Department of Community Health Sciences, Patan Academy of Health Sciences, Lalitpur, Nepal.
Department of Community Medicine, Kathmandu Medical College, Kathmandu, Nepal.
PLoS One. 2023 Oct 17;18(10):e0287487. doi: 10.1371/journal.pone.0287487. eCollection 2023.
Unintentional injuries are one of the leading causes of ill health, disability & death among the children and young adults worldwide. As these injuries are strongly related to social determinants, the burden falls mainly upon the Low- and Middle-Income Countries (LMICs) like Nepal. Thus, the main objective was to explore the epidemiology of unintentional childhood injuries in urban and rural areas of Kavrepalanchok district. A cross sectional analytical study was done in Bethanchok rural municipality and Dhulikhel municipality of Kavrepalanchok district. The respondents were interviewed using a pretested semi-structured questionnaire. The details of injuries sustained within the past 12 months were included. A total of 667 children aged 1-16 years were surveyed, among which 26% from rural and 17.2% from urban areas had unintentional injuries in the past 12 months. Falls were the most common mode of injury in both the areas. Similarly, the proportion of burn was more in rural area (16.1%) whereas, Road Traffic Injuries were more in urban area (12.5%). Majority of the injuries occurred at home (54.5%) while the child was playing (64.1%). Factors like child's gender and place of residence affected the occurrence of unintentional injuries (p<0.05). Out of total injured children, 18 of them had not recovered and 11 were left with some form of permanent disability. As the rate and pattern of unintentional childhood injuries in the rural and urban area differ, the prevention strategies should focus on risk factors that apply to both the areas and awareness should be created among the parents and primary caregivers about the fact that childhood injuries are predictable and preventable.
意外伤害是全球儿童和青少年健康不良、残疾和死亡的主要原因之一。由于这些伤害与社会决定因素密切相关，因此负担主要落在尼泊尔等低收入和中等收入国家（LMICs）身上。因此，主要目标是探讨卡瓦雷布尔乔克地区城乡地区儿童意外伤害的流行病学情况。在卡瓦雷布尔乔克地区的贝桑乔克农村自治市和杜利赫拉利自治市进行了横断面分析研究。使用经过预测试的半结构式问卷对受访者进行了访谈。包括过去 12 个月内发生的伤害的详细信息。共调查了 667 名 1-16 岁的儿童，其中 26%来自农村地区，17.2%来自城市地区，在过去 12 个月内发生过意外伤害。跌倒在这两个地区都是最常见的受伤方式。同样，农村地区烧伤的比例更高（16.1%），而城市地区道路交通伤害的比例更高（12.5%）。大多数伤害发生在家里（54.5%），孩子在玩耍时（64.1%）。儿童的性别和居住地等因素影响意外伤害的发生（p<0.05）。在受伤的儿童中，有 18 人尚未康复，11 人留下某种形式的永久性残疾。由于农村和城市地区儿童意外伤害的发生率和模式不同，预防策略应侧重于适用于这两个地区的风险因素，并应向父母和主要照顾者宣传儿童意外伤害是可预测和可预防的事实。
