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Arch Dis Child 1997;77:28-31 ( July )

Accidental injury: risk and preventative interventions

Ingeborg van Weeghel,a Denise Kendrick,b Patricia Marshc

a University of Nijmegen, Sommelaan 6, 5627 WK Eindhoven, The Netherlands: Faculty of Medicine, b University of Nottingham Medical School, Queen's Medical Centre, Clifton Boulevard, Nottingham NG7 2UH: Department of General Practice, c Department of Public Health Medicine and Epidemiology

Correspondence to: Dr Kendrick.

Accepted 16 April 1997

OBJECTIVE---To evaluate the relation between risk factors for childhood unintentional injury and requests for injury prevention interventions as part of the Nottingham Safe at Home project, a primary care based controlled intervention study assessing the effectiveness of a package of injury prevention interventions.
SETTING---17 practices in Nottingham randomly selected from 55 practices volunteering to take part in the study.
METHODS---Postal questionnaire to all parents of children aged 3 to 12 months registered with the intervention practices (n = 1124) to assess risk factors for injury and to elicit requests for three injury prevention interventions: free home safety checks, low cost safety equipment, and free first aid training.
RESULTS---73% of parents responded to the questionnaire. The distribution of sociodemographic variables among responders was similar to that for the population of Nottingham. One third of parents (34%) requested one intervention, 21% requested two interventions, and 10% requested three. Receipt of means tested benefits, ethnicity, and residence in a deprived area were independently associated with requesting home safety checks. Non-owner occupation, lack of access to a car, receipt of means tested benefits, ethnicity, and unemployment were independently associated with requesting low cost safety equipment. Non-owner occupiers were less likely to request first aid training.
CONCLUSIONS---Families with risk factors for childhood unintentional injury do request home safety checks and low cost safety equipment, but they are less likely to request first aid training. Other methods for providing first aid advice may be needed to reach such families.

Keywords: unintentional injury; injury prevention; risk factors


© 1997 by Archives of Disease in Childhood



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