Kalaiselvan Ganapathy, Dongre Amol R, Mahalakshmy T
Department of Community Medicine, Sri Manakula Vinayagar Medical College and Hospital, Pondicherry, India.
J Inj Violence Res. 2011 Jul;3(2):62-7. doi: 10.5249/jivr.v3i2.74.
To find out the prevalence of "all" injuries, its nature, outcome and sources of treatment among rural population of Pondicherry.
It was a triangulated study of quantitative (survey) and qualitative (Focus Group Discussion, FGD) methods. The trained second year medical undergraduate students paid house visits to all houses in five feasibly selected villages of our field practice area. The students interviewed the housewife and obtained information for all injuries for each family member in last one year and its sources of treatment. We could obtain information for 1,613 (96.7%) households. Post-survey, FGDs were undertaken to explore the various traditional treatments for the common injuries. The data was entered and analyzed using Epi_info 6.04d software package.
Overall, the prevalence of all injury among all age groups was 30.6% in last one year. Injuries were significantly more after 18 years of age and among men (p was less than 0.001). About 99.2% injuries reported were accidental and majority (58.2%) went to government doctor for treatment. Most common causes of injuries were fall on the ground from height or due to slip (7.4%), road traffic accidents (5.6%), agriculture related injuries (5%) and bites by scorpion/insects/snakes /dogs (4.1%). FGDs explored some potentially harmful traditional remedial measures at village level such as application of mud or cow dung on the injury and burning the site of thorn prick on foot sole.
Considering the high prevalence of all injuries related to road traffic accidents, fall from height and agriculture work related injuries across all age groups, especially among men and some potentially harmful traditional treatments, an intervention in the form of targeted injury prevention program for different age and sex group, focusing health education efforts based on local epidemiology and behavioral practices is needed.
了解本地治里农村人口中“所有”伤害的患病率、性质、结局及治疗来源。
采用定量（调查）和定性（焦点小组讨论，FGD）相结合的三角研究法。经过培训的医学本科二年级学生对我们实地实习地区五个可行选定村庄的所有家庭进行家访。学生们采访家庭主妇，获取过去一年中每个家庭成员所有伤害的信息及其治疗来源。我们获取了1613户（96.7%）的信息。调查后，开展焦点小组讨论，探讨常见伤害的各种传统治疗方法。使用Epi_info 6.04d软件包录入和分析数据。
总体而言，过去一年所有年龄组的所有伤害患病率为30.6%。18岁以后以及男性中的伤害明显更多（p<0.001）。报告的伤害中约99.2%为意外，大多数（58.2%）前往政府医生处治疗。伤害的最常见原因是从高处跌落或滑倒（7.4%）、道路交通事故（5.6%）、农业相关伤害（5%）以及蝎子/昆虫/蛇/狗咬伤（4.1%）。焦点小组讨论发现了一些在村庄层面可能有害的传统补救措施，如在伤口上涂抹泥土或牛粪以及烧灼脚底荆棘刺伤处。
考虑到所有年龄组，尤其是男性中与道路交通事故、高处跌落和农业工作相关的伤害患病率较高，以及一些可能有害的传统治疗方法，需要针对不同年龄和性别群体开展有针对性的伤害预防计划，根据当地流行病学和行为习惯进行健康教育。
