[Evaluation on intervening efficacy of health education on accidental suffocation and drowning of children aged 0 - 4 in countryside].
OBJECTIVE
The main causes of death in children aged 0 - 4 were accidental suffocation and drowning which had a significant relation with parents' lack of prevention knowledge and effective measures. By comparing parents' acknowledge and behavior in preventing accidental suffocation and drowning and the mortality rate of accidental suffocation and drowning after intervening with those before the intervening, evaluation was made on intervening efficacy of health education.


METHODS
Six counties in north Jiangsu were involved in the survey. Two townships drawn from each county were divided into the intervened group and the controlled group. Health education was carried out in the intervened group for one year in 2000. Twenty to 30 parents of infants and children aged 1 - 4 drawn randomly from every township in the intervened group were taken as investigation subjects before and after intervening, and a questionnaire was made for them to answer. Meanwhile, the mortality rates of accidental suffocation and drowning were measured.


RESULTS
Followed by health education for a year, the parents' opinion about whether unintentional injury can be avoided or not has changed from 18.8% to 20.5% to 1.8% - 2.9%, and parents' knowledge about how to give first aid in spot has increased from 11.1% - 13.5% to 41.1% - 56.8%. The parents' behavior that not sleeping with their infants in the same beds and not tying infants in a candle with blanket, and setting up fence beside pools and rivers has increased by 75.7%, 61.5% and 61.2%, respectively, while their relative knowledge has increased by 212.7% and 194.3%. In the intervened group, the mortality rates of infants' accidental suffocation per 100,000 has fallen from 487.8 to 71.2, dropped by 85.4%; and the mortality rates of drowning in children aged 1 - 4 per 100,000 has fallen from 60.0 to 36.2, dropped by 39.7%. In comparison, in the controlled group, the mortality rates of infants' accidental suffocation per 100,000 has fallen from 344.1 to 276.4, dropped by 19.7%; and the mortality rates of drowning in children aged 1 - 4 per 100,000 has increased by 26.3%, from 51.7 to 65.3.


CONCLUSIONS
Health education to parents is an effective intervening measure for prevention of accidental suffocation and drowning. The goal of health education should be to change inadequate behavior and dangerous environment in which unintentional injury is easily happened. The intervening measures that not sleeping with their infants in the same beds and not tying infants in a candle with blanket, and putting up fence beside pools and rivers are feasible and practicable.
Zhang
Pei-bin
PB
Children's Health Care Research Center in the Second Affiliated Hospital of Nanjing Medical University, Nanjing 210011, China.
Chen
Rong-hua
RH
Deng
Jing-yun
JY
Xu
Bai-rong
BR
Hu
You-fang
YF
D000056:Accident Prevention; D001237:Asphyxia / Q000517:prevention & control*; D002675:Child, Preschool; D002681:China; D004332:Drowning / Q000517:prevention & control*; D005260:Female; D006266:Health Education; D006801:Humans; D007223:Infant; D008297:Male; D016487:Parenting; D010290:Parents / Q000193:education*; D013383:Suburban Population; D011795:Surveys and Questionnaires; D016896:Treatment Outcome