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Pediatric exposure to choking hazards is associated with parental knowledge of choking hazards. Int J Pediatr Otorhinolaryngol 2012 Feb;76(2):169-73



Pubmed ID




Scopus ID

2-s2.0-84855931336   20 Citations


OBJECTIVE: To evaluate parental knowledge regarding household food and non-food choking hazards.

DESIGN: Cross Sectional Survey.

SETTING: Tertiary Care Children's Hospital.

PARTICIPANTS: Parents presenting to a Pediatric Otolaryngology Clinic with a child <4 years old.

METHODS: Parental survey asking which choking hazard foods (CHF) they allow their child to eat, previous instruction of CHF, knowledge of non-food choking hazards, and their knowledge sources.

STATISTICS: adjusted odds ratios (AOR) and logistic regressions.

RESULTS: 492 respondents. Adjusted for significant covariates associations between correct knowledge of CHF and correct parents actions of disallowing CHF: fruit chunks (prior instruction=42%; correct action=25%; AOR=3.51; P<0.0001), hot dogs (59%; 28%; 1.75; 0.0178), raw vegetables (41%; 47%; 1.28; 0.198) popcorn (67%; 49% 2.64; <0.0001), whole grapes (68%; 51%; 2.2; <0.0001), nuts (73%; 66%; 2.47; <0.0001), chunks of peanut butter (45%; 79%; 2.55; 0.0003), sticky candy (79%; 80%; 2.16; <0.0033), gum (72%; 84%; 1.75; 0.028), seeds (65%; 87%; 1.4; 0.247), 76% always supervise meals, 57% always cut food, 62% know CPR. KNOWLEDGE OF NON-FOOD HAZARDS: Coins (97%), marbles (94%), small batteries (93%), small toy parts (93%), dice (92%), pen caps (92%), safety pins (85%), balloons (84%), syringes (40%). Sources of choking hazard knowledge: physicians (67%), family/friends (52%), books/magazines (40%), and the Internet (25%).

CONCLUSIONS: Parental knowledge of CHF is incomplete. The consumption of CHF in children under 4 is significantly associated with decreased parental knowledge. Therefore, more parental education is needed.

Author List

Nichols BG, Visotcky A, Aberger M, Braun NM, Shah R, Tarima S, Brown DJ


Sergey S. Tarima PhD Associate Professor in the Institute for Health and Equity department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Age Distribution
Airway Obstruction
Child, Preschool
Cross-Sectional Studies
Health Education
Health Knowledge, Attitudes, Practice
Hospitals, Pediatric
Household Articles
Parent-Child Relations
Primary Prevention
Sex Distribution
Surveys and Questionnaires
jenkins-FCD Prod-486 e3098984f26de787f5ecab75090d0a28e7f4f7c0