Predictors of unintentional poisoning among children under 5 years of age in Karachi: a matched case-control study

Bilal Ahmed1, Zafar Fatmi, Amna R Siddiqui

  • 1Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan. bilal.ahmed@aku.edu

Insights

Unsafe storage of hazardous substances and child

Area of Science:

  • Pediatric Emergency Medicine
  • Public Health
  • Toxicology

Background:

  • Poisoning is a significant cause of unintentional injury and pediatric emergencies in children under five.
  • Identifying risk factors is crucial for developing effective prevention strategies.

Purpose of the Study:

  • To determine factors associated with unintentional poisoning in children under five presenting to emergency rooms in Karachi, Pakistan.

Main Methods:

  • A matched case-control study involving 120 cases and 360 controls was conducted.
  • Data was collected via interviews with parents using a structured questionnaire.
  • Conditional logistic regression analysis was performed.

Main Results:

  • Unsafe storage of chemicals/medicines (aOR=5.6), aggressive child behavior (aOR=8.2), storing fuel in bottles (aOR=3.8), low socioeconomic status (aOR=9.2), low maternal education (aOR=4.2), and prior poisoning history (aOR=8.6) were significant risk factors.
  • These factors were independently associated with unintentional poisoning.

Conclusions:

  • Modifiable factors include unsafe storage of kerosene/petroleum and accessibility of chemicals/medicines.
  • Health education on safe storage and child-resistant containers can reduce childhood poisoning.
Abstract

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