ArticleHealth promotion perspectives2026
Explaining Maternal Preventive Behaviors for Home Accident Risk in Children Under Five Years: An Application of the Health Belief Model.
Article in Health promotion perspectives, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Home accidents are a major global health concern for children under five. This study aimed to determine the prevalence of home accidents and to identify the predictors of mothers' preventive behaviors based on the Health Belief Model (HBM) in Yazd, Iran. Methods: This cross-sectional study was conducted in 2023 on 200 mothers with children under five years, selected via multi-stage cluster sampling from five comprehensive health centers in Yazd. A researcher-made questionnaire based on HBM, including locus of control, was used for data collection. Its validity and reliability were confirmed (CVR>0.75, CVI>0.79, Cronbach's alpha>0.68). Data were analyzed using SPSS-21 with independent t-tests, ANOVA, Pearson correlation, and linear regression, considering the design effect. Results: Totally, of 212 studied children, 163 (76.9%, 95% CI: 71.2-82.6) had experienced at least one home accident. The most common accidents were cuts (39.6%), falls (33.0%), and burns (30.7%). Accident occurrence was significantly associated with older child age (mean difference: 8.25 months, 95% CI: 3.38-13.12, Conclusion: The HBM was found to be an effective framework for explaining maternal preventive behaviors. Interventions should focus on reducing perceived barriers, enhancing perceived benefits, and modifying external locus of control beliefs to prevent home accidents in children.
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