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Inj Prev. 2006 Feb;12(1):35-40. doi: 10.1136/ip.2004.007153.

Differential strength of association of child injury prevention attitudes and beliefs on practices: a case for audience segmentation.

Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention

C J Vladutiu, T R Nansel, N L Weaver, H A Jacobsen, M W Kreuter

Affiliations

  1. Maternal and Child Health Bureau, Health Resources and Services Administration, Department of Health and Human Services, USA. [email protected]

PMID: 16461418 PMCID: PMC2563488 DOI: 10.1136/ip.2004.007153

Abstract

OBJECTIVE: Many injuries to children cannot be prevented without some degree of active behavior on the part of parents. A better understanding of social and cognitive determinants of parents' injury prevention behavior and the identification of potential subgroups for targeted message delivery could advance the effectiveness of educational and behavioral interventions. This study assessed the degree to which parents' injury prevention behavior is associated with theoretical determinants and examined whether this relation differs by age or birth order of child.

DESIGN: Cross sectional observational study.

SETTING: Three Midwestern pediatric clinics.

SUBJECTS: 594 parents of children ages 0-4 attending routine well child visits.

MEASURES: Injury prevention attitudes, beliefs, and practices.

RESULTS: Overall, only modest relations were observed between injury beliefs and attitudes and injury prevention behaviors. However, these relations differed substantially by child age and birth order, with stronger associations observed for parents of older first born children. Outcome expectations and social norms were more strongly related to injury prevention behavior among parents of preschool children than among parents of infants and toddlers, while attitudes were more predictive for parents of first born children than parents of later born children.

CONCLUSIONS: These findings highlight the complexity of relations between theorized determinants and behavior, and suggest the potential utility of using audience segmentation strategies in behavioral interventions addressing injury prevention.

References

  1. Scand J Public Health. 2000 Sep;28(3):188-93 - PubMed
  2. Inj Prev. 2004 Apr;10(2):79-82 - PubMed
  3. J Dev Behav Pediatr. 2002 Dec;23(6):443-55 - PubMed
  4. Health Educ Q. 1995 Feb;22(1):85-95 - PubMed
  5. Health Psychol. 1990;9(2):177-91 - PubMed
  6. Crit Care Med. 2002 Nov;30(11 Suppl):S385-92 - PubMed
  7. Am J Dis Child. 1988 Jun;142(6):612-7 - PubMed
  8. Pediatrics. 1991 Jul;88(1):43-7 - PubMed
  9. J Pediatr Psychol. 1993 Feb;18(1):115-31 - PubMed
  10. Am J Dis Child. 1989 May;143(5):556-9 - PubMed
  11. J Appl Behav Anal. 1984 Summer;17(2):159-74 - PubMed
  12. Health Educ Q. 1984 Summer;11(2):195-206 - PubMed
  13. Int Anesthesiol Clin. 1994 Winter;32(1):11-25 - PubMed
  14. J Health Psychol. 1996 Jul;1(3):261-77 - PubMed
  15. Accid Anal Prev. 1990 Jun;22(3):297-300 - PubMed
  16. J Burn Care Rehabil. 1996 Jan-Feb;17(1):49-61 - PubMed
  17. Future Child. 2000 Spring-Summer;10(1):53-82 - PubMed
  18. Inj Prev. 1995 Mar;1(1):53-8 - PubMed
  19. J Health Commun. 1996 Jul-Sep;1(3):267-83 - PubMed
  20. J Pediatr. 1989 Dec;115(6):927-31 - PubMed
  21. Am J Health Behav. 2003 Nov-Dec;27 Suppl 3:S227-32 - PubMed
  22. Pediatrics. 2003 Apr;111(4 Pt 1):e365-70 - PubMed
  23. Image J Nurs Sch. 1996 Spring;28(1):59-64 - PubMed
  24. Pediatrics. 1993 Feb;91(2):481-7 - PubMed
  25. Am J Public Health. 1995 Jul;85(7):932-8 - PubMed
  26. Am J Dis Child. 1990 Jun;144(6):714-20 - PubMed

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