| Objective To understand the current status of parents’knowledge,beliefs and behaviors about child injury prevention and control of children aged 0-6 years in Urumqi and to explore their related influential pathways;to understand parents’willingness and needs for injury prevention and control of children aged 0-6 years in Urumqi and to provide a theoretical basis for targeted health education interventions.Methods From January to June 2022,2100 parents of children aged 0-6 years were recruited to participate in the study using randomized whole-group sampling method,and questionnaires were administered using socio-demographic questionnaire,child injury situation questionnaire,and parental knowledge and belief behavior scale for prevention and control,and 2000 valid questionnaires(95.24%)were returned;SPSS 26.0 statistical software was applied to investigate the socio-demographic data,child injury situation and parental knowledge and belief behavior.SPSS 26.0 statistical software was applied to test the socio-demographic data,child injury situation and parental trustworthiness by rank sum test,ordered multicategorical logistic regression analysis and correlation analysis,and AMOS 26.0 software was applied to construct a structural equation model to test the influence paths and effect sizes of trustworthiness.Results 1.Basic situation:Among the2000 surveyed families,1003 boys(50.15%),997 girls(49.85%),587 fathers(29.35%),1413 mothers(70.65%),the living area is mainly 81～100m~2(35.60%),the per capita monthly family income is mainly above 7000 yuan(65.05%)The number of children in the family is mainly 1(51.90%).2.Injuries:The prevalence of injuries among children aged 0-6 years in the last year in 2000 surveyed families in Urumqi was 16.85%(95%CI:15.21%to 18.49%).The differences in children’s age and grade,parents’occupation,marital status,living area,and average monthly household income were statistically significant in terms of whether the children were injured or not(P<0.05).The number of injuries was mainly 1(68.84%),the place of injury was mainly at home(48.66%),the type of injury was mainly fall injury(44.51%),and the injury site was mainly upper limbs(38.87%).3.(1)Parents’knowledge of child injury prevention and control scored13(10,14),prevention and control beliefs scored 78(72,86),and prevention and control behaviors scored 78(70,85).Perceived severity,perceived sensitivity,and perceived benefits scored higher and self-efficacy scored lower in prevention and control beliefs;environmental and supervisory behaviors scored higher and educational behaviors scored lower in prevention and control behaviors.(2)Parents’willingness to receive knowledge education and related training related to child injury prevention and control is high(98.60%);among them,the number of times is mainly 1～3 times(61.15%),the top 3types of understanding channels are TV/radio(29.06%),new media such as We Chat/blog(21.18%)and family/friends(15.35%),and the top 3 types of prevention and control management are child injury prevention and control safety knowledge propaganda(22.76%),post-injury rehabilitation and health guidance such as diet(22.43%)and first aid services(17.79%),the top 3 types of ways to carry out prevention and control were new media such as We Chat and Weibo(27.80%),short video platforms(25.57%)and child injury prevention and control APP(16.82%),and the top 3 types of prevention and control knowledge were simple wound treatment(19.50%),treatment of sprains or injuries(18.14%),etc.and first aid for heat stroke(12.97%).4.(1)Analysis of knowledge influencing factors:children’s age and grade,parents’gender,age,education and occupation,family living area,and average monthly family income had statistically significant differences in parental prevention and control knowledge scores(P<0.05);father’s being an institution employee was a protective factor for parental prevention and control knowledge,and children not enrolled in school,parents’low education,mother’s being unemployed,and low average monthly family income were risk factors for parents’knowledge of prevention and control scores(P<0.05).(2)Analysis of factors influencing beliefs:children’s grade,whether they were injured,number of injuries,parents’education and occupation,living area and average monthly household income were statistically significant differences in parental control belief scores(P<0.05);Child injury,father’s education level of high school(secondary school)or less and low average monthly family income were risk factors for parental prevention and control beliefs,and the number of child injuries was 0 and mother was a corporate employee were protective factors for parental prevention and control beliefs(P<0.05).(3)Analysis of behavioral influencing factors:parental gender,age,education level,type of occupation,area of residence,and average monthly family income were statistically significant differences in parental prevention and control behavior scores(P<0.05);mother being a farmer was a protective factor for parental prevention and control behavior,fathers’education was high school(junior college)and below,and low average monthly family income was a risk factor for parental prevention and control behavior(P<0.05).(4)Correlation analysis:there was a positive correlation between parents’prevention and control knowledge,prevention and control beliefs and prevention and control behaviors in child injury prevention and control(P﹤0.01).(5)Structural equation modeling:There were direct correlations between father’s education(β=0.18,95%CI:0.13～0.23),father’s occupation(β=-0.09,95%CI:-0.14～0.04),average monthly family income(β=0.13,95%CI:0.08～0.18)and prevention and control knowledge.There were direct associations between knowledge of prevention and control(β=0.13,95%CI:0.08～0.17),mother’s education(β=0.11,95%CI:0.07～0.16)and beliefs about prevention and control,and indirect factors were father’s education(β=0.02,95%CI:0.01～0.03),father’s occupation(β=-0.01,95%CI:-0.02～-0.01),and average monthly household income(β=0.02,95%CI:0.01～0.03).There was a direct association between prevention and control beliefs(β=0.21,95%CI:0.17～0.26),prevention and control knowledge(β=0.25,95%CI:0.21～0.29),average monthly household income(β=0.11,95%CI:0.07～0.16)and prevention and control behavior,and indirect factors were father’s education(β=0.04,95%CI:0.03～0.06),father’s occupation(β=-0.02,95%CI:-0.04～0.01),and mother’s education(β=0.02,95%CI:0.01～0.04).Conclusion 1.The incidence of injuries among children aged 0-6 years in Urumqi has decreased,but injuries in the family are still frequent,and fall injuries are the main cause of childhood injuries,therefore,in the prevention and control of childhood injuries,interventions should be focused on injury-risk locations and main causes of injuries.2.Parents’belief level of prevention and control is good,but the level of prevention and control knowledge and prevention and control behavior still needs to be improved,and there is a need to meet parents’knowledge and training on prevention and control of childhood injuries.Parents’willingness to diversify their knowledge and training on child injury prevention and control.This suggests that the relevant departments should target to improve parents’knowledge and behavioral needs for child injury prevention and control.3.The father’s occupation and education level,mother’s education level,and average monthly family income are the main factors affecting parents’knowledge and beliefs about prevention and control,and attention should be paid to parents who are farmers,unemployed,and have low average monthly family income and education,and personalized interventions should be carried out for parents to improve their knowledge and beliefs about prevention and control.4.There is a positive correlation between knowledge,beliefs about prevention and control,and the mediating effect of beliefs about prevention and control is significant between knowledge and control and control behavior.In developing health education programs to improve parents’injury prevention and control behaviors,it is necessary to improve parents’knowledge and beliefs about prevention and control in order to provide a safe home environment for children and reduce the occurrence of childhood injuries. |
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