Unintentional home injury in preschool-aged children: looking for the key—an exploration of the inter-relationship and relative importance of potential risk factors

Ramsay, L. J.; Moreton, Gill; Gorman, Dermot; Blake, Eileen; Goh, David S.; Elton, R. A.; Beattie, Tom F.

doi:10.1016/s0033-3506(03)00072-6

Cited by 43 publications

(36 citation statements)

References 14 publications

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“…Our finding of an inverse relationship between home risk and childhood injury diverges from previous research in this area (Hapgood et al, 2001;Kamal, 2013;Kendrick et al, 2005b;LeBlanc et al, 2006;Ramsay et al, 2003). A possible exception is one study by Pearce et al (2012) which examined whether indictors of the home environment (housing quality and safety equipment use) mediated the relationship between socio-economic circumstances and unintentional injuries.…”

contrasting

confidence: 96%

“…Of particular interest has been whether home safety practices are a useful predictor of injury and whether there are differences in the home safety practices of injured and uninjured children. The findings of these studies have been mixed with some showing a link between specific types of home safety practices or hazards and childhood injury (Kamal, 2013;Kendrick, Watson, Mulvaney, & Burton, 2005b;LeBlanc et al, 2006;Ramsay et al, 2003) and others finding no significant association between safety practices and injury occurrence (Hapgood, Kendrick, & Marsh, 2001). One study by Pearce et al (2012) found few indicators of the child's household M A N U S C R I P T…”

Section: Introductionmentioning

confidence: 99%

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Child injury: Does home matter?

Osborne

Davey

Spinks

et al. 2016

Social Science & Medicine

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This study examined the relationship between home risk and hospital treated injury in Australian children up to five years old. Women with children between two and four years of age enrolled in the Data from 562 households relating to 566 child participants were included. We found an inverse relationship between home risk and child injury, with children living in homes with the least injury risk (based on the absence of hazardous structural features of the home and safe practices reported) having 1.90 times the injury rate of children living in high risk homes (95% CI 1. 15-3.14). Whilst this appears counter-intuitive, families in the lowest risk homes were more likely to be socio-economically disadvantaged than families in the highest risk homes (more sole parents, lower maternal education levels, younger maternal age and lower income). After adjusting for demographic and socio-economic factors, the relationship between home risk and injury was no longer significant (p>0.05).Our findings suggest that children in socio-economically deprived families have higher rates of injury, despite living in a physical environment that contains substantially fewer injury risks than their less deprived counterparts. Although measures to reduce child injury risk through the modification of the physical environment remain an important part of the injury prevention approach, our study findings support continued efforts to implement societal-wide, long term policy and practice changes to address the socioeconomic differentials in child health outcomes.

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contrasting

confidence: 96%

Section: Introductionmentioning

confidence: 99%

Child injury: Does home matter?

Osborne

Davey

Spinks

et al. 2016

Social Science & Medicine

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“…10 A strategy to prevent injuries in children is to educate the population. 11 According to Brent & Weitzman, 1 2 pediatricians are supposed to perform this role, providing parents with information about environmental risks.…”

Section: Discussionmentioning

confidence: 99%

Fatores relacionados a hospitalizações por injúrias em crianças e adolescentes

Gaspar¹,

Lamounier²,

Cunha³

et al. 2004

J. Pediatr. (Rio J.)

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Objective: To analyze some factors related to injuries and children and adolescents hospitalization.Methods: This is a prospective, descriptive and observational research that took place at Márcio Cunha Hospital, Ipatinga, Minas Gerais, in the period of December 1st, 1999 to November 30th, 2000. The sample included 696 children and adolescents hospitalized for injuries, ages ranging from 0 to 19 years old. The International Statistical Classification of Diseases and Related Health Problems (10th version) was used as a parameter to classify the types of injuries and sites where they happened.Results: The injuries represented 9.9% of children and adolescents hospitalizations, of which, 69.7% were male patients. As for the informants opinion about causes of injuries, 57.2% attributed then to human failure, 18% believed they were due to fate and 12.7% did not know how to express their opinions. Only 23.1% of the informants had received previous orientation about prevention and the main sources were media, school and work place. A total of 31.9% of the events took place at home. Transportation injuries caused 34.5% of hospitalizations; falls, 33.2%; exposure to inanimate mechanical forces, 9%; contact with poisonous animals, 5.2%; aggression, 5%; burns, 4.9%; exposure to animated mechanical forces, 3.3%; intoxication, 2.3%; and other types, 2.6%.Conclusions: Males were more affected than females. Only a low percentage of the informants had received previous orientation about injury prevention. The most affected age group was between 15 and 19 years. Transportation accidents and falls were the most frequent causes of injuries.

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“…Injuries have tremendous effects on childhood's health including emotional morbidity and mortality as well as high economic burden [13] In the present investigation, children included 25.2% of all registered injuries; also, 25% of the total Iranian population consisted of children less than 7 years. The incidence of injuries in children below 7 years was same as the other groups.…”

Section: Discussionmentioning

confidence: 75%

Domestic Injuries among Children Under 7 Years of Age in Iran; The Baseline Results from the Iranian First Registry

Esfanjani

Sadeghi‐Bazargani

Golestani

et al. 2017

BEAT

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Objective: To investigate epidemiological aspects of injuries among Iranian children under 7 years of age using obtained data from a national registry. Methods: Injury data were derived from a national-based injury supervision system during [2000][2001][2002]. This registry involved all of home-related injuries for children less than 7 years of age that treated in health or emergency centers. The study population included 25% of Iranian people. The descriptive statistical methods were used for representing the distribution of the variables like age, sex, injury mechanisms, types of injuries, etc. Data were presented as mean ± SD and proportions as appropriate. Results: Of the total 307,064 domestic injuries registered during [2000][2001][2002] 77,500 cases (25.2%) were children. 70% of these children (54581 cases) were in age group of 1-5 years. The large fraction (58.8%) of injuries among children under 7 years of age went back to burn injuries. Cuts and lacerations were at the second level with 17.4%. 51% of injuries had contact with hot liquids. Of all children under 7 years of age injuries, 282 died, 86 were disabled, while the rest improved or being under treatment when recording data. Conclusion: Injuries, particularly burns (especially those who had contact with hot liquids that led into scald), are major public health problem that children under 7 years of age encounter. Therefore, it seems necessary to provide adequate plans to promote children under 7 years of age safety issues.

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Unintentional home injury in preschool-aged children: looking for the key—an exploration of the inter-relationship and relative importance of potential risk factors

Cited by 43 publications

References 14 publications

Child injury: Does home matter?

Child injury: Does home matter?

Fatores relacionados a hospitalizações por injúrias em crianças e adolescentes

Domestic Injuries among Children Under 7 Years of Age in Iran; The Baseline Results from the Iranian First Registry

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