Authors

1 Department of Epidemiology, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

2 2Department of Health in Emergency and Disaster, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

Abstract

Introduction:Accidents are one of the most important causes of injury and death across the world, including Iran. The epidemiological data play a key role in taking effective strategic decisions for their prevention and control. This study was conducted to determine the Frequency of different types of accidents in children aged under 5 years living in Yazd province, Iran.
Methods: In this cross-sectional study, data on 2489 children under 5 years referred to hospitals in Yazd province were collected from March, 2015 to March, 2016, using the accidents registration forms and the related software. Chi-square test was incorporated to analyze the results using SPSS version 19.
Results: The frequency of accidents in boys was 1460 (58.7%) and in girls 1029 (41.3%). Accidents occurred most frequently in April-May (n: 245, 9.8%) and the winter (n: 693, 27.8%). 93.3% of accidents occurred in the urban areas, 4.4% in the rural areas and 2.3% in outside the city and the villages. The total  number of accidents at home was 1743 (70%) and in the alleys and on the streets 495 (19%), the most frequent accident was falling (n: 743, 29.9%), followed by burns (n: 543, 21.8%) and  trauma (n: 495, 19.9%).
The difference in the type of accident between different age groups was significant (P < /em>< 0.001).
Conclusion: The comparatively higher frequency of falling, burn, trauma, as well as the accidents at home and in the winter indicate parents’ insufficient attention to home safety standards and their lack of adequate information about protection of children under5 years against the most common accidents of this age group. Planning for and intervention in these areas might help in reducing the accidents.

Keywords

 
Accidents in Children under 5 Years in Yazd Province, Iran
 
Ali Dehghani1, Sadegh Kazemi2,Samaneh Mirzaei2, Mohammad Reza Sadeghian*2Description: http://jder.ssu.ac.ir/files/0allsites/images/orcid.png $('.collapse').on('shown.bs.collapse', function(){ $(this).parent().find(".glyphicon-plus").removeClass("glyphicon-plus").addClass("glyphicon-minus"); }).on('hidden.bs.collapse', function(){ $(this).parent().find(".glyphicon-minus").removeClass("glyphicon-minus").addClass("glyphicon-plus"); });
  1. Liu L, Oza S, Hogan D, et al. Global, regional, and national causes of under-5 mortality in 2000–15: an updated systematic analysis with implications for the Sustainable Development Goals. The Lancet. 2016;388(10063):3027-35. [DOI:10.1016/S0140-6736(16)31593-8]
  2. Khazaei S, Mazharmanesh S, Khazaei Z, et al. An epidemiological study on the incidence of accidents in the Hamadan province during 2009 to 2014. Pajouhan Scientific Journal. 2016;14(2):8-16.
  3. Arias E, MacDorman MF, Strobino DM, et al. Annual summary of vital statistics-2002. Pediatrics. 2003;112(6):1215-30. [DOI:10.1542/peds.112.6.1215] [PMID]
  4. Kumar V, Shearer JC, Kumar A, et al. Neonatal hypothermia in low resource settings: a review. Journal of Perinatology. 2009;29(6):401. [DOI:10.1038/jp.2008.233] [PMID]
  5. Vakili M, Momeni Z, Mohammadi M, et al. Epidemiological study of accidents in children under 6 years of Azadshahr Yazd in 2011. Pajouhan Scientific Journal. 2016;14(3):49-57. .[Persian] [DOI:10.21859/psj-140349]
  6. sharaki a, Mardani M, Arab M, et al. Infant under 1-59 month mortality causes in Zabol. Iranian Journal of Nursing Research. 2010;5(17):6-13.
  7. Nouhjah S, Ghanavatizadeh A, Eskandri N, et al. Prevalence of non-fatal home injuries and its related factors among children attending health centers in Ahvaz: a pilot study. Hakim Research Journal. 2012;15(3):238-42.[Persian]
  8. Peden M, Oyegbite K, Ozanne-Smith J, et al. World Report on, child injury prevention. World Health Organization. Geneva, 2008; p:345-352.
  9. Amissah J. Household Cost Of Injuries in Children Under Five Years in the Ejisu-Juabeng Municipality of the Ashanti Region, Ghana: A Cross Sectional Study. Value in Health. 2016;19(7):A907. [DOI:10.1016/j.jval.2016.08.165]
  10. Moghadam N, Rahil G. Survey of under-5-year-old children injury and accident mortality causes in the city of Kerman in 2013. Journal of Health-Based Research. 2015.1(1):1-12 [Persian]
  11. Soori H, Khodakarim S. Child unintentional injury prevention in Eastern Mediterranean Region. International journal of critical illness and injury science. 2016;6(1):33. [DOI:10.4103/2229-5151.177366] [PMID]
  12. Vafaeenasab MR, Ghasemi N, Mahmoodi S, et al. Causes of mortality during the first five years of life, Yazd city, Iran (2005-2008). Iranian journal of Medical Sciences. 2014;39(4):399-400. [PMID]
  13. Pashazaeh R. Epidemiological study of traffic injuries in children admitted in Fatemi hospital [Doctor Degree] Ardebil: Ardabil university of medical science. 2016.[Available at: https://eprints.arums.ac.ir/7670/1/1-9.pdf.] [Persian]
  14. Ansari M. Epidemiological study of mortality in children 1 to 59 months admitted to Amir kabir, Taleghani and Vali-asr Hospitals of Arak. 2015. Avilable at: [https://ganj-old.irandoc.ac.ir/articles/download_sparse/813006] [Persian]
  15. Mobasheri F, Azizi H, Rastbaf F. The Epidemiological Pattern of Injuries among Children under 15 Years of Age in Fasa in 2013. Journal of Fasa University of Medical Sciences . 2016; 6 (1) :69-78[Persian]
  16. Soleimani A, Bayat MR, Biglari HO, et al The epidemiological profile of injuries in children up to 59 months old in Kermanshah Province in 2015. Journal of Community Health Research. 2017;6(3):185-91.
  17. Abdoli F, Ravari A, Heidari S. Study of Traumatic and Non-Traumatic Accidents in the Schools of Rafsanjan in 2011 to 2012 A Short Report. Journal of Rafsanjan University of Medical Sciences. 2014;13(7):641-8.[Persian]
  18. Bayat M, Shahsavari A, Forughi S, et al. Assessment of Accidents' Prevalence in Children Undre 5 year Referred to Emergency ward. Mandish Journal of Nursing Research-analytical Aligudarz. 2012;2(2,3): available at: http://journals.lums.ac.ir/index.php/mandish/article/view/26[Persian]
  19. Barak M. Safari KH, AzadehS. Causatives Factors for Deaths among Under 5 Year Old in Ardabil imcomparision with bilesavar. Sixth annual Student Congress Student Research Committee of Ardabil University of Medical Sciences, December 18, 2014, Ardebil - Ardab University of Medical Sciences.2014 [Persian]Available at: https://eprints.arums.ac.ir/6146/1/pediatric.pdf [Article]
  20. Tajedini F, Delbarpoor ahmadi S, Ehdaievand F, Moghimi dehkordi B, Torkaman nejad S, Farsar A. Epidemiological features of children mortality in the area covered by Shahid Beheshti university of medical sciences in 2012. Journal of Clinical Nursing and Midwifery. 2014;3(1):62-71.
  21. Sridharan L, Crandall M. Injury and health among children in vulnerable families. Journal of Trauma and Acute Care Surgery. 2011;70(6):1539-45. [DOI:10.1097/TA.0b013e3182190b94] [PMID]
  22. Eldosoky RS. Home-related injuries among children: knowledge, attitudes and practice about first aid among rural mothers. Eastern Mediterranean health journal. 2012;18(10):1021-7. [DOI:10.26719/2012.18.10.1021]
  23. Khazaei Z, Khazaei S, Valizadeh R, et al. The Epidemiology of Injuries and Accidents in Children Under one Year of Age, during (2009-2016) in Hamadan Province, Iran. International journal of pediatrics. 2016;4(7):2213-20.
  24. Nekooee Moghadam M, Amiresmaili M, Ghorbani R, et al. Survey of under 5 year's children injury and accident's mortality causes in Kerman state-2013. Health-Based Research. 2015;1(1):1-12.
  25. Neghab M, Habibi M, Rajaeefard A, et al. Home Accidents in Shiraz during a 3-year Period (2000-2002). Journal of Kermanshah University of Medical Sciences (BEHBOOD).2007;11(4):428-440
  26. Morrongiello BA, Ondejko L, Littlejohn A. Understanding Toddlers' In-Home Injuries: II. Examining Parental Strategies, and Their Efficacy, for Managing Child Injury Risk. Journal of pediatric psychology. 2004;29(6):433-46. [DOI:10.1093/jpepsy/jsh047] [PMID]
  27. Lin SF, Hu Y, Jiang L, et al. Epidemiological study on the trend of accidental deaths among children under five in Guangzhou, 2001-2010. Zhonghua liu xing bing xue za zhi= Zhonghua liuxingbingxue zazhi. 2012;33(12):1258-60.
  28. Pickett W, Streight S, Simpson K, Brison RJ. Injuries experienced by infant children: a population-based epidemiological analysis. Pediatrics. 2003 Apr 1;111(4):e365-70. [DOI:10.1542/peds.111.4.e365] [PMID]
  29. Agran PF, Anderson C, Winn D, et al. Rates of pediatric injuries by 3-month intervals for children 0 to 3 years of age. Pediatrics. 2003;111(6):e683-92. [DOI:10.1542/peds.111.6.e683] [PMID]
  30. Sasan MS, Beykzadeh E, Saeedinejat S, et al. Epidemiology of Injuries in Toddlers and Infants (6-24 Months). Medical Journal of Mashhad University of Medical Sciences. 2011;54(4):201-6.
  31. Maddocks GB, Sibert JR, Brown BM. A four week study of accidents to children in South Glamorgan. Public Health. 1978;92(4):171-6. [DOI:10.1016/S0033-3506(78)80120-6]