Injuries in Khartoum state, the Sudan: a household survey of incidence and risk factors

Tayeb, Sally El; Abdalla, Safa; Mørkve, Odd; Heuch, Ivar; Bergh, Graziella Van den

doi:10.1080/17457300.2013.792283

Cited by 38 publications

(43 citation statements)

References 27 publications

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“…Presumptively non-significant injuries that did not lead to healthcare utilisation in the 1st week were excluded. There are considerable urban-rural differences in the social and physical environment, and urban-rural differences in injury vulnerability have been previously reported 9 11 20–22. Thus, interactions between the area of residence and each independent variable in the model were tested.…”

Section: Methodsmentioning

confidence: 89%

“…Urban-rural variations in fall circumstances were reported in other low and middle income countries where falling from trees or in farms and roads was more common in rural areas 9 22. In the rural outskirts of Khartoum state, the majority of non-fatal falls were from the same level or heights lower than 2 m 11. Whether this is also the case in other rural parts of Sudan and whether a link with agricultural activities may explain the association of falls with poverty only in rural areas needs to be investigated.…”

Section: Discussion Of Findingsmentioning

confidence: 99%

“…For example, in rural Bangladesh, housing with easy access to cooking areas and use of the traditional kerosene lamp was associated with childhood burns 40. Evidence from Sudan suggests that hot liquid or steam is the main cause of burns, which were also a major form of home injuries 11. An investigation to confirm if a similar association with housing conditions exists in Sudan is thus warranted.…”

Section: Discussion Of Findingsmentioning

confidence: 99%

“…A study in Khartoum state, which hosts the capital city and the major urban centre of Sudan, revealed gender, socioeconomic and educational differentials in non-fatal all-cause injury,11 yet, little is known about cause-specific injury patterns. These are critical because vulnerability patterns are expected to vary by injury cause.…”

Section: Introductionmentioning

confidence: 99%

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Patterns of vulnerability to non-fatal injuries in Sudan: initial evidence from a national cross-sectional survey

Abdalla¹

2013

Inj Prev

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Background Successful injury prevention requires identification and targeting of particularly vulnerable groups. Little is known about injury vulnerability patterns in Sudan. This paper aimed to fill this gap using survey data. Methods Data from the Sudan Household Health Survey were used. This was a national cross-sectional interview survey of 83 510 individuals selected by multistage cluster random sampling. Multivariable Poisson regression was used to investigate the association of cause-specific injury that received care by traditional healers, outpatient care and inpatient care, and those that received only inpatient care, with age, gender, area of residence (urban or rural), socioeconomic status and education. Relevant interactions were tested. Results Independent of other sociodemographic variables, men were at higher risk of road traffic injury ( prevalence ratio (PR): 3.3 95% CI 2.4 to 4.7), falls (PR: 1.5, 95% CI 1.3 to 1.9), assault (PR: 3.0 95% CI 1.8-5) and mechanical injury (PR: 2.0 95% CI 1.2 to 3.1) that received any form of healthcare. Those aged 65 years and over also had the highest risk of those injury causes, while children under 5 years were the most likely to suffer burn injuries. Socioeconomic status was associated with assault (PR for the richest group 0.4 95% CI 0.2 to 0.8). Vulnerability patterns for injury that received inpatient care were fairly similar for some causes. Conclusions In Sudan, existing disease prevention and health promotion programmes should expand to target men, children under 5 years, elderly people and those of low socioeconomic status with injury prevention interventions. Further research is needed to investigate the context-specific proximal risk factors that shape the various vulnerability patterns observed. INTRODUCTIONInjuries cause significant mortality and morbidity worldwide, accounting for almost 10% of world deaths, and are the leading cause of death among men aged 15-49 years.1 Injuries carry considerable social and economic ramification, particularly in low and middle income countries.2-4 This makes them highly relevant to the development agenda and to poverty-related issues such as maternal mortality and childhood illnesses that for long have been the focus of public health initiatives in those countries.Effective injury prevention requires the identification of vulnerable groups and specific settings where maximum benefit can be reaped of targeted prevention interventions, healthcare provision and research. Non-fatal injury patterns in particular point to groups that are at higher risk of spending time with disability, with all the ensuing social and economic consequences. Injury prevention principles are universal, and the effectiveness of many interventions has been established. [5][6][7][8] However interventions are delivered at national and subnational level, and cross-country as well as withincountry variations in vulnerability to injury are expected. For example, while road injuries in Tanzania were more common in urban areas, 9 there wa...

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Section: Methodsmentioning

confidence: 89%

Section: Discussion Of Findingsmentioning

confidence: 99%

Section: Discussion Of Findingsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Patterns of vulnerability to non-fatal injuries in Sudan: initial evidence from a national cross-sectional survey

Abdalla¹

2013

Inj Prev

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“…Solid fuels in Sudan are usually used with ground-level stoves or in open fires, and therefore it was expected that they would pose a higher risk of burns for children and others. However, a previous study in a predominantly urban state in Sudan showed that hot liquids/steam and hot objects were the most common cause of burns,16 and the risk of coming in contact with hot food or liquids is not restricted to open fires or ground-level stoves—hot food or liquid can come in contact with children if utensils holding them are not stored or handled safely.…”

Section: Discussionmentioning

confidence: 99%

Association of sociodemographic and household characteristics with non-fatal burns among children under the age of 10 years in Sudan: an exploratory secondary analysis of the Sudan Household Health Survey 2010

Abdalla¹,

Aziz²,

Basheir

2017

Inj Prev

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Sociodemographic distribution and correlates of nonfatal unintentional non‐traffic‐related injuries in Kenya: Results from the 2014 demographic and health survey

Abio

Ngum

Wilson

et al. 2023

Health Science Reports

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Background and Aim: Injuries are among the leading causes of mortality worldwide.There exists a paucity of nationally representative injury data from the sub-Saharan African region on the nature of injuries outside of road traffic contexts. The aim of this study was to estimate the prevalence of nonfatal unintentional injuries that occurred outside of the traffic environment among persons aged 15-54 years in Kenya.Methods: We used the 2014 Kenyan Demographic Health Survey data to estimate the prevalence of nonfatal unintentional injuries and their injury mechanisms. Binary logistic regression was used to estimate the odds of unintentional injuries and associated factors.Results: Injury prevalence was three times higher among males (27.56%) compared to females (8.25%). The highest prevalence for females and males respectively was among those aged 15-19 years (9.80%) and (31.18%), rural residents (8.45%) and (30.05%) and those who consumed alcohol (18.13%), and (31.39%). For both females and males, the most frequent injuries were cuts (4.95%; 18.15%) and as result of falls (3.29%; 8.92%) respectively. Burns were more prevalent among females (1.65%) compared to males (0.76%). Among males, the demographic and contextual factors associated with nontraffic unintentional injuries were residing in a rural area

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Injuries in Khartoum state, the Sudan: a household survey of incidence and risk factors

Cited by 38 publications

References 27 publications

Patterns of vulnerability to non-fatal injuries in Sudan: initial evidence from a national cross-sectional survey

Patterns of vulnerability to non-fatal injuries in Sudan: initial evidence from a national cross-sectional survey

Association of sociodemographic and household characteristics with non-fatal burns among children under the age of 10 years in Sudan: an exploratory secondary analysis of the Sudan Household Health Survey 2010

Sociodemographic distribution and correlates of nonfatal unintentional non‐traffic‐related injuries in Kenya: Results from the 2014 demographic and health survey

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