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Unintentional Childhood Injuries in Urban Delhi: A Community-Based Study
Giridara Gopal Parmeswaran1, Mani Kalaivani1, Sanjeev Kumar Gupta1
1Centre for Community Medicine and Department of Biostatistics, All India Institute of Medical Sciences, New Delhi, India.
Insights
Childhood injuries affect 7.1% of children, with falls and dog bites being common. These injuries lead to school absence and significant financial strain on families.
Area of Science:
- Public Health
- Epidemiology
- Pediatrics
Background:
- Childhood injuries are a major global health concern, causing approximately one million deaths annually.
- Community-based studies are crucial for understanding injury epidemiology.
- Unintentional injuries represent a significant burden on child health and well-being.
Purpose of the Study:
- To determine the prevalence of unintentional childhood injuries in an urban setting.
- To identify sociodemographic factors associated with childhood injuries.
- To analyze treatment-seeking behaviors and the impact of injuries on children and households.
Main Methods:
- A community-based study was conducted in urban Delhi, involving 1,639 children under 18 years.
- Data on injury episodes within the past year were collected, focusing on those requiring treatment or causing disability.
- Treatment seeking patterns and the socioeconomic impact on families were assessed.
Main Results:
- The prevalence of childhood injuries in the past year was 7.1%, affecting 102 out of 1,639 children.
- Accidental falls (37.1%), dog bites (25%), and road traffic injuries (18.9%) were the most frequent causes.
- Injuries resulted in school absenteeism and considerable financial hardship, including borrowing money and selling assets.
Conclusions:
- Childhood injuries occurred in 7.1% of children studied over one year.
- Home environments were the primary setting for injuries, with accidental falls and dog bites being predominant.
- The study highlights the substantial socioeconomic and educational impact of childhood injuries on families.
Background:
Childhood injuries claim around a million lives around the world each year. A community-based study on childhood injuries would provide valuable information on the epidemiology of injuries.
Objective:
To assess the prevalence of unintentional childhood injuries in an urban locality and determine various sociodemo graphic factors associated with childhood injuries.
Methods:
The study was done in urban Delhi among 1,639 children aged less than 18 years. Information on injuries in the last one year was collected. Only those injury episodes where treatment was sought or the child was left disabled after the injury were included. Treatment seeking behavior and the impact of injury on the child and the household were also assessed.
Results:
Among 1,639 children, 102 children suffered 116 episodes of various types of injuries in the last one year. Prevalence of injuries was 7.1% (95% CI: 5.9-8.4). Mean age was 8.5 ± 5.1 years. Prevalence was more in boys (8.4%) than girls (5.1%). Accidental falls (37.1%), dog bites (25%), and road traffic injuries (18.9%) were the three most common modes of injury. Two-thirds of children with injuries were taken to the emergency facility for treatment while 40% resorted to home remedies. Treatment expenses in some families led to the need for borrowing money, additional employment by another family member, and selling of household assets.
Conclusions:
The prevalence of childhood injuries in the past one year was 7.1%. Maximum injuries occurred at home and were mostly accidental falls and dog bites. Childhood injuries caused loss of school attendance and financial burden to the family.
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