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Structural housing elements associated with home injuries in children
Wendy Shields1, Eileen McDonald1, Shannon Frattaroli1
1Center for Injury Research and Policy, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Insights
Twelve common housing elements cause unintentional injuries in children treated in US emergency departments. Identifying these risks can improve home safety and prevention strategies.
Area of Science:
- Public Health
- Injury Prevention
- Environmental Health
Background:
- Unintentional injuries are a significant cause of morbidity in children.
- Home environments contain numerous elements that can pose injury risks.
- Understanding specific housing-related hazards is crucial for targeted prevention.
Purpose of the Study:
- To identify and quantify unintentional injuries linked to housing elements in children under 18.
- To analyze injury data from US hospital emergency departments.
- To inform potential interventions and design modifications for home safety.
Main Methods:
- Utilized the National Electronic Injury Surveillance System (NEISS) database for 2008.
- Identified product codes for housing elements permanently affixed to homes.
- Analyzed injury case numbers by severity and conducted a review of top cases.
Main Results:
- Twelve housing elements were identified as leading causes of injuries requiring emergency department visits or hospitalization.
- These elements include bathtub, cabinet, carpet, ceiling/wall, counter, door, fence, floor, nail, porch, stairs, and window.
- Potential interventions were generated from case history reviews.
Conclusions:
- The NEISS system effectively identifies home injury risks associated with housing elements.
- Data can inform design decisions and enhance home inspection protocols.
- Clarity on the specific role of housing elements in injury events needs improvement for future research.
Objective:
To quantify unintentional injuries associated with housing elements among children less than 18 years old treated in US hospital emergency departments.
Methods:
The National Electronic Injury Surveillance System (NEISS) coding manual was reviewed, and all product codes that identified products permanently affixed to a home (housing elements) were identified. A query of the 2008 NEISS data for children under 18 determined the numbers of cases by severity code for each identified housing element. Housing elements were then tabulated by the number of cases for each severity code. The top 10 cases by severity code, (1) hospitalised or (2) treated in emergency departments, were included in a case review. Ten per cent of all cases or a minimum of 100 cases were randomly selected for review for each of the identified housing elements to assess if the case description could inform prevention efforts.
Results:
Twelve housing elements (bathtub, cabinet, carpet, ceiling/wall, counter, door, fence, floor, nail, porch, stairs and window) were identified as the leading causes of injuries resulting in hospitalisations or emergency department visits. A list of potential interventions was generated based on the review of the case histories. Suggested changes for NEISS coding are also offered to enhance future prevention research.
Conclusions:
NEISS is a valuable tool to identify home injury risks and inform design decisions for housing elements. Improved understanding of housing elements associated with injuries has the potential to enhance home inspection forms. However, interpretation of NEISS results is limited by lack of clarity about how the housing element was involved in the injury event.
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