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Published on: April 6, 2020
[The risk factors for home accidents in children. A case-control study]
M C Híjar-Medina1, J R Tapia-Yáñez, M V López-López
1Escuela de Salud Pública de México, Instituto Nacional de Salud Pública, Cuernavaca, Morelos.
Insights
Unintentional home injuries disproportionately affect boys aged 2-3. Key risk factors include playing outdoors and inadequate supervision by caregivers over 40.
Area of Science:
- Pediatric injury prevention
- Environmental health and safety
- Childhood risk assessment
Context:
- Home environment poses significant risks for unintentional injuries in young children.
- Understanding specific risk factors is crucial for developing targeted interventions.
- Previous research has not fully elucidated the multifactorial nature of these home-based injuries.
Purpose:
- To identify and quantify risk factors associated with unintentional home injuries in children under 10.
- To provide data for the development of effective injury prevention strategies.
- To analyze the influence of demographic and environmental factors on injury risk.
Summary:
- A Case Control study in Mexico City involving 160 cases and 320 controls identified key risk factors.
- Higher risk observed in boys (OR 1.7), 2-3 year olds (OR 1.6), and when children play in outdoor home areas (OR 2.48).
- Inadequate supervision, particularly by mothers (OR 2.9) or caregivers over 40 (OR 2.2), significantly increases injury risk.
Impact:
- Findings underscore the need for targeted injury prevention programs focusing on passive measures.
- Highlights the importance of caregiver education and supervision strategies.
- Provides evidence for public health initiatives aimed at reducing childhood home injuries.
Introduction:
The main objective was to determine the risk factors involved in unintentional injuries in children under 10 years old occurring at home.
Material And Methods:
A Case Control study was conducted in the emergency room of three pediatrics hospitals in Mexico City. The sample size was 160 cases and 320 controls.
Results:
Boys were more affected than girls (OR) 1.7, C.I. (95%) 1.2-2.5. The age group more affected was two-three years old (OR) 1.6, C.I.1.1-2.2. When children play outside home (roof, stairs, patio) the risk was OR 2.48, C.I. 1.63-3.76. If mother is not encharged of children care (OR) 2.9, C.I. 1.8-4.8. The age > 40 years old of the person encharged of children care (OR) 2.2, C.I. 1.4-3.5.
Conclusions:
The results showed us how necessary is to develop injury prevention programs especially to implement passive measures, with target populations people encharged of children care.
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