268208 Assessment of a Child Injury Prevention Intervention among Mexican Americans in the Texas-Mexico Border

Monday, October 29, 2012

Genny Carrillo Zuniga, MD, MPH, ScD , Department of Environmental Health, Texas A&M Health Science Center, School of Rural Public Health, McAllen, TX
Luohua Jiang, PhD , Department of Biostatistics, Texas A&M Health Science Center, School of Rural Pulic Health, College Station, TX
Nelda Mier, PhD , Social and Behavioral Health, Texas A&M School of Rural Public Health, McAllen, TX
John Hellsten, PhD , Epidemiology Studies & Initiatives Branch, Texas Dept of State Health Services, Austin, TX
Norma Garza, BS , Department of Health Policy and Management, Texas A&M Health Science Center, School of Rural Public Health, McAllen, TX
Antonio Rene, MPH, PhD , Department of Epidemiology, Texas A & M School of Rural Public Health, College Station, TX
Yoon-Ho Seol, PhD , Department of Health Informatics, Georgia Health Sciences University, Augusta, GA
Purpose: To assess the effectiveness of a child injury prevention intervention among families with children 12 years old or younger Mexican Americans living in impoverished neighborhoods known as colonias in the South Texas border region.

Background: Unintentional childhood injury is the leading cause of mortality and morbidity for children ages 1-4 in the United States, with half of the deaths occurring at the home setting. Research shows that deaths from injuries occur more frequently in low income families.

Methods: This was a one group with a pre-posttest design pilot study to test an intervention conducted in the Lower Rio Grande Valley. The sample consisted of 58 colonia households with children less than 14 years of age and a convenience sampling technique was used. Trained promotoras delivered the intervention and administered a survey to parents to measure injury-related knowledge. Descriptive and inferential analyses were used for data analyses.

Results: All 58 participants were females and their age ranged from 19-54 years old. 80% were married followed by 12% single. All participants had elementary education, 17% completed middle school and 25% attended high school. After the education intervention, there was a statistically significant increase in child injury-related knowledge among participants in all four global categories measured: Infant safety (ages 0-2 years) (p=0.0001), children safety (ages 2-8 years) (p= 0.0001), road safety (p=0.0001); and home safety (p= 0.0001).

Conclusions: This study shows that culturally appropriate intervention are effective in increasing the injury prevention knowledge of U.S. border residents living in low-income areas.

Learning Areas:
Planning of health education strategies, interventions, and programs

Learning Objectives:
1) To identify the knowledge of care givers about risk-related injuries in households with children. 2) To identify safety topics that needs to be offered for education in low-income families.

Keywords: Injury Prevention, Children's Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been actively involved in numerous research projects addressing issues in the Texas-Mexico border. In this study, I contributed to the study design and data analysis.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.