title: Home-related injuries among under-five-year children and mothers' care regarding injury prevention in rural areas.
abstract: This cross-sectional study was conducted in rural areas of Twiserkan (Toyserkan) County, in Iran, to assess factors associated with home-related injuries among under-five-year children and their mothers' care regarding injury prevention. Mothers who had their under-five-year-old children injured within a 12-month period were identified from recorded information in Twiserkan Health Center. Then, data were gathered using pre-tested questionnaire and through interview with injured children's mothers. The questions were about characteristics of the children's injuries and their mothers' care regarding injury prevention, using PRECEDE (Predisposing, Reinforcing, and Enabling Constructs in Educational/Environmental Diagnosis and Evaluation) model with focus on knowledge and attitude; enabling and reinforcing factors; and mothers' preventive behaviours. The study results showed that 197 out of 210 total identified mothers took part in the study. The reported injuries were 11.68%, 39.09%, and 49.24%, respectively, for severe, moderate, and mild cases. Fall was the most frequent injury with 35%. Among PRECEDE model constructs, there was a statistically significant correlation between mothers' knowledge and injury severity among children. Home-related injuries are an important health problem among study population and their prediction and prevention are necessary. Enhancement of mothers' knowledge can be helpful to improve child injury prevention.
authors.affiliation: a Department of Public Health, School of Public Health , Hamadan University of Medical Sciences , Hamadan , Iran.|b Research Center for Health Sciences , Hamadan University of Medical Sciences , Hamadan , Iran.|c Social Determinants of Health Research Center , Hamadan University of Medical Sciences , Hamadan , Iran.
authors.forename: Forouzan
authors.initials: F
authors.lastname: Rezapur-Shahkolai
authors.affiliation: a Department of Public Health, School of Public Health , Hamadan University of Medical Sciences , Hamadan , Iran.
authors.forename: Maryam
authors.initials: M
authors.lastname: Afshari
authors.affiliation: d Department of Biostatistics, School of Public Health , Hamadan University of Medical Sciences , Hamadan , Iran.|e Modeling of Noncommunicable Disease Research Canter , Hamadan University of Medical Sciences , Hamadan , Iran.
authors.forename: Abbas
authors.initials: A
authors.lastname: Moghimbeigi
authors.affiliation: a Department of Public Health, School of Public Health , Hamadan University of Medical Sciences , Hamadan , Iran.|b Research Center for Health Sciences , Hamadan University of Medical Sciences , Hamadan , Iran.
authors.forename: Seyed Mohammad Mahdi
authors.initials: SMM
authors.lastname: Hazavehei
mesh_terms: D000058:Accidental Falls / Q000706:statistics & numerical data; D000061:Accidents, Home / Q000517:prevention & control / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D001237:Asphyxia / Q000453:epidemiology; D001733:Bites and Stings / Q000453:epidemiology; D002056:Burns / Q000453:epidemiology; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007492:Iran / Q000453:epidemiology; D008962:Models, Theoretical; D009035:Mothers / Q000193:education / Q000523:psychology; D011041:Poisoning / Q000453:epidemiology; D012307:Risk Factors; D012424:Rural Population / Q000706:statistics & numerical data*; D012737:Sex Factors; D011795:Surveys and Questionnaires; D015599:Trauma Severity Indices; D014947:Wounds and Injuries / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control*; D055815:Young Adult
keywords: Child safety promotion; Iran; PRECEDE model; health education; health promotion