Injuries In Rural Areas Research Articles

Injury-related hospitalizations in 2002 and 2012 in a Mexican rural hospital: differences between indigenous and non-indigenous inpatients

Data are lacking on the extent and distribution of injuries in rural areas. This study aimed at comparing injury-related hospitalizations between 2002 and 2012 at a rural hospital of northern Mexico focusing on differences between indigenous (IP) and non-indigenous patients (NIP). A retrospective design based on the review of records of patients hospitalized with injury diagnoses was used. Information extracted included ethnicity, sex, age, hospital duration, surgical procedures, complications and discharge outcome. Injury data comprised of main diagnosis, mechanism and body part affected. Patterns were stratified by year and ethnicity. Logistic regression was used to determine the probability of being hospitalized for >1 day. Injury-related mortality increased from 0.4% in 2002 to 3.1% in 2012. The proportion of non-indigenous patients hospitalized also increased by 4.5%. Men accounted for two-thirds of all inpatients. Weapon involvement doubled from 16.6% to 33.6%. Almost half of the patients in 2012 were victims of interpersonal violence. Indigenous patients had a 2.7 higher adjusted odds ratios of being hospitalized for >1 day in 2002 (95% CI 1.2–5.7), though the gap was reduced to 1.9 (1.1–3.5) in 2012. While indigenous patients continue to be more disadvantaged than the non-indigenous, the gaps closed in 2012; the reasons behind these disparities need to be further investigated.

Prevalence and pattern of domestic injuries in rural area of Tamil Nadu

Background: Domestic injuries contribute a major proportion in the prevalence of injuries. Although domestic injuries lead to significant morbidity and mortality, most of these injuries are under recognized. Methodology: Community-based cross-sectional study was conducted among 200 households. A structured questionnaire was used to collect information on the injuries that occurred in previous 6 months, and the results were analyzed using SPSS version 20. Results: The prevalence of domestic injury was 4.8% among 839 individuals interviewed. The majority of the injuries occurred among males, and all injuries were unintentional in nature. Forty-two percent of the injuries occurred in hand which was the most common site. More than 50% of the injuries occurred due to handling of sharps, and 62.5% of injuries were mild in nature. No domestic injury-related deaths had occurred. Conclusions: Majority of the domestic injuries occurred due to handling of sharps. Careful handling of sharps, preventing handling of sharps by children would help reducing the occurrence of domestic injuries in this community.

An epidemiological survey of burn injuries in rural area, Bhopal: A cross-sectional study

Background: A large number of burn injuries in India go unreported; injuries are largely preventable but still burn injuries lead to deformities and contractures limiting optimum and normal functioning of the individual. Materials and Methods: A community based cross-sectional study was conducted in the rural village of Phanda block. A house-to-house survey was conducted and the interview technique was employed to collect the data. Results: A total of 756 households with 3,677 population were surveyed. There were total 309 (8.4%) patients with burn injuries during the last 6 months. Majority of the patients were females (54.7%). Out of the total domestic burns, 71.3% occurred in the kitchen. Conclusion: Burn injuries are a serious public health problem. These injuries are preventable through design and promotion of more aggressive prevention programs especially for flame injuries occurring in the home environment.

An epidemiological survey of burn injuries in rural area, Bhopal: A cross sectional study

An epidemiological survey of burn injuries in rural area, Bhopal: A cross sectional study

Explaining regional disparities in traffic mortality by decomposing conditional probabilities

BackgroundIn the USA, the mortality rate from traffic injury is higher in rural and in southern regions, for reasons that are not well understood.MethodsFor 1754 (56%) of the 3142 US...

A population based study on injuries in rural and urban areas of Aligarh

BackgroundWorldwide injuries and violence are ranked among the leading causes of death and disability. In India, the currently available injury data are hospital derived. In order to understand the burden...

A Web-Based Videoconferencing Approach to Training Caregivers in Rural Areas to Compensate for Problems Related to Traumatic Brain Injury

To describe the development and the implementation of a Web-based, videoconferencing training program for caregivers of adults with traumatic brain injury in rural areas to manage cognitive and behavioral changes in the person with the injury. Feasibility study, with satisfaction and perceived utility assessed. Six Web-based videoconference sessions, combining didactic education and interactive problem-solving. Fifteen caregivers of persons with complicated mild, moderate, or severe traumatic brain injury, who were admitted to a level III trauma center in a rural area of Texas. Satisfaction survey and perceived utility questions conducted immediately following training and at an average of 18 months after training. Participants' overall satisfaction and comfort with the training was high. They perceived that they gained knowledge that was applicable to the everyday problems being experienced. At follow-up, all participants reported having used the knowledge gained to help cope with problems and all had referred to the written materials at least once since the training. Web-based videoconferencing can be used to provide training to caregivers to manage cognitive and behavioral problems resulting from traumatic brain injury. However, there are obstacles related to willingness to seek help among persons in rural areas that must be overcome.

Hospitalisation due to sports-related injuries among children and adolescents in New South Wales, Australia: An analysis on socioeconomic and geographic differences

This population-based epidemiological study aims to investigate the associations between socioeconomic status, geographic location, and sports-related injuries among children and adolescents in New South Wales (NSW), Australia. Data utilised in this study were collected as part of the routine vital health information system via all hospitals in NSW. Included were all patients aged between 5-19 years admitted to a hospital because of sports-related injuries in NSW between 1996 and 2000. The crude age-and-sex-specific hospitalisation rates (/100,000 population-years) by socioeconomic levels and geographic residential locations were calculated. Negative Binomial regression analyses were also performed to examine the associations between socioeconomic status, geographic location and the rate of hospitalisation after adjusting for the age and sex of children and adolescents. The results indicated a significant association between geographic location and hospitalisation due to sports-related injury, after adjusting for age, sex, and socioeconomic status. The risk of hospital admission with sports-related injury among children and adolescents in rural areas was nearly 10% higher than for those in the metropolitan areas (RR=1. 12, 95%C.I.=1.07-1.32)). However, no association between socioeconomic status and hospitalisation with sports-related injury was found. Greater efforts are required in the implementation of safety strategies in research, training, and education for the prevention of sports-related injury in rural areas.

Sport safety policies and practices in two rural Victorian communities

Australian football and netball are the predominant sports played in rural Victoria, Australia. This exploratory study is the first to report the sport safety policies and practices adopted by junior Australian football and netball clubs in small rural communities. Eleven informants from four clubs completed a semi-structured interview and survey. Whilst the clubs performed a range of injury prevention activities, they did not have formal sports safety policies. Generally, netball informants reported fewer safety practices than football informants. Crucial factors influencing safety policies and practices were the reliance on volunteers and a lack of senior players. Barriers towards the adoption of safety policies and practices appeared to be related to rural population declines, a lack of qualified people and attitudes to injury in rural areas. Future research needs to identify how widespread this lack of sport safety policies and practices is across rural Australia and to identify strategies to overcome barriers to implementing them.

Rural sports and recreational injuries in Australia: what do we know?

It is widely recognised that individuals residing in regional or rural areas have poorer health outcomes than those from metropolitan areas. Factors associated with these poorer health outcomes include geographical isolation, population declines, limited health care provision and higher levels of inactivity compared to urban areas. The mental, social and physical health of individuals and communities in rural areas can be improved through active participation in sport and recreation activities. Unfortunately, participation in such activities can potentially lead to injury. There is a suggestion that there is an increased risk of sports injuries in rural areas due to the lack of health professionals and coaching personnel, fewer available volunteers to organise and deliver sport, and the general attitude towards injuries in rural settings. There is very limited information about the number and types of injuries sustained during participation in sports activities in rural and regional settings. This is largely related to a lack of formal sporting structures and support mechanisms including research funding and trained personnel. A range of factors need to be implemented to improve safety for sporting and recreational participants in these areas. These include improved monitoring of injury occurrence, stronger promotion of safety initiatives and wider implementation of education strategies.

Deaths from unintentional injuries in rural areas of the Islamic Republic of Iran

Deaths from accidental injury in the rural areas of 13 provinces in the Islamic Republic of Iran from 1993 to 1994 were investigated. The crude mortality rate was 4.33 per 1000 and the number of deaths from unintentional injuries was 5213 (10.7% of all deaths). There were more deaths among males than females (65.7 per 100,000 versus 26.1 per 100,000). After the age of 1 year, over 65-year-olds had the highest average of deaths resulting from injuries (111.9 per 100,000). The leading causes of death were traffic accidents (55.0%), drowning (10.1%), falls (9.5%) and burns and scalding (9.5%). Since most injuries are preventable, their reduction should be considered a priority.

Effect of motorcycle rider education on changes in risk behaviours and motorcycle-related injuries in rural Thailand.

A community-based programme for motorcycle rider education was provided for motorcyclists in all villages of 3 randomly selected subdistricts in Mae Sot District, Tak Province, northern Thailand, between January and March 1995. To determine the extent of changes in risk-taking behaviours, we conducted an interview survey of motorcyclists in 3 villages selected by systematic sampling from the 3 intervention subdistricts and in 3 control (without intervention) villages for comparison in March 1997, 2 years after the programme. Motorcyclists in the intervention villages (69.7%) were significantly more likely to have valid licences than those in the control villages (46.5%). The proportion of motorcyclists who always or often wore helmets was significantly greater in the intervention sample (46.0%) than in the control sample (20.5%). In 1994, the annual incidence rate of motorcycle-related injuries was slightly higher in the intervention areas than in the control areas Following the education programme, the injury rates for 1995 and 1996 were significantly lower in the intervention than in the control population. The annual number and rate of fatal motorcycle injuries decreased after the intervention although there was no significant difference between the two populations. Motorcycle rider education may be a promising intervention for prevention of motorcycle-related injuries in rural areas where road safety measures, particularly enforcement activities, are commonly limited.

Childhood deaths from unintentional injuries in rural areas of Iran

Objectives—To determine the incidence of children's fatal unintentional injuries in rural areas of Iran. Setting—Thirteen provinces of Iran, with a total population of 11.3 million for 1993–94. Methods—A descriptive epidemiological...