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Impact of Parental Supervision on Unintentional Injuries among Under-5 Children in North India: A Community-based

Priyanka Singla1, Pritam Halder2, Bhupesh Gupta1

  • 1Department of Community Medicine, Maharishi Markandeshwar Institute of Medical Sciences and Research, Mullana, Haryana, India.

Indian Journal of Community Medicine : Official Publication of Indian Association of Preventive & Social Medicine
|March 16, 2026
PubMed

Insights

Parental supervision significantly reduces unintentional injuries in children under 5. This study in North India found favorable supervision was a key protective factor against injuries like falls, cuts, and choking.

Area of Science:

  • Pediatrics
  • Public Health
  • Injury Prevention

Background:

  • Unintentional injuries (UIs) are a major cause of mortality in children under 5.
  • Parental supervision is a critical factor in preventing child injuries.
  • Childhood UIs represent a significant public health challenge in North India.

Purpose of the Study:

  • To measure the impact of parental supervision on unintentional injuries in children under 5 in North India.
  • To identify the association between parental supervisory behaviors and UIs.
  • To provide evidence for targeted injury prevention strategies.

Main Methods:

  • A community-based, cross-sectional study was conducted from May 2019 to April 2020.
  • The Parent Supervision Attributes Profile Questionnaire (PSAPQ) assessed parental supervisory behavior.
  • Logistic regression analysis explored the link between parental supervision and UIs.

Main Results:

  • The prevalence of UIs among children under 5 was 96.43%, with falls being the most common cause.
  • Falls accounted for 90.71% of all UIs.
  • Favorable parental supervision emerged as a significant protective factor against UIs (OR 0.052).

Conclusions:

  • Parental supervision has a positive and protective effect on reducing unintentional injuries in young children.
  • Findings are applicable to both urban and rural settings in North India.
  • Strengthening parental supervision can be an effective public health intervention for child injury prevention.
Abstract

Keywords:
ChildrenPSAPQparental supervisionunder-5unintentional injuries

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