ORIGINAL PAPER Carbon Monoxide Alarm and Smoke Alarm Use Among Parents Recruited From a Pediatric Emergency Department Kristin J. Roberts 1 • Erica Fowler 1 • R. Dawn Comstock 5 • Soledad Fernandez 3 • Mahmoud Abdel-Rasoul 3 • Leslie Mihalov 2 • Marcel J. Casavant 2 • Lara B. McKenzie 1,2,4 Ó Springer Science+Business Media, LLC 2017 Abstract Although the proper installation and maintenance of carbon monoxide (CO) and smoke alarms can protect individuals from residential CO-related and fire- related injuries, these devices are underutilized. We describe characteristics asso- ciated with self-reported CO and smoke alarm use of parents recruited from a pediatric emergency department to improve CO alarm use. Parents of chil- dren B 18 years (N = 299) reported socio-demographic characteristics and CO and smoke alarm ownership and practices. We assigned participants to a behavioral profile and a Precaution Adoption Process Model stage based on their self-reported CO and smoke alarm use. Most participants (71%) did not have CO alarms in their homes, but reported owning at least one working smoke alarm (98%). Participants who reported ‘‘perfect’’ CO alarm behavior (defined as having a working CO alarm, one near a sleeping area, with batteries replaced every 6 months; 9%) were more likely to earn a higher income, own their home, and have lived at their current residence for at least 2 years. Participants who reported ‘‘perfect’’ smoke alarm behavior (defined as having a working smoke alarm on every level, with batteries replaced every 6 months; 49%) were more likely to rent their home, receive federal & Kristin J. Roberts Kristin.Roberts@NationwideChildrens.org 1 Center for Injury Research and Policy, The Research Institute at Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH 43205, USA 2 Department of Pediatrics, College of Medicine, The Ohio State University, Columbus, OH, USA 3 Center for Biostatistics, The Ohio State University, Columbus, OH, USA 4 Division of Epidemiology, College of Public Health, The Ohio State University, Columbus, OH, USA 5 Department of Epidemiology and Program for Injury Prevention Education and Research (PIPER), Colorado School of Public Health, University of Colorado Anschutz, Aurora, CO, USA 123 J Primary Prevent DOI 10.1007/s10935-017-0493-4