Published online April 2, 2007
PEDIATRICS Vol. 119 No. 4 April 2007, pp. e958-e965 (doi:10.1542/peds.2006-1605)
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ARTICLE

Injury-Prevention Counseling and Behavior Among US Children: Results From the Second Injury Control and Risk Survey

Jieru Chen, MSa, Marcie-jo Kresnow, MSa, Thomas R. Simon, PhDb and Ann Dellinger, PhD, MPHc

a Office of Statistics and Programming
Divisions of b Violence Prevention
c Unintentional Injury, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia

OBJECTIVES. The purpose of this work was to provide recent national prevalence estimates of pediatric injury-prevention counseling by health care providers, to compare these latest findings with those from a similar survey conducted in 1994, and to ascertain the association between counseling and safety behaviors.

METHODS. We conducted a cross-sectional, list-assisted random-digit-dial telephone survey of randomly selected children in English- or Spanish-speaking households in all 50 US states and the District of Columbia. The main outcome measures were respondents' reports that they or their children received injury-prevention counseling from their child's health care provider in the 12 months preceding the interview, children's practices of safety behaviors, and the association of injury-prevention counseling and such behaviors.

RESULTS. The overall proportion of US children receiving any injury-prevention counseling (42.4%) remained relatively unchanged, whereas counseling on selected injury-prevention topics increased significantly compared with reports based on the 1994 survey. Topic-specific injury-prevention counseling was positively associated with the posting of the poison control center telephone number in homes with children <6 years of age and with bicycle-helmet use among children 5 to 14 years of age.

CONCLUSIONS. Although the prevalence of pediatric injury-prevention counseling remains low, such counseling was associated with safer behaviors. This suggests the importance of pediatric injury-prevention counseling and indicates the need for health care providers to increase pediatric injury-prevention counseling in clinical practices.

Key Words: injury • counseling • safety behaviors

Abbreviations: CDC—Centers for Disease Control and Prevention • ICARIS-1994—1994 Injury Control and Risk Survey • ICARIS-2—Second Injury Control and Risk Survey • RDD—random-digit-dial

Accepted Oct 10, 2006.




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