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Health Education Research Advance Access originally published online on October 18, 2007
Health Education Research 2008 23(4):723-731; doi:10.1093/her/cym058
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© 2007 The Author(s).
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/2.0/uk/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Assessing psychosocial correlates of parental safety behaviour using Protection Motivation Theory: stair gate presence and use among parents of toddlers

T. M. J. Beirens1,*, J. Brug1, E. F. van Beeck1, R. Dekker2, P. den Hertog2 and H. Raat1

1 Department of Public Health, Erasmus MC—University Medical Center Rotterdam, 3000 CA Rotterdam, The Netherlands
2 Consumer Safety Institute, 1070 AD Amsterdam, The Netherlands

* Correspondence to: T. M. J. Beirens. E-mail: t.beirens{at}erasmusmc.nl

Unintentional injury due to falls is one of the main reasons for hospitalization among children 0–4 years of age. The goal of this study was to assess the psychosocial correlates of parental safety behaviours to prevent falls from a staircase due to the lack of or the lack of adequate use of a stair gate. Data were collected from a cross-sectional survey using self-administered questionnaires mailed to a population sample of 2470 parents with toddlers. Associations between self-reported habits on the presence and use of stair gates and family and psychosocial factors were analysed, using descriptive statistics and multiple regression models, based on Protection Motivation Theory. The presence of stair gates was associated with family situation, perceived vulnerability, response efficacy, social norms and descriptive norms. The use of stair gates was associated with family situation, response efficacy, self-efficacy and perceived advantages of safe behaviour. The full model explained 32 and 24% of the variance in the presence of stair gates and the use of stair gates, respectively, indicating a large and medium effect size. Programmes promoting the presence and adequate use of stair gates should address the family situation, personal cognitive factors as well as social factors.

Received on March 23, 2007; accepted on August 26, 2007


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