{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T11:12:59Z","timestamp":1760181179608,"version":"build-2065373602"},"reference-count":24,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2020,12,22]],"date-time":"2020-12-22T00:00:00Z","timestamp":1608595200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Injury prevention education for pregnant women may be beneficial for infants\u2019 safety. Currently, knowledge about the scope of an expectant mother\u2019s intent to prevent injury is limited. The objective of this study was to determine pregnant women\u2019s intentions to implement infant injury prevention strategies. From May to June 2017, a self-administered questionnaire based on the precaution adoption process model was distributed among pregnant women who participated in a parenting preparation class in a city, Tokyo. Pregnant women\u2019s intentions to implement the following eight kinds of safety practices were measured: three practices regarding suffocation, two regarding falls, one safety practice for burns, one for accidental ingestion, and one for traffic accidents. Among 132 respondents (response rate: 83.5%; mean age: 33.4 years; mean gestational age: 29 weeks), the most common unawareness issue was \u201cMake sure that there is no space between the mattress and bed frame\u201d (68.2%), followed by \u201cUse a firm mattress or futon\u201d (38.5%) and \u201cKeep soft objects away from the baby\u2019s head in the baby\u2019s sleep area\u201d (31.8%); 58% or more women reported having already \u201cdecided to implement\u201d the other five practices. Safety practices that pregnant women were mostly unaware of were for preventing suffocation, despite this being a leading cause of death in terms of unintentional infant injury. In comparison, the safety practices for falls, burns, and accidental ingestion were more known to pregnant women. The pregnant women\u2019s intention to implement injury prevention for infants varied by safety practices. These findings could be used to improve the focus of antenatal education programs for the prevention of infant injury.<\/jats:p>","DOI":"10.3390\/ijerph18010024","type":"journal-article","created":{"date-parts":[[2020,12,22]],"date-time":"2020-12-22T12:42:28Z","timestamp":1608640948000},"page":"24","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Pregnant Women\u2019s Intentions to Implement Safety Practices for Preventing Infant Injury: A Cross-Sectional Study"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8451-9990","authenticated-orcid":false,"given":"Chikako","family":"Honda","sequence":"first","affiliation":[{"name":"Department of Community Health Nursing, School of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Naruse","sequence":"additional","affiliation":[{"name":"Department of Community Health Nursing, School of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noriko","family":"Yamamoto-Mitani","sequence":"additional","affiliation":[{"name":"Department of Gerontological Home Care and Long-Term Care Nursing\/Palliative Care Nursing, School of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2020,12,22]]},"reference":[{"unstructured":"(2020, November 03). World Health Organization, World Report on Child Injury Prevention in 2008. Available online: http:\/\/apps.who.int\/iris\/bitstream\/10665\/43851\/1\/9789241563574_eng.pdf.","key":"ref_1"},{"unstructured":"(2020, November 03). Ministry of Health, Labour and Welfare, Vital statistics of Japan, General mortality, 5\u201334, Volume 1 (2017). Available online: https:\/\/www.e-stat.go.jp\/en\/stat-search\/files?page=1&layout=datalist&toukei=00450011&tstat=000001028897&cycle=7&year=20170&month=0&tclass1=000001053058&tclass2=000001053061&tclass3=000001053065&stat_infid=000031749404&result_back=1.","key":"ref_2"},{"doi-asserted-by":"crossref","unstructured":"Flavin, M.P., Dostaler, S.M., Simpson, K., Brison, R., and Pickett, W. (2006). Stages of development and injury patterns in the early years: A population-based analysis. BMC Public Heal., 6.","key":"ref_3","DOI":"10.1186\/1471-2458-6-187"},{"unstructured":"Ministry of Health, Labour and Welfare, Implementation of Health Checkups and Health Guidance for Mothers and Infants (2020, November 03). Notice by the Director- of Child and Family Policy Bureau of the Ministry of Health (1996, in Japanese). Available online: http:\/\/rhino.med.yamanashi.ac.jp\/sukoyaka\/tuuti8_11_20_2.html.","key":"ref_4"},{"unstructured":"Ministry of Health, Labour and Welfare, Percentage of Municipalities Implementing Injury Prevention Measures (2020, November 03). Final report of Healthy Parents and Children 21, p126 (2013, in Japanese). Available online: https:\/\/www.mhlw.go.jp\/file\/04-Houdouhappyou-11908000-Koyoukintoujidoukateikyoku-Boshihokenka\/0000034791.pdf.","key":"ref_5"},{"unstructured":"(2020, November 03). Ministry of Health, Labour and Welfare, Vital Statistics of Japan, Infant Mortality, 1, Volume 3 (2017). Available online: https:\/\/www.e-stat.go.jp\/stat-search\/files?page=1&layout=datalist&toukei=00450011&tstat=000001028897&cycle=7&year=20170&month=0&tclass1=000001053058&tclass2=000001053061&tclass3=000001053066&result_back=1&second2=1.","key":"ref_6"},{"doi-asserted-by":"crossref","unstructured":"Honda, C., Yamana, H., Matsui, H., Nagata, S., Yasunaga, H., and Naruse, T. (2020). Age in months and birth order in infant nonfatal injuries: A retrospective cohort study. Public Heal. Pr., 1.","key":"ref_7","DOI":"10.1016\/j.puhip.2020.100005"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1093\/her\/cyl079","article-title":"Health and safety intervention with first-time mothers","volume":"22","author":"Culp","year":"2006","journal-title":"Heal. Educ. Res."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"644","DOI":"10.1001\/jama.1997.03550080054039","article-title":"Effect of Prenatal and Infancy Home Visitation by Nurses on Pregnancy Outcomes, Childhood Injuries, and Repeated Childbearing","volume":"278","author":"Kitzman","year":"1997","journal-title":"JAMA"},{"doi-asserted-by":"crossref","unstructured":"Khanom, A., Hill, R.A., Brophy, S., Morgan, K., Rapport, F., and Lyons, R.A. (2013). Mothers\u2019 perspectives on the delivery of childhood injury messages: A qualitative study from the growing up in Wales, environments for healthy living study (EHL). BMC Public Health, 13.","key":"ref_10","DOI":"10.1186\/1471-2458-13-806"},{"unstructured":"(2020, November 03). Tokyo Metropolitan Government Bureau of Social Welfare and Public Health, Boshi Hoken Jigyou Houkoku Nenpou [Report on Maternal and Child Health Services, 2018]. Available online: https:\/\/www.fukushihoken.metro.tokyo.lg.jp\/kodomo\/koho\/boshihoken_nenpo.files\/boshi_nenpo30.pdf.","key":"ref_11"},{"unstructured":"Glanz, K., Rimer, B.K., and Viswanath, K. (2008). The precaution adoption process model. Health Behavior and Health Education Theory, Research, and Practice, Jossey-Bass. [4th ed.].","key":"ref_12"},{"unstructured":"(2020, November 03). Ministry of Health, Labour and Welfare, Vital Statistics of Japan, General Mortality, 5\u201331, Volume 1 (2017). Available online: https:\/\/www.e-stat.go.jp\/en\/stat-search\/files?page=1&layout=datalist&toukei=00450011&tstat=000001028897&cycle=7&year=20170&month=0&tclass1=000001053058&tclass2=000001053061&tclass3=000001053065&stat_infid=000031749401&result_back=1.","key":"ref_13"},{"unstructured":"(2020, November 03). Tokyo Fire Department, KyuKyu Hansou Data Kara Miru Nichijyou Seikatsu Jiko No Jittai (2017, in Japanese) [Emergency Transport Data Concerning Daily Life Accidents]. Available online: http:\/\/www.tfd.metro.tokyo.jp\/lfe\/topics\/201810\/nichijoujiko\/data\/all.pdf.","key":"ref_14"},{"unstructured":"(2020, November 03). American Academy of Pediatrics, A Guide to Safety Counseling in Office Practice (1994). Available online: https:\/\/patiented.solutions.aap.org\/DocumentLibrary\/A%20Guide%20to%20Safety%20Counseling%20in%20Office%20Practice.pdf.","key":"ref_15"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1016\/j.ypdi.2012.02.005","article-title":"SIDS and Other Sleep-Related Infant Deaths: Expansion of Recommendations for a Safe Infant Sleeping Environment","volume":"2012","author":"Jones","year":"2012","journal-title":"Yearb. Pulm. Dis."},{"unstructured":"Tanaka, T., and Tokyo Metropolitan Government Bureau of Social Welfare and Public Health (2020, November 03). Kodomo ni Anzen wo Present (2015, in Japanese) [Present \u201cChildren Safety\u201d for Maternity and Couple Classes], Available online: https:\/\/www.fukushihoken.metro.tokyo.lg.jp\/kodomo\/shussan\/nyuyoji\/kodomo_anzen.files\/31anzen-for-parents.pdf.","key":"ref_17"},{"unstructured":"(2020, November 03). Ministry of Health, Labour and Welfare, Kodomo no Jiko Ni Kansuru Boshi Kenkou Techo he no Kisai ni tuite Kodomo no Jiko Yobou Ni Kansuru Torikumi Ni Tuite (2012, in Japanese) [Mother and Child Book with Guidelines for Preventing Child Injuries and Means of Implementing Injury Prevention]. Available online: https:\/\/www.cao.go.jp\/consumer\/history\/02\/kabusoshiki\/anzen\/doc\/013_120601_shiryou4-1.pdf.","key":"ref_18"},{"unstructured":"Eto, T. (2020, November 03). Protecting children\u2019s smiles-Prevent children\u2019s injuries. Japan Child and Family Research Institute. Health Labour Sciences Research Grant project, [DVD, 2013]. (In Japanese). Available online: https:\/\/mhlw-grants.niph.go.jp\/niph\/search\/NIDD00.do?resrchNum=201005010A#selectHokoku.","key":"ref_19"},{"unstructured":"(2020, November 03). Theory at a Glance: A Guide for Health Promotion Practice. Available online: https:\/\/www.niph.go.jp\/soshiki\/ekigaku\/hitomedewakaru.pdf.","key":"ref_20"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"528","DOI":"10.3390\/ijerph10020528","article-title":"Childhood Mortality Due to Unintentional Injuries in Japan, 2000\u20132009","volume":"10","author":"Sekii","year":"2013","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"930","DOI":"10.1542\/peds.2007-1731","article-title":"Injuries Among Infants Treated in Emergency Departments in the United States, 2001\u20132004","volume":"121","author":"Mack","year":"2008","journal-title":"Pediatrics"},{"unstructured":"Automobile Inspection & Registration Information Association (2020, November 03). Number of Private Cars per Household (by prefecture) (2019, in Japanese). Available online: https:\/\/www.airia.or.jp\/publish\/file\/r5c6pv000000mhvq-att\/r5c6pv000000mhw5.pdf.","key":"ref_23"},{"doi-asserted-by":"crossref","unstructured":"Honda, C., Naruse, T., Tsuchiya-Ito, R., Yamamoto, N., and Nagata, S. (2019). Home safety practices to prevent child injury and its association with family and children\u2019s daily routines in Japan: A cross-sectional study. Jpn. J. Nurs. Sci., 17.","key":"ref_24","DOI":"10.1111\/jjns.12274"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/1\/24\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T10:48:31Z","timestamp":1760179711000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/1\/24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,22]]},"references-count":24,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2021,1]]}},"alternative-id":["ijerph18010024"],"URL":"https:\/\/doi.org\/10.3390\/ijerph18010024","relation":{},"ISSN":["1660-4601"],"issn-type":[{"type":"electronic","value":"1660-4601"}],"subject":[],"published":{"date-parts":[[2020,12,22]]}}}