title: Risk factors for injuries in landslide- and flood-affected populations in Uganda.
abstract: BACKGROUND
  The frequency of occurrence of natural disasters has increased over the past several decades, which necessitates a better understanding of human vulnerability, particularly in low-resource settings. This paper assesses risk factors for injury in the March 2010 floods and landslides in Eastern Uganda, and compares the effects of location, injury type, and severity.
  
  
  METHODS
  A stratified cluster survey of the disaster-affected populations was conducted five months after onset of the disasters. Probability proportional to size sampling was used to sample 800 households, including 400 affected by floods in Butaleja District and 400 affected by landslides in Bududa District.
  
  
  RESULTS
  Flood- and landslide-affected populations were surveyed in July 2010 using a stratified cluster design. The odds of injury were 65% higher in the flood-affected groups than the landslide-affected groups in a logistic regression (OR = 0.35; 95% CI, 0.24-0.52; P < .001). The injury rate was greater in individuals under 42 years of age, and location of injury was a contributing factor. More people were injured in the flood-affected population as compared with the landslide-affected population, and injuries were more severe.
  
  
  CONCLUSIONS
  This study illustrates differences between populations injured by flood and landslide disasters that occurred simultaneously in Eastern Uganda in 2010. In areas where landslides are prone to occur due to massive rainfalls or floods, preventative measures, such as early warning systems and evacuation, are more likely to increase the likelihood of people surviving, while for areas with massive floods, immediate and effective medical attention can save lives and improve injury outcomes.
authors.affiliation: International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
authors.forename: Shreya
authors.initials: S
authors.lastname: Agrawal
authors.forename: Tisha
authors.initials: T
authors.lastname: Gopalakrishnan
authors.forename: Yuri
authors.initials: Y
authors.lastname: Gorokhovich
authors.forename: Shannon
authors.initials: S
authors.lastname: Doocy
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D002648:Child; D002675:Child, Preschool; D016000:Cluster Analysis; D004190:Disasters; D055868:Floods; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D055876:Landslides; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D017678:Sex Distribution; D015599:Trauma Severity Indices; D014454:Uganda; D014947:Wounds and Injuries / Q000145:classification* / Q000209:etiology; D055815:Young Adult