Child Injury Risks are Close to Home: Parent Psychosocial Factors Associated with Child Safety

dc.contributor.authorRhodes, Karin V
dc.contributor.authorIwashyna, Theodore J
dc.date2023-05-17T02:04:53.000
dc.date.accessioned2023-05-23T03:31:35Z
dc.date.available2023-05-23T03:31:35Z
dc.date.issued2007-05-01
dc.date.submitted2008-03-21T15:36:43-07:00
dc.description.abstractObjective: In several populations, maternal depression has been associated with reduced child safety. In an urban pediatric Emergency Department, we examined the relationship between parental depression, social support, and domestic conflict and child safety behaviors. Methods: We studied consecutive patients in an Emergency Department. Trained interviewers used a structured instrument to assess patient, primary caregiver, and household demographics, socio-economic status, psychosocial factors, child safety behaviors (whether a gun was in the home, poisons were locked, a functioning smoke detector was present, and use of carseats or seatbelts), and whether the home was smoke-free. 1,116 patients provided adequate data. Results: Depression was associated with a modest and not statistically significant reduction in child safety behaviors in this population. Lack of social support and the presence of domestic conflict were robustly, independently, and statistically significantly associated with less safe homes. Domestic conflict was associated with more smoking in the home. Conclusion: In our population, child safety was associated less with depression and more with parental lack of social support and domestic conflict. These can be assessed in a Emergency Department and may be amenable to intervention.
dc.description.commentsPostprint version. Published in Maternal and Child Health Journal, Volume 11, Issue 3, May 2007, pages 269-275. Publisher URL: http://dx.doi.org/10.1007/s10995-006-0171-2
dc.identifier.urihttps://repository.upenn.edu/handle/20.500.14332/47219
dc.legacy.articleid1106
dc.legacy.fulltexturlhttps://repository.upenn.edu/cgi/viewcontent.cgi?article=1106&context=spp_papers&unstamped=1
dc.source.issue104
dc.source.journalDepartmental Papers (SPP)
dc.source.peerreviewedtrue
dc.source.statuspublished
dc.subject.othersocial support
dc.subject.otherdepression
dc.subject.otheremergency room
dc.subject.otherchild safety
dc.subject.otherdomestic violence
dc.subject.otherinjury prevention
dc.titleChild Injury Risks are Close to Home: Parent Psychosocial Factors Associated with Child Safety
dc.typeArticle
digcom.contributor.authorisAuthorOfPublication|email:kvr@sp2.upenn.edu|institution:University of Pennsylvania|Rhodes, Karin V
digcom.contributor.authorIwashyna, Theodore J
digcom.identifierspp_papers/104
digcom.identifier.contextkey468527
digcom.identifier.submissionpathspp_papers/104
digcom.typearticle
dspace.entity.typePublication
relation.isAuthorOfPublication8880b35e-deb4-4d20-ae4f-3279ca6b0449
relation.isAuthorOfPublication.latestForDiscovery8880b35e-deb4-4d20-ae4f-3279ca6b0449
upenn.schoolDepartmentCenterDepartmental Papers (SPP)
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