence to less than 85% of recommended practices.
Main Results:
- 32 out of 48 injuries (66.6%) were serious, with falls and burns/scalds being most common.
- 72.5% of families exhibited overall poor compliance with safety practices.
- Lowest compliance rates were observed for helmet use, limiting pillion riders, car seatbelt use, and avoiding choking hazards for children under 3.
Conclusions:
- Significant non-compliance exists regarding motor vehicle safety and avoiding choking hazards.
- Parental perceptions of practices being 'unnecessary' and 'lack of knowledge' are key reasons for non-compliance.
- Enhancing parental awareness and addressing perceptions are vital for preventing unintentional childhood injuries.
Abstract:
Background & objectives To assess the pattern of non-compliance to childhood safety practices among parents of children between one and five yr of age and to determine the reasons behind the same. Methods A descriptive, cross-sectional study was conducted on 120 children between one and five yr of age through a questionnaire-based interview of the primary carer. Poor compliance was defined as compliance to <85 per cent of the recommended practices. Results Of the total 48 injuries, 32 were serious (66.6%). Falls and burns/scalds were the two common types of injuries. Nearly three-fourths (72.5%) of families showed overall poor compliance. Poorest compliance was observed towards four safety practices namely, helmet wearing, restricting number of pillion riders to two on a two-wheeler, seatbelt wearing in a car and avoiding food items with a high risk of choking in children <3 yr. Parental perception of 'unnecessary' and 'lack of knowledge' were the main reasons behind non-compliance. Interpretation & conclusions Low compliance among families occurred with respect to safety on motor vehicles and avoidance of choking hazards. Change of parental perception and improved awareness is necessary for the prevention of unintentional childhood injuries.
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