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...
Main Authors: | , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
MDPI AG
2017-05-01
|
Series: | International Journal of Environmental Research and Public Health |
Subjects: | |
Online Access: | http://www.mdpi.com/1660-4601/14/5/515 |
id |
doaj-f90712c601dd44a987439a503ef577dd |
---|---|
record_format |
Article |
spelling |
doaj-f90712c601dd44a987439a503ef577dd2020-11-24T22:35:07ZengMDPI AGInternational Journal of Environmental Research and Public Health1660-46012017-05-0114551510.3390/ijerph14050515ijerph14050515Caregiver Supervision Practices and Risk of Childhood Unintentional Injury Mortality in BangladeshKhaula Khatlani0Olakunle Alonge1Aminur Rahman2Dewan Md. Emdadul Hoque3Al-Amin Bhuiyan4Priyanka Agrawal5Fazlur Rahman6Johns Hopkins International Injury Research Unit, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USAJohns Hopkins International Injury Research Unit, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USACentre for Injury Prevention and Research, Bangladesh (CIPRB), Dhaka 1206, BangladeshInternational Centre for Diarrheal Diseases Research in Bangladesh (ICDDR,B), Dhaka 1212, BangladeshCentre for Injury Prevention and Research, Bangladesh (CIPRB), Dhaka 1206, BangladeshJohns Hopkins International Injury Research Unit, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USACentre for Injury Prevention and Research, Bangladesh (CIPRB), Dhaka 1206, BangladeshUnintentional 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.http://www.mdpi.com/1660-4601/14/5/515childhood unintentional injuriesdrowningdrowning mortalitycaregiver supervisionchildren under fivedeveloping countryBangladesh |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Khaula Khatlani Olakunle Alonge Aminur Rahman Dewan Md. Emdadul Hoque Al-Amin Bhuiyan Priyanka Agrawal Fazlur Rahman |
spellingShingle |
Khaula Khatlani Olakunle Alonge Aminur Rahman Dewan Md. Emdadul Hoque Al-Amin Bhuiyan Priyanka Agrawal Fazlur Rahman Caregiver Supervision Practices and Risk of Childhood Unintentional Injury Mortality in Bangladesh International Journal of Environmental Research and Public Health childhood unintentional injuries drowning drowning mortality caregiver supervision children under five developing country Bangladesh |
author_facet |
Khaula Khatlani Olakunle Alonge Aminur Rahman Dewan Md. Emdadul Hoque Al-Amin Bhuiyan Priyanka Agrawal Fazlur Rahman |
author_sort |
Khaula Khatlani |
title |
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_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_sort |
caregiver supervision practices and risk of childhood unintentional injury mortality in bangladesh |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1660-4601 |
publishDate |
2017-05-01 |
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. |
topic |
childhood unintentional injuries drowning drowning mortality caregiver supervision children under five developing country Bangladesh |
url |
http://www.mdpi.com/1660-4601/14/5/515 |
work_keys_str_mv |
AT khaulakhatlani caregiversupervisionpracticesandriskofchildhoodunintentionalinjurymortalityinbangladesh AT olakunlealonge caregiversupervisionpracticesandriskofchildhoodunintentionalinjurymortalityinbangladesh AT aminurrahman caregiversupervisionpracticesandriskofchildhoodunintentionalinjurymortalityinbangladesh AT dewanmdemdadulhoque caregiversupervisionpracticesandriskofchildhoodunintentionalinjurymortalityinbangladesh AT alaminbhuiyan caregiversupervisionpracticesandriskofchildhoodunintentionalinjurymortalityinbangladesh AT priyankaagrawal caregiversupervisionpracticesandriskofchildhoodunintentionalinjurymortalityinbangladesh AT fazlurrahman caregiversupervisionpracticesandriskofchildhoodunintentionalinjurymortalityinbangladesh |
_version_ |
1725724713651535872 |