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Assessment of home hazards for non-fatal childhood injuries in rural Nepal: A community survey

Bhatta, Santosh; Mytton, Julie A; Deave, Toity

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Toity Deave Toity.Deave@uwe.ac.uk
Associate Professor in Child & Family Health



Abstract

Background: Unintentional injuries in and around the home are important causes of preventable death and disability among young children globally. In Nepal, there is a lack of data regarding home injuries and home hazards to guide the development of effective interventions for preventing childhood home injuries. This study aimed to determine the burden of unintentional home injuries in children < 5 years in rural Nepal and quantify the injury hazards in their homes.

Methods: A survey was conducted in 740 households in rural areas of the Makwanpur district during February and March 2015. The primary carer reported home injuries which occurred in the previous 3 months and data collector observation identified the injury hazards. Injury incidence, mechanism and the proportion of households with different hazards were described. Multivariable logistic regression explored associations between the number and type of home hazards and injuries.

Results: Injuries severe enough to need treatment, or resulting in non-participation in usual activities for at least a day, were reported in 242/1042 (23.2%) children < 5 years. The mean number of injury hazards per household was 14.98 (SD=4.48), range of 3–31. Regression analysis found an estimated increase of 31% in the odds of injury occurrence associated with each additional injury hazard found in the home (adjusted OR 1.31; 95% CI 1.20 to 1.42).

Conclusions: A high proportion of young children in rural Nepal sustained injuries severe enough to miss a day of usual activities. Increased frequency of hazards was associated with an increased injury risk.

Citation

Bhatta, S., Mytton, J. A., & Deave, T. (2021). Assessment of home hazards for non-fatal childhood injuries in rural Nepal: A community survey. Injury Prevention, 27(2), 104-110. https://doi.org/10.1136/injuryprev-2019-043482

Journal Article Type Article
Acceptance Date Jan 7, 2020
Online Publication Date Feb 14, 2020
Publication Date 2021
Deposit Date Feb 15, 2020
Publicly Available Date Feb 17, 2020
Journal Injury Prevention
Print ISSN 1353-8047
Electronic ISSN 1475-5785
Publisher BMJ Publishing Group
Peer Reviewed Peer Reviewed
Volume 27
Issue 2
Pages 104-110
DOI https://doi.org/10.1136/injuryprev-2019-043482
Keywords Public Health, Environmental and Occupational Health
Public URL https://uwe-repository.worktribe.com/output/5423485
Publisher URL https://injuryprevention.bmj.com/content/injuryprev/early/2020/02/13/injuryprev-2019-043482.full.pdf

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Copyright Statement
This article has been accepted for publication in Injury Prevention, 2020 following peer review, and the Version of Record can be accessed online at https://doi.org/10.1136/injuryprev-2019-043482

© Author(s) 2020. No commercial re-use. See rights and permissions. Published by BMJ.





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