Bhatta Santosh, Mytton Julie A, Deave Toity
Centre for Academic Child Health, University of the West of England, Bristol, UK
Centre for Academic Child Health, University of the West of England, Bristol, UK.
Inj Prev. 2021 Apr;27(2):104-110. doi: 10.1136/injuryprev-2019-043482. Epub 2020 Feb 14.
Unintentional injuries in and around the home are important causes of preventable death and disability among young children globally. In Nepal, there is a lack of data regarding home injuries and home hazards to guide the development of effective interventions for preventing childhood home injuries. This study aimed to determine the burden of unintentional home injuries in children <5 years in rural Nepal and quantify the injury hazards in their homes.
A survey was conducted in 740 households in rural areas of the Makwanpur district during February and March 2015. The primary carer reported home injuries which occurred in the previous 3 months and data collector observation identified the injury hazards. Injury incidence, mechanism and the proportion of households with different hazards were described. Multivariable logistic regression explored associations between the number and type of home hazards and injuries.
Injuries severe enough to need treatment, or resulting in non-participation in usual activities for at least a day, were reported in 242/1042 (23.2%) children <5 years. The mean number of injury hazards per household was 14.98 (SD=4.48), range of 3-31. Regression analysis found an estimated increase of 31% in the odds of injury occurrence associated with each additional injury hazard found in the home (adjusted OR 1.31; 95% CI 1.20 to 1.42).
A high proportion of young children in rural Nepal sustained injuries severe enough to miss a day of usual activities. Increased frequency of hazards was associated with an increased injury risk.
家庭内外的意外伤害是全球幼儿可预防死亡和残疾的重要原因。在尼泊尔，缺乏有关家庭伤害和家庭危险因素的数据，以指导制定预防儿童家庭伤害的有效干预措施。本研究旨在确定尼泊尔农村地区5岁以下儿童意外家庭伤害的负担，并量化其家庭中的伤害危险因素。
2015年2月至3月期间，在马克万布尔区农村地区的740户家庭中进行了一项调查。主要照料者报告了过去3个月内发生的家庭伤害，数据收集者通过观察确定了伤害危险因素。描述了伤害发生率、机制以及存在不同危险因素的家庭比例。多变量逻辑回归探讨了家庭危险因素的数量和类型与伤害之间的关联。
在1042名5岁以下儿童中，有242名（23.2%）报告了严重到需要治疗或导致至少一天无法参与日常活动的伤害。每户家庭伤害危险因素的平均数量为14.98（标准差=4.48），范围为3至31。回归分析发现，家中每多发现一个伤害危险因素，伤害发生几率估计增加31%（调整后的比值比为1.31；95%置信区间为1.20至1.42）。
尼泊尔农村地区很大比例的幼儿遭受了严重到足以错过一天日常活动的伤害。危险因素频率的增加与伤害风险的增加相关。
