Causes and prevention of near-miss choking events in childcare facilities 1. child factors

This study investigates the incidence of near-miss choking events in childcare facilities and their association with children's eating behaviors and developmental status to develop prevention strategies. A web-based survey was conducted among childcare workers employed at municipal facilities, social welfare corporations, and the National Council of Childcare Centers. Of the 1661 respondents, 1648 consenting participants were included in the analysis. We collected data on their places of work, sociodemographic characteristics, causes and prevention of choking near-miss incidents, and physical conditions of the children involved. Eating behaviors most frequently associated with near-miss choking events were stuffing food into the mouth, large bite size, insufficient chewing during meals, swallowing food without chewing, and fast eating. Children with growth-related concerns, those with developmental delays, or those who caused anxiety for caregivers were significantly more likely to exhibit these risky eating behaviors. Problematic eating behaviors are strongly linked to children's growth, development, and caregiver anxiety; therefore, careful observation and support are essential to prevent choking events.