Cincinnati Home Injury Prevention (CHIP) Study

  • Research Community Information

    We welcome researchers who are interested in learning more about how to prevent home injuries among children. We also offer information about the troubling scope of home injuries and outline the goals of the Cincinnati Home Injury Prevention Study. 

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    Depressed mom.
    Girl reaching for medicine cabinet.
    CHIP.
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    Background Information

    • Unintentional injuries in the home environment account for more than 4 million visits a year to emergency departments.  These epidemiologic data are the first, since 1984, to examine the scope of this public health crisis for US children. Furthermore, there were more than 2,800 potentially preventable unintentional injury-related deaths to US children in their home environments each year on average since 1985. Although, the deaths from residential injuries appear to be on the decline in the recent decade, marked racial and regional disparities in death rates remain, likely as a result of poor quality housing.
    • Children under 6 years of age in the United States have the highest number and rate of injuries sustained in the home environment, accounting for 1.7 million emergency visits a year at a rate of 9.6 emergency visits per 100 children.
    • Similar studies have merely educated families about hazards in the home environment, and others have distributed safety products for the families to install.  The CHIP Study is one of a kind in that it involves the installation of safety equipment within the residence.
    • We have developed a promising approach and intervention to reduce exposure to injury hazards in the homes of young children from birth through 2 years of age. If we are able to replicate these findings in a compelling and novel population of young, first-time mothers and their children enrolled in a home visitation program, we would have convincing evidence about the effectiveness of an intervention that could reduce pain and suffering while preventing hundreds of thousands of medically attended visits.
    • In the pilot study, we also found that depressive symptoms in young mothers are associated with injury outcomes for their children, implicating maternal psycho-behavioral factors in residential injury risk for their children.

    CHIP Study Goals

    • To reduce pain and suffering while preventing medically attended visits for injury to children sustained in the home environment
    • To evaluate the efficacy of safety equipment installations
    • This intervention, if shown to be efficacious, could save millions of dollars in healthcare costs upon wider dissemination. (The average cost of an emergency visit for US children is about $800)
    • To educate parents on the importance of reading to their children

    Publications

    Phelan KJ, Khourv J, Yingying X, Liddy S, Hornung R, Lanphear B. A randomized controlled trial of home injury hazard reduction: the HOME injury study. Archives of Pediatrics & Adolescent Medicine. 165(4), 01-07. 2011.

    Phelan KJ, Khoury J, Xu Y, Lanphear B. Validation of HOME Injury Survey. Injury Prevention. 15:300-306. 2009.


 
  • Aims and Hypotheses

    Find out more about the various aims and hypotheses of the Cincinnati Home Injury Prevention Study. 

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