Incidence of childhood injuries and modifiable household risk factors in rural Ghana: a multistage, cluster-randomised, population-based, household survey.
accident & emergency medicine
epidemiology
non-accidental injury
preventive medicine
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
23 07 2021
23 07 2021
Historique:
entrez:
24
7
2021
pubmed:
25
7
2021
medline:
4
8
2021
Statut:
epublish
Résumé
We aimed to describe the incidence of childhood household injuries and prevalence of modifiable household risk factors in rural Ghana to inform prevention initiatives. 357 randomly selected households in rural Ghana. Caregivers of children aged <5 years. Childhood injuries that occurred within 6 months and 200 metres of the home that resulted in missed school/work, hospitalisation and/or death. Sampling weights were applied, injuries were described and multilevel regression was used to identify risk factors. Caregivers from 357 households had a mean age of 35 years (SD 12.8) and often supervised ≥2 children (51%). Households typically used biomass fuels (84%) on a cookstove outside the home (79%). Cookstoves were commonly <1 metre of the ground (95%). Weighted incidence of childhood injury was 542 per 1000 child-years. Falls (37%), lacerations (24%), burns (12%) and violence (12%) were common mechanisms. There were differences in mechanism across age groups (p<0.01), but no gender differences (p=0.25). Presence of older children in the home (OR 0.15, 95% CI 0.09 to 0.24; adjusted OR (aOR) 0.26, 95% CI 0.13 to 0.54) and cooking outside the home (OR 0.28, 95% CI 0.19 to 0.42; aOR 0.25, 95% CI 0.13 to 0.49) were protective against injury, but other common modifiable risk factors (eg, stove height, fuel type, secured cabinets) were not. Childhood injuries occurred frequently in rural Ghana. Several common modifiable household risk factors were not associated with an increase in household injuries. Presence of older children was a protective factor, suggesting that efforts to improve supervision of younger children might be effective prevention strategies.
Identifiants
pubmed: 34301645
pii: bmjopen-2020-039243
doi: 10.1136/bmjopen-2020-039243
pmc: PMC8311320
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
e039243Subventions
Organisme : FIC NIH HHS
ID : D43 TW007267
Pays : United States
Organisme : FIC NIH HHS
ID : R25 TW009345
Pays : United States
Informations de copyright
© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
Inj Prev. 2016 Feb;22(1):3-18
pubmed: 26635210
Accid Anal Prev. 2009 Jan;41(1):183-90
pubmed: 19114153
Inj Prev. 2001 Mar;7(1):46-50
pubmed: 11289535
Inj Prev. 2015 Apr;21(e1):e71-9
pubmed: 24914101
Inj Prev. 2005 Feb;11(1):48-52
pubmed: 15691990
World J Surg. 2015 Jan;39(1):62-9
pubmed: 24867466
J Epidemiol Community Health. 2010 Jul;64(7):645-7
pubmed: 20547700
Public Health Rep. 2005 Jan-Feb;120(1):63-70
pubmed: 15736333
Inj Prev. 1996 Jun;2(2):140-9
pubmed: 9346079
Lancet. 2012 Sep 22;380(9847):1082-7
pubmed: 22898076
World J Surg. 2014 Dec;38(12):3041-6
pubmed: 25189447
Lancet. 2004 Jun 26;363(9427):2172-9
pubmed: 15220042
Int J Epidemiol. 1999 Aug;28(4):750-5
pubmed: 10480706
Bull World Health Organ. 2009 May;87(5):390-4
pubmed: 19551258
Int J Environ Res Public Health. 2018 Sep 04;15(9):
pubmed: 30181462
Bull World Health Organ. 2009 May;87(5):382-9
pubmed: 19551257
Bull World Health Organ. 1999;77(12):955-64
pubmed: 10680242
World J Surg. 2015 Aug;39(8):1859-66
pubmed: 25894398
J Pediatr Surg. 2015 Nov;50(11):1922-7
pubmed: 25841284
BMC Public Health. 2015 May 11;15:484
pubmed: 25957574
Burns. 2006 Aug;32(5):605-12
pubmed: 16713683
Burns. 2011 Aug;37(5):770-75
pubmed: 21396783
Injury. 2021 Jul;52(7):1757-1765
pubmed: 33906741
Burns. 2016 May;42(3):633-8
pubmed: 26691868
Epidemiol Rev. 2010;32:110-20
pubmed: 20570956
Burns. 1995 Feb;21(1):24-8
pubmed: 7718113
Pediatrics. 2005 Aug;116(2):454-61
pubmed: 16061603
Int J Health Geogr. 2010 May 24;9:25
pubmed: 20497570