title: Prevention counseling among pediatric patients presenting with unintentional injuries to physicians' offices' in the United States.
abstract: OBJECTIVE
  There is increasing emphasis on preventive care delivery among primary care providers. In accordance with this, health education approaches have been shown to positively influence patients' behavior. As injuries are the leading public health problem among youth, primary care providers may play a critical role in the prevention of unintentional injuries among their pediatric populations.
  
  
  METHODS
  Data from the 2007-2010 National Ambulatory Medical Care Survey (NAMCS) were used to examine patient visits presenting to physicians' offices with unintentional injuries. The prevalence of the delivery of injury prevention counseling was assessed, as were factors associated with the provision of injury prevention education.
  
  
  RESULTS
  Findings indicated that injury prevention counseling was low. Overall, 14.6% of patients presenting with an unintentional injury received injury prevention counseling. Gender differences were notable, with 8% of injured girls receiving injury education compared to 18% of boys. Results of multivariable logistic regression analyses revealed odds of injury counseling to be 2.4 times more likely among boys when compared to girls (OR=2.4; 95% CI: 1.2-4.6).
  
  
  CONCLUSIONS
  Findings indicate that physician counseling about injury prevention was low. Reasons for the findings are discussed, as are issues related to gender differences in injury risk and prevention.
authors: Community Health Promotion, University of Arkansas, 306 HPER Building, Fayetteville, AR 72701, United States. Electronic address: bhammig@uark.edu.
authors: Bart
authors: B
authors: Hammig
authors: Community Health Promotion, University of Arkansas, 306 HPER Building, Fayetteville, AR 72701, United States.
authors: Kristen
authors: K
authors: Jozkowski
mesh_terms: D000056:Accident Prevention / Q000379:methods* / Q000592:standards; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D019538:Health Care Surveys; D006266:Health Education / Q000379:methods / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D016015:Logistic Models; D008297:Male; D009819:Office Visits / Q000706:statistics & numerical data; D010290:Parents / Q000193:education*; D010818:Practice Patterns, Physicians' / Q000592:standards / Q000706:statistics & numerical data*; D017678:Sex Distribution; D014481:United States / Q000453:epidemiology; D014947:Wounds and Injuries / Q000453:epidemiology / Q000517:prevention & control*
keywords: Health education; Injury; Pediatric; Prevention; Primary care