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Unintentional injuries among children aged 1-4 years at home

Wisit Chaveepojnkamjorn1, Natchaporn Pichainarong, Siriwan Pooltawee

  • 1Department of Epidemiology, Faculty of Public Health, Mahidol University, Bangkok, Thailand.

The Southeast Asian Journal of Tropical Medicine and Public Health
|April 16, 2003
PubMed

Insights

Unintentional home injuries in children aged 1-4 are common, with falls being the leading cause. Previous injuries and vigorous activity significantly increase re-injury risk, highlighting the need for enhanced supervision.

Area of Science:

  • Pediatrics
  • Public Health
  • Injury Prevention

Background:

  • Unintentional injuries are a significant cause of morbidity in young children.
  • Home environments present numerous risks for pediatric injuries.
  • Understanding specific injury patterns is crucial for developing targeted prevention strategies.

Purpose of the Study:

  • To identify the causes and risk factors associated with unintentional injuries in children aged 1-4 years.
  • To analyze injury patterns, including common types, locations, and times.
  • To determine predictors of recurrent injuries in young children.

Main Methods:

  • A hospital-based case-control study involving 242 children aged 1-4 years.
  • Data collection through parental/guardian interviews at Lerdsin Hospital, Bangkok.
  • Multivariate analysis to identify significant risk factors for unintentional injuries.

Main Results:

  • Falls were the most frequent injury type (54.6%), with 2-year-olds being the most affected group.
  • Injuries predominantly occurred at home (60.7%), particularly on weekends and during late afternoons (16:00-19:00).
  • Previous injury history (OR=19.22) and vigorous physical activity (OR=19.73) were strong predictors of re-injury.

Conclusions:

  • Falls are the primary cause of unintentional injuries in young children at home.
  • Factors such as parental employment status, time spent at relatives' homes, and lack of supervision are associated with increased injury risk.
  • Targeted interventions focusing on supervision, safe play environments, and addressing risk factors like prior injuries are essential for preventing childhood injuries.

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