Division of Social Medicine, Department of Public Health Science, Karolinska Institutet, 171 76 Stockholm, Sweden.
J Environ Public Health. 2009;2009:435403. doi: 10.1155/2009/435403. Epub 2009 Aug 23.
The paper aims to explore the magnitude and distribution of unintentional injuries among Bangladeshi children (<18 years).
A cross sectional survey was conducted during 2003 (January to December) in 12 randomly selected districts and Dhaka Metropolitan City of Bangladesh. Nationally representative data were collected from 171 366 households comprising of 351 651 children of under 18 years. Information includes the number of deaths and illness at the household in the preceding year. Verbal autopsy and verbal diagnosis form was used to determine the cause of mortality and morbidity respectively.
There were 351651 children in the study, of which 5577 had one or more injuries in the past one year. Drowning and falls was the leading cause of injury mortality and morbidity in children over 1 year of age respectively. Incidence of unintentional injuries was significantly higher among boys (95% CI = -2157.8) than girls (95% CI = 968.7 - 1085.8) while rural children were the most vulnerable group. Home and its premises was the most common place for the injury incidence.
The result of the study could be an insight to the policy makers to develop realistic and effective strategies to address the issue.
本文旨在探讨孟加拉国儿童（<18 岁）意外伤害的发生频率和分布情况。
本研究采用横断面调查方法，于 2003 年（1 月至 12 月）在孟加拉国随机选择的 12 个地区和达卡大都市进行。从 171366 户家庭中收集了具有代表性的全国数据，这些家庭共有 351651 名 18 岁以下的儿童。信息包括前一年家庭中发生的死亡和疾病数量。采用死因推断法和口头诊断表分别确定死亡和发病的原因。
研究中有 351651 名儿童，其中 5577 名儿童在过去一年中发生过一次或多次伤害。溺水和跌倒分别是 1 岁以上儿童伤害死亡和发病的主要原因。男孩意外伤害发生率显著高于女孩（95%CI=-2157.8），而农村儿童是最脆弱的群体。家庭及其周边地区是意外伤害发生率最高的地方。
该研究结果可以为决策者提供深入了解，以便制定现实有效的策略来解决这一问题。
