NCD and Mental Health Division, Centre for Injury Prevention and Research Bangladesh, Dhaka, Bangladesh
NCD and Mental Health Division, Centre for Injury Prevention and Research Bangladesh, Dhaka, Bangladesh.
BMJ Paediatr Open. 2022 Jun;6(1). doi: 10.1136/bmjpo-2022-001412.
Burn is a major cause of childhood injury-related morbidity and mortality. Global estimates suggest that 90% of all cases occur in low-income and middle-income countries and over half of the disability-adjusted life-years are lost from fire-related burns in children. In Bangladesh, there is a scarcity of data on childhood burn injuries. The goal of the study was to describe the epidemiology of non-fatal burns in Bangladeshi children, including incidence estimates and identify high-risk groups.
Bangladesh Health and Injury Survey 2016 was a large scale cross-sectional survey. The survey was conducted among 299 216 population utilising a multistage cluster sampling method. Among the 100 842 children, there were 437 non-fatal burn cases.
Among different injury mechanisms in children, burn was ranked fifth (7.4%). The overall yearly incidence rate (IR) of burns was 866.7 per 100 000 children (95% CI 785.6 to 947.8) in Bangladesh. The incidence was highest among 1-4 years old children (IR 2028.3, 95% CI 1761.1 to 2334.7) and had a 3.5 times higher risk of burns compared with the 15-17 years age group. Females had a much higher IR of non-fatal burns than males between the ages of 10-15 years (1655.2 vs 482.2). About 70% of burns occurred in rural areas. Hot liquid (44.7%), flames (32.5%) and hot objects (20.7%) were identified as the main causes of burns. The kitchen (60.9%), yards (20.8%) and bedroom and living room (10.5%) were the three most common places for burns. According to the study, 34.8% of burn incidences occurred between the hours of 7:00 and 10:00.
Children in Bangladesh suffer from a high rate of non-fatal burns. The high-risk category was identified as preschool-aged boys and adolescent girls. The majority of the incidents occurred in the morning and inside the kitchen. These findings will help raise awareness and create intervention measures to reduce the high incidence of non-fatal childhood burns in Bangladesh.
烧伤是导致儿童受伤相关发病率和死亡率的主要原因。全球估计表明，所有病例中有 90%发生在低收入和中等收入国家，儿童因与火相关的烧伤而损失的残疾调整生命年超过一半。在孟加拉国，有关儿童烧伤的数据稀缺。本研究的目的是描述孟加拉国儿童非致命性烧伤的流行病学，包括发病率估计和确定高风险群体。
2016 年孟加拉国健康与伤害调查是一项大规模的横断面调查。该调查利用多阶段聚类抽样方法在 299216 名人群中进行。在 100842 名儿童中，有 437 例非致命性烧伤病例。
在儿童不同的损伤机制中，烧伤排名第五（7.4%）。孟加拉国每年烧伤的总发生率（IR）为每 10 万名儿童 866.7 例（95%CI 785.6 至 947.8）。发生率在 1-4 岁儿童中最高（IR 2028.3，95%CI 1761.1 至 2334.7），与 15-17 岁年龄组相比，烧伤风险高 3.5 倍。10-15 岁女性的非致命性烧伤发生率远高于男性（1655.2 比 482.2）。约 70%的烧伤发生在农村地区。热液（44.7%）、火焰（32.5%）和热物体（20.7%）被确定为烧伤的主要原因。厨房（60.9%）、庭院（20.8%）和卧室和客厅（10.5%）是烧伤的三个最常见地点。根据该研究，34.8%的烧伤发生在 7:00 至 10:00 之间。
孟加拉国的儿童烧伤发生率很高。高危人群为学龄前男童和少女。大多数事故发生在早上和厨房内。这些发现将有助于提高认识并制定干预措施，以减少孟加拉国儿童非致命性烧伤的高发病率。
