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Family factors affecting unintentional home injuries among young children in Wenzhou, china

Presentation for Burapha University International Conference 2012. Family factors affecting unintentional home injuries among young children in Wenzhou, china. Presenter: Xianyun Qiu Advisors: Assoc. Prof. Dr. Chintana Wacharasin , Assoc. Prof. Dr. Wannee Deoisres

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Family factors affecting unintentional home injuries among young children in Wenzhou, china

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  1. Presentation for Burapha University International Conference 2012 Family factors affecting unintentional home injuries among young children in Wenzhou, china Presenter: XianyunQiu Advisors: Assoc. Prof. Dr. ChintanaWacharasin, Assoc. Prof. Dr. WanneeDeoisres M.N.S., International program, faculty of nursing, BUU

  2. Introduction • Unintentional injury is a leading cause of morbidity and mortality children < 5 years globally (WHO, 2008; 2011). Moreover, half of them occur at home (Xin, Nan & Ling, 2005 ). • The impacts of Unintentional Home Injury (UHI )are enormous on: • children: disability, psychological disorder; • family: economic burden, psychological disorder • Children under 5 years are vulnerable to (UHI) because of: • Nature: “high motor and curiosity” Vs “insufficient cognitive” • Nurture: family environment. • Some family Factors affected UHI from literature.

  3. In Wenzhou • 115,000 children aged 1-3 • accidents accounted for 44% of total deaths in 2004 in young children (Han et al., 2007). • However, it is little known: • how about occurrence of home accident in young children in Wenzhou. • holistic family factors affecting UHI among young children in China

  4. Research Objectives • To describe characteristics of unintentional home injuries among children with 1-3 years old in Wenzhou, China • To examine the predicted relationship among family income, family type, home hazards, parent’s education, parenting style, parents’ awareness on UHI, family adaptation and cohesion and unintentional home injuries among children with 1-3 years old in Wenzhou, China.

  5. MATERIALS AND METHODS • A descriptive predictive design Population: parents having young children aged two to three living in Wenzhou. Sample met the below criteria: 1). Have children aged 2-3, 2). Be mother, father or other family member aged 20 years or older who take primary care of child, 3). Be able to speak and read Chinese, 4). Be able to recall the event in the preceding 6 months, 5). Be willing to join the study.

  6. Sample Size Sample size=K×40=7×40=280 Where: K means the number of independent variables, K=7 (Tabachnick & Fidell, 2007)

  7. Setting and Sampling Urban Wenzhou -12communities Nanpu community Liming community Xiushan community 7kindergartens 3kindergartens 6kindergartens 6 kindergartens 13 classes 2 kindergartens 4 classes 1 kindergarten 2 classes 179 subjects 73 subjects 28 subjects

  8. Research instruments • UHI: • diagnosed by the International Classification of Diseases -10th Revision (ICD-10) (Wang 1998). • Occurred at home within the past 6 months. • required any of the following treatment: first aid, health care and rest for over half a day.

  9. Research instruments • Home hazards: any object at home contains harmful energy causing UHI. • Measured by The Assessment Tool of Domestic Hazards (ATDH) (Pang et al., 2010b). • Family functioning: the degree to which family members’ support each other and the ability to solve problems. • assessed by The Family Adaptability and Cohesion Evaluation Scale, the second edition-Chinese version (FACESII-CV) (Fei et al., 1999).

  10. Research instruments • Parent’s awareness:parent’s ability to identify injury hazards in a simulated home for their own children; recognize the injury and children’s actions on the specific hazard. • assessed by Situation Awareness of Toddlers’ Parents to Domestic Injuries (SATPDI) (Pang, 2010a). • Parenting style: how parents respond to and control their children’s behavior. • Three subscales: • permissiveness, authoritativeness and authoritarianism • assessed by Parenting Style Questionnaire (Zhu & Qin, 1998).

  11. Protection of Human Subjects • Approval from IRB, Faculty of Nursing, BUU. • Participants: informed consent, • data: confidentiality

  12. Data Collection Procedure Permission from kindergartens’ leaders • 6 research assistants were trained • Each Questionnaire was put in an envelope with a two-side adhesive tape. • distributed questionnaire before parents picked children up • Parents brought them bake home and returned soon • Researcher reminded subjects to supplement the empty. • Each subject received a gift as acknowledgement

  13. Results of demographic characteristics The response rate was 76% (280/372). • The children’s age: 24 - 47 months. • 75%of participants were mothers. • similar percentage of parents with each education level (about 25% respectively). • Half of them lived in nuclear families, half in extended families. • 75% families did not reach average line by family income (Statistics department of Wenzhou government, 2012).

  14. Result and discussion of UHI • Characteristics of UHI

  15. Discussion of UHI The incidence rate of UHI (40%): twice than those in other areas of china (15% - 20%) (Hui & Xia, 2004; Xin, Nan & Ling, 2005). the rate of UHI requiring any health care (17.14%): higher than America and Iran; similar to Turkey. • Toddlers in Wenzhou were vulnerable to home accidents

  16. results of independent variables by UHI

  17. results of independent variables by UHI

  18. *: p < .05 multivariate logistic regression of UHI (N=280) High home hazards were a risk factor. The risk for UHI in high home hazards was 1.89 times as that in low hazards.

  19. Discussion the Relationship between home hazards and UHI • high home hazards were a risk factor for UHI. • The possible reasons: • Home hazards can carry harmful energy. • direct physical environment. • Furthermore, toddlers approach home hazards easier due to curiosity and motor development (Ball & Binder, 2006), .

  20. Implication for nursing practice and science • Prevention of UHI among toddlers is worth concerning regardless of parent’s education, family income, family type. • Family nurses have to • evaluate home hazards. • help target parents to be aware of the importance of home hazards. • suggest parents to store or removal specific home hazards. • Future researches are needed • To explore risk factors affecting children proneness of accidents. • To identify risk or protective factors affecting home hazards and cost-efficient intervention with modification home environment. • On children’s personal factors and UHI.

  21. Thank you for your attention!! Burapha University International Conference 2012

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