a Department of Disease Control and Environmental Health, School of Public Health , College of Health Sciences, Makerere University , Kampala , Uganda.
b Department of International Health , John Hopkins Bloomberg School of Public Health Baltimore , MD , United States.
Int J Inj Contr Saf Promot. 2018 Dec;25(4):449-457. doi: 10.1080/17457300.2018.1473445. Epub 2018 May 30.
Given that little is known about the epidemiology of unintentional injuries in children in low-income countries, this study sought to determine the incidence and characteristics of unintentional injuries among children aged ≤18 years in a slum community in Uganda. From a household survey, the incidence and odds ratios for factors associated with unintentional injury characteristics were calculated. Of 1583 children, 706 had suffered 787 unintentional injuries yielding an annual incidence rate of 497 injuries per 1000 children. Commonest injuries were cuts, bites or open wounds (30.6%) and bruises or superficial injuries (28.6%) with majority (75.5%) occurring at home. Boys were more likely to be injured at school (AOR 4.34; 95% CI 1.22-15.54) and to be injured from falls (AOR 1.41; 95% CI 1.01-1.96). Older children (12-18 years) were more likely to suffer from fractures (AOR 2.37; 95% CI 1.26-4.43), concussions and organ system injuries (AOR 3.58; 95% CI 1.03-12.39) and cuts, bites or open wounds (AOR 2.05; 95% CI 1.21-3.48). Older children were less likely to suffer burns or scalds as compared to the young children (AOR: 0.23; 95% CI 0.11-0.50). Unintentional injury incidence rate was high among children with most occurring in the homes.
由于对低收入国家儿童意外伤害的流行病学知之甚少，本研究旨在确定乌干达一个贫民窟社区中≤18 岁儿童意外伤害的发生率和特征。通过家庭调查，计算了与意外伤害特征相关的因素的发生率和优势比。在 1583 名儿童中，有 706 名儿童遭受了 787 次意外伤害，导致每 1000 名儿童的年发生率为 497 例。最常见的伤害是割伤、咬伤或开放性伤口（30.6%）和瘀伤或浅表性损伤（28.6%），大多数（75.5%）发生在家里。男孩更有可能在学校受伤（AOR 4.34；95% CI 1.22-15.54）和从高处坠落受伤（AOR 1.41；95% CI 1.01-1.96）。年龄较大的儿童（12-18 岁）更有可能骨折（AOR 2.37；95% CI 1.26-4.43）、脑震荡和器官系统损伤（AOR 3.58；95% CI 1.03-12.39）以及割伤、咬伤或开放性伤口（AOR 2.05；95% CI 1.21-3.48）。与幼儿相比，年龄较大的儿童不太可能遭受烧伤或烫伤（AOR：0.23；95% CI 0.11-0.50）。儿童意外伤害发生率较高，大多数发生在家庭中。
