Descriptive Epidemiology of Unintentional Childhood Injuries in India: An ICMR Taskforce Multisite Study

Nooyi, Shalini Chandrashekar; Sonaliya, Kantibhai N; Dhingra, Bhavna; Roy, Rabindra N.; Indumathy, P.; Soni, RK; Kumar, Nithin; Chudasama, Rajesh K; Kumar, C. Ramesh; Singh, Amit; Mohan, Venkata Raghava; Bs, Nanda Kumar; Mishra, Devendra; Gururaj, Gopalkrishna; Aggarwal, Kiran; Gupta, Piyush; Lodha, Rakesh; Sarin, Yogesh Kumar

doi:10.1007/s13312-021-2233-3

Cited by 8 publications

(4 citation statements)

References 10 publications

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“…In our study, the incidence of IUIs was 33.42%, higher than the results in other studies [ 15 , 33 ], which may be the result that our subjects were children aged 0 ~ 6, who occupied a higher injury risk than other age groups. In addition, children aged 0 ~ 3 in this study were investigated by face-to-face interview, which made the data of younger children more reliable and had a certain influence on the incidence rate.…”

Section: Discussioncontrasting

confidence: 81%

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Risk factors of in-home unintentional injuries among 0-6-year-old children in Changsha city of China: a cross-sectional survey based on Bronfenbrenner’s ecological system theory

Song

et al. 2022

BMC Pediatr

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Background In-home unintentional injuries (IUIs) seriously threatened children’s safety. Three factors, including risky behaviors, parental supervision, and home environmental risks, have been identified as major causes for IUIs. Studies considering the interrelations between the three were limited and no relative studies has been carried out among Chinese children. The purpose of this study is to fully explore the influences of behavioral, supervisory and environmental risk factors on IUIs and their associations among Chinese children on the bases of our self-developed scales. Methods Through stratified cluster sampling, a cross-sectional survey was conducted with 798 parents of children aged 0 ~ 6 years in Changsha, China. Social demographics and IUIs history in the past year were collected by self-administered questionnaires. Three IUI-related scales, which had been developed and validated by our team, aimed to measure risks from children behavior, parental supervision and in-home environment. Structural equation models were constructed to analyze the relationship of these factors and their influences on IUIs using SPSS 26.0 and AMOS 22.0. Results Seven hundred ninety-eight parents were surveyed in total, and 33.58% of them reported with IUIs history of their children. X2/df, goodness-of-fit index (GFI), adjusted goodness-of-fit index (AGFI) and the root-mean-square error of approximation (RMSEA) for the model of the whole children were 4.832, 0.879, 0.856 and 0.069 respectively, indicating an acceptable level of model fit. Direct influences were discovered between risky behaviors and children’s IUIs. Home environmental risks indirectly exerted impacts on IUIs by the mediating effect of risky behaviors, while the significant effect of parental supervision only existed in children aged 4-6 and girls. Conclusions Risky behaviors played a mediating role in IUIs among children. Supervision and environmental risks affected IUIs indirectly by the exposure to risky behaviors. Parental supervision may not be able to offset the risks posed by the environmental and behavioral factors, so effective IUIs prevention strategies should focus on behavioral and environmental interventions, with appropriate supervision strategies based on the age and sex characteristics of the child.

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Section: Discussioncontrasting

confidence: 81%

“…Children exposed to domestic factors are more vulnerable to IUIs, such as open-air burning coal, absence of balcony guardrail, lack of safe storage area and etc. [ 15 , 16 ]. Historically, child IUIs programs have largely reduced risk to children by improving the home environment.…”

Section: Introductionmentioning

confidence: 99%

Risk factors of in-home unintentional injuries among 0-6-year-old children in Changsha city of China: a cross-sectional survey based on Bronfenbrenner’s ecological system theory

Song

et al. 2022

BMC Pediatr

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“…Conducted between 2018 and 2020, the present study was initiated as an extramural project supported by the Indian Council of Medical Research (ICMR). This endeavour was part of a broader multicentric research initiative spanning 11 chosen locations meticulously selected by the funding body to ensure comprehensive representation across all regions of India [ 10 ]. The investigation unfolded as a community-based cross-sectional study from March 2018 to September 2020, specifically centred in the Karnataka region of the Siddlagatta taluka (a local term for a subdivision of a district).…”

Section: Methodsmentioning

confidence: 99%

Unintentional Child Injury in Rural and Urban Siddlagatta, Karnataka, India: A Community-Based Survey

Rajan,

Nooyi,

Sastry

et al. 2023

Cureus

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Introduction: Despite Indian children constituting approximately 31.4% of the population aged 0 to 14, a comprehensive exploration of childhood injuries within this demographic remains limited. This study aimed to examine the occurrence of unintentional injuries among children aged six months to 18 years in the Siddlagatta area and assess associated risk factors. Methodology: A community-based, cross-sectional study on unintentional child injuries was carried out from March 2018 to September 2020 across 11 sites in India. Employing a two-stage cluster sampling method with probability proportionate to size, 2341 urban and rural families were selected from each site. Data on unintentional injuries sustained over the past 12 months were collected using the WHO child injury questionnaire, tailored and validated for the Indian context. Results: The study encompassed 10,335 individuals in households, including 2695 children aged 6 months to 18 years. Among them, 309 children experienced 390 unintentional injuries in the preceding year, excluding minor incidents. A prevalence rate of 11.5% (95% CI: 10.3-12.7) was identified for unintentional injuries among children, excluding minor cases. Falls were the most prevalent injury type (183 cases, 53.8%), while poisoning incidents were the least frequent (one case, 0.2%). More than 50% of incidents occurred within domestic settings. Conclusions: This study's outcomes underscore the prominence of fall-related injuries across all age groups and genders. Homes and schools emerged as primary settings for these injuries, highlighting the need for targeted preventive measures.

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“…Istraživanje koje je ispitivalo padove dalo je neke informacije o maloj deci koja su doživela povredu pri padu i okolnostima pada, pri čemu je pokazano da je padova sa stepenica bilo sve manje, dok je padova sa nameštaja bilo sve više [24]. Nekoliko studija je potvrdilo da su padovi najčešća nenamerna povreda koja se dešava u kućnom okruženju, gde se mlađa deca igraju i provode većinu svog vremena, što ih čini podložnim povredama [25][26][27][28]. Kod dece mlađe od 1 godine češće se dešavaju povrede glave prilikom pada sa niskog nivoa, najčešće iz naručja ili sa kreveta [13].…”

Section: Original Article Sestrinska Reč Originalan Naučni Rad 13unclassified

Evaluation of unintentional falls among children and adolescents treated in emergency medical services

Jović¹,

Petrović-Tepić²,

Knežević³

et al. 2022

Sestrinska reč

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Introduction: Unintentional falls are the leading cause of traumatic injuries, without fatal consequences, with significant morbidity in the population of children and adolescents. Goal: The main goal of this research was to analyze the manner of falling in relation to age and gender, and to assess the type of injury and the anatomical region of the body affected by the injury sustained during a fall in patients ≤19 years of age treated in the emergency medical services in the Republic of Srpska. Material and methods: A cross-section study with retrospective analysis of the national e-database WebMedic from 11 emergency medical services between January 2018 and December 2020 was conducted. Research included patients with diagnosis of unintentional injury caused by a fall, aged ≤19 years. Descriptive statistics and the Chi-square test were used for comparisons between groups. Results: During the observed period, 857 cases of unintentional falls were identified, where 87.5% were referred for hospitalization. The group of children aged 0 to 9 years (55.7%) was more often treated for falls (p<0.001), and boys were affected 6.7 times more often than girls (p<0.001). Falls from the same level caused different types of injuries depending on the age and gender of the children (p<0.001). According to the type of injury, superficial injuries (36.8%) and open wounds (29.4%) were most often identified, and the most frequently affected body region was the head (52.0%). Conclusion: The group of children up to the age of nine and males were more often affected by superficial injuries and open wounds, with head injuries being predominant in all age groups. These results could indicate the necessity of creating programs with targeted prevention.

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Descriptive Epidemiology of Unintentional Childhood Injuries in India: An ICMR Taskforce Multisite Study

Cited by 8 publications

References 10 publications

Risk factors of in-home unintentional injuries among 0-6-year-old children in Changsha city of China: a cross-sectional survey based on Bronfenbrenner’s ecological system theory

Risk factors of in-home unintentional injuries among 0-6-year-old children in Changsha city of China: a cross-sectional survey based on Bronfenbrenner’s ecological system theory

Unintentional Child Injury in Rural and Urban Siddlagatta, Karnataka, India: A Community-Based Survey

Evaluation of unintentional falls among children and adolescents treated in emergency medical services

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