TY - JOUR PY - 2015// TI - The role of proximal circumstances and child behaviour in toddlers' risk for minor unintentional injuries JO - Injury prevention A1 - Kuhn, Jennifer A1 - Damashek, Amy L. SP - 30 EP - 34 VL - 21 IS - 1 N2 - BACKGROUND: Much of the research on child injury risk has focused on trait-like factors (eg, hyperactivity, child gender) that influence injury risk rather than state-like factors (eg, environmental circumstances, child behaviour). Additional research is needed to better identify the proximal risk factors for children's risk for unintentional injury.

OBJECTIVES: The present study examined the antecedents to minor unintentional injury events and whether unusual circumstances and child behaviour predicted injury risk.

METHODS: The study used archival data that were collected via biweekly in-person interviews with 170 mothers of toddlers (15-36 months) for 6 months. A case crossover design was used to predict children's risk for injury from proximal risk factors.

RESULTS: Children were at a higher risk for injury when circumstances were unusual and when they were engaging in an unusual behaviour. When a child was engaging in an unusual behaviour, higher levels of maternal supervision predicted lower injury risk. Children were more likely to be injured in a new environment, in an environment with animals or other people, in an environment with hazards or when engaging in a new activity or in a familiar activity performed in an unfamiliar way.

CONCLUSIONS: The results indicate that toddlers may be at a greater risk for minor unintentional injury when environmental circumstances are outside of the norm or when a child is engaging in unusual behaviours. The findings also indicate that higher levels of caregiver supervision may be especially beneficial when children are engaging in new or unfamiliar activities.

Language: en

LA - en SN - 1353-8047 UR - http://dx.doi.org/10.1136/injuryprev-2014-041247 ID - ref1 ER -