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Individual-Level Predictors of Inpatient Childhood Burn Injuries: A Case-Control Study Publisher Pubmed



Sadeghibazargani H1 ; Mohammadi R2 ; Amiri S3 ; Syedi N4 ; Tabrizi A5 ; Irandoost P5 ; Safiri S6, 7
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Authors Affiliations
  1. 1. Road Traffic Injury Research Center, Department of Statistics and Epidemiology, Tabriz University of Medical Sciences, Tabriz, Iran
  2. 2. WHO Collaborating Center on Community Safety Promotion, Karolinska Institute, Stockholm, Sweden
  3. 3. Research Center of Psychiatry and Behavioral Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
  4. 4. School of Pharmacy and Medical Sciences, Sansom Institute for Health Research, University of South Australia, SA, Australia
  5. 5. Child Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
  6. 6. Managerial Epidemiology Research Center, Department of Public Health, School of Nursing and Midwifery, Maragheh University of Medical Sciences, Maragheh, Iran
  7. 7. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

Source: BMC Public Health Published:2016


Abstract

Background: Burn injuries are considered one of the most preventable public health issue among children; however, are a cause of significant morbidity and mortality in Iran. The aim of this study was to assess individual-level predictors of severe burn injuries among children leading to hospitalization, in East Azerbaijan Province, in North-West of Iran. Methods: The study was conducted through a hospital based case-control design involving 281 burn victims and 273 hospital-based controls who were frequency matched on age, gender and urbanity. Both bivariate and multivariate methods were used to analyze the data. Results: Mean age of the participants was 40.5 months (95 % CI: 37-44) with the majority of burns occurring at ages between 2 months-13.9 years. It was demonstrated that with increase in the caregiver's age there was a decrease in the odds of burn injuries (OR = 0.94, 95 % CI: 0.92-0.97). According to the multivariate logistic regression there were independent factors associated with burn injuries including childhood ADHD (OR = 2.82, 95 % CI: 1.68 - 4.76), child's age (OR = 0.73, 95%CI: 0.67 - 0.80), flammability of clothing (OR = 1.60, 95 % CI: 1.12 - 2.28), daily length of watching television (OR = 1.31, 95 % CI: 1.06 - 1.61), playing outdoors (OR = 1.32, 95 % CI: 1.16 - 1.50) and increment in the economic status (OR = 1.37, 95 % CI: 1.18 - 1.60). Conclusion: Major risk predictors of burn injuries among the Iranian population included childhood ADHD, child's age, watching television, playing outdoors, high economic status and flammable clothing. © 2016 Sadeghi-Bazargani et al.