Uninentional Injuries Among Children: An Observational Study in a Basic Health Unit in Ribeirão Preto, Brazil
American Journal of Pediatrics
Volume 2, Issue 5, September 2016, Pages: 19-22
Received: Dec. 5, 2016; Accepted: Dec. 20, 2016; Published: Jan. 14, 2017
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Authors
Luiz Antonio Del Ciampo, Department of Puericulture and Pediatrics, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto (SP), Brazil
Ieda Regina Lopes Del Ciampo, Department of Medicine, Federal University of São Carlos, São Carlos (SP), Brazil
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Abstract
Unintentional injuries are one of the most important public health problems in childhood that result in great medical costs, economic loss and serious consequences. Objective: the aim of this study was to determine the prevalence and some characteristics of unintentional injuries with children that are registered in childcare program in a Basic Health Unit in the city of Ribeirão Preto, Brazil. A cross-sectional study carried out in a Basic Health Unit in the city of Ribeirão Preto, Brazil, using interviews with parents or caregivers of children aged minor of 10 years, conducted after medical appointment and that contained questions related to the injury. As for the injury event the original question was: "the child suffered some kind of unintentional in the last 15 days?" Statistical analysis was conducted using descriptive statistics and differences between the genders were analyzed with the chi-squared test using the statistical program EPIINFO. The level of significance was set to p < 0.05. Among 1648 children under 10 years of age attended in the service 294 (17.8%) suffered some type of unintentional injury in the previous 15 days; of these 169 (57.5%) were males and 125 (42.5%) were females (p=0.126). The main types of unintentional injuries were falls (50,5%), physical shock (15,4%) and cuts (14,7%). Injuries occurred more in the afternoon (50.5%), morning (32.6%) and night (17.8%). The majority occurred at home (69.4%). The distribution during the week showed that the injuries occurred more on saturday (21,6%), friday (17,5%) and sunday (15,1%), but with no statistically significant difference (p >0,05). Regarding the care received by children, only 29 (9.9%) needed medical care. Even with all efforts to prevent nonintentional injuries, males, the domestic environment and falls still persist among the children in this study, demonstrating the importance to keep the topic in evidence considering that early infancy is a critical period for preventive strategies.
Keywords
Accidents, Child, Unintentional Injury, Accident Prevention
To cite this article
Luiz Antonio Del Ciampo, Ieda Regina Lopes Del Ciampo, Uninentional Injuries Among Children: An Observational Study in a Basic Health Unit in Ribeirão Preto, Brazil, American Journal of Pediatrics. Vol. 2, No. 5, 2016, pp. 19-22. doi: 10.11648/j.ajp.20160205.11
Copyright
Copyright © 2016 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
[1]
Shi S, Yang H, Zhou X, Wang T, Lu Y, Xiang H et al. Epidemiologic characteristics, knowledge and risk factors of unintentional burns in rural children in Zunyi, Southwest China. Sci Rep 2016; 6: 6: 35445.
[2]
Lao Z, Gifford M, Dala K. Economic cost of childhood unintentional injuries. Int Prev Med 2012; 3: 303-12.
[3]
Einboden R, Rudge T, Varcoe C. Producing children in the 21st century: a critical discourse analysis of the science and techniques of monitoring early child development. Health 2013; 17: 549-66.
[4]
Longobardi C, Quaglia R, Settanni M. The transition from crawling to walking: can infants elicit an alteration of their parents’ perception? Frontiers ins Psychology 2016; 7: doi: 10.3389/fpsyg. 2016.00836
[5]
Santagati G, Vezzosi L, Angelillo IF. Unintentional injuries in children up to six years of age and related parental knowledge, attitudes, and behaviors in Italy. J Pediat 2016; 177: 267-72.
[6]
Lingyun T, Minhui L, Li L, Zhengqing F, Hongling X, Ying W, Yanping X. Knowledge for unintentional injury and risk behavior among the school-age children in Changsha city of China. J Cent South Univ 2016; 41: 741-9.
[7]
Inbaraj LR, Rose A, George k, Bose A. Incidence and impact of unintentional childhood injuries: a community based study in rural South India. India J Pediatr 2016; doi: 10.1007/s12098-016-2260-6
[8]
Charles CC, Cheng JCY, Wong TW, Chow CB, Luis BPK, Cheung WL et al. An international comparison of childhood injuries in Hong Kong, Inj Prev 2006; 6: 20-3.
[9]
Hammig B, Jozkowski K. Prevention counseling among pediatric patients presenting with unintentional injuries to physicians’ oficces’ in the United States. Prev Med 2015; 74: 9-13.
[10]
Bhamkar R, Seth B, Setia MS. Profile and Risk Factor Analysis of Unintentional Injuries in Children. Indian J Pediatr. 2016 Oct; 83 (10): 1114-20. doi: 10.1007/s12098-016-2159-2.
[11]
QY Mo, Huang DM, Xie GO, Liang GM, Ma LZ, Fu SM. Unintentional injuries in children: an analysis of 924 cases. Zhongguo Dang Dai Er Ke Za Zhi 2013; 15: 559-62.
[12]
Ablewhite J, Peel I, McDaid L, Hawkins A, Goodenough T, Deave T et al. Parental perceptions of barriers and facilitators to preventing child unintentional injuries with the home: a qualitative study. BMC Public Health 2015; 15: 280-8.
[13]
Hurtado-Sierra DE, Medina-Chicué EM, Sarmiento-Limas CA, Godoy JA. Risk factors related with pediatric accidents in a children’s hospital in Bogotá. Rev Salud Pública 2015; 17: 74-84.
[14]
Ong ACW, Low SG, Vasanwala FF. Childhood injuries in Singapore: can local physicians and the healthcare system do more to confront this public health concern? Int J Environ Res Public Health 2016; 13: 718-41.
[15]
Grivna M, Barss P, Stanculescu C, Eid HO, Abu-Zidan FM. Home and other nontraffic injuries among children and youth in a high-income Middle Eastern country: a trauma registry study. Asia Pac J Public Health 2015; 27: 1707-18.
[16]
Parmeswaran GG, Kalaivani M, Gupta SK, Goswami AK, Nongkynrih B. Assessment of home hazards for childhood injuries in an urban population in New Delhi. Child Care Health Dev 2016; 42: 473-7.
[17]
Langiano E, Ferrara M, Leinni I, de Vito E. The childhood home accidents: risk perception and behavior. Clin Ter 2016; 167: e49-54.
[18]
Trefan L, Houston R, Pearson G, Edwards R, Hyde P, Macomochie I et al. Epidemiology of children with head injury: a national overview. Arch Dis Child 2016; 101: 527-32.
[19]
Soori H, Khodakarim S. Child unintentional injury prevention in Easter Mediterranean Region. Int J Crit Illn Inj Sci 2016; 6: 33-9.
[20]
Centers for Disease Control and Prevention. Vital signs: unintentional injury deaths among persons aged 0 – 19 years – United States, 2000-2009. MMWR Morb Mortal Wkyl Rep 2012; 61: 270.
[21]
Alonge O, Khan UR, Hyder AA. Implications for child unintentional injuries. Pediatr Clin N Am 2016; 63: 167-81.
[22]
Vayssier N, Solomon R, Severyn J, Hurley E, Greenberg J, Hotz G. Sustaining a pediatric injury prevention program through educational curriculum dissemination. Health Promot Pract 2016; 17: 569-77.
[23]
Gielen AC. Wombs and whippersnappers: reflection on health education research and opportunities for the future. Health Educ Behav 2016; 43: 613-20.
[24]
McDonald EM, Mack K, Shields WC, Lee RP, Gielen AC. Primary care opportunities to prevent unintentional home injuries: a focus on children and adults. Am J Lifestyle Med 2016; 1: 1-11.
[25]
Kendrick D, Mulvaney CA, Ye L. Parenting interventions for the prevention of unintentional injuries in childhood. Cochrane Database Syst Rev 2013; CD006020.
[26]
McClure RJ, Mack K, Wilkins N, Davey TM. Injury prevention as social change. Inj Prev 2016; 22: 226-9.
[27]
Silva ECS, Fernandes MNF, Sá MCN, Souza LM, Gordon ASA, Costa ACPJ et al. The effect of educational intervention regarding the knowledge of mothers on prevention of accidents in childhood. Open Nurs J 2016; 10: 113-21.
[28]
Mack KA, Liller KD, Baldwin G, Sleet D. Preventing unintentional injuries in the home using the health impact pyramid. Health Educ Behav 2015; 42: 115S-22S.
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