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Ghebreab L, Kool B, Lee A, Morton S. Antenatal and early childhood exposures associated with non-fatal infant injury: evidence from a longitudinal birth cohort in New Zealand. Inj Prev 2023; 29:532-536. [PMID: 37714698 DOI: 10.1136/ip-2023-044845] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/17/2023]
Abstract
OBJECTIVE To identify antenatal and early childhood exposures of unintentional injury among infants in New Zealand (NZ). METHOD The theoretical life-course framework of child injury prevention domains was utilised to analyse data from a prospective longitudinal NZ birth cohort (Growing Up in NZ). Risk and protective factors for injury were identified using Robust Poisson regression models. RESULT Among children included for the analysis(n=6304), 52% were male, 55% were born to European mothers, and 37% lived in a household with high levels of deprivation. Mothers reported that 6% of infants (n=406) had sustained at least one injury by 9 months. Multivariate analysis showed injury risk among single mothers with antenatal depression were more than twice that (IRR=2.20) of children of mothers with partners and without depression. CONCLUSION Understanding antenatal risk and protective factors for infant injury will assist in implementing injury prevention programmes or modifying the existing policies that affect these vulnerable age groups.
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Affiliation(s)
- Luam Ghebreab
- Section of Epidemiology and Biostatistics, School of Population Health, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand
| | - Bridget Kool
- Section of Epidemiology and Biostatistics, School of Population Health, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand
| | - Arier Lee
- Section of Epidemiology and Biostatistics, School of Population Health, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand
| | - Susan Morton
- Department of Social and Community Health, School of Population Health, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand
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Han SY, Kim CH. Factors associated with healthcare utilization for infant falls in South Korea: a cross-sectional online survey. CHILD HEALTH NURSING RESEARCH 2023; 29:252-259. [PMID: 37939671 PMCID: PMC10636525 DOI: 10.4094/chnr.2023.29.4.252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2023] [Revised: 08/28/2023] [Accepted: 09/25/2023] [Indexed: 11/10/2023] Open
Abstract
PURPOSE Falls are a common cause of unintentional injuries in infants. This study was conducted to examine the patterns of healthcare utilization following infant falls in South Korea. METHODS This cross-sectional descriptive study utilized an online survey designed to gather information regarding the general characteristics of parents and infants, fall-related variables, and healthcare use. RESULTS The most serious falls identified by parents occurred at an average infant age of 6.97 months. Most fall incidents took place indoors (95.7%), and many occurred under the supervision of caregivers (68.0%). Following the fall, 36.4% of the participants used healthcare services. Logistic regression analysis revealed that healthcare use following an infant fall was significantly associated with being a firstborn child (odds ratio [OR]=5.32, 95% confidence interval [CI], 2.19-15.28) and falling from a caregiver's arms (OR=4.22; 95% CI, 1.45-13.68). CONCLUSION To prevent and decrease the frequency of infant falls, improvements are needed in both the domestic environment and parenting approaches.
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Affiliation(s)
- Soo-Yeon Han
- Assistant Professor, Department of Nursing, Bucheon University, Bucheon, Korea
| | - Cho Hee Kim
- Assistant Professor, College of Nursing, Kangwon National University, Chuncheon, Korea
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Salam A, Aziz DA, Ansar F, Sajjad A, Asjid M. Role of Primary Caregivers Regarding Unintentional Injury Prevention Among Preschool Children: A Cross-Sectional Survey in Low- and Middle-Income Country. Cureus 2022; 14:e28599. [PMID: 36185910 PMCID: PMC9521817 DOI: 10.7759/cureus.28599] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/30/2022] [Indexed: 11/05/2022] Open
Abstract
Importance Unintentional childhood injuries significantly strain healthcare resources, and their preventable measures can significantly reduce morbidity and mortality. Objectives To investigate the role of primary caregivers in preventing unintentional injuries and to identify the groups that require special health intervention programs to reduce the burden of this public health concern. Methodology A cross-sectional survey was conducted at three hospitals in Karachi, Pakistan. Parents of preschool children who visited pediatric clinics were invited to participate in the study by completing a self-administered questionnaire comprising questions about knowledge, attitudes, and practices towards preventing unintentional injuries among children. Results With an 80% response rate, the overall mean knowledge, attitude, and practices (KAP) score was 27.40 ± 3.48. Only 14.3% of the participants had a high KAP score, while 83.6% and 2.1% of the respondents had moderate and low KAP scores, respectively. People of lower socioeconomic status, unemployed, less educated, and families with more than one preschool child were less knowledgeable and non-adherent to unintentional preventive injury. It was found that 21% of the children had suffered from an unintentional severe injury in the past, and the internet was the most frequent source of gaining knowledge among parents. Conclusion Parental knowledge, attitude, practices, and adherence to child safety measures are sub-optimal in our cohort of studied participants. Raising awareness and providing the counseling are essential in reducing the burden of unintentional injuries.
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Alghnam S, Jastaniah E, Alwahaibi W, Albabtain IT, Alqublan S, Bajwaiber M, Alzahrani S, Alghamdi A. The prevalence of head and facial injuries among children in Saudi Arabia following road traffic crashes. Ann Saudi Med 2020; 40:417-424. [PMID: 33007167 PMCID: PMC7532055 DOI: 10.5144/0256-4947.2020.417] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/18/2020] [Accepted: 07/18/2020] [Indexed: 01/21/2023] Open
Abstract
BACKGROUND Motor vehicle crashes (MVCs) are the leading cause of death among children in Saudi Arabia. Childhood injuries can be prevented or minimized if safety measures, such as car seats, are implemented. The literature on the epidemiology of head and facial injury among children is limited, which affects the ability to understand the extent of the burden and hinders investment in public health prevention. OBJECTIVE Describe the epidemiology of head and facial injuries among children admitted to the hospital following MVCs. DESIGN Retrospective chart review. SETTING Five hospitals in several regions. PATIENTS AND METHODS We collected data on all patients ≤16 years old, who were admitted to the hospital following MVCs between 2016-2019. Differences in various characteristics like head injury status and age groups were compared. MAIN OUTCOME MEASURES Head and facial injuries. SAMPLE SIZE 253 patients. RESULTS Of the injured population, 97 (38.3%) sustained a head injury, and 88 (34.8%) had a facial injury. Thirteen (9.1%) children were driving the car at the time of the crash. About half of the children were seated in the back (53.8%) without a seatbelt or safety seat. CONCLUSION The prevalence of head and facial injuries is striking. In addition, the study revealed that driving among children is not uncommon, which warrants monitoring and implementing interventions. Improved documentation of restraint use and police enforcement of safety laws can play a significant role in reducing associated injuries. The study findings highlight the importance of combination or rear seating as well as age-appropriate restraint in order to reduce the likelihood of head or facial injuries among children. LIMITATIONS Retrospective study using the electronic search system to identify patients, but may have missed cases that were not coded correctly. Large amount of missing data for some variables. Additionally, the analysis was limited to those admitted to the hospital. CONFLICT OF INTEREST None.
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Affiliation(s)
- Suliman Alghnam
- From the Department of Population Health, King Abdullah International Research Center (KAIMRC), Riyadh, Saudi Arabia
| | - Ebaa Jastaniah
- From the Miami Children's Hospital, University of Florida, Florida, United States of America
| | - Wedyan Alwahaibi
- From the Epidemiology Program, College of Health Sciences, Princess Noura Bint Abdulrahman University, Riyadh, Saudi Arabia
| | | | - Sarah Alqublan
- From the Epidemiology Program, College of Health Sciences, Princess Noura Bint Abdulrahman University, Riyadh, Saudi Arabia
| | - Miasem Bajwaiber
- From the National Road Safety Center, Ministry of Transport, Riyadh, Saudi Arabia
| | - Sarah Alzahrani
- From the Department of Population Health, King Abdullah International Research Center (KAIMRC), Riyadh, Saudi Arabia
| | - Ali Alghamdi
- From the National Road Safety Center, Ministry of Transport, Riyadh, Saudi Arabia
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Pu H, Li B, Luo D, Wang S, Wang Z, Zhao W, Zheng L, Duan P. Impact of urbanization factors on mortality due to unintentional injuries using panel data regression model and spatial-temporal analysis. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2020; 27:2945-2954. [PMID: 31838677 DOI: 10.1007/s11356-019-07128-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/28/2019] [Accepted: 11/19/2019] [Indexed: 06/10/2023]
Abstract
Unintentional injuries pose a great risk for human health in China. Few studies have focused on unintentional injuries at national level from urbanization perspective. The panel data of mortality rate of transportation accidents (TA), fall and drowning and sinking (DS) is investigated, and urbanization development index is collected. Global Moran's I and linear regression of panel data are applied to determine the spatial distribution and spatial influencing factors of unintentional injuries. The results are the following: (1) The unintentional injury such as TA, fall, and DS shows clear non-uniformity of spatial distribution and relative immobility through time. (2) A 10,000 tons increase in SO2 emission amount (SO2 EA) and emission of smoke and dust (ESD) can result in 15.7 and 12.5 increases in TA death in eastern region, respectively. Meanwhile, A 10,000 tons increase in NOx emission amount can cause 15.1 increase in TA death in western region. For every 100 billion yuan increase in GDP, the fall death can reduce by 8.4 in central region. One bed increase in number of hospital beds per 10,000 population (NHBP) is favorable for decreasing in fall death by 16.7 in eastern region. However, increase in number of workers enjoying industrial injury (NEWII) does not reduce the fall death in eastern region. (3) For every 1 ten thousand people increase in number of students in ordinary high schools (NSOHS) is conductive to reducing DS death by 7.8 in the western region. Our findings show that there exist spatial differences for urbanization influencing TA, fall, and DS death in eastern, western, and central regions. This study is expected to provide a reference for unintentional injuries control in those three regions.
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Affiliation(s)
- Haixia Pu
- Research Center of the Economy of the Upper Reaches of the Yangtze River and the Key Research Base of Humanities, Ministry Of Education, Chongqing Technology and Business University, Chongqing, 400067, China
- College of Tourism and Land Resources, Chongqing Technology and Business University, Chongqing, 400067, China
- Chongqing Key Laboratory of Spatial Data Mining and Big Data Integration for Ecology and Environment, Chongqing, China
| | - Bin Li
- Research Center of the Economy of the Upper Reaches of the Yangtze River and the Key Research Base of Humanities, Ministry Of Education, Chongqing Technology and Business University, Chongqing, 400067, China
| | - Dongqi Luo
- Research Center of the Economy of the Upper Reaches of the Yangtze River and the Key Research Base of Humanities, Ministry Of Education, Chongqing Technology and Business University, Chongqing, 400067, China.
| | - Shaobin Wang
- Institute of Geographic Sciences and Natural Resources Research, Chinese Academy of Sciences, Beijing, 100101, China
| | - Zhaolin Wang
- Research Center of the Economy of the Upper Reaches of the Yangtze River and the Key Research Base of Humanities, Ministry Of Education, Chongqing Technology and Business University, Chongqing, 400067, China
| | - Wei Zhao
- Research Center of the Economy of the Upper Reaches of the Yangtze River and the Key Research Base of Humanities, Ministry Of Education, Chongqing Technology and Business University, Chongqing, 400067, China
| | - Lingyu Zheng
- Research Center of the Economy of the Upper Reaches of the Yangtze River and the Key Research Base of Humanities, Ministry Of Education, Chongqing Technology and Business University, Chongqing, 400067, China
| | - Ping Duan
- College of Tourism and Geographic Sciences, Yunnan Normal University, Kunming, 650500, Yunnan, China
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Pathak A, Agrawal N, Mehra L, Mathur A, Diwan V. First Aid Practices and Health-Seeking Behaviors of Caregivers for Unintentional Childhood Injuries in Ujjain, India: A Community-Based Cross-Sectional Study. CHILDREN-BASEL 2018; 5:children5090124. [PMID: 30200628 PMCID: PMC6162460 DOI: 10.3390/children5090124] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/30/2018] [Revised: 09/02/2018] [Accepted: 09/05/2018] [Indexed: 12/12/2022]
Abstract
Data on types of community first aid use and treatment provided post-injury from many low‒middle-income countries, including India, are lacking. This cross-sectional study was conducted among children aged one month to 18 years of age, in Ujjain, India, to understand types of first aid given and health-seeking post-injury. A total of 1087 injuries in 1049 children were identified in the past year. A total of 729 (67%) injured children received first aid and 758 (70%) sought some form of health care. Children with burns received the most (86%) first aid, and most children (84%) with road traffic accidents (RTA) sought health care. Most children (52%) sought health care from a private health care facility; most children (65%) were transported to a health care facility within the golden hour. Motorbikes were the most preferred (50%) mode of transport. Only 1% of the injured used ambulance services. Commonly reported methods or substances for first aid included the use of coconut oil on wounds from falls (38%) and burns (44%), the use of antiseptic cream on wounds from RTA (31%), the application of turmeric for wounds from falls (16%), and rubbing of metal on a bitten area (47%). For most injuries, appropriate, locally available substances were used. Potentially harmful substances applied included lime, toothpaste, clay, and mud. The findings will help design community interventions to increase the provision of appropriate first aid for childhood injuries.
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Affiliation(s)
- Ashish Pathak
- Department of Pediatrics, R. D. Gardi Medical College, Ujjain 456006, India.
- Department of Women and Children's Health, International Maternal and Child Health Unit, Uppsala University, SE-751 85 Uppsala, Sweden.
- Global Health-Health Systems and Policy, Department of Public Health Sciences, Karolinska Institutet, SE-171 76 Stockholm, Sweden.
- International Centre for Health Research, Ujjain Charitable Trust Hospital and Research Centre, Ujjain 456006, India.
| | - Nitin Agrawal
- Department of Paediatric Surgery, R. D. Gardi Medical College, Ujjain 456006, India.
| | - Love Mehra
- Department of Pediatrics, R. D. Gardi Medical College, Ujjain 456006, India.
| | - Aditya Mathur
- Department of Pediatrics, R. D. Gardi Medical College, Ujjain 456006, India.
| | - Vishal Diwan
- Global Health-Health Systems and Policy, Department of Public Health Sciences, Karolinska Institutet, SE-171 76 Stockholm, Sweden.
- International Centre for Health Research, Ujjain Charitable Trust Hospital and Research Centre, Ujjain 456006, India.
- Department of Public Health & Environment, R. D. Gardi Medical College, Ujjain 456006, India.
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