Inbaraj Leeberk Raja, Sindhu Kulandaipalayam Natarajan, Ralte Lalmalsawmi, Ahmed Basir, Chandramouli Chandni, Kharsyntiew Elza Rebecca, Jane Evelina, Paripooranam Joshaphine Victoria, Muduli Nikhil, Akhilesh Padebettu Devendra, Joseph Prakash, Nappoly Renata, Reddy Tamma Anusha, Minz Shantidani
Division of Community Health, Bangalore Baptist Hospital, Bangalore, Karnataka, 560024, India.
Department of Community Health, Christian Medical College, Vellore, Tamil Nadu, India.
Inj Epidemiol. 2020 Dec 14;7(1):62. doi: 10.1186/s40621-020-00289-4.
We studied the primary caregivers' perception, and further, their awareness of unintentional childhood injuries in south India.
A cross-sectional study was conducted in the rural block of Kaniyambadi, Vellore, among 300 primary caregivers of children aged between 0 and 14 years. A semi-structured interview was conducted with the primary caregivers using a photo-elicitation method, with a visual depiction of ten injury risky scenarios for a child. Scoring was done to assess the perception of environmental hazards in these scenarios, and further, knowledge on the prevention of these injuries. An independent 't' test was done to elicit differences in mean scores and a multivariate regression analysis was applied to ascertain factors independently associated with the scores.
Primary caregivers had adequate perception regarding risks posed to children in scenarios such as climbing trees (96.2%), playing near construction sites (96%), firecrackers (96.4%) and crossing unmanned roads with no traffic signals (94%). Knowledge of prevention was poor however, in the following scenarios: a woman riding a bicycle without safety features, with child pillion sitting behind bare foot and legs hanging by one side (72.6%); a child playing near a construction site (85.9%); and a child playing with plastic bags (88.3%). Overall, educational status of the primary caregiver and socioeconomic status were associated with poorer perception of risks and knowledge about unintentional childhood injuries and their prevention.
Pragmatic community-based childhood interventions incorporated into existing programs, with a special focus on road traffic injuries, burns and suffocation need to be implemented in high-risk settings of rural populations in South India.
我们研究了印度南部主要照料者对儿童意外伤害的认知，以及他们对这些伤害的认识。
在韦洛尔卡尼亚姆巴迪的农村地区对300名0至14岁儿童的主要照料者进行了一项横断面研究。采用照片引发法对主要照料者进行半结构式访谈，展示了十个儿童受伤风险场景的视觉描述。对这些场景中环境危害的认知以及预防这些伤害的知识进行评分。进行独立t检验以找出平均得分的差异，并应用多元回归分析来确定与得分独立相关的因素。
主要照料者对儿童在爬树（96.2%）、在建筑工地附近玩耍（96%）、燃放鞭炮（96.4%）和穿越无交通信号的无人道路（94%）等场景中面临的风险有足够的认知。然而，在以下场景中预防知识较差：一名妇女骑没有安全装置的自行车，后座上的儿童赤着脚，腿悬在一侧（72.6%）；一名儿童在建筑工地附近玩耍（85.9%）；以及一名儿童玩塑料袋（88.3%）。总体而言，主要照料者的教育程度和社会经济地位与对风险的认知较差以及对儿童意外伤害及其预防的知识有关。
需要在印度南部农村人口的高风险环境中实施务实的基于社区的儿童干预措施，并将其纳入现有项目，特别关注道路交通伤害、烧伤和窒息。
