Unintentional child poisoning risk: A review of causal factors and prevention studies

ABSTRACT Unintentional child poisoning represents a significant public health priority in the United States and globally. This article was written to accomplish three goals: (a) outline and discuss a conceptual model of factors that lead to unintentional poisoning incidents among children under 5 years of age, including the roles of individual people, the environment, packaging and labeling of toxic products, and community and society; (b) review published literature concerning interventions designed specifically to reduce unintentional child poisoning; and (c) draw conclusions about what is known and what gaps exist in the current literature on unintentional child poisoning prevention to inform development, evaluation, and implementation of empirically supported, theoretically based prevention programs. The need for multi-faceted, multi-disciplinary, team-based approaches to prevention is emphasized.

[1]  J. A. Vale,et al.  A New Commitment by the American Academy of Clinical Toxicology and the European Association of Poisons Centres and Clinical Toxicologists to the Journal of Toxicology-Clinical Toxicology , 1997 .

[2]  Gitanjali Saluja,et al.  The role of supervision in child injury risk: definition, conceptual and measurement issues , 2004, Injury control and safety promotion.

[3]  W. Altemeier,et al.  Behavioral Antecedents of Pediatric Poisonings , 1993, Clinical pediatrics.

[4]  J. Fulton,et al.  A randomized controlled trial of a video module to increase U.S. poison center use by low-income parents , 2014, Clinical toxicology.

[5]  D. Spyker,et al.  2012 Annual Report of the American Association of Poison Control Centers’ National Poison Data System (NPDS): 30th Annual Report , 2013, Clinical toxicology.

[6]  Four and 6-year olds' biological concept of death: The case of plants , 2002 .

[7]  H. Soori.  Developmental risk factors for unintentional childhood poisoning. , 2001, Saudi medical journal.

[8]  R. Scherz.  Childhood poisonings from medications: three prevention programs that worked. , 1968, Military medicine.

[9]  Madison,et al.  Health hazards associated with laundry detergent pods - United States, May-June 2012. , 2012, MMWR. Morbidity and mortality weekly report.

[10]  J. Deloache,et al.  Threat Perception Across the Life Span , 2010 .

[11]  D. Kendrick,et al.  Home safety education and provision of safety equipment for injury prevention (Review). , 2013, Evidence-based child health : a Cochrane review journal.

[12]  D. Schwebel,et al.  Children's recognition of dangerous household products: child development and poisoning risk. , 2015, Journal of pediatric psychology.

[13]  L. Peterson,et al.  Process Analysis of Injury Situations: A Complement to Epidemiological Methods , 1987 .

[14]  A. Manoguerra,et al.  Recurrent Poisonings Among Paediatric Poisoning Victims , 1989, Medical toxicology and adverse drug experience.

[15]  R. Clark,et al.  Toxicity Following Laundry Detergent Pod Ingestion , 2013, Pediatric emergency care.

[16]  W. Haddon.  Advances in the epidemiology of injuries as a basis for public policy. , 1980, Public health reports.

[17]  D. Klahr,et al.  Children's Scientific Curiosity: In Search of an Operational Definition of an Elusive Concept. , 2012 .

[18]  R. McClure,et al.  Community based programs to prevent poisoning in children 0–15 years , 2004, Injury Prevention.

[19]  G. Maisel,et al.  Analysis of two surveys evaluating a project to reduce accidental poisoning among children. , 1967, Public health reports.

[20]  J. Deloache,et al.  What's so special about slithering serpents? Children and adults rapidly detect snakes based on their simple features , 2011 .

[21]  D. Schwebel,et al.  Language Acculturation and Pediatric Injury Risk , 2009, Journal of Immigrant and Minority Health.

[22]  M. Forrester.  Comparison of Pediatric Exposures to Concentrated “Pack” and Traditional Laundry Detergents , 2013, Pediatric emergency care.

[23]  I. Rosenstock,et al.  The Role of Self-Efficacy in Achieving Health Behavior Change , 1986, Health education quarterly.

[24]  Barbara A Morrongiello,et al.  Mothers' home-safety practices for preventing six types of childhood injuries: what do they do, and why? , 2004, Journal of pediatric psychology.

[25]  Kenneth C. Schneider,et al.  Prevention of Accidental Poisoning Through Package and Label Design , 1977 .

[26]  D A Spyker,et al.  The deterrent effect of poison-warning stickers. , 1984, American journal of diseases of children.

[27]  G. Läckgren,et al.  Behavioral Antecedents of Pediatric Poisonings , 1993 .

[28]  D. Schwebel,et al.  Pediatric Unintentional Injury: Behavioral Risk Factors and Implications for Prevention , 2007, Journal of developmental and behavioral pediatrics : JDBP.

[29]  K. Mena,et al.  Factors Associated with Increased Risk for Acute Unintentional Childhood Poisoning among Children Living on the U.S.-Mexico Border , 2004 .

[30]  W W Walton,et al.  An evaluation of the Poison Prevention Packaging Act. , 1982, Pediatrics.

[31]  H. Xiang,et al.  Pediatric Exposure to Laundry Detergent Pods , 2014, Pediatrics.

[32]  Lily Hsueh.  Private Regulation on the Environment: Bilateral Voluntary Agreements in U.S. Toxic Chemical Policy , 2012 .

[33]  R. Dershewitz,et al.  The Effectiveness of Health Education on Home Use of Ipecac , 1983, Clinical pediatrics.

[34]  Rachel H Thompson,et al.  Teaching preschool children to avoid poison hazards. , 2008, Journal of applied behavior analysis.

[35]  W A Gouveia,et al.  Evaluation of a community-based poison education program. , 1978, Clinical toxicology.

[36]  Aa Jawadi,et al.  Child Behaviour and Family Stress: The Possible Risk Factors in Accidental Poisoning , 1994 .

[37]  D. Kendrick,et al.  Effect of education and safety equipment on poisoning-prevention practices and poisoning: systematic review, meta-analysis and meta-regression , 2008, Archives of Disease in Childhood.

[38]  E. Waters,et al.  Understanding parental motivators and barriers to uptake of child poison safety strategies: a qualitative study , 2005, Injury Prevention.

[39]  C. Anderson,et al.  Rates of pediatric and adolescent injuries by year of age. , 2001, Pediatrics.

[40]  J. Widness,et al.  Pilot evaluation of instructing parents of newborns about poison prevention strategies. , 1988, American journal of diseases of children.

[41]  Wananani B. Tshiamo,et al.  Paraffin (kerosene)* poisoning in under-five children: a problem of developing countries. , 2009, International journal of nursing practice.

[42]  D. Hanson,et al.  The injury iceberg: an ecological approach to planning sustainable community safety interventions. , 2005, Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals.

[43]  B. Braden.  Validation of a poison prevention program. , 1979, American journal of public health.

[44]  A. Hyder,et al.  World Report on Child Injury Prevention , 2009 .

[45]  D. Black,et al.  Risk factors for unintentional poisoning in children aged 1–3 years in NSW Australia: a case–control study , 2013, BMC Pediatrics.

[46]  Ralf Schwarzer,et al.  Modelando el cambio en el comportamiento de salud: Cómo predecir y modificar la adopción y el mantenimiento de comportamientos de salud/Modeling Health Behavior Change: How to Predict and Modify the Adoption and Maintenance of Health Behaviors , 2009 .

[47]  L Sminkey,et al.  World report on child injury prevention , 2008, Injury Prevention.

[48]  P. Meaney,et al.  Laundry Detergent “Pod” Ingestions: A Case Series and Discussion of Recent Literature , 2013, Pediatric emergency care.

[49]  Barbara A Morrongiello,et al.  Caregiver supervision and child-injury risk: I. Issues in defining and measuring supervision; II. Findings and directions for future research. , 2005, Journal of pediatric psychology.

[50]  M. Heagarty,et al.  Evaluation of a program for distribution of ipecac syrup for the emergency home management of poison ingestions. , 1966, The Journal of pediatrics.

[51]  F. Lovejoy,et al.  Prevention of childhood poisoning: efficacy of an educational program carried out in an emergency clinic. , 1987, Pediatrics.

[52]  Guohua Li,et al.  Injury prevention and control. , 2007, Emergency medicine clinics of North America.

[53]  C. Anderson,et al.  Rates of pediatric injuries by 3-month intervals for children 0 to 3 years of age. , 2003, Pediatrics.

[54]  D. Spyker,et al.  2013 Annual Report of the American Association of Poison Control Centers’ National Poison Data System (NPDS): 31st Annual Report , 2014, Clinical toxicology.

[55]  R. Geller,et al.  Efficacy of flow restrictors in limiting access of liquid medications by young children. , 2013, The Journal of pediatrics.

[56]  U. Bronfenbrenner.  Toward an Experimental Ecology of Human Development. , 1977 .

[57]  Cathie M Scott,et al.  Health Promotion Planning: An Educational and Ecological Approach (3rd ed) , 2001 .

[58]  T. Robinson,et al.  Effects of a videotape to increase use of poison control centers by low-income and Spanish-speaking families: a randomized, controlled trial. , 2003, Pediatrics.

[59]  D. Sleet,et al.  Application of behavior-change theories and methods to injury prevention. , 2003, Epidemiologic reviews.

[60]  Jessi Gutierrez,et al.  Parental Practices for Prevention of Home Poisoning in Children 1–6 Years of Age , 2011, Journal of Community Health.

[61]  B. Morrongiello,et al.  The influence of peers on children's judgments about engaging in behaviors that threaten their safety , 1997 .

[62]  Lauren Glenn.  Pick your poison: what's new in poison control for the preschooler. , 2015, Journal of pediatric nursing.

[63]  K. Liller,et al.  Evaluation of a poison prevention lesson for kindergarten and third grade students , 1998, Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention.

[64]  D. Trichopoulos,et al.  Risk factors for childhood poisoning: a case-control study in Greece. , 1996, Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention.

[65]  R. Reading,et al.  Keeping children safe at home: protocol for a matched case-control study of modifiable risk factors for poisoning , 2014, Injury Prevention.

[66]  L J Horwood,et al.  A controlled field trial of a poisoning prevention method. , 1982, Pediatrics.

[67]  I. Vriend,et al.  Poisonings , 2001 .

[68]  A. J. Pooley,et al.  Social referencing "Mr. Yuk": the use of emotion in a poison prevention program. , 2010, Journal of pediatric psychology.

[69]  J Ozanne-Smith,et al.  Childhood poisoning: Access and prevention , 2001, Journal of paediatrics and child health.

[70]  G B Rodgers,et al.  The safety effects of child-resistant packaging for oral prescription drugs. Two decades of experience. , 1996, JAMA.

[71]  E. Krenzelok,et al.  Teaching poison prevention to preschool children, their parents, and professional educators through child care centers. , 1981, American journal of public health.

[72]  A. Woolf,et al.  Poisoning prevention knowledge and practices of parents after a childhood poisoning incident. , 1992, Pediatrics.

[73]  D. Kendrick,et al.  Home safety education and provision of safety equipment for injury prevention. , 2007, The Cochrane database of systematic reviews.

[74]  I. Hay,et al.  The impact of child-resistant containers on the incidence of paraffin (kerosene) ingestion in children. , 1994, South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde.

[75]  A. Bandura.  Health Promotion by Social Cognitive Means , 2004, Health education & behavior : the official publication of the Society for Public Health Education.

[76]  E. Lichtenstein,et al.  International Quarterly of Community Health Education , 2019 .

[77]  J. Deloache,et al.  Detecting the Snake in the Grass , 2008, Psychological science.

[78]  T. Mckendrick.  Poisoning Accidents in Childhood , 1960, Archives of disease in childhood.

[79]  D. Schwebel,et al.  Social and temperamental influences on children's overestimation of their physical abilities: links to accidental injuries. , 1997, Journal of experimental child psychology.

[80]  B. Morrongiello,et al.  The influence of child attributes and social-situational context on school-age children's risk taking behaviors that can lead to injury , 2005 .

[81]  R. Enzenauer,et al.  Corneal injuries from liquid detergent pods. , 2015, Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus.

[82]  E. Krenzelok,et al.  Position statement: ipecac syrup. American Academy of Clinical Toxicology; European Association of Poisons Centres and Clinical Toxicologists. , 1997, Journal of toxicology. Clinical toxicology.

[83]  A. Manoguerra,et al.  Guideline on the Use of Ipecac Syrup in the Out-of-Hospital Management of Ingested Poisons , 2005, Clinical toxicology.

[84]  W. W. Viscusi.  The lulling effect: the impact of child-resistant packaging on aspirin and analgesic ingestions. , 1984, The American economic review.

[85]  M. Rosenberg,et al.  "But they can't reach that high...": parental perceptions and knowledge relating to childhood poisoning. , 2011, Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals.

[86]  Alex J. Sutton,et al.  The Effectiveness of Different Interventions to Promote Poison Prevention Behaviours in Households with Children: A Network Meta-Analysis , 2015, PloS one.

[87]  C. Ramey,et al.  Injury risk among children of low-income U.S.-born and immigrant mothers. , 2005, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.