Abstract
Background: Accidents pose a serious threat to health and economy in Egypt. Objectives: To identify and analyze the epidemiological factors associated with different types of accidents among adult males in Upper Egypt. Methods: A sample of 500 Egyptian males 20 - 28 years of age attending for health care at Quena University Hospital (QUH) or affiliated health institutions in South Egyptian governorates of Luxor and Red Sea was studied. The demographic, socioeconomic, and habitual data, as well as health status, medical history, and history of engagement into accidents for the recruits all were evaluated. Results: Accidents occurrences accounted up to 23/500 (4.6%) of the studied group. Road traffic accidents (RTAs) represented the highest percentage (30.4%), followed by street fights (21.7%) and animal bites (13.1%). Occupational accidents, electrical injuries, and near-drowning, all were equally encountered (8.7%), whereas falls and burns were least prevalent (4.3% each). Drug abuse, manual work, obesity, and having epilepsy were significant risk factors for accident injuries (OR = 6.35, 95% CI: 1.64 - 24.58, OR = 3.36, 95% CI: 1.22 - 9.73, OR = 4.81, 95% CI: 1.50 - 15.46, OR = 45.33, 95% CI: 3.94 - 518.01, respectively). Conclusions: Engagement of young Upper Egyptian males into accidents is alarming. Most of the accident mechanisms encountered are preventable. Enforcement of standard occupational, traffic and public safety laws is needed to minimize the burden of accidents upon the public health and economy in Upper Egypt.
Highlights
Safety at all settings has always been a major concern of mankind
In this research, the term “addict” or “drug addict” might be used in lieu of the term “drug dependent” because the word “addiction”, and often “narcotics addiction” is the exact word commonly used by most Egyptians to describe drug abuse habitual states we tend to identify in this research).For the outcome variable of interest, accident, as defined by Bird and Germain [3] and or incident as per the HSE definition
Most of Luxor and Red Sea residents (88.4% and 78.0% respectively) came from rural areas in their governorates, while only 8.5% participants were from rural Quena (p < 0.001)
Summary
Safety at all settings has always been a major concern of mankind. Accidents may be perceived as an antonym of safety. Despite the incorporation of the notion “unplanned” in this definition, more recently when the causes are determined, it is usually found that many events were predictable and could have been prevented if the right actions were taken. This implies that the occurrence is not one of fate or chance. Enforcement of standard occupational, traffic and public safety laws is needed to minimize the burden of accidents upon the public health and economy in Upper Egypt
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