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Risk factors of burns among children in Mongolia
Tseren-Ochir Khandarmaa1, Md Harun-Or-Rashid, Junichi Sakamoto
1Young Leaders' Program in Healthcare Administration, Nagoya University Graduate School of Medicine, 65 Tsurumai-Cho, Nagoya 466-8550, Japan. khandaa_ts@yahoo.com
Insights
Childhood burns are common in Mongolia, with 25.2% of under-five children experiencing them. Caregiver knowledge and practices regarding burn prevention and care are insufficient, highlighting the need for educational interventions.
Area of Science:
- Pediatrics
- Public Health
- Injury Prevention
Background:
- Burns are a significant cause of injury in children under five globally.
- Understanding risk factors and caregiver awareness is crucial for reducing burn-related morbidity.
- Childhood burns in Mongolia require specific investigation due to unique environmental and social factors.
Purpose of the Study:
- To identify risk factors associated with childhood burns in Mongolian children under five.
- To determine the prevalence of burn injuries among this demographic.
- To assess caregiver knowledge, practices, and help-seeking behaviors for childhood burns.
Main Methods:
- A household-based cross-sectional survey was conducted in Mongolia from September to October 2010.
- Data were collected via face-to-face interviews using a semi-structured questionnaire.
- The study included 865 households and 1154 children under five years of age.
Main Results:
- A lifetime prevalence of burn injury was found in 25.2% of the 1154 children studied.
- Scalds were the most common type of burn, and most burns occurred within the home environment.
- Significant risk factors included younger age (up to 36 months), being male, and having fewer children (<3) in the household. Urban children faced higher risk.
- Caregiver knowledge and practices regarding burn care were generally insufficient, though the importance of the home's physical environment was recognized.
Conclusions:
- Childhood burns are highly prevalent among under-five children in Mongolia.
- Caregiver knowledge and practices related to burn prevention and care are inadequate.
- Targeted interventions, such as caregiver education programs focusing on safe domestic environments, are recommended to reduce childhood burns in Mongolia.
Abstract:
Burn is one of the leading causes of under-5 childhood injuries. Identification of risk factors and awareness level of caregivers could help reduction of burn-related morbidity. The objectives of this study were to identify general perceptions of risk factors of childhood burns, prevalence of burns among under-five Mongolian children, and to assess knowledge and practice of burn care and care seeking behaviors for care givers of those children. A household-based cross-sectional survey was conducted from September to October 2010 including 865 households with 1154 under-5 children. Data were collected by face-to-face interview using semi-structured questionnaire. Of total 1154 children, 291 (25.2%) had burn injury in their life-time. Above half of them had suffered a scald. Majority of burns occurred at home and urban children were at higher risk. The age up to 36 months, boys, and fewer children (<3) in the household were found as significant risk factors for childhood burns. Caregivers' knowledge and practices on childhood burns were generally insufficient; most of them indicated the importance of physical environment at home. We concluded that burns were common among under-5 children, and caregivers' knowledge and practices on burns was inadequate. Specific interventions like "Caregivers education program" encouraging safe domestic environmental conditions should be undertaken to increase their awareness on burn-related issues to reduce childhood burns in Mongolia.
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