Unintentional injuries and their prevention

Author(s):  
Denise Kendrick

This chapter quantifies the burden of childhood injuries; describes risk factors for child injury, levels and approaches to injury prevention, and recommendations for effective behaviour change; summarizes evidence for preventing child injuries at home and on the roads; discusses putting injury prevention into practice for practitioners and commissioners; makes recommendations for the injury prevention content of the Healthy Child Programme; and provides a resource list for practitioners, parents, and commissioners.

Author(s):  
Iin Suryatmana ◽  
Agus Setiawan

Unintentional injury in children is a global problem that often occurs in all countries in the world. Various prevention efforts need to be done by all relevant stakeholders to reduce the number of unintentional injuries in children. The purpose of this study was to identify the effect of interventions on the prevention of unintentional injuries on children under 5 years (toddlers). A literature study with descriptive analysis was used in this study. Articles were obtained through an online database search on the ScienceDirect, Wiley, Sage, ProQuest, Google scholar databases published from 2015 to 2020. This study identified 48 articles and 9 articles met the inclusion criteria. The results of the study identified that in general all articles (n = 7) showed a positive effect on injury prevention in children, 1 article did not clearly illustrate its effect on prevention of child injury, 1 article had no effect on prevention of child injury. Future studies need to consider various risk factors that influence the effectiveness of an intervention in order to get positive results. Keywords: injury prevention; toddlers; unintentional child injury ABSTRAK Cedera yang tidak disengaja pada anak merupakan masalah global yang bayak terjadi di seluruh negara di dunia. Berbagai upaya pencegahan perlu dilakukan oleh semua stakeholder terkait untuk menekan angka kejadian cedera yang tidak disengaja pada anak. Tujuan studi ini adalah megidentifikasi pengaruh intervensi terhadap pencegahan cedera yang tidak disengaja pada anak di bawah 5 tahun (balita). Metode studi literatur dengan analisis deskriptif digunakan dalam studi ini. Artikel diperoleh melalui penelusuran online database ScienceDirect, Wiley, Sage, ProQuest, Google scholar yang terbit dari 2015 hingga 2020. Studi ini mengidentifikasi 48 artikel serta 9 artikel memenuhi kriteria inklusi. Hasil studi mengidentfikasi bahwa secara umum semua artikel (n=7) menunjukkan dampak positif terhadap pencegahan cedera pada anak, 1 artikel tidak tergambar jelas pengaruhnya terhadap pencegahan cedera anak, 1 artikel tidak berpengaruh terhadap pencegahan cedera anak. Penelitian selanjutnya perlu mempertimbangakan berbagai faktor risiko yang mempengaruhi efektifitas suatu intervensi agar mendapatkan hasil yang positif. Kata kunci: balita; cedera yang tidak disengaja pada anak; pencegahan cedera


2018 ◽  
Vol 27 (1) ◽  
pp. 108-125
Author(s):  
Michelle E. E. Bauer ◽  
Audrey R. Giles

Fathers’ perspectives on masculinity can influence their perspectives on their children’s outdoor risky play. This study makes a novel contribution to bridging a gap in knowledge that exists between the fields of sexuality, family dynamics, and child injury prevention by exploring single, stay-at-home, and gay fathers’ perspectives on masculinity and the influence that these have on their perspectives of their 4- to 12-year-old children’s outdoor risky play practices. Through the use of semistructured interviews and critical discourse analysis, three discourses were identified: Masculinity and fatherhood are being redefined, fathers play an important role in their children’s experiences of outdoor risky play, and fathers should enforce limits during their children’s outdoor risky play.


2016 ◽  
Vol 9 (1) ◽  
Author(s):  
Anna Carlsson ◽  
Anna-Karin Dykes ◽  
Annkristin Jansson ◽  
Ann-Cathrine Bramhagen

2020 ◽  
Author(s):  
Teresa Sui Mien Yong ◽  
Komathi Perialathan ◽  
Masitah Ahmad ◽  
Nurashma Juatan ◽  
Liana Abdul Majid ◽  
...  

BACKGROUND Home is a vulnerable place for accidental child injuries. Unintentional injuries are a leading cause of death, hospitalization and disabilities. These injuries are considered preventable and if not tackled, it will continue to be a persisting problem. Smartphones have become increasingly important in our everyday life. Therefore, app-based intervention was developed to reduce child injury at home. OBJECTIVE This study aimed to evaluate acceptance of parents or guardians towards a smartphone application intervention. METHODS This study was conducted using a qualitative exploratory approach. Twenty-seven seven semi-structured in-depth interviews (IDI) were carried out among parents or guardians who have at least one child between the age of 0-59 months old in the area of Sungai Buloh, Selangor. Interview questions were developed from the Consolidated Framework for Implementation Research (CFIR), interviews were transcribed verbatim and data thematically analyzed thematically guided by CFIR. RESULTS Study revealed users’ usability, feasibility and acceptability of the ChildSafe app. Three CFIR domains were identified – intervention characteristics, inner setting and characteristics of individuals. Participants felt the app is extremely useful, easy to use, purposeful in achieving home safety assessment. Even at the nascent stage the app has prompted users to consider and make changes around their own home. However, future versions of the app should be expanded to make it more attractive to users. CONCLUSIONS Parents or guardians are accepting towards the use of the ChildSafe app to prevent child injury at home. However, further expansion and improvements are needed to make the novel app fully accepted by parents in general. CLINICALTRIAL Null


2006 ◽  
Vol 21 (5) ◽  
pp. 359-365 ◽  
Author(s):  
Mark A. Brandenburg ◽  
Mary Beth Ogle ◽  
Beth A. Washington ◽  
Mike J. Garner ◽  
Sue A. Watkins ◽  
...  

AbstractIntroduction:Children represent a vulnerable population, and special considerations are necessary to care for them properly during disasters. Comprehensive disaster responses include addressing the unique needs of children during mass-casualty incidents, such as the prevention of unintentional injuries. Early in the morning of 04 September 2005, approximately 1,600 Hurricane Katrina and/or flood survivors from NewOrleans, including approximately 300 children, arrived at Camp Gruber, an Oklahoma National Guard base in Eastern Oklahoma.Problem:The primary function of Camp Gruber to train support personnel for the Oklahoma National Guard. This is not a child-safe environment. It was hypothesized that the camp contained numerous child injury hazards and that these hazards could be removed systematically using local child injury prevention experts, thereby preventing unintentional injuries to the displaced children.Methods:On 08 September, “Operation Child-Safe” was launched by the Pediatric Injury Response Team to identify and remove pediatric injury hazards from Camp Gruber. Injury prevention experts from the Safe Kids Tulsa Area (SKTA) Chapter, the closest pediatric injury prevention group in the region, spearheaded the operation. Several visits were required to remove all of the injury hazards that were identified.Results:Many hazards were identified and removed immediately, while others were addressed in a formal letter to the Camp Gruber Commander for required consent to implement changes. Hazards identified in the camp included, but were not limited to: (1) dangerous chemicals; (2) choking hazards; (3) open electrical outlets; and (4) missing smoke detectors. Bicycle helmets, car seats, strollers, portable cribs, and other safety-related items were passed out to families in need. A licensed daycare facility also was established in order to give the adult guardians a break from constant supervision. Over the course of one month, only one preventable injury (minor head injury) was reported during camp operations, and this particular injury occurred two days before “Operation Child-Safe” was initiated (Day 3 of camp operations).Conclusions:In the aftermath of an event that displaces large numbers of people, it is likely that children will be exposed to numerous injury hazards. Volunteers with expertise in child injury prevention are needed to make an evacuee shelter safer for children.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Shasha Guo ◽  
Qiang Sun ◽  
Xinyang Zhao ◽  
Liyan Shen ◽  
Xuemei Zhen

Abstract Background Antibiotic resistance poses a significant threat to public health globally. Irrational utilization of antibiotics being one of the main reasons of antibiotic resistant. Children as a special group, there's more chance of getting infected. Although most of the infection is viral in etiology, antibiotics still are the most frequently prescribed medications for children. Therefore, high use of antibiotics among children raises concern about the appropriateness of antibiotic prescribing. This systematic review aims to measuring prevalence and risk factors for antibiotic utilization in children in China. Methods English and Chinese databases were searched to identify relevant studies evaluating the prevalence and risk factors for antibiotic utilization in Chinese children (0-18 years), which were published between 2010 and July 2020. A Meta-analysis of prevalence was performed using random effect model. The Agency for Healthcare Research and Quality (AHRQ) and modified Jadad score was used to assess risk of bias of studies. In addition, we explored the risk factors of antibiotic utilization in Chinese children using qualitative analysis. Results Of 10,075 studies identified, 98 eligible studies were included after excluded duplicated studies. A total of 79 studies reported prevalence and 42 studies reported risk factors for antibiotic utilization in children. The overall prevalence of antibiotic utilization among outpatients and inpatients were 63.8% (35 studies, 95% confidence interval (CI): 55.1-72.4%), and 81.3% (41 studies, 95% CI: 77.3-85.2%), respectively. In addition, the overall prevalence of caregiver’s self-medicating of antibiotics for children at home was 37.8% (4 studies, 95% CI: 7.9-67.6%). The high prevalence of antibiotics was associated with multiple factors, while lacking of skills and knowledge in both physicians and caregivers was the most recognized risk factor, caregivers put pressure on physicians to get antibiotics and self-medicating with antibiotics at home for children also were the main factors attributed to this issue. Conclusion The prevalence of antibiotic utilization in Chinese children is heavy both in hospitals and home. It is important for government to develop more effective strategies to improve the irrational use of antibiotic, especially in rural setting.


2021 ◽  
pp. bjsports-2020-103131
Author(s):  
Celeste Geertsema ◽  
Liesel Geertsema ◽  
Abdulaziz Farooq ◽  
Joar Harøy ◽  
Chelsea Oester ◽  
...  

ObjectivesThis study assessed knowledge, beliefs and practices of elite female footballers regarding injury prevention.MethodsA survey was sent to players participating in the FIFA Women’s World Cup France 2019. Questions covered three injury prevention domains: (1) knowledge; (2) attitudes and beliefs; (3) prevention practices in domestic clubs. Additionally, ACL injury history was assessed.ResultsOut of 552 players, 196 women responded (35.5%). More than 80% of these considered injury risk to be moderate or high. Players listed knee, ankle, thigh, head and groin as the most important injuries in women’s football. The most important risk factors identified were low muscle strength, followed by poor pitch quality, playing on artificial turf, too much training, reduced recovery and hard tackles. In these elite players, 15% did not have any permanent medical staff in their domestic clubs, yet more than 75% had received injury prevention advice and more than 80% performed injury prevention exercises in their clubs. Players identified the two most important implementation barriers as player motivation and coach attitude. Two-thirds of players used the FIFA 11+ programme in their clubs.ConclusionsThis diverse group of elite players demonstrated good knowledge of risk level and injury types in women’s football. Of the risk factors emphasised by players, there was only one intrinsic risk factor (strength), but several factors out of their control (pitch quality and type, training volume and hard tackles). Still players had positive attitudes and beliefs regarding injury prevention exercises and indicated a high level of implementation, despite a lack of medical support.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sunny S. Lou ◽  
Charles W. Goss ◽  
Bradley A. Evanoff ◽  
Jennifer G. Duncan ◽  
Thomas Kannampallil

Abstract Background The COVID-19 pandemic resulted in a transformation of clinical care practices to protect both patients and providers. These changes led to a decrease in patient volume, impacting physician trainee education due to lost clinical and didactic opportunities. We measured the prevalence of trainee concern over missed educational opportunities and investigated the risk factors leading to such concerns. Methods All residents and fellows at a large academic medical center were invited to participate in a web-based survey in May of 2020. Participants responded to questions regarding demographic characteristics, specialty, primary assigned responsibility during the previous 2 weeks (clinical, education, or research), perceived concern over missed educational opportunities, and burnout. Multivariable logistic regression was used to assess the relationship between missed educational opportunities and the measured variables. Results 22% (301 of 1375) of the trainees completed the survey. 47% of the participants were concerned about missed educational opportunities. Trainees assigned to education at home had 2.85 [95%CI 1.33–6.45] greater odds of being concerned over missed educational opportunities as compared with trainees performing clinical work. Trainees performing research were not similarly affected [aOR = 0.96, 95%CI (0.47–1.93)]. Trainees in pathology or radiology had 2.51 [95%CI 1.16–5.68] greater odds of concern for missed educational opportunities as compared with medicine. Trainees with greater concern over missed opportunities were more likely to be experiencing burnout (p = 0.038). Conclusions Trainees in radiology or pathology and those assigned to education at home were more likely to be concerned about their missed educational opportunities. Residency programs should consider providing trainees with research or at home clinical opportunities as an alternative to self-study should future need for reduced clinical hours arise.


2021 ◽  
pp. 0192513X2110300
Author(s):  
Sarah Le Vigouroux ◽  
Astrid Lebert-Charron ◽  
Jaqueline Wendland ◽  
Emilie Boujut ◽  
Céline Scola ◽  
...  

Lockdowns put in place in response to the COVID-19 health crisis have changed daily functioning for families and potentially the emotional experience of individuals in their parenting role. Our study aimed to highlight the importance of the environmental consequences associated with lockdowns on parental burnout. We compared data on parental burnout levels from two French samples: the first collected in 2018 ( N = 1332) and the second collected during the last month of lockdown ( N = 522). Our results show that parents included during the lockdown period reported significantly, but slightly, higher saturation (a dimension of the parental burnout construct) than parents included 2 years earlier. However, the number of children per age group, maintaining employment, and having to provide schooling at home are not variables that explain differences in the level of parental burnout between our two samples. Our results are discussed with regard to the risk factors identified and the French context.


Sign in / Sign up

Export Citation Format

Share Document