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The Role of Proximal Maternal Supervision in Children’s Risk for Injury in a Low-Income Sample

Objective
This study examined the role of proximal maternal supervision in children's injury occurrence and severity among low-income families.


Methods
We used a case crossover design and collected data about injury and control conditions for children aged 1-5 in 50 low-income families.


Results
Higher levels of mothers' proximity to children predicted lower likelihood of injury occurrence. When controlling for child activity level, there was a trend for visual supervision to predict injury occurrence. The number of children in the home was also associated with lower supervision and higher prior injury frequency.


Discussion
These findings provide evidence for the important role of maternal supervision in preventing unintentional injuries among low-income, at-risk children. Interventions that help at-risk caregivers provide closer supervision for their children are needed.