Prevalence and factors associated with road traffic incident among adolescents and children in the hospitals of Amhara National Regional State, Ethiopia
Tóm tắt
Road Traffic Incident (RTI) has been commonly reported as a major public health problem around the world and the incidence is higher in low and middle income countries, such as Ethiopia than high income countries. The aim of this study was to assess the prevalence and factors associated with RTI among adolescents and children in the hospitals of Amhara Regional State, Ethiopia. A cross-sectional study design was employed among 830 injured children visiting the Emergency Department of four randomly selected hospitals of Amhara Regional State, Ethiopia between February 1 and April 30, 2016. Data were entered into EPI info version 7 and then exported to SPSS version 20, for further analysis. Univariable and multivariable logistic regression models were fitted. Adjusted odds ratio with its 95% confidence interval was used to determine the statistical significance. The overall prevalence of RTI, from all injury cases, was 20%. Socioeconomic status, being wealthy (AOR: 0.08, 95% CI, 0.01, 0.45) and middle income (AOR: 0.40,95% CI, 0.17, 0.97), parental/guardian education/no education (AOR: 6.91, 95% CI, 2.52, 8.93), mothers marital status/divorced (AOR: 0.01, 95% CI, 0.01, 0.05), and leaving a child with another child for sometime (AOR: 2.56, CI 1.06, 6.20) and most often (AOR: 4.77, CI, 1.15, 9.77) were factors independently associated with RTI . The prevalence of RTI was found to be high. RTI prevention needs critical consideration and the intervention strategies shall focus on those families who are practicing of leaving a child with another child.
Tài liệu tham khảo
Mthuli N, Charles L, Steve K, Victor M. Mortality in Africa: The Share of Road Traffic Fatalities African Development Bank; 2013.
WHO. Road traffic injuries. 2016.
Girma B, Getu S. Causes of road traffic accidents and possible counter measures on Addis ababa-Shashemene roads. Addis Ababa University Institutional Repositor. 2008.
Ludvigsson JF, Stiris T, Del Torso S, Mercier JC, Valiulis A, Hadjipanayis A. European academy of Paediatrics statement: vision zero for child deaths in traffic accidents. Eur J Pediatr. 2017;176(2):291–2.
Kilbey P. Reported road actuality in Great Britain 2011 annual report Great Britain national statistics 2011.
Brook A. Ethiopia among worst in traffic safety. Addis FORTUNE. 2015;780.
Total Ethiopia. Djibouti corridor road safety awareness campaign: Total Ethiopia in collaboration with the Federal Road Transport Authority (FRTA); 2015.
Fesseha HM, Sileshi T. Road traffic accident: the neglected health problem in Amhara National Regional State, Ethiopia. Ethiop J Health Dev. 2014;28(1).
Woldemichael K, Berhanu N. Magnitude and pattern of injury in Jimma university specialized hospital, south West Ethiopia. Ethiop J Health Sci. 2011;21(3):155–65.
Persson A. Road traffic accidents in Ethiopia: magnitude, causes and possible interventions. Advances in transportation studies. 2008;2008(15):5–16.
Ghaffar A, Hyder AA, Masud TI. The burden of road traffic injuries in developing countries: the 1st national injury survey of Pakistan. Public Health. 2004;118(3):211–7.
Jalalvandi F, Arasteh P, Safari Faramani R, Esmaeilivand M. Epidemiology of pediatric trauma and its patterns in Western Iran: a hospital based experience. Global J Health Sci. 2015;8(6):139–46.
PretoriusI CJ, FirthII GB. Road traffic accidents and orthopaedic injuries in children, vol. 9: SA orthop j Pretoria Jan; 2010. p. 3.
Kundal VK, Debnath PR, Sen A. Epidemiology of pediatric trauma and its pattern in urban India: a tertiary care hospital-based experience. J. Indian Assoc. Pediatr. Surg. 2017;22(1):33–7.
Mallikarjuna GP, Latha GS, Veeresh Babu DV, Thejraj HK. Prevalence of road traffic accident in children: retrospective study in tertiary Centre. Int J Contemp Pediatr. 2017;4(2).
Gupta RP, de Wit ML, McKeown D. The impact of poverty on the current and future health status of children. Paediatr Child Health. 2007;12(8):667–72.