ArticleInjury prevention : journal of the International Society for Child and Adolescent Injury Prevention2015
Supervision and risk of unintentional injury in young children.
Article in Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 2 of them syntheses that pooled it.
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Who cites it
47 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Day care as a strategy for drowning prevention in children under 6 years of age in low- and middle-income countries.The Cochrane database of systematic reviews · 2021Pooled it
- What is the Relationship between Risky Outdoor Play and Health in Children? A Systematic Review.International journal of environmental research and public health · 2015Pooled it
- Trial
- Evaluating a Website to Teach Children Safety with Dogs: A Randomized Controlled Trial.International journal of environmental research and public health · 2016Trial
- Leveraging Immersive Virtual Reality to Prevent Child Injuries in the Home: Proof-of-Concept Study.JMIR pediatrics and parenting · 2026Article
- Needlestick and sharps injuries and its preventive implications among cleaners in tertiary public hospitals, Ethiopia.BMC public health · 2026Article
- Maternal Depressive Symptoms and Child Injury Risk.Maternal and child health journal · 2026Article
- Burns in Early Childhood: Age-Specific Causes, Risks, Management, and Implications-A Narrative Review.Children (Basel, Switzerland) · 2025Review
- Socioeconomic circumstances, ethnicity, migration and unintentional early childhood injuries: an analysis of the UK millennium cohort study.Injury epidemiology · 2025Article
- Social, physical and economic drivers of unintentional injuries among children under-5 in low-resource communities in Jinja City, Uganda: a photovoice exploration.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2025Article
- Determinant Factors and Characteristics of Injuries Among Preschool Children in Public Daycare Centers.Children (Basel, Switzerland) · 2025Article
- Risk-Taking Behaviors of Young Children: The Role of Children's and Parents' Socioemotional and Cognitive Control Systems.Research on child and adolescent psychopathology · 2025Article
- Traumatic dental injuries in the first year of life and related risk factors in three regions of Brazil: a multicenter birth cohort study.BMC oral health · 2025Article
- A qualitative study on the current status and needs of unintentional injury prevention and control interventions for children aged 3-12 in Guizhou Province, China.Frontiers in public health · 2025Article
- Identifying gaps in technology-based intervention prevention programs and ways to foster learning and engagement with parents using serious games.Frontiers in public health · 2025Review
- Bridging the Gap: Parental Supervision as a Mediator Between Home Environment and Unintentional Injuries in Children Under 3 Years.International journal of public health · 2025Article
- Article
- Pandemic mothering: Mothers' experiences of adaptation and resilience during the COVID-19 pandemic.Child & family social work · 2024Article
- Shifts in Paediatric Road Trauma Dynamics Pre- vs. Post-COVID-19 Lockdown: Insights from a Major Trauma Centre.Journal of epidemiology and global health · 2024Article
- Early-Life Temperamental Differences as Longitudinal Predictors of Unintentional Injuries.Journal of pediatric psychology · 2024Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveAssess the association between caregiver supervision and acute unintentional injury in young children; evaluate whether lower levels of supervision result in more severe injury.
methodsA case cross-over study was conducted. Parents of children aged ≤4 years whose injuries required emergency department (ED sample) treatment or admission to the hospital (inpatient sample) were interviewed. Information on supervision (3 dimensions: proximity, attention, continuity) at the time of injury and 1 h before the injury (control time) was collected. An overall supervision score was created; a higher score indicates closer supervision. Hospital admission served as a proxy for injury severity. ORs and 95% CIs were calculated.
resultsInterviews were completed by 222 participants; 50 (23%) were in the inpatient sample. For each supervision dimension the inpatient sample had higher odds of injury, indicating effect modification requiring separate analyses for inpatient and ED samples. For both samples, proximity 'beyond reach' was associated with the highest odds of injury; compared with 1 h before injury, children were more likely to be beyond reach of their caregiver at the time of injury (inpatient sample: OR 11.5, 95% CI 2.7 to 48.8; ED sample: OR 2.9, 95% CI 1.8 to 4.9). Children with lower supervision scores had the greatest odds of injury (inpatient sample: OR 8.0, 95% CI 2.4 to 26.6; ED sample: OR 3.3, 95% CI 1.9 to 5.6).
conclusionsLower levels of adult supervision are associated with higher odds of more severe injury in young children. Proximity is the most important supervision dimension for reducing injury risk.
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