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Published on: September 21, 2017
Risk factors for road traffic injury in Pakistani children
Michael S Singer1, Abdul Ghaffar
1Harvard Medical School and Massachusetts Eye and Ear Infirmary, Boston, Massachusetts 02138, USA. Mike_remote@hotmail.com
Insights
Road traffic injuries (RTIs) disproportionately affect Pakistani children. Children in small homes, large families, or squatter settlements, and those with uneducated mothers face the highest risk.
Area of Science:
- Pediatrics
- Public Health
- Injury Prevention
Background:
- Road traffic injury (RTI) is a significant cause of child mortality and disability in Pakistan.
- Identifying high-risk groups is crucial for effective intervention strategies.
Purpose of the Study:
- To identify predictive factors for children at elevated risk of road traffic injury.
- To inform targeted injury prevention programs in Pakistan.
Main Methods:
- A comparative study of pediatric inpatients at a major hospital in Islamabad, Pakistan.
- Three groups were compared: children with RTIs, children with non-RTI injuries, and non-injured children.
- Risk factors including home environment, family size, and maternal education were analyzed.
Main Results:
- Pedestrian involvement and lack of supervision were common in RTIs.
- Children from small homes, large families, or living in tents were at higher risk for RTI.
- Maternal education level was a significant factor, with uneducated mothers associated with increased RTI risk.
Conclusions:
- Injury prevention programs should prioritize children in vulnerable living situations and large families.
- Interventions should address factors like housing, education for mothers, and supervised activities.
- Further research should explore the impact of improved playgrounds, school enrollment, and housing assistance.
Abstract:
Road traffic injury (RTI) is an important cause of disability and mortality in Pakistani children. To focus interventions more effectively, we wished to identify factors that would predict which children were most at risk. We studied inpatients at Children's Hospital of the Pakistan Institute of Medical Sciences in Islamabad. We compared three groups: children who sustained an RTI, those who sustained an injury unrelated to road traffic, and those admitted for reasons other than injury. Most RTIs in our sample involved pedestrians, and most children were unsupervised. Children from small homes, families with many children, or tents used as homes were at elevated risk for RTI compared to non-RTI injured children and non-injured controls. Children with uneducated mothers were at greater risk for RTI compared to non-injured controls. We recommend focusing injury prevention programs on children from small homes, large families, and squatter settlements. Beyond conventional strategies for injury prevention, studies should test the benefits of improved playgrounds, school enrollment, supervised after-school programs, housing assistance projects, and educational programs for mothers.
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