奥里萨邦科尔达区农村地区五岁以下儿童伤害情况——一项基于社区的横断面研究
Profile of Injuries Among Under-Five Children in Rural Areas of Khordha District, Odisha-A Community-Based Cross-Sectional Study.
作者信息
Ravichandran Mythry, Singh Arvind Kumar, Giri Prajna Paramita, Behera Priyamadhaba, Patro Binod Kumar
机构信息
Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences Bhubaneswar, Odisha, 751019, India.
出版信息
Indian Pediatr. 2025 May;62(5):356-360. doi: 10.1007/s13312-025-00036-2. Epub 2025 Apr 9.
OBJECTIVES
To estimate the prevalence, patterns, and risk factors for injury among under-five children.
METHODS
A community-based cross-sectional study was conducted in the rural areas of Khordha district among 600 under-five children. A multistage sampling technique was used to assess the prevalence, patterns, and factors associated with injuries using a semi-structured questionnaire, followed by an environmental hazard assessment of the built environment of the selected participants.
RESULTS
Childhood injury prevalence was 44.6% (95% CI 40.6, 48.7). Falls were the commonest injuries; 87% falls occurred at home. Only 19% of the major injuries received formal healthcare. The child's age, parental awareness, and environmental hazard risk were associated with the occurrence of injuries.
CONCLUSION
The built environment plays a significant role in childhood injuries in the rural areas of Odisha. Public health measures such as a safe built environment for households and neighborhoods should be promoted.
目的
评估五岁以下儿童受伤的患病率、模式及风险因素。
方法
在科德哈区农村地区对600名五岁以下儿童开展了一项基于社区的横断面研究。采用多阶段抽样技术，通过半结构化问卷评估受伤的患病率、模式及相关因素，随后对选定参与者的居住环境进行环境危害评估。
结果
儿童受伤患病率为44.6%（95%置信区间40.6, 48.7）。跌倒为最常见的受伤类型；87%的跌倒发生在家中。仅有19%的重伤接受了正规医疗护理。儿童年龄、家长意识及环境危害风险与受伤发生有关。
结论
居住环境在奥里萨邦农村地区儿童受伤事件中起着重要作用。应推广公共卫生措施，如为家庭和社区营造安全的居住环境。
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