Background: Home injury among children is a public health concern. This study aimed to assess the prevalence rate and risk factors of home injury among children less than seven years old in Malaysia. Methods:Secondary data from National Health and Morbidity Survey 2006 was used. It was a cross sectional study using a stratified two stage sampling technique. The data was analysed using SPSS version 19. Descriptive and multiple logistic regressions were used in the analysis. All tests were two tailed with significance as p<0.05. Odds ratio (OR) along with 95% confidence interval (C.I) were derived where appropriate. Results:Among 8017 children aged less than seven years, 994 (11.4%) experienced some kind of home injury within the past one year. Among those who were injured, the higher prevalence was reported among boys; 13.1% (95% CI: 12.00-14.20), rural dwellers; 12.4% (95% CI: 11.20-13.80), children aged 0-4 years old 11.8% (95% CI: 10.90-12.80), Indians; 14.7% (95% CI: 11.80-18.20) and children from high family incomes. Multiple logistic regression analysis revealed that boys (aOR=1.424, p<0.001), rural dwellers (aOR=1.243, p=0.015), children from ethnic Indians (aOR=1.949, p<0.001), others ethnics (aOR=1.865, p<0.001) and Malays (aOR=1.427, p=0.007) were more likely to sustain a home injury. Children from high (aOR=1.607, p=0.006) and medium (aOR=1.255, p=0.016) family income were also significantly associated to sustain home injury after adjusting all other predictors. As a result from home injury, about 11.6% (95% CI: 9.7-13.8) were unable to perform activities whilst 4.8% (95% CI: 3.7-6.3) of them had been admitted to the hospital. Conclusion:Home injury among children is still a health problem which should not be taken lightly. Educational and interventional programs need to be implemented accordingly in order to help Malaysians understand the importance of making a safe home environment for children thus preventing home injuries.
Study Background: Binge drinking is one types of harmful alcohol use that lead to several adverse health effects either to the drinker or to others. Objective: This study aims to identify the prevalence of binge drinking among the current drinker and its sociodemographic determinants. Subsequently provide information to assist relevant authorities in the planning and control of the harmful use of alcohol. Methods: The data were obtained from a cross-sectional study using a validated self-administered questionnaire of the Alcohol Use Disorder Identification Test-Malay version (AUDIT-M). Binge drinking was defined as having 6 or more drinks in on one occasion. An analysis of complex survey data was conducted using STATA 11 followed by multiple logistic regressions to examine the effects of potential socio-demographic determinants and the presence of comorbid smoking and bingeing compared to data from current drinkers. Results: Of the current drinkers in Malaysia (n=1759), half reported had engaged in binge drinking. Males and smokers were significantly prone to binge drinking. There was a higher proportion of Malays, Bumiputera Sabah and Sarawak with evidence of binge drinking behaviour compared to non-binge drinkers. Multiple logistic regression analysis demonstrated a higher likelihood of bingeing among males (aOR=1.4, 95% CI: 1.0-1.8), Bumiputera Sabah and Sarawak (aOR=1.7 (1.3-2.3), as well as those who are smoking (aOR=1.6, 95% CI: 1.3-2.2) when compared to non-binge drinkers. Conclusion: One in two current drinkers in Malaysia who are 13 years and older reported had engaged in bingedrinking. Thus, increase attention should be given to the current drinkers drinking habits especially if they are males, Bumiputera Sabah and Sarawak, as well as to the current smokers.
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