ArticleBMJ open2021
Parents' attitudes as mediators between knowledge and behaviours in unintentional injuries at home of children aged 0-3 in Shanghai, Eastern China: a cross-sectional study.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Suicide rates before and during the COVID-19 pandemic: a systematic review and meta-analysis.Social psychiatry and psychiatric epidemiology · 2024Pooled it
- Psychological and socio-contextual factors influencing preventive healthcare decision-making: evidence from IT and ITES companies in three cities of India.BMC health services research · 2025Article
- Classification of unintentional injury prevention practices for infants and young children at home: developmental process and associations with other variables in Japanese families.BMC psychology · 2025Article
- Article
- 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
- Parents' knowledge, attitude and practice regarding childhood circumcision: a cross-sectional study in the central region of Sichuan, China.Frontiers in pediatrics · 2025Article
- Nutrition literacy and salt reduction measures: a mediating role of salt reduction intention.Frontiers in nutrition · 2025Article
- Article
- Parental non-compliance to childhood safety practices: A cross-sectional study.The Indian journal of medical research · 2024Article
- Application of an integrated behaviour-change model on grandparental adherence towards childhood domestic injury prevention in Hong Kong: a longitudinal study.BMJ public health · 2024Article
- The influence of water safety knowledge on adolescents' drowning risk behaviors: a framework of risk-protect integrated and KAP theory.Frontiers in public health · 2024Article
- Risk factors of in-home unintentional injuries among 0-6-year-old children in Changsha city of China: a cross-sectional survey based on Bronfenbrenner's ecological system theory.BMC pediatrics · 2022Article
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10 authors.
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Abstract
objectiveParental behaviours are important in preventing unintentional injury at home among young children. Previous research showed an inconsistent relationship between knowledge and behaviours, indicating that the mechanisms may vary for different behaviours. This study aimed to examine the mediating roles of different attitudes in the mechanism of knowledge acting on different behaviours.
designCross-sectional study.
settingEastern China.
participantsParticipants were recruited using stratified community-based sampling. A total of 488 parents of children aged 0-3 years participated in the study and 476 (97.5%) valid questionnaires were recovered. PRIMARY OUTCOME MEASURES: Parents' knowledge, attitudes (including injury attribution, preventability and responsibility) and behaviours (including supervision behaviours, risky behaviours and providing a safe home environment).
resultsThe results of mediation analysis showed that the mediator variables were different for different behaviours and that all associations were positive. Parents' knowledge (β 0.19, 95% CI 0.13 to 0.24) and attitude of injury attribution (β 0.37, 95% CI 0.21 to 0.46) were directly associated with risky behaviours. Attitude of preventability was directly associated with parents' supervision behaviour (β 0.27, 95% CI 0.14 to 0.40). Parents' attitude of preventability mediated the positive association between knowledge, attitudes of injury attribution and responsibility, and supervision behaviours, as well as providing a safe home environment. In addition, the occurrence of child injuries at home was directly associated with home environment (β -0.41, 95% CI -0.82 to -0.01).
conclusionsThe current findings confirm that attitudes play varying mediating roles between knowledge and different behaviours. An important recommendation is that parents' attitudes, especially towards preventability and responsibility, need to be considered when health providers develop health education programmes targeted at improving parental supervision behaviours and providing a safe home environment.
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