{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T16:28:49Z","timestamp":1773160129781,"version":"3.50.1"},"reference-count":38,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T00:00:00Z","timestamp":1765152000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Unintentional injuries are a leading cause of death and disability among children and adolescents worldwide, particularly in economically underdeveloped regions. Guizhou, an impoverished and multi-ethnic region in southwestern China, faces elevated risks due to limited healthcare resources and a high proportion of left-behind children. However, few studies have explored prevention and control needs from the perspective of target populations. Using a qualitative approach, this study adopted a \u201cbottom-up\u201d perspective to investigate the needs of children, caregivers, teachers, and community workers in Guizhou regarding the prevention and control of unintentional injuries among children, aiming to provide a scientific basis for developing precise, culturally adapted intervention strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to examine the current status and needs of unintentional injury prevention and control interventions for children aged 3\u201312 in Guizhou Province.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Participants were selected using purposive sampling. From July 8 to 22, 2024, semi-structured interviews were conducted with children aged 3\u201312, their caregivers, teachers, and local social workers in Guiyang, Liping County, and Xingyi City, Guizhou Province. These included 31 focus group discussions with children and 121 in-depth interviews with caregivers, teachers, and community workers. Thematic analysis of the data was performed using NVivo 15 software.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Data analysis revealed four core themes: existing prevention and control interventions, intervention effectiveness, intervention gaps, and intervention needs. Existing interventions primarily included safety education, joint prevention and control mechanisms, and physical protection measures. While these efforts were reported to improve children\u2019s safety awareness and reduced injury incidents, gaps remained, such as inadequate parental supervision, prominent environmental hazards, insufficient publicity, resource shortages, and poor cross-sector collaboration. Vulnerable groups, including left-behind children living alone and children with disabilities, faced higher risks. Participants expressed diverse intervention needs, including environmental modifications, resource support, enhanced publicity, and innovative prevention strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The current government-led prevention and control system has achieved certain successes but requires a shift from broad coverage to targeted interventions. Future efforts should strengthen family responsibility, improve multi-sectoral collaboration, and increase resource allocation. Integrating technology and cultural guidance to establish a multi-sectoral prevention network could reduce unintentional injury risk among children and promote health equity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2025.1712091","type":"journal-article","created":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T14:47:31Z","timestamp":1765205251000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["A qualitative study on the current status and needs of unintentional injury prevention and control interventions for children aged 3\u201312 in Guizhou Province, China"],"prefix":"10.3389","volume":"13","author":[{"given":"Xiujuan","family":"Li","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roumei","family":"Lin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pan","family":"Wen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liping","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linlin","family":"Xie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yaogui","family":"Lu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guanhua","family":"Fan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zicheng","family":"Cao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fancun","family":"Meng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yanhong","family":"Huang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jian-E","family":"Peng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,12,8]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"2092","DOI":"10.1097\/JS9.0000000000001131","article-title":"Global burden of all cause-specific injuries among children and adolescents from 1990 to 2019: a prospective cohort study","volume":"110","author":"Li","year":"2024","journal-title":"Int J Surg"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"S76","DOI":"10.1016\/j.jadohealth.2016.07.024","article-title":"Interventions to prevent unintentional injuries among adolescents: a systematic review and meta-analysis","volume":"59","author":"Salam","year":"2016","journal-title":"J Adolesc Health"},{"key":"ref3","volume-title":"World report on child injury prevention","author":"Peden","year":"2008"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"294","DOI":"10.46234\/ccdcw2024.057","article-title":"Injury mortality of children and adolescents aged 0-19 years\u2014China, 2010-2021","volume":"6","author":"Zhou","year":"2024","journal-title":"China CDC weekly"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"478","DOI":"10.1186\/s12888-023-04964-w","article-title":"Unintentional injury and its associated factors among left-behind children: a cross-sectional study","volume":"23","author":"Jin","year":"2023","journal-title":"BMC Psychiatry"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"e0243464","DOI":"10.1371\/journal.pone.0243464","article-title":"Prevention of childhood unintentional injuries in low- and middle-income countries: a systematic review","volume":"15","author":"Tupetz","year":"2020","journal-title":"PLoS One"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"e79","DOI":"10.2105\/AJPH.2013.301607","article-title":"Global childhood unintentional injury study: multisite surveillance data","volume":"104","author":"He","year":"2014","journal-title":"Am J Public Health"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"1599047","DOI":"10.3389\/fpubh.2025.1599047","article-title":"What safety can we talk about when all we see is difficulty? 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