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Risk factors of Non-fatal Unintentional Home Injuries among Children under 5 Years Old; a Population-Based Study

Sedigheh Nouhjah, Sharareh R. Niakan Kalhori, Azadeh Saki


Introduction: In addition to the annual mortality rate, unintentional home injury may result in temporary or
permanent disability and requires medical attention and continuous care in millions of children. This study
aimed to explore features and risk factors of these injuries. Methods: In this cross-sectional study, demographic
variables and epidemiologic pattern of home injuries among children under 5 years of age were collected via a
population-based survey in sevenmain cities of Khuzestan province, southwest Iran, during September 2011 to
December 2012. Developing a risk stratification model, independent risk factors of unintentional home injury
were determined and put to multivariate logistic regression analysis. Results: 2693 children with the mean age
of 27.36 § 15.55 months (1 to 60) were evaluated (50.9% boy). 827 (30.7%) cases had a history of at least one
home injury occurrence since birth to study time. The most common injury mechanisms were burning with 291
(38.4%) cases, falling with 214 (28.3%) and poisoning with 66 (8.7%) cases, respectively. The independent risk
factors of unintentional home injury were age ¸ 24 month (p<0.001), residency in Ahvaz city (p<0.001), mother’s
illiteracy (p<0.014), ethnicity (p<0.001), private housing (p=0.01), birthweight (p<0.001), and being the first child
(p=0. 01). Sensitivity, specificity, and area under the ROC curve of the model designed by multivariate analysis
were 53.5%, 84.8%, and 0.75 (95% CI: 0.73- 0.77; P < 0.001, figure 1), respectively. Conclusion: According to
the findings of this study, 30.7% of the studied children were injured at least once since birth. Burning, falling,
poisoning, swallowing objects, choking, and biting were the main home injury mechanisms. Age ¸ 24 months,
being the first child, living in a private house, being a resident of Ahvaz city, and having an illiterate mother were
found to be risk factors of home injury.


home injuries; child, preschool; risk factors; injury prediction; risk reduction


Harvey A, Towner E, Peden M, Soori H, Bartolomeos K. Injury prevention and the attainment of child and adolescent health. Bulletin of the World Health Organization. 2009;87(5):390-4.

Peden M, Oyegbite K, Ozanne-Smith J, Hyder A, Branche C, Rahman F. World report on Child Injury Prevention. Geneva: World Health Organization, 2008. 2009.

de Sousa Petersburgo D, Keyes CE, Wright DW, Click LA, Macleod JB, Sasser SM. The epidemiology of childhood injury in Maputo, Mozambique. International journal of emergency medicine. 2010;3(3):157-63.

Kobusingye OC, Hyder AA, Bishai D, Hicks ER, Mock C, Joshipura M. Emergency medical systems in low-and middle-income countries: recommendations for action. Bulletin of the World Health Organization. 2005;83(8):626-31.

Reading R, Langford IH, Haynes R, Lovett A. Accidents to preschool children: comparing family and neighbourhood risk factors. Social science & medicine. 1999;48(3):321-30.

Eldosoky R. Home-related injuries among children: knowledge, attitudes and practice about first aid among rural mothers. EMHJ. 2012;18(10):1021-27.

Organization WH. Handle Life with Care, 1993. Prevent Violence and Negligence. Information kit, 7th April. World Health Day. 1993.

Hyder AA, Sugerman DE, Puvanachandra P, Razzak J, El-Sayed H, Isaza A, et al. Global childhood unintentional injury surveillance in four cities in developing countries: a pilot study. Bulletin of the World Health Organization. 2009;87(5):345-52.

Nouhjah S, Ghanavatizadeh A, Eskandari N, Daghlavi M. The prevalance of nonfatal home injury and related factors among children reffered to Ahvaz health centres, A pilot study Hakim 2012;15(3):238-42.

Neghab M, Habibi M, Rajaeefard A, Choobineh A. Home Accidents in Shiraz during a 3-year Period (2000-2002). Journal of Kermanshah University of Medical Sciences. 2008;11(4).

Qiu X, Wacharasin C, Deoisres W, Yu J, Zheng Q. Characteristics and predictors of home injury hazards among toddlers in Wenzhou, China: a community-based cross-sectional study. BMC public health. 2014;14(1):638.

Arif AA. The Epidemiology of Unintentional Non-fatal Injuries among Children in the South Plains/Panhandle Region of Texas. Texas Journal of Rural Health. 2003;21(2):31-41.

Alptekin F, Uskun E, Kisioglu AN, Ozturk M. Unintentional non-fatal home-related injuries in Central Anatolia, Turkey: Frequencies, characteristics, and outcomes. Injury. 2008;39(5):535-46.

Towner E, Dowswell T, Errington G, Burkes M, Towner J. Injuries in children aged 0–14 years and inequalities, A report prepared for the Health Development Agency. Health Development Agancy (NHS), 2005.

Chan E, Kim JH, Ng Q, Griffiths S, Lau J. A descriptive study of nonfatal, unintentional home-based injury in urban settings: evidence from Hong Kong. Asia-Pacific journal of public health/Asia-Pacific Academic Consortium for Public Health. 2008;20:39-48.

Dal Santo JA, Goodman RM, Glik D, Jackson K. Childhood unintentional injuries: factors predicting injury risk among preschoolers. Journal of pediatric psychology. 2004;29(4):273-83.

Halawa EF, Barakat A, Rizk HII, Moawad EMI. Epidemiology of non-fatal injuries among Egyptian children: a community-based cross-sectional survey. BMC public health. 2015;15(1):1.

Addor V, Santos-Eggimann B. Population-based incidence of injuries among preschoolers. European journal of pediatrics. 1996;155(2):130-5.

Kamal NN. Home unintentional non-fatal injury among children under 5 years of age in a rural area, el Minia Governorate, Egypt. Journal of community health. 2013;38(5):873-9.

Hamzaoglu O, Ozkan O, Janson S. Incidence and causes of home accidents at Ankara C¸ igiltepe apartments in Turkey. Accident Analysis and Prevention. 2002;34:123-8.

Schwebel DC, Brezausek CM. The Role of Fathers in Toddlers’ Unintentional Injury Risk. Journal of Pediatric Psychology. 2004;29(1):19–28.

Bartieti SN. The problem of children`s injury in low income countries : a review Health policy and planing 2002;17(1):1-13.

Kim K, Ozegovic D, Voaklander DC. Differences in incidence of injury between rural and urban children in Canada and the USA: a systematic review. Injury prevention. 2012;18(4):264-71.

Barbara MA, McArthur BA, Bell M. Managing children’s risk of injury in the home: Does parental teachingabout home safety reduce young children’s hazard interactions? Accident Analysis and Prevention 2014;71 194–200.

Niakan Kalhori RS, Zeng X-j. Evaluation and Comparison of Different Machine Learning Methods to predict Outcome of Tuberculosis Treatment Course Journal of Intelligent Learning Systems and Applications. 2013;5(3):184-9.

DOI: http://dx.doi.org/10.22037/emergency.v5i1.10125

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