College of Medicine and Health Science, School of Nursing, University of Gondar, P.O.Box: 196, Gondar, Ethiopia.
Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, P.O.Box: 196, Gondar, Ethiopia.
BMC Emerg Med. 2019 Mar 4;19(1):25. doi: 10.1186/s12873-019-0238-1.
Road Traffic Incident (RTI) has been commonly reported as a major public health problem around the world and the incidence is higher in low and middle income countries, such as Ethiopia than high income countries. The aim of this study was to assess the prevalence and factors associated with RTI among adolescents and children in the hospitals of Amhara Regional State, Ethiopia.
A cross-sectional study design was employed among 830 injured children visiting the Emergency Department of four randomly selected hospitals of Amhara Regional State, Ethiopia between February 1 and April 30, 2016. Data were entered into EPI info version 7 and then exported to SPSS version 20, for further analysis. Univariable and multivariable logistic regression models were fitted. Adjusted odds ratio with its 95% confidence interval was used to determine the statistical significance.
The overall prevalence of RTI, from all injury cases, was 20%. Socioeconomic status, being wealthy (AOR: 0.08, 95% CI, 0.01, 0.45) and middle income (AOR: 0.40,95% CI, 0.17, 0.97), parental/guardian education/no education (AOR: 6.91, 95% CI, 2.52, 8.93), mothers marital status/divorced (AOR: 0.01, 95% CI, 0.01, 0.05), and leaving a child with another child for sometime (AOR: 2.56, CI 1.06, 6.20) and most often (AOR: 4.77, CI, 1.15, 9.77) were factors independently associated with RTI .
The prevalence of RTI was found to be high. RTI prevention needs critical consideration and the intervention strategies shall focus on those families who are practicing of leaving a child with another child.
道路交通伤害(RTI)已被普遍报道为全球的一个主要公共卫生问题,发病率在埃塞俄比亚等中低收入国家高于高收入国家。本研究旨在评估埃塞俄比亚阿姆哈拉州医院青少年和儿童中 RTI 的流行率和相关因素。
采用横断面研究设计,于 2016 年 2 月 1 日至 4 月 30 日期间在阿姆哈拉州的 4 所随机选定的医院急诊科,对 830 名受伤儿童进行调查。数据输入 EPI info 版本 7,然后导出到 SPSS 版本 20 进行进一步分析。采用单变量和多变量逻辑回归模型进行拟合。使用调整后的优势比及其 95%置信区间来确定统计学意义。
所有损伤病例中,RTI 的总患病率为 20%。社会经济地位、富裕(AOR:0.08,95%CI,0.01,0.45)和中等收入(AOR:0.40,95%CI,0.17,0.97)、父母/监护人教育/无教育(AOR:6.91,95%CI,2.52,8.93)、母亲婚姻状况/离婚(AOR:0.01,95%CI,0.01,0.05)、将孩子留与另一个孩子一段时间(AOR:2.56,CI 1.06,6.20)和最常见(AOR:4.77,CI,1.15,9.77)是与 RTI 独立相关的因素。
RTI 的患病率很高。需要认真考虑 RTI 的预防问题,干预策略应重点关注那些有让孩子与另一个孩子在一起的习惯的家庭。