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德里市区儿童意外伤害:一项基于社区的研究。

Unintentional Childhood Injuries in Urban Delhi: A Community-Based Study.

作者信息

Parmeswaran Giridara Gopal, Kalaivani Mani, Gupta Sanjeev Kumar, Goswami Anil Kumar, Nongkynrih Baridalyne

机构信息

Centre for Community Medicine and Department of Biostatistics, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Indian J Community Med. 2017 Jan-Mar;42(1):8-12. doi: 10.4103/0970-0218.199791.

DOI:10.4103/0970-0218.199791
PMID:28331247
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5349010/
Abstract

BACKGROUND

Childhood injuries claim around a million lives around the world each year. A community-based study on childhood injuries would provide valuable information on the epidemiology of injuries.

OBJECTIVE

To assess the prevalence of unintentional childhood injuries in an urban locality and determine various sociodemo graphic factors associated with childhood injuries.

METHODS

The study was done in urban Delhi among 1,639 children aged less than 18 years. Information on injuries in the last one year was collected. Only those injury episodes where treatment was sought or the child was left disabled after the injury were included. Treatment seeking behavior and the impact of injury on the child and the household were also assessed.

RESULTS

Among 1,639 children, 102 children suffered 116 episodes of various types of injuries in the last one year. Prevalence of injuries was 7.1% (95% CI: 5.9-8.4). Mean age was 8.5 ± 5.1 years. Prevalence was more in boys (8.4%) than girls (5.1%). Accidental falls (37.1%), dog bites (25%), and road traffic injuries (18.9%) were the three most common modes of injury. Two-thirds of children with injuries were taken to the emergency facility for treatment while 40% resorted to home remedies. Treatment expenses in some families led to the need for borrowing money, additional employment by another family member, and selling of household assets.

CONCLUSIONS

The prevalence of childhood injuries in the past one year was 7.1%. Maximum injuries occurred at home and were mostly accidental falls and dog bites. Childhood injuries caused loss of school attendance and financial burden to the family.

摘要

背景

全球范围内,儿童伤害每年导致约100万人死亡。一项基于社区的儿童伤害研究将为伤害流行病学提供有价值的信息。

目的

评估城市地区儿童意外伤害的患病率,并确定与儿童伤害相关的各种社会人口学因素。

方法

该研究在德里市针对1639名18岁以下儿童进行。收集了过去一年中有关伤害的信息。仅纳入那些寻求治疗或受伤后儿童致残的伤害事件。还评估了寻求治疗的行为以及伤害对儿童和家庭的影响。

结果

在1639名儿童中,有102名儿童在过去一年中遭受了116次各种类型的伤害。伤害患病率为7.1%(95%置信区间:5.9 - 8.4)。平均年龄为8.5±5.1岁。男孩的患病率(8.4%)高于女孩(5.1%)。意外跌倒(37.1%)、狗咬伤(25%)和道路交通伤害(18.9%)是三种最常见的伤害方式。三分之二受伤儿童被送往急诊设施治疗,而40%求助于家庭疗法。一些家庭的治疗费用导致需要借钱、另一名家庭成员增加工作以及出售家庭资产。

结论

过去一年儿童伤害的患病率为7.1%。大多数伤害发生在家中,主要是意外跌倒和狗咬伤。儿童伤害导致儿童缺课以及给家庭带来经济负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/638d/5349010/55b3b1b6729b/IJCM-42-8-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/638d/5349010/8b62d8f2b46c/IJCM-42-8-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/638d/5349010/55b3b1b6729b/IJCM-42-8-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/638d/5349010/8b62d8f2b46c/IJCM-42-8-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/638d/5349010/55b3b1b6729b/IJCM-42-8-g004.jpg

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