Childhood accidents at home.
Accidents are the leading cause of death in children and a major factor in lost productive life. This case-control study investigates childhood accidents in the home by randomly surveying children presenting to a Dublin Accident and Emergency Department. Risk factors for home accidents are examined by comparing cases (those with accidental injuries sustained at home) with controls. Of the 174 accident attenders, 59.2% were boys; 66% of all surveyed were under 5 years. Cases were more likely to belong to Social Class 5-6 (P < 0.01), their fathers were less likely to be employed (p < 0.01) and mothers were less likely to be working outside the home (P < 0.01). Over 50% of injuries were due to falls (50.8%). Blows and cuts accounted for 22.6% of injuries, while 13% were due to burns, 7.9% were due to poisoning, and 5.7% due to foreign bodies. Children under 5 were more likely than older children to have been supervised at the time of the accident. Most of the injuries were minor. However, 34 children (19.5%) required hospital admission. Measures to prevent accidents at home should be targeted towards those at most risk-parents of pre-school children and the lower social class groups. Accident prevention requires a three-pronged approach i.e. environmental change, enforcement of legislation and educational measures.
Laffoy
M
M
Dept. of Public Health, Dr. Steeven's Hospital, Dublin.
D000061:Accidents, Home / Q000706:statistics & numerical data*; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007494:Ireland / Q000453:epidemiology; D008297:Male; D012959:Socioeconomic Factors; D014947:Wounds and Injuries / Q000453:epidemiology / Q000209:etiology