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Caregiver Supervision Practices and Risk of Childhood Unintentional Injury Mortality in Bangladesh

Unintentional injury-related mortality rate, including drowning among children under five, is disproportionately higher in low- and middle-income countries. The evidence links lapse of supervision with childhood unintentional injury deaths. We determined the relationship between caregiver supervisio...

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Autores principales: Khatlani, Khaula, Alonge, Olakunle, Rahman, Aminur, Hoque, Dewan Md. Emdadul, Bhuiyan, Al-Amin, Agrawal, Priyanka, Rahman, Fazlur
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5451966/
https://www.ncbi.nlm.nih.gov/pubmed/28492502
http://dx.doi.org/10.3390/ijerph14050515
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author Khatlani, Khaula
Alonge, Olakunle
Rahman, Aminur
Hoque, Dewan Md. Emdadul
Bhuiyan, Al-Amin
Agrawal, Priyanka
Rahman, Fazlur
author_facet Khatlani, Khaula
Alonge, Olakunle
Rahman, Aminur
Hoque, Dewan Md. Emdadul
Bhuiyan, Al-Amin
Agrawal, Priyanka
Rahman, Fazlur
author_sort Khatlani, Khaula
collection PubMed
description Unintentional injury-related mortality rate, including drowning among children under five, is disproportionately higher in low- and middle-income countries. The evidence links lapse of supervision with childhood unintentional injury deaths. We determined the relationship between caregiver supervision and unintentional injury mortality among children under five in rural Bangladesh. We conducted a nested, matched, case-control study within the cohort of a large-scale drowning prevention project in Bangladesh, “SOLID—Saving of Children’s Lives from Drowning”. From the baseline survey of the project, 126 cases (children under five with unintentional injury deaths) and 378 controls (alive children under five) were selected at case-control ratio of 1:3 and individually matched on neighborhood. The association between adult caregiver supervision and fatal injuries among children under five was determined in a multivariable conditional logistic regression analysis, and reported as adjusted matched odds ratio (MOR) with 95% confidence intervals (CIs). Children under five experiencing death due to unintentional injuries, including drowning, had 3.3 times increased odds of being unsupervised as compared with alive children (MOR = 3.3, 95% CI: 1.6–7.0), while adjusting for children’s sex, age, socioeconomic index, and adult caregivers’ age, education, occupation, and marital status. These findings are concerning and call for concerted, multi-sectoral efforts to design community-level prevention strategies. Public awareness and promotion of appropriate adult supervision strategies are needed.
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spelling pubmed-54519662017-06-05 Caregiver Supervision Practices and Risk of Childhood Unintentional Injury Mortality in Bangladesh Khatlani, Khaula Alonge, Olakunle Rahman, Aminur Hoque, Dewan Md. Emdadul Bhuiyan, Al-Amin Agrawal, Priyanka Rahman, Fazlur Int J Environ Res Public Health Article Unintentional injury-related mortality rate, including drowning among children under five, is disproportionately higher in low- and middle-income countries. The evidence links lapse of supervision with childhood unintentional injury deaths. We determined the relationship between caregiver supervision and unintentional injury mortality among children under five in rural Bangladesh. We conducted a nested, matched, case-control study within the cohort of a large-scale drowning prevention project in Bangladesh, “SOLID—Saving of Children’s Lives from Drowning”. From the baseline survey of the project, 126 cases (children under five with unintentional injury deaths) and 378 controls (alive children under five) were selected at case-control ratio of 1:3 and individually matched on neighborhood. The association between adult caregiver supervision and fatal injuries among children under five was determined in a multivariable conditional logistic regression analysis, and reported as adjusted matched odds ratio (MOR) with 95% confidence intervals (CIs). Children under five experiencing death due to unintentional injuries, including drowning, had 3.3 times increased odds of being unsupervised as compared with alive children (MOR = 3.3, 95% CI: 1.6–7.0), while adjusting for children’s sex, age, socioeconomic index, and adult caregivers’ age, education, occupation, and marital status. These findings are concerning and call for concerted, multi-sectoral efforts to design community-level prevention strategies. Public awareness and promotion of appropriate adult supervision strategies are needed. MDPI 2017-05-11 2017-05 /pmc/articles/PMC5451966/ /pubmed/28492502 http://dx.doi.org/10.3390/ijerph14050515 Text en © 2017 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Khatlani, Khaula
Alonge, Olakunle
Rahman, Aminur
Hoque, Dewan Md. Emdadul
Bhuiyan, Al-Amin
Agrawal, Priyanka
Rahman, Fazlur
Caregiver Supervision Practices and Risk of Childhood Unintentional Injury Mortality in Bangladesh
title Caregiver Supervision Practices and Risk of Childhood Unintentional Injury Mortality in Bangladesh
title_full Caregiver Supervision Practices and Risk of Childhood Unintentional Injury Mortality in Bangladesh
title_fullStr Caregiver Supervision Practices and Risk of Childhood Unintentional Injury Mortality in Bangladesh
title_full_unstemmed Caregiver Supervision Practices and Risk of Childhood Unintentional Injury Mortality in Bangladesh
title_short Caregiver Supervision Practices and Risk of Childhood Unintentional Injury Mortality in Bangladesh
title_sort caregiver supervision practices and risk of childhood unintentional injury mortality in bangladesh
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5451966/
https://www.ncbi.nlm.nih.gov/pubmed/28492502
http://dx.doi.org/10.3390/ijerph14050515
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