Sina Trauma and Surgery Research Centre, Tehran University of Medical Sciences, Sina Hospital, Emam Khomeini Avenue, P.O. Box 11155/3876, Tehran, Iran.
Public Health. 2012 Jan;126(1):40-6. doi: 10.1016/j.puhe.2011.09.010. Epub 2011 Dec 2.
To examine the incidence and risk factors of firework-related injuries during the Last Wednesday Eve Festival in Tehran, Iran, with a focus on the association of socio-economic status and educational level with the use of fireworks and the incidence of firework-related injury.
Cross-sectional household survey.
Using a random cluster sampling approach, a household survey was conducted in Greater Tehran in April 2008. During a structured interview with an adult member of the household, questions were asked about the use of fireworks and any firework-related injuries sustained by household members during the preceding festival. Data were gathered on expenditure on fireworks, medical treatment of firework-related injuries, length of hospital stay for the treatment of these injuries, and damage to personal property by fireworks.
The survey included 2456 households in Greater Tehran. At least one member of 18% of these households had used fireworks during the Last Wednesday Eve Festival in 2008. The overall incidence of firework-related injuries was 100 per 100,000 population (95% confidence interval 37-163). The use of fireworks was less common among parents and more common among male children. Individuals who used fireworks were younger than non-users. Younger age and use of fireworks were associated with firework-related injuries (P < 0.05). The mean household expenditure on fireworks was US$1.62. Among the households that had bought fireworks, the mean expenditure was US$9.40 (standard deviation US$16.34). Thirty-two households (1.3%) reported damage to personal property due to fireworks during the festival costing US$3.30-167.20. The regional price of housing in the study area was correlated with the educational level of the head of the household. Higher educational level of the head of the household was associated with participation in firework activities by household members, expenditure on fireworks, and the amount of financial loss due to fireworks (all P < 0.05).
Fireworks are associated with serious injuries, and impose a non-trivial financial burden on families. While personal use of fireworks was an independent risk factor for firework-related injuries, higher socio-economic status of the household and higher educational level of the head of the household were not protective factors.
研究伊朗德黑兰“最后星期三前夕节”期间烟花相关伤害的发生率和危险因素,重点关注社会经济地位和教育水平与烟花使用和烟花相关伤害发生率的关系。
横断面家庭调查。
使用随机聚类抽样方法,于 2008 年 4 月在大德黑兰进行了一项家庭调查。在对家庭成年成员进行的结构化访谈中,询问了家庭在过去的节日中使用烟花和任何烟花相关伤害的情况。收集了烟花支出、烟花相关伤害的医疗费用、这些伤害治疗的住院时间以及烟花对个人财产的损害的数据。
该调查包括大德黑兰的 2456 户家庭。这些家庭中至少有 18%的家庭在 2008 年的“最后星期三前夕节”期间使用了烟花。烟花相关伤害的总发生率为每 10 万人中有 100 人(95%置信区间 37-163)。烟花的使用在父母中较少见,而在男童中较常见。使用烟花的人比非使用者年轻。年龄较小和使用烟花与烟花相关伤害有关(P<0.05)。家庭烟花支出的平均金额为 1.62 美元。在购买烟花的家庭中,平均支出为 9.40 美元(标准差 16.34 美元)。32 户家庭(1.3%)报告称,节日期间烟花损坏个人财产,损失金额为 3.30-167.20 美元。研究区域的住房区域价格与家庭户主的教育水平相关。家庭户主的教育水平较高与家庭成员参与烟花活动、烟花支出以及因烟花造成的经济损失有关(均 P<0.05)。
烟花与严重伤害有关,并给家庭带来不小的经济负担。虽然个人使用烟花是烟花相关伤害的独立危险因素,但家庭的社会经济地位较高和家庭户主的教育水平较高并不是保护因素。