Abstract
ABSTRACTObjective: The availability of hazardous products in households increases the risks of poisoning. The present study aimed to assess the frequency and associated factors of the availability and storage of hazardous products in residences in the metropolitan region of Manaus.Methods: Population-based and cross-sectional study conducted in 2015 with adults selected with three-stage probabilistic sampling. Participants were interviewed face-to-face. Prevalence ratio (PR) of the presence of hazardous products (presence of chumbinho [illegal anti-cholinesterase rodenticide], artisanal cleaning products, and unsafe storage of these products and medications) and 95% confidence intervals (95%CI) were calculated with Poisson regression with robust variance, weighted by the complex sampling method adopted.Results: A total of 4,001 participants was included, of which 53.0% (95%CI 51.5-54.6) reported presence of hazardous products in their households, 36.3% (95%CI 34.8-37.8) had unsafe storage, 16.2% (95%CI 15.1-17.4) had artisanal cleaning products, and 8.2% (95%CI 7.4-9.1) had chumbinho. Households with children ≤5 years old had safer storage (PR=0.78; 95%CI 0.71-0.86) and more artisanal products (PR=1.30; 95%CI 1.11-1.51). Presence of artisanal products was higher in lower educational levels (PR=2.20; 95%CI 1.36-3.57) and lower economic classifications (PR=1.63; 95%CI 1.25-2.13).Conclusions: Over half of the households in the metropolitan region of Manaus kept hazardous products; one-third stored them unsafely. Artisanal cleaning products and chumbinho were frequently present. Households with children had safer storage of products, and socioeconomic factors affected the availability of such hazardous products.
Highlights
Child poisoning mostly occurs at home with products accessible to children.[1]
Households with children had safer storage of products, and socioeconomic factors affected the availability of such hazardous products
Exposure to household cleaning products were the second most common poisoning exposures in children aged 5 or less, accounting for 11% of the reported cases in the US in 2018.5 These cleaning substances accounted for 10% of all poisoning calls in Australia in 2015; one-third of these cases were related to children ≤5 years old.[7]
Summary
Child poisoning mostly occurs at home with products accessible to children.[1]. In 2013, 73% of the patients treated for poisonings in a Brazilian Poison Control Center were children aged ≤5; cleaning products were the second most frequent cause of poisonings, which mostly occurred at home.[10]
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