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Unintentional injuries in the rural population of Twiserkan, Iran: a cross-sectional study on their incidence, characteristics and preventability.

Rezapur-Shahkolai F, Naghavi M, Shokouhi M, Laflamme L - BMC Public Health (2008)

Bottom Line: An interview-based investigation was undertaken that comprised all unintentional injuries leading to hospitalization (more than 6 hours) or death that had occurred within a twelve month period and that were identified in the files of the 62 "health houses" of the Twiserkan district.Among common suggestions for prevention, people mentioned that the authorities could work on the design and engineering of the infrastructure in and around the village, that the rural health workers could contribute more with local information and education and that the people themselves could consider behaving in a safer manner.Not only domestic injuries but also those in traffic are an important cause of severe and fatal injury among rural people.

View Article: PubMed Central - HTML - PubMed

Affiliation: Division of International Health, Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden. Forouzan.Rezapur.Shahkolai@ki.se

ABSTRACT

Background: Knowledge is sparse concerning injuries affecting rural populations in low and middle-income countries in general and in Iran in particular. This study documents the incidence and characteristics of severe injuries affecting rural people in the Iranian district of Twiserkan and it investigates these people's suggestions for injury prevention and control.

Methods: An interview-based investigation was undertaken that comprised all unintentional injuries leading to hospitalization (more than 6 hours) or death that had occurred within a twelve month period and that were identified in the files of the 62 "health houses" of the Twiserkan district. For each case, semi-structured interviews were conducted at the households of the injured people (134 injuries affecting 117 households were identified).

Results: The incidence rates of fatal and non-fatal injuries were respectively 4.1 and 17.2 per 10 000 person-years and, as expected, men were more affected than women (77.6% of all injury cases). Traffic injuries (in particular among motorcyclists) were as common as home-related injuries but they were far more fatal. Among common suggestions for prevention, people mentioned that the authorities could work on the design and engineering of the infrastructure in and around the village, that the rural health workers could contribute more with local information and education and that the people themselves could consider behaving in a safer manner.

Conclusion: Not only domestic injuries but also those in traffic are an important cause of severe and fatal injury among rural people. Health workers may play an important role in injury surveillance and in identifying context-relevant means of prevention that they or other actors may then implement.

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Related in: MedlinePlus

Places of occurrence of fatal and non-fatal unintentional injury events (June 1, 2005 – May 31, 2006).
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Figure 1: Places of occurrence of fatal and non-fatal unintentional injury events (June 1, 2005 – May 31, 2006).

Mentions: Figures 1 and Figure 2 show the characteristics of the fatal and non-fatal unintentional injury circumstances (place of injury and injury mechanism). The injuries occurred in similar proportions in the home or on the road, outside the village. Traffic injury was by far the most common injury mechanism (44.8%), followed by falls (26.1%) and thereafter burns (fire/flame/heat; 11.2%). More details of these three injury mechanisms are given in the text below.


Unintentional injuries in the rural population of Twiserkan, Iran: a cross-sectional study on their incidence, characteristics and preventability.

Rezapur-Shahkolai F, Naghavi M, Shokouhi M, Laflamme L - BMC Public Health (2008)

Places of occurrence of fatal and non-fatal unintentional injury events (June 1, 2005 – May 31, 2006).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2533326&req=5

Figure 1: Places of occurrence of fatal and non-fatal unintentional injury events (June 1, 2005 – May 31, 2006).
Mentions: Figures 1 and Figure 2 show the characteristics of the fatal and non-fatal unintentional injury circumstances (place of injury and injury mechanism). The injuries occurred in similar proportions in the home or on the road, outside the village. Traffic injury was by far the most common injury mechanism (44.8%), followed by falls (26.1%) and thereafter burns (fire/flame/heat; 11.2%). More details of these three injury mechanisms are given in the text below.

Bottom Line: An interview-based investigation was undertaken that comprised all unintentional injuries leading to hospitalization (more than 6 hours) or death that had occurred within a twelve month period and that were identified in the files of the 62 "health houses" of the Twiserkan district.Among common suggestions for prevention, people mentioned that the authorities could work on the design and engineering of the infrastructure in and around the village, that the rural health workers could contribute more with local information and education and that the people themselves could consider behaving in a safer manner.Not only domestic injuries but also those in traffic are an important cause of severe and fatal injury among rural people.

View Article: PubMed Central - HTML - PubMed

Affiliation: Division of International Health, Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden. Forouzan.Rezapur.Shahkolai@ki.se

ABSTRACT

Background: Knowledge is sparse concerning injuries affecting rural populations in low and middle-income countries in general and in Iran in particular. This study documents the incidence and characteristics of severe injuries affecting rural people in the Iranian district of Twiserkan and it investigates these people's suggestions for injury prevention and control.

Methods: An interview-based investigation was undertaken that comprised all unintentional injuries leading to hospitalization (more than 6 hours) or death that had occurred within a twelve month period and that were identified in the files of the 62 "health houses" of the Twiserkan district. For each case, semi-structured interviews were conducted at the households of the injured people (134 injuries affecting 117 households were identified).

Results: The incidence rates of fatal and non-fatal injuries were respectively 4.1 and 17.2 per 10 000 person-years and, as expected, men were more affected than women (77.6% of all injury cases). Traffic injuries (in particular among motorcyclists) were as common as home-related injuries but they were far more fatal. Among common suggestions for prevention, people mentioned that the authorities could work on the design and engineering of the infrastructure in and around the village, that the rural health workers could contribute more with local information and education and that the people themselves could consider behaving in a safer manner.

Conclusion: Not only domestic injuries but also those in traffic are an important cause of severe and fatal injury among rural people. Health workers may play an important role in injury surveillance and in identifying context-relevant means of prevention that they or other actors may then implement.

Show MeSH
Related in: MedlinePlus