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. 1999 Jul;171(1):16–19.

Household poisoning exposure among children of Mexican-born mothers: an ethnographic study.

D S Mull 1, P F Agran 1, D G Winn 1, C L Anderson 1
PMCID: PMC1305725  PMID: 10483337

Abstract

OBJECTIVE: To explore reasons for high rates of unintentional poisoning among Latino children under 5 years old. DESIGN: Ethnographic interviews were carried out using a sample of mothers identified via door-to-door canvassing in an area with documented high injury rates among Latino children. Interviews included many open-ended and follow-up questions to elicit a detailed family history and emphasized observation of conditions and behaviors in the homes. SETTING: Low-income neighborhoods of Southern California. SUBJECTS: Fifty mothers born in Mexico with children under 5 years old. RESULTS: Children were exposed to potential poisoning agents in more than 80% of homes. Contributory factors related to culture included favorable attitudes toward iron as a healthful substance; extensive use of products that lack child-resistant packaging, such as rubbing alcohol and medicines from Mexico; high prevalence of shared housing; limited familiarity with toxic household chemicals not widely used in Mexico; and inability to read warning labels in English. CONCLUSION: Current Poison Control Center outreach efforts should be expanded. Clinicians are uniquely positioned to advise parents about the safe use and storage of toxic substances, including widely used products lacking child-resistant packaging. Medicines should be labeled in Spanish for those who do not know English.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Aagran P. F., Winn D. G., Anderson C. L., Del Valle C. P. Pediatric injury hospitalization in Hispanic children and non-Hispanic white children in southern California. Arch Pediatr Adolesc Med. 1996 Apr;150(4):400–406. doi: 10.1001/archpedi.1996.02170290066011. [DOI] [PubMed] [Google Scholar]
  2. Anderson C. L., Agran P. F., Winn D. G., Tran C. Demographic risk factors for injury among Hispanic and non-Hispanic white children: an ecologic analysis. Inj Prev. 1998 Mar;4(1):33–38. doi: 10.1136/ip.4.1.33. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Baltimore C., Jr, Meyer R. J. A study of storage, child behavioral traits, and mother's knowledge of toxicology in 52 poisoned families and 52 comparison families. Pediatrics. 1969 Nov;44(5 Suppl):816–820. [PubMed] [Google Scholar]
  4. Beautrais A. L., Fergusson D. M., Shannon F. T. Accidental poisoning in the first three years of life. Aust Paediatr J. 1981 Jun;17(2):104–109. doi: 10.1111/j.1440-1754.1981.tb01915.x. [DOI] [PubMed] [Google Scholar]
  5. Brayden R. M., MacLean W. E., Jr, Bonfiglio J. F., Altemeier W. Behavioral antecedents of pediatric poisonings. Clin Pediatr (Phila) 1993 Jan;32(1):30–35. doi: 10.1177/000992289303200106. [DOI] [PubMed] [Google Scholar]
  6. Kelly N. R., Kirkland R. T., Holmes S. E., Ellis M. D., Delclos G., Kozinetz C. A. Assessing parental utilization of the poison center: an emergency center-based survey. Clin Pediatr (Phila) 1997 Aug;36(8):467–473. doi: 10.1177/000992289703600806. [DOI] [PubMed] [Google Scholar]
  7. Kogan M. D., Overpeck M. D., Fingerhut L. A. Medically attended nonfatal injuries among preschool-age children: national estimates. Am J Prev Med. 1995 Mar-Apr;11(2):99–104. [PubMed] [Google Scholar]
  8. Olson L. M., Troutman W. G., Wiggins C. L., Becker T. M. Fatal poisoning among American Indian, Hispanic, and non-Hispanic white children in New Mexico, 1958 to 1982. Ethn Dis. 1991 Summer;1(3):257–262. [PubMed] [Google Scholar]
  9. Petridou E., Kouri N., Polychronopoulou A., Siafas K., Stoikidou M., Trichopoulos D. Risk factors for childhood poisoning: a case-control study in Greece. Inj Prev. 1996 Sep;2(3):208–211. doi: 10.1136/ip.2.3.208. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Shaw M. T. Accidental poisoning in children: a psychosocial study. N Z Med J. 1977 Apr 13;85(585):269–272. [PubMed] [Google Scholar]
  11. Sibert J. R., Newcombe R. G. Accidental ingestion of poisons and child personality. Postgrad Med J. 1977 May;53(619):254–256. doi: 10.1136/pgmj.53.619.254. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Ventres W. B., Frankel R. M. Ethnography: a stepwise approach for primary care researchers. Fam Med. 1996 Jan;28(1):52–56. [PubMed] [Google Scholar]

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