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Prevention of unintentional injuries in children under five years
1Barcelona Institute for Global Health, University of Barcelona, Barcelona, Spain. sophjullien@gmail.com.
Insights
This study reviewed child injury prevention recommendations, identifying evidence sources for road traffic injuries, drowning, poisoning, thermal injuries, and falls. Effective prevention combines environmental and behavioral changes, requiring evaluation of interventions and parent compliance.
Area of Science:
- Pediatrics
- Public Health
- Injury Prevention
Background:
- Unintentional injuries are a major cause of death and disability in children under five.
- Existing recommendations for child injury prevention vary in their evidence base.
- Key prevention strategies involve environmental and behavioral modifications.
Purpose of the Study:
- To review existing recommendations for preventing unintentional injuries in children under five.
- To identify the primary evidence sources used to formulate these recommendations.
- To analyze recommendations across five key injury areas: road traffic, drowning, poisoning, thermal injuries, and falls.
Main Methods:
- Conducted a literature search up to October 18, 2019, using key terms and manual searches.
- Summarized recommendations and evidence sources in tabular format for each injury category.
- Reviewed major reports from organizations like the World Health Organization (WHO) and specific workgroups.
Main Results:
- Recommendations for child injury prevention are informed by surveillance data and risk factor identification.
- Effective strategies integrate environmental modifications (engineering, enforcement) and behavioral changes (education).
- The World Health Organization (WHO) has published comprehensive and focused guidance on child injury prevention.
Conclusions:
- Preventive strategies for unintentional childhood injuries require a multifaceted approach.
- Evaluating intervention effectiveness and ensuring parent/caretaker compliance are crucial for successful implementation.
- Further research may be needed to consolidate evidence and optimize delivery of prevention advice.
Abstract:
We looked at existing recommendations for preventing unintentional injuries in children under five years of age, and we attempted to identify the main sources used as evidence for formulating these recommendations.We conducted a literature search up to the 18th October 2019 by using key terms and manual search in selected sources. We summarized the recommendations and source of the evidence in tables for each of five areas of unintentional injuries: road traffic injuries, drowning, poisoning, thermal injuries, falls.In 2008, the World Health Organization (WHO) published a comprehensive report with strategies for child injury prevention for the European region. More recently, the WHO published several guidance documents focused on one area such as drowning, usually with a global focus. The PrevInfad workgroup (Spanish Association of Primary Care Pediatrics) updated their document on road safety in April 2019, providing recommendations and a summary of the existing evidence. Preventive strategies for injuries in childhood are mainly based on surveillance data and the identification of risk factors. The key strategies for preventing unintentional injuries are a combination of environmental and behaviour modification, that can be achieved through engineering, enforcement and education. Consequently, for this kind of strategies, it is important to evaluate the effectiveness of both the intervention itself, and the way the intervention is advised to parents and caretakers so that there is good compliance of the recommendation.
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