Relationship Between Parental Locus of Control and Childhood Injury
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Relationship Between Parental Locus of Control and Childhood Injury Samantha Schilling1 · Victor Silva Ritter2 · Ashley Skinner3 · H. Shonna Yin4 · Lee M. Sanders6 · Russell L. Rothman5 · Alan M. Delamater7 · Eliana M. Perrin8 Accepted: 8 October 2020 © Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Although pediatricians routinely counsel parents about preventing childhood injuries, we know little about parents’ locus of control (LOC) in regards to preventing their children from being injured. We performed an observational analysis of sociodemographic differences in LOC for injury prevention, as measured by four items adapted from the Parental Health Beliefs Scales, in English- and Spanish-speaking parents of infants participating in the treatment arm of an obesity prevention study. First, we examined associations of parental LOC for injury prevention at the time their children were 2 months old with parents’ age, race/ethnicity, income, and education. Next, we analyzed time trends for repeated LOC measures when the children were 2, 6, 9, 12, and 24 months old. Last, we examined the association between injury-related LOC items and children’s injury (yes/no) at each time point. Of 452 parents, those with lower incomes had both lower internal and higher external LOC. Lower educational achievement was associated with higher external LOC. Both internal and external LOC scores decreased over time. Injuries were more common in children whose parents endorsed low internal and high external LOC. Future studies should examine whether primary care-based interventions can increase parents’ sense of control over their children’s safety and whether that, in turn, is associated with lower injury rates. Clinical Trial Registration: NCT01040897. Keywords Locus of control · Injury prevention · Primary care Abbreviations LOC Locus of control PHBS Parental Health Beliefs Scales
* Samantha Schilling [email protected] Extended author information available on the last page of the article
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The Journal of Primary Prevention
Introduction Unintentional injuries are the leading cause of morbidity and mortality among children in the United States. About 20 children die every day from a preventable injury, more than from all diseases combined (Borse & Sleet, 2009). Each year, more than 6000 children die from unintentional injuries and more than 5.5 million are treated in emergency departments for nonfatal injuries (Centers for Disease Control and Prevention [CDC], 2020). Children between the ages of 0–4 years are particularly vulnerable to unintentional injuries, as rates of accidental falls, burns, near drownings, injuries related to foreign bodies, and suffocations are highest in this age group (Borse & Sleet, 2009; CDC, 2020). For these young children, several child- and parent-related factors are associated with increased injury risk. Risk factors for childhood injury include young age (Hippisley-Cox et al., 2002), higher birth order (Orton, Kendrick, West, & T
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