Odero W, Polsky S, Urbane D, Carel R, Tierney W M
Department of Epidemiology and Nutrition, School of Public Health, Moi University, P.O. Box 4606, Eldoret, Kenya.
East Afr Med J. 2007 Aug;84(8):367-73. doi: 10.4314/eamj.v84i8.9543.
To describe characteristics of injuries among patients presenting to a rural health centre in western Kenya, and identify the associated risk factors.
A retrospective descriptive study.
A primary care Ministry of Health Rural Health Centre in western Kenya.
Of the 315 injured patients, 62% were males and 38% females. Young adults aged 15-44 years were the most affected, comprising 63.5%. The five most common causes of injury were struck by object (36.6%), assault (34.4%), falls (11.6%), burns (6.2%) and road traffic accidents (4.7%). Quarrels and fights were the leading reasons for assaults among males (69.5%) and females (44.4%). Most injuries occurred at work (36.2%), when subjects were engaged in vital activities (19.5%) or during play/leisure time (19.2%). A third of injured adults aged 15 years and above had consumed alcohol prior to the injury event. Alcohol use was significantly associated with assaults (51.3%) than all other causes of injury (OR=4.51, p<0.0001).
The pattern and certain risk factors for non-fatal injuries among patients attending a rural health centre, such as place of occurrence, activity and alcohol use, can be identified through a facility-based electronic injury surveillance system. The information can be used to develop context-specific injury prevention interventions in the community.
描述肯尼亚西部一家农村健康中心就诊患者的损伤特征，并确定相关危险因素。
一项回顾性描述性研究。
肯尼亚西部卫生部的一家初级保健农村健康中心。
在315名受伤患者中，62%为男性，38%为女性。15 - 44岁的年轻人受影响最大，占63.5%。损伤的五个最常见原因是被物体击中（36.6%）、袭击（34.4%）、跌倒（11.6%）、烧伤（6.2%）和道路交通事故（4.7%）。争吵和打架是男性（69.5%）和女性（44.4%）袭击的主要原因。大多数损伤发生在工作时（36.2%）、从事重要活动时（19.5%）或玩耍/休闲时间（19.2%）。15岁及以上受伤成年人中有三分之一在受伤事件发生前饮酒。饮酒与袭击（51.3%）的关联显著高于所有其他损伤原因（OR = 4.51，p < 0.0001）。
通过基于机构的电子损伤监测系统，可以确定农村健康中心就诊患者非致命损伤的模式和某些危险因素，如发生地点、活动和饮酒情况。这些信息可用于制定针对社区具体情况的损伤预防干预措施。
