Effects of the home environment on unintentional domestic injuries and related health care attendance in infants


Drachler, MD; Leite, JCD; Marshall, T; Almaleh, C; Feldens, CA; Vitolo, MR; (2007) Effects of the home environment on unintentional domestic injuries and related health care attendance in infants. Acta paediatrica (Oslo, Norway, 96 (8). pp. 1169-1173. ISSN 0803-5253 DOI: https://doi.org/10.1111/j.1651-2227.2007.00385.x

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Abstract

Aims: To examine the effects of the home environment on unintentional domestic injuries and related health care attendance in infants from deprived families. Methods: Ten mechanisms that caused unintentional domestic injury during the first year were investigated in a population-based study of 1-year-old children in southern Brazil. Odds ratios of injury-related health care attendance were estimated by number of injury mechanisms reported. Variation in number of mechanisms (in the whole sample) and odds ratios of care attendance (in children with reported injuries) were estimated for socioeconomic and psychosocial variables. Results: Among all children (394) 86% had injuries; 10.9% care attendance and 0.5% hospitalisation were reported, and 14.5% presented dental trauma. Injury-related care attendance increased with the number of injury mechanisms (linear trend OR = 1.34, 95% CI = 1.09-1.66). In multivariable linear regression, injury mechanisms increased with the number of home hazards (p = 0.047) and decreased with duration of exclusive breastfeeding (p = 0.039), maternal involvement-responsiveness (p = 0.037) and mother's paid work (p = 0.018). Injury-related health care attendance among children with reported injuries was positively associated with maternal involvement-responsiveness (OR = 2.27, 95% CI = 1.11-4.67) and home organization (OR = 2.25, 95% CI = 1.09-4.65). Conclusion: Injury control can benefit from policy and practice that improve housing, reduce home hazards and promote breastfeeding, maternal bonds, safety practices and injury care.

Item Type: Article
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology
Faculty of Epidemiology and Population Health > Dept of Population Health (2012- ) > Dept of Nutrition and Public Health Interventions Research (2003-2012)
Faculty of Epidemiology and Population Health > Dept of Population Health (2012- )
Research Centre: Centre for Maternal, Reproductive and Child Health (MARCH)
Web of Science ID: 248282500015
URI: http://researchonline.lshtm.ac.uk/id/eprint/8415

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