Prevalence Of Unintentional Injuries Research Articles

Factors associated with under- fives unintentional injuries in Kgalagadi South, Botswana

The study determined the prevalence and factors associated with unintentional injuries among under- fives in Kgalagadi South. A descriptive cross- sectional study was conducted between November 2020 and February 2021 using a multi- stage sampling technique to recruit 389 guardians with children aged five years and below. Self-administered questionnaires were used for the literate population, while interviewer-administered questionnaires were used for the population with limited literacy to elicit information from the guardians. Chi- square, univariate and multivariate logistic regression were used for inferential analysis. The prevalence of unintentional injuries was 48.8%. There was a significant association between injury occurrence and guardians’ employment status, alcohol consumption and non- medicinal drug use by the guardian, cigarette use by the guardian, household income level, gender and age of the child who got injured. The guardians age and cigarette use by the guardian were identified as independent risk factors for injury occurrence among under- five children. The findings highlight the need for policymakers and practitioners to develop policies that support comprehensive health education for caregivers on childhood injury prevention and creating a safe environment for children.

Unintentional Injuries Among Young Adolescents at a Level-One Trauma Center in Saudi Arabia: A Cross-Sectional Study.

Background Unintentional injuries are the leading preventable cause of mortality across different demographics. This study aims to assess the prevalence, severity, contributing factors, and clinical outcomes of unintentional injuries among adolescent patients. Methods A retrospective study was conducted using the charts of patients admitted with unintentional injuries (motor vehicle accidents (MVA), falls, pedestrian injuries, burns, etc.) to the emergency department (ED) from January 2016 to December 2018 at a level-one trauma center in Riyadh, Saudi Arabia. A total of 721 patients' charts were reviewed, but only 52 patients were consecutively included as per the definition of an adolescent. All variables, including severity and outcome, were assessed. Results The overall prevalence of unintentional injuries was 7.2 per 100 adolescent patients. The most common cause of unintentional injury were MVAs, which were reported in 35 (71%), with head and neck region injuries among 38 (73%) patients. The overall mortality was noted at 10 per 52 (19%) patients. The mean Injury Severity Score (ISS) score was 17.81±12.76. The patients who stayed longer in the ED were not associated with pelvic and lower extremity injuries, with a p-value=0.008. The ISS was the significant predictor of mortality, with an odds ratio (OR) of 1.6, a confidence interval (CI) of 1.02-2.65, and a p-value=0.04. Conclusion MVAs were the main cause of unintentional injuries among adolescents. Future recommendation plans for adolescents should include stricter implementation of road traffic laws to control this early, preventable death among adolescents.

Results of Unintentional Injuries among Preschool Children Enrolled in Day-care Centers from Selected Villages around Gaborone, Botswana

This study employed a descriptive cross-sectional study qualitative and quantitative designs to gather data through structured interviews, questionnaires over a certain period in time in the past (retrospective) and the present (concurrent), and then analyze the results. The study was undertaken in the selected villages around Gaborone Botswana, situated in the south of the country. Its final focus was to publish the research results from a research survey done on unintentional injuries among preschool children enrolled in day-care centers from selected villages around Gaborone, Botswana. The population consisted of 47-day care centers in the selected villages around Gaborone which are all situated in Mogoditshane/Thamaga Subdistrict. A sample of 45 care centers was drawn using Yamane formula. Data were then collected through auditing, structured interviews, and questionnaires. The Statistical Package for Social Sciences (SPSS) program was used to analyze the data. The summary of the results of the current study show that: i) Males are more likely to get injured than females ii) Older children are more likely to sustain UI (iii) UI are sustained in the late afternoons iv) UI are more likely to be sustained in the early and late part of the week v) Season or term of study is not a factor of UI vi) Amount of time spent at school is a factor of UI (Davis, Godfrey & Rankin 2013).The findings indicate that there are factors that can have a negative influence on the occurrence of unintentional injuries in day care centers. It is suggested that a supportive teaching programme in the form of a workshop for service providers, teachers and parents should be designed, that will support the system of unintentional injury prevention program for preschool children in day care centers in order to prevent unintentional injuries in the selected villages around Gaborone, Botswana. Keywords: Contributing factors to unintentional injuries, Day care centers / pre-schools/ preprimary units, Interventions on unintentional injury prevention, Unintentional injuries, Unintentional injuries prevention, the Prevalence of unintentional injuries in childcare settings.

Childhood home based unintentional injuries Surveillance in Punjab India

Objective1. To determine the prevalence and pattern of unintentional injuries among children2. To study the physical environment of house for various risk factors leading to unintentional injuries.IntroductionInjury and violence are public health problems now-a-days all over the world. Over 950000 children less than 18 years of age die as a result of injuries, 95% of which occur in low and middle income countries (LMIC) including India. Unintentional injuries account for 90% of these cases. The death rate due to unintentional injuries is almost double in LMIC as compared to developed countries. It is seen that most of childhood unintentional injuries occur in and around the home of children.India, with a population of app 1.25 billion, had about 40% children. India is passing through a major socio-economic, epidemiological and technological transition. Migration and rapid urbanization is contributing towards the development and growth. Mechanization is changing the traditional lifestyle and thereby resulting an increase in injuries in India. Despite efforts to understand the burden of injuries, the magnitude in terms of morbidity and mortality is still not clear as injury information did not receive much importance in the health sector.Few small studies have reported the prevalence and causes of childhood unintentional injuries. However, there is lack of proper surveillance data on burden of unintentional injuries among childrenMethodsWe conducted a surveillance study in 30 villages of Ludhiana district of Punjab, India. A total of 900 houses having at least one child below the age of 19 years formed the sample of study. The data pertaining to socio demographic profile, physical environment of house and injury details (in last 5 years) were recorded on the pre designed performa. The data were statistically analyzed using SPSS version 20.0.ResultsIn the 900 houses, there were 1910 children below the age of 19 years. Of these houses, unintentional injuries to their children was observed in 386(42.9%) houses during the last 5 years. The prevalence of unintentional injuries among children was 20.6%. There were 60.1% children below the age of 5 years who suffered injuries. 67% of injuries occurred among male children. Majority of injuries (63.5%) occurred during evening time, of which 87.2% occurred while the child was playing in and around the home. Fall was the most common (64.5%) mode of injury followed by 12.3% cut injuries due to chopper/fodder cutter or old instruments/machinery lying the courtyard. There were 16 injuries due electric current, 6 cases of dog bite, 4 cases of drowning and 4 cases of unintentional ingestion of poisonous substance. 48.3% of injuries were severe, 35.9% minor, 9.4% trivial and 5.9% very severe. There were 2 fatal death also.ConclusionsThe burden of unintentional childhood injuries in India is substantial but it a neglected health problem. There is a strong need for continuous surveillance of childhood injuries in India using systematic techniques so as to plan for timely intervention.

Probing the Psychosocial Correlates of Unintentional Injuries Among Grade-School Children: A Comparison of Urban and Migrant Students in China

ObjectiveTo assess the prevalence and characteristics of unintentional injuries among 5 to 9 grades students for both urban and migrant children groups, and probe the major socio-demographic and psychosocial risk factors.MethodsA cross-sectional survey was conducted from May to June in 2013 with 2266 urban and 1770 migrant children among 5 to 9 grades from 13 schools in Yinzhou, Southeast China. Unintentional injuries and psychosocial factors were measured via self-administered questionnaires. Descriptive statistics and binary logistic regression were employed in data analysis.ResultsThe annual prevalence of unintentional injury in the past year was 38%. Compared with urban children, migrant children reported lower prevalence of sprains/fractures (15.5 vs. 18.7%), but higher in animal bites (15.7 vs. 9.6%), burns (20.7 vs. 16%), nonfatal drowning (6 vs. 2.7%), and unintentional injury (40.9 vs. 35.7%). Binary logistic regression analysis revealed that male, young age, attending migrant children school, scoring high in emotional symptoms, conduct problems or hyperactivity, with suicide ideation, and experiencing verbal maltreatment were associated with unintentional injury incidence in the past 12 months.ConclusionsThe annual prevalence of unintentional injury among 5 to 9 grades schoolchildren in Yinzhou was high. Child unintentional injuries were associated with multi-level psychosocial factors. Although the direct correlation between migrant status and unintentional injuries was unobserved, migration could have an indirect relationship with injury. The findings could inform some implications for prevention strategies in urban area.

Interactive effects between health literacy and mobile phone dependence as well as its relation with unintentional injuries in middle school students

Objective: To investigate the interaction between health literacy, mobile phone dependence and unintentional injuries in middle school students, and to provide guidance for prevention on unintentional injuries in adolescents. Methods: From November 2015 to January 2016, a questionnaire survey was conducted among 22 628 middle school students in Shenyang of Liaoning province, Bengbu of Anhui province, Xinxiang of Henan province, Ulanqab of Inner Mongolia Autonomous Region, Chongqing and Yangjiang of Guangdong province. Chinese Adolescent Interactive Health Literacy Questionnaire (CAIHLQ), Self-rating Questionnaire for Adolescent Problematic Mobile Phone Use (SQAPMPU), and Unintentional Injuries Assessment Scale and demographic variables were used to measure the health literacy, mobile phone dependence and unintentional injuries among the Chinese middle school students. Results: The detection rates of mobile phone dependence and unintentional injuries were 25.4% and 46.7%, respectively. The rates of unintentional injuries of middle school students with mobile phone dependence and with low, medium and high health literacy were 53.6%, 44.4% and 48.8%, 48.1%, 41.7%. Factors as mobile phone dependence, low and middle health literacy were positively related to unintentional injuries (OR=1.452, 1.196, 1.364). However, the multiplicative interaction between mobile phone dependence and health literacy on unintentional injuries was noticed significant (OR=1.217, 95%CI: 1.041-1.422). Conclusions: Our results showed that the prevalence of unintentional injuries was relatively high in middle school students. Health literacy and mobile phone dependence seemed related to unintentional injuries. Interaction between health literacy and mobile phone dependence on unintentional injuries appeared significant.

Unintentional Injuries among Under-Five Children in Mid- Western Nepal

Introduction: Unintentional injury is the biggest threat to the survival of the under-five children, which impact is immeasurable to families and often entire communities. The objectives of this study were to assess the prevalence of unintentional injuries among under-five children and the factors associated with it.Material and Methods: A facility-based quantitative cross-sectional study was conducted from August 2016 to January 2017. Multistage time frame convenient sampling method was applied to collect the data from 259 mothers of under-five children in the selected district of Mid-Western Development region of Nepal. The data was collected from 10 rural health facilities and two from urban setting using a semi-structured questionnaire. An analysis was performed using SPSS ver.15.Results: The prevalence of unintentional injuries was found to be 33.20 % among the under-five children. The present study showed that ecological belt, the age of mothers, education of mothers, education of fathers, the occupation of mothers, the occupation of fathers, family income quintiles, household type, numbers of a sibling, age and gender of children were significant factors associated with unintentional injuries among under-five children. More than 70% of the respondents were not aware of how to provide first aid care to the children with respect to unintentional injury.Conclusion: This study highlights the burden of unintentional injuries among under-five children in mid-western development region of Nepal. Intervention targeting multifactorial issues in line with all type of fall injuries, burns and injuries with the use of sharp objects might be helpful to tackle the problems.

Risk factors for unintentional injuries among the rural elderly: a county-based cross-sectional survey

This study aimed to provide evidence for the prevention and reduction of unintentional injuries in the rural elderly by analysing epidemiological data of injuries among rural older adults (65+) and identifying the involved risk and protective factors. This study analysed all information, including the social demographic characteristics, chronic disease condition, lifestyle, living environment, mental health, activities of daily living and detailed information about the nature of the injuries. Chi-square tests, rank tests and a multivariate logistic regression were performed. The prevalence of unintentional injuries was 44.4%; according to the multivariate regression analysis, ten variables, including gender, floor tiles, cane use, sleeping duration, roughage intake frequency, mental health status, diabetes, arthritis and cataracts, were involved in the injury patterns. Low roughage intake (OR = 2.34, 95% CI 1.64–3.35), the use of a cane (OR = 1.78, 95% CI 1.31–2.41), a sleeping duration of five hours (OR = 1.75, 95% CI 1.27–2.42) and severe mental disorders (OR = 1.61, 95% CI 1.01–2.57) were the top 4 risk factors. In conclusion, we found that unintentional injuries among the rural elderly were closely related to chronic disease, mental health and residence environment. These findings could be beneficial for the prevention of unintentional injuries and for policy makers and health service managers.

Prevalence of child injuries in Mbale region, Eastern Uganda

Background: The rate of unintentional child injuries in sub-Saharan Africa is at 53.1 per 100,000, The highest for low income regions, data on these injuries and associated factors among children in Uganda is very scanty. Most child injuries are related to the way of life in rural communities typically burns from charcoal stoves, candle light , hot fluids, chemicals , falls, and animal bites .Methods: This was a cross sectional community survey among the Promise EBF participants in Mbale district of east Uganda.Objective; to establish the prevalence, causes and associated factors of un intentional child injuries in Mbale District .Results: The commonest unintentional injuries were, falls, and burns 11% of the children. The main causes were hot water (43%) and burning charcoal stoves/firewood. Predisposing factors to burns were residence in rural areas (OR 2.0; 95% CI: 1.1, 3.5) and having three or more siblings (OR 1.6; 95% CI: 0.9, 2.8) .. 40% of the well off mothers and those with at least 8 years of education were more likely to report their child injuries. ((OR: 1.7; 95% CI 1.0, 2.9) and (OR 1.5; 95% CI 1.0, 2.2) respectively).Conclusion: The prevalence of unintentional injuries among children of this cohort of mothers was high, caused by burns, falls, poisoning and animal bites .

Prevalence of unintentional injuries and related risk factors among university students in Canakkale city, western Turkey.

We examined the prevalence of unintentional injuries and associated risk factors among university students in Canakkale city, Turkey. A cross-sectional study was conducted in 2007-2008. Atotal of 4,762 students completed the questionnaire. Risk factors associated with the rate of accidents were assessed by chi-square analysis and effects of these factors on unintentional injuries were described by logistic regression analysis. The rate of unintentional injuries among university students was 14.9% during the previous 12 months. The most reported injuries occurred on the road (43.8%), at home (33.2%) and outside the home (26.9%) such as workplaces, schools or sports venues. The prevalence of unintentional injuries was significantly higher in males than females (18.1% vs. 12.0% p <0.05). Results of the logistic regression analysis indicated that male gender (OR 1.51), studying in college and vocational school (OR 1.34), perception of very bad (OR 0.49) or good economic status (OR 0.49), drinking alcohol (OR 1.52), using illicit substances (OR 1.70), having a diagnosed illness (OR 1.36), or having risk of developing depres- sion (OR 1.54) had significant effects on the risk of unintentional injuries (p <0.05). This study indicated that male gender, studying in college and vocational schools, illicit substance use, poor economic conditions, having a diagnosed illness and risk of developing depression can be risk factors for unintentional injuries among university students. Public health training programmes giving priorityto high-risk groups such as university and high school students may be a valuable tool in reducing unintentional injuries among young people.

Unintentional Injuries in Brazilian Preschool Children

Objective: To estimate the prevalence of unintentional injuries among children attending public preschools of Florianopolis (Santa Catarina, Brazil) and describe their epidemiological characteristics. Materials and Methods: This is a descriptive cross-sectional study conducted with 398 children in 2009 and data were collected through a questionnaire, filled by parents. Statistical analysis was performed, considering a confidence interval of 95%. Results: Among the 398 children included, 275 (69.1% - 95%: 66.8 to 71.4%) suffered unintentional injuries, making a total of 573 cases. The sample comprised 55.5% male children between 13 and 36 months (61.6% - 95% CI: 59.3 to 63.9%) that were affected. Child home was the place where 352 (61.4% - 95% CI: 59.0 to 63.8%) injuries occurred, 372 (64.9% - IC95%: from 59.1 to 73.7%), which were caused by falls, and 342 (59.7% - 95%:57.3 to 62.1%) were considered mild. In 223 (38.9% - 95%: 36.5% -41.3%) cases, the mother accompanied the child at the time of injury. Conclusion: The prevalence of unintentional injuries was high. In the context of prevention, combined actions among health professionals, government and civil society should be proposed based on local research on the topic. In the era of family health care performed by multidisciplinary teams, it is critical that these injuries receive adequate importance by health professionals and attention in public health policies.

Profile of unintentional injury among under five children in coastal Karnataka, India: a cross-sectional study

Background: Childhood injury is a rising public health problem and cause of both financial and psychological strain on the family. Aims & Objectives: The study aims to determine the prevalence of unintentional injuries among under-five children attending the anganwadis in Udupi Taluk. Materials and Methods: A cross-sectional study was conducted from October to November, 2014. Time frame located convenient sampling method was adopted and a total of 95 mothers of children under-five were interviewed by using interviewer administered semi-structured questionnaire. Results: The results revealed that the prevalence of unintentional injury among under-five children attending the anganwadis was 46.3% and the commonest causes of the injuries were due to falls followed by burns and animal bites. Majority of the injuries were among boys (72.7%) and the most common site of injury was found to be the lower extremity. Nearly half of the respondents (50.5%) were not aware how to provide first aid with respect to unintentional injury among children. Conclusion: The prevalence of unintentional injuries among under-five children was high and majority of the mothers were practicing some form of preventive measures. Intensive health education activities for mothers on the causes and prevention of childhood injuries would be helpful in tackling unintentional injuries. Mass awareness campaigns on first aid using the media can be a good step forward.

Unintentional Injuries among Preschool Children in Qatar : Cross Sectional Study

INTRODUCTION: Unintentional injuries have replaced infectious diseases as the most serious public health problem of children worldwide. Most unintentional injuries among children under 5 years of age occur in and around the home. There are a number of factors that contribute to child unintentional injuries, including: age, gender, race and socioeconomic status. These factors make the child susceptible to injury more than other children. Unintentional injuries are often called accidents, but are almost always predictable and preventable events. Because of their many causes and the close interrelationship between them; a wide range of preventive approaches are required. OBJECTIVES: The objectives of this study were to estimate frequency and types of unintentional injuries, and to investigate determinants of unintentional injuries among preschool children, Doha VIII. METHODS: A cross sectional study design with simple random sampling was employed to include 564 preschool children (1-4 years old). The respondents were the mothers who attended primary health care centers in Doha city, 2010. An interviewer administered Arabic version questionnaires used for data collection. RESULTS: The occurrence of unintentional injuries in the current study was 69.3 %, almost 62.3% of unintentional injuries occurred inside the home. The living room was the most reported place of unintentional injuries inside home (66.7%) and the most frequent cause of these injures was falls (71.8%). Exposure to inanimate mechanical forces was reported in (22.4%), followed by contact with heat and hot substances (20.1%). The most frequent type of injury was bruising (51.2%), followed by cuts (41.2%) while burns was the third most frequent type (19%). Age of child, birth order, nationality, history of disability, living in a home located on a main street and less educated fathers showed statistically significant relation to occurrence of unintentional injuries. Almost all injuries were followed by complete recovery in (97.9%) and (1.8%) ending with death due to drowning. About (61%) of respondent mothers considered unintentional injuries as unpreventable. CONCLUSION and Recommendations: The prevalence of unintentional injuries among preschool children in PHCCs Doha was higher compared to regional and global levels among a similar age group. Full recovery of unintentional injuries was the most frequent consequence. However, a considerable proportion was followed by death. Developing and establishing a national household survey for home safety is recommended. Language: en

Behavioral Risk Factors and Unintentional Injuries Among U.S. Immigrant Adults

This study compared 10 risk-taking behaviors generally considered to be risk factors for injuries and unintentional nonfatal injuries between immigrant and U.S.-born adults. Data from the 2001 to 2002 National Epidemiologic Survey on Alcohol and Related Conditions were analyzed. The prevalence of unintentional injuries that occurred in the past 12 months was calculated for foreign-born and U.S.-born respondents by major sociodemographic characteristics. The proportion of respondents who were involved in risk-taking behaviors was compared between immigrants and U.S.-born adults using a chi(2) test. Negative binominal Poisson regression models were used to study the association among immigrant status, total number of risk-taking behaviors, and injuries while controlling for the confounding effects of sociodemographic variables. Of 43,093 adult respondents, 13.3% (95% confidence intervals [CI] = 12.5%-14.1%) of immigrants reported injuries compared with 19.1% (95% CI = 18.7%-19.5%) of U.S.-born respondents. Immigrants had a significantly lower risk of unintentional injuries than U.S.-born adults by most sociodemographic characteristics, but there was no statistically significant association between years of U.S. residence and injuries. Immigrants were less likely than their U.S.-born counterparts to be involved in all 10 risk-taking behaviors (p < 0.05 from chi(2) test). However, when immigrants engaged in more than four risk-taking behaviors, the difference in injury prevalence between the two groups was not statistically significant (p > 0.05). Immigrant and U.S.-born adults involved in high-risk behaviors face similar risks for unintentional injuries. Targeting risk-taking behaviors among immigrants warrants special attention in injury-control programs.