Article Text

Download PDFPDF
Educational and ecological assessment for unintentional injuries among children under 7 years: directed qualitative research based on PRECEDE–PROCEED model
  1. Elaheh Lael-Monfared,
  2. Sakineh Rakhshanderou,
  3. Ali Ramezankhani,
  4. Mohtasham Ghaffari
  1. Department of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  1. Correspondence to Dr Mohtasham Ghaffari, Shahid Beheshti University of Medical Sciences School of Public Health and Safety, Tehran, Tehran, Iran (the Islamic Republic of); mohtashamghaffari{at}


Background Child injury is not seen as a new issue in medical science and public health; however, for years it has been either generally brushed aside or been conspicuously absent from the world health agenda. This study aims at investigating the factors leading to house injuries and attempts to highlight mothers’ pivotal role to provide a safe place for children at home.

Methods A qualitative research method was used. There were 29 interviews in total: 12 interviews with mothers, 9 with cure and prevention specialists and 8 with researchers. The data were gathered through semistructured interviews conducted in participants’ workplaces namely universities, research centres, health centres and in some cases through telephone in 3 months from February 2021 to May 2021 in Tehran, Iran. The participants were selected through non-probability and purposive sampling. All of the recorded interviews and notes were accurately evaluated and data analysis was performed based on the content analysis.

Results In this study, 29 participants’ views were examined: 12 mothers (41.37%), 8 researchers (27.5%) and 9 treatment and prevention experts (31%). After the analysis of the interviews, 96 codes, 14 subcategories and 3 main categories were extracted. The main categories included the predisposing factors, reinforcing factors and enabling factors. The subcategories included perceived sensitivity, perceived susceptibility, health control centre, perceived benefits, observational or peripheral learning, social support, family support, abstract norms, valuing children’s health, background factors, skills, rules and regulations, child’s character traits and self-efficacy to overcome barriers.

Conclusion House injuries among children are a complicated and multifaceted issue that requires a comprehensive investigation to determine the contributing factors.

  • multiple injury
  • education
  • health education
  • public health

Data availability statement

Data are available upon reasonable request.

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Data availability statement

Data are available upon reasonable request.

View Full Text


  • Contributors All authors conceived and designed the study and read and approved the final manuscript. EL-M: interviews. EL-M and MG: data analysis, were responsible for the initial drafting and editing of the manuscript and approved the manuscript for submission. MG, SR and AR: revised the manuscript. MG is guarantor for this manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

  • Provenance and peer review Not commissioned; externally peer reviewed.