A Gyedu1, E K Nakua1, E Otupiri1, C Mock2, P Donkor1, B Ebel3. 1. Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. 2. Harborview Injury Prevention & Research Center, University of Washington, Seattle, Washington, USA Departments of Surgery, Global Health and Epidemiology, University of Washington, Seattle, Washington, USA. 3. Harborview Injury Prevention & Research Center, University of Washington, Seattle, Washington, USA Departments of Pediatrics and Epidemiology, University of Washington, Seattle, Washington, USA Seattle Children's Hospital, Seattle, Washington, USA.
Abstract
BACKGROUND: There are few population-based studies on household child injury in African countries. OBJECTIVES: To determine the incidence, characteristics and risk factors of household and neighbourhood injury among children in semiurban communities in Kumasi, Ghana. METHODS: We conducted a cross-sectional population-weighted survey of 200 randomly selected caregivers of children under 18, representing 6801 households. Caregivers were interviewed about moderate to severe childhood injuries occurring within the past 6 months, for which the child staying home from school or activity, and/or required medical care. Multivariable logistic regression was used to identify factors associated with injury risk. RESULTS: Annual injury incidence was 593.5 injuries per 1000 children. Common causes of injury were falls (315.7 injuries per 1000 children), followed by cuts/lacerations and burns. Most injuries (93.8%) were of moderate severity. Children whose caregivers were hourly workers (AOR=1.97; 95% CI 1.06 to 3.68) had increased odds of sustaining an injury compared to those of unemployed caregivers. Girls had decreased odds of injury (AOR=0.59; 95% CI 0.39 to 0.91). Cooking outdoors (AOR=0.45; 95% CI 0.27 to 0.76) and presence of cabinet/cupboards (AOR=0.41; 95% CI 0.24 to 0.70) in the house were protective. Among children under 5 years of age, living in uncompleted accommodation was associated with higher odds of injury compared with living in a rented single room (AOR=3.67; 95% CI 1.17 to 11.48). CONCLUSIONS: The incidence of household and neighbourhood child injury is high in semiurban Kumasi. We identified several novel injury risk factors (hourly work, younger children) and protective factors (cooking outdoors, presence of cabinet/cupboards). These data may identify priorities for household injury prevention. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
BACKGROUND: There are few population-based studies on household child injury in African countries. OBJECTIVES: To determine the incidence, characteristics and risk factors of household and neighbourhood injury among children in semiurban communities in Kumasi, Ghana. METHODS: We conducted a cross-sectional population-weighted survey of 200 randomly selected caregivers of children under 18, representing 6801 households. Caregivers were interviewed about moderate to severe childhood injuries occurring within the past 6 months, for which the child staying home from school or activity, and/or required medical care. Multivariable logistic regression was used to identify factors associated with injury risk. RESULTS: Annual injury incidence was 593.5 injuries per 1000 children. Common causes of injury were falls (315.7 injuries per 1000 children), followed by cuts/lacerations and burns. Most injuries (93.8%) were of moderate severity. Children whose caregivers were hourly workers (AOR=1.97; 95% CI 1.06 to 3.68) had increased odds of sustaining an injury compared to those of unemployed caregivers. Girls had decreased odds of injury (AOR=0.59; 95% CI 0.39 to 0.91). Cooking outdoors (AOR=0.45; 95% CI 0.27 to 0.76) and presence of cabinet/cupboards (AOR=0.41; 95% CI 0.24 to 0.70) in the house were protective. Among children under 5 years of age, living in uncompleted accommodation was associated with higher odds of injury compared with living in a rented single room (AOR=3.67; 95% CI 1.17 to 11.48). CONCLUSIONS: The incidence of household and neighbourhood child injury is high in semiurban Kumasi. We identified several novel injury risk factors (hourly work, younger children) and protective factors (cooking outdoors, presence of cabinet/cupboards). These data may identify priorities for household injury prevention. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
Authors: Barclay T Stewart; Adam Gyedu; Gavin Tansley; Dominic Yeboah; Forster Amponsah-Manu; Charles Mock; Wilfred Labi-Addo; Robert Quansah Journal: J Bone Joint Surg Am Date: 2016-12-07 Impact factor: 5.284
Authors: Adam Gyedu; Barclay Stewart; Cameron Gaskill; Peter Donkor; Robert Quansah; Charles Mock Journal: J Surg Res Date: 2019-11-02 Impact factor: 2.192
Authors: Anthony Batte; Godfrey E Siu; Brenda Tibingana; Anne Chimoyi; Lucy Chimoyi; Nino Paichadze; Kennedy Otwombe Journal: Int J Inj Contr Saf Promot Date: 2017-12-29
Authors: Barclay T Stewart; Adam Gyedu; Pius Agbenorku; Richcane Amankwa; Adam L Kushner; Nicole Gibran Journal: Int J Surg Date: 2015-08-07 Impact factor: 6.071
Authors: Barclay T Stewart; Adam Gyedu; Francis Abantanga; Abdul Rashid Abdulai; Godfred Boakye; Adam Kushner Journal: World J Surg Date: 2015-11 Impact factor: 3.352
Authors: Yasaman Kazerooni; Adam Gyedu; Gilbert Burnham; Benedict Nwomeh; Anthony Charles; Brijesh Mishra; Solomon S Kuah; Adam L Kushner; Barclay T Stewart Journal: Burns Date: 2016-01-23 Impact factor: 2.744