Analysis of the Home Accidents and Their Risk Factors in Iran: A Systematic Review and Meta-Analysis
-
Leili Abedi Gheshlaghi
,
Ayoob Rastegar
,
Maryam Moradi Binabaj
,
Hamid Reza Shoraka
,
Majid Fallahi
Abstract
Background: Home accident is among the most common type of trauma, in the second place after traffic accident. We aimed to determine the prevalence and factors affecting the occurrence of home accidents in Iran.
Methods: PubMed, Scopus, Web of Science, and national Persian databases including SID, MagIran, and Medical Articles Bank were searched for articles published until September 12, 2021. The pooled prevalence and factors affecting the occurrence of home accidents were calculated.
Results: Twenty articles were included in the meta-analysis. The pooled prevalence of home accident was 44% (95%CI: 32% to 56%). The pooled prevalence of foreign object/fall, stab or cut, suffocation, burn, poisoning and were 15% (95%CI: 10% to 20%), 24% (95%CI: 10% to 38%), 1% (95%CI:0.7% to 1.3%), 31% (95%CI:19% to 42.2%), and 6.8% (95%CI:4.2% to 429.4%), respectively.
Conclusion: The prevalence of home accidents in Iran is moderate but higher than in other countries. The findings of this review highlight the need for more attention to home accident in children and elderly in the South and Southeast regions of Iran.
1. Fraga AM, Bustorff-Silva JM, Fernandez TM, et al (2013). Children and adoles-cents deaths from trauma-related causes in a Brazilian City. World J Emerg Surg, 8 (1): 52.
2. Jagnoor J, Suraweera W, Keay L, et al (2012). Unintentional injury mortality in India, 2005: nationally representative mortality survey of 1.1 million homes. BMC Public Health, 12: 487.
3. Schneiderman, JU, Leslie LK, Hurlburt MS, et al (2012). Caregiver reports of serious injuries in children who remain at home after a child protective services investiga-tion. Matern Child Health J, 16 (2): 328-35.
4. Weir S, Salkever DS, Rivara FP, et al (2010). One-year treatment costs of trauma care in the USA. Expert Rev Pharmacoecon Outcomes Res, 10(2): 187-97.
5. Hsia RY, Ozgediz D, Mutto M, et al (2010). Epidemiology of injuries presenting to the national hospital in Kampala, Ugan-da: implications for research and policy. Int J Emerg Med, 3 (3): 165-72.
6. Paes CE, Gaspar VL (2005). Unintentional injuries in the home environment: home safety. J Pediatr (Rio J), 81:146-54.
7. Mahram M, Derakhshandeh J, Jamshidi M, Yektaparast M (2000). Study Of Emer-gency & Domestic Accidents Cases In The Patients Which Refered To The Cen-ters Of Health Services In The Province Of Zanjan In 1999. J Adv Med Biomed Res, 8 (33): 41-6.
8. Gielen AC, McDonald EM, Shields W (2015). Unintentional home injuries across the life span: problems and solu-tions. Annu Rev Public Health, 36: 231-53.
9. Peden M, Oyegbite K, Ozanne-Smith J, et al (2009). World report on child injury pre-vention. Geneva: World Health Organiza-tion; 2008. Inj Prev, 14 (1): 69.
10. Ramezani AA, Ezad Khah MH. Qoli nejad B, Amirabadi zadeh H (2011). Epidemio-logic study and relationship factors of home injuries in clienteles to Birjand hospital in 2004. Q J Rostamine, 3: 72-8.
11. Neghab M, Rajaei Fard A, Habibi M, Choobineh A (2006). Home accidents in rural and urban areas of Shiraz, 2000-02. East Mediterr Health J, 12 (6): 824-833.
12. Dianati M, Akbari H (2009). Epidemiology of home injuries in Kashan during 2005. KAUMS J (FEYZ), 12 (5): 27-32.
13. Dianati M, Lotfi MS (2015). Study of the home-related traumas in patients referred to the emergency treatment centers of Kashan, 2010-2012. Iran J Epidemiol, 11(2): 37-45.
14. Mannocci A, Waure CD, Gualano MR, et al (2013). Epidemiology of home injuries: a large observational study among adult mothers in Italy. Ann Ist Super Sanita, 49 (4): 376-82.
15. Guasticchi G, Paolo GR, Borgia P, et al (2004). Analysis of home injuries through an emergency Based surveillance system. Epidemiol, 15 (4): S155.
16. Gielen AC, Sleet D (2003). Application of behavior-change theories and methods to injury prevention. Epidemiol Rev, 25: 65-76.
17. Heidari SM, Naseri M, Akhavan H, et al (2022). The Epidemiological Pattern of Childhood Injuries and Accidents among Iranian Children: A Systematic Review. Health Providers, 1 (3): 119-29.
18. Hoy D, Brooks P, Woolf A, et al (2012). As-sessing risk of bias in prevalence studies: modification of an existing tool and evi-dence of interrater agreement. J Clin Epi-demiol, 65 (9): 934-9.
19. Biria Sh, Arshi Sh, Sadeghi H, Malek Poor N, (2008). Effective Factors on Burn In-cidence inChildren under 6 yrs in rural areas of Ardabil 2003. J Ardabil Uni Med Sci, 8 (1): 14-19.
20. Jafarian Amiri SR, Zabihi A, Aziznejad Roshan P, et al (2013). Fall at home and its related factors among the elderly in Babol city Iran. J Babol Univ Med Sci, 15 (5): 95-101.
21. Sotoudeh GR, Mohammadi R, Mo-sallanezhad Z, et al (2018). The preva-lence, circumstances and consequences of unintentional falls among elderly Iranians: A population study. Arch Gerontol Geriatr, 79: 123-30.
22. Mortazavi H, Tabatabaeichehr M, Taherpour M, Masoumi M (2018). Relationship be-tween home safety and prevalence of falls and fear of falling among elderly people: a cross-sectional study. Mater Sociomed, 30 (2): 103-107.
23. Nouhjah S, Ghanavatizadeh A, Eskandri N, Daghlavi M (2012). Prevalence of non-fatal home injuries and its related factors among children attending health centers in Ahvaz: a pilot study. Hakim Res J, 15 (3): 238-42.
24. Khosravi Sh, Ghaffari M (2003). Epidemio-logical study of home accidents in the population covered by urban and rural health centers in Shahrekord, 1999. J Shahrekord Uni Med Sci, 5 (2): 54-64.
25. Gielen AC, Bachman G, Badaki-Makun O, et al (2020). National survey of home in-juries during the time of COVID-19: who is at risk?. Inj Epidemiol, 7 (1): 63.
26. Rehman T, Sulgante S, Sekhar SK (2020). Prevalence and pattern of domestic acci-dents in the field practice area of Ja-waharlal Institute of Urban Health Cen-tre, Puducherry: a cross-sectional analyti-cal study. J Inj Violence Res, 12 (1): 1-10.
27. Gillespie LD, Robertson MC, Gillespie WJ, et al (2012). Interventions for preventing falls in older people living in the commu-nity. Cochrane Database Syst Rev, 2012(9):CD007146.
28. Almeida LM, Meucci RD, Dumith SC (2019). Prevalence of falls in elderly peo-ple: a population based study. Rev Assoc Med Bras, 65 (11): 1397-1403.
29. Tsai YJ, Yang PY, Yang YC, et al (2020). Prevalence and risk factors of falls among community-dwelling older people: results from three consecutive waves of the national health interview survey in Taiwan. BMC Geriatr, 20 (1): 529.
30. Liu M, Hou T, Li Y, et al (2021). Fear of fall-ing is as important as multiple previous falls in terms of limiting daily activities: a longitudinal study. BMC Geriatr, 21 (1): 350.
31. Farchi S, Rossi PG, Chini F, et al (2006). Unintentional home injuries reported by an emergency-based surveillance system: incidence, hospitalisation rate and mortal-ity. Accid Anal Prev, 38 (5): 843-53.
32. Kaur M, Deol R, Kaur J (2016). A descrip-tive study to assess the prevalence of home accidents in children less than ten years of age in a selected rural area. Int J Health Sci Res, 6 (3): 202-205.
33. Ahmed WA (2016). Home accidents and as-sociated factors among children less than five years old in Sudan: A descriptive study. Gulf Med J, 5(1): 10-15.
34. Al Rumhi A, Al Awisi H, Al Buwaiqi M, Al Rabaani S (2020). Home accidents among children: a retrospective study at a tertiary care center in Oman. Oman Med J, 35 (1): e85.
35. Hyder AA, Sugerman DE, Puvanachandra P, et al (2009). Global childhood uninten-tional injury surveillance in four cities in developing countries: a pilot study. Bull World Health Organ, 87 (5): 345-52.
36. CDC. Injuries among children and teens. 2019 [Available from: https: //www.cdc.gov/injury/features/child-injury/index.html].
37. Underwood P, Waterson P (2013). Accident analysis models and methods: guidance for safety professionals. Loughborough Uni-versity: Loughborough, UK. 2013 May: 28.
38. Zou K, Wynn PM, Miller P, et al (2015). Preventing childhood scalds within the home: overview of systematic reviews and a systematic review of primary stud-ies. Burns, 41 (5): 907-24.
39. Kawalec A, Pawlas K (2020). Home envi-ronment and burns in children. Burns Open, 4 (4): 167-75.
40. Brito JG, de Godoy Martins CB (2016). Queimaduras domésticas na população infantojuvenil: atendimentos de urgência e emergência. Revista Eletrônica de Enferma-gem, 18.
41. Golshan A, Patel C, Hyder AA (2013). A systematic review of the epidemiology of unintentional burn injuries in South Asia. J Public Health (Oxf), 35 (3): 384-96.
42. Martin C, Neyraud E (2021). Impact of very hot drink consumption habits, age, and sex, on taste sensitivity. Foods, 10 (5): 1139.
43. Rezapur-Shahkolai F, Afshari M, Moghimbeigi A, Hazavehei SM (2016). Home-related injuries among under-five-year children and mothers' care regarding injury prevention in rural areas. Int J Inj Contr Saf Promot, 24 (3): 354-362.
44. Jadgal MS, Vahedian-SHahroodi M, Lale-Monfared E, et al (2019). The study of domestic accidents prevention behaviors based on protection motivation theory among mothers with children less than 6 years covered by health centers in Tor-bat-Heydariyeh City. J Saf Promot Inj Prev, 7 (3): 159-65.
45. Rahimi T, Faryabi R, Javadi A (2017). Atti-tudes of women from jiroft city about prevention of home injuries in children under 5 years using protection motivation theory in 2015. J Rafsanjan Uni Med Sci, 16 (1): 17-30.
46. Nazari J, Hasirchi N (2016). Falling As a Hidden Health Problem: Trends and Prevalence of Falling Accidents at Home and Its Associated Factors in Tabriz, Iran, during 2006-2010. J Health Syst Res, 12 (2) : 152-159.
47. Dianati M, Lotfi MS (2015). Study of the home-related traumas in patients referred to the emergency treatment centers of Kashan, 2010-2012. Iran J Epidemiol, 11 (2): 37-45.
48. Vahdati SS, Karzar BH, Momen N (2015). Independent predictive factors of hospi-talization in a North-West Burn Center of Iran; an Epidemiologic Study. Emerg (Teh-ran), 3 (1):40-4.
49. Fazel MR, Fakharian E, Mahdian M, et al (2012). Demographic profiles of adult trauma during a 5 year period (2007-2011) in Kashan, IR Iran. Arch Trauma Res, 1(2): 63-6.
50. Sheikh Azadi A, Qara Daghi J, Qadiani MH (2006). Epidemiological investigation of burns leading to death in Tehran during 2004. Iran J Forensic Med, 12(3): 151-7.
51. Mohammadi R, Ekman R, Svanström L, Gooya MM (2005). Unintentional home-related injuries in the Islamic Republic of Iran: findings from the first year of a na-tional programme. Public Health, 119 (10): 919-24.
2. Jagnoor J, Suraweera W, Keay L, et al (2012). Unintentional injury mortality in India, 2005: nationally representative mortality survey of 1.1 million homes. BMC Public Health, 12: 487.
3. Schneiderman, JU, Leslie LK, Hurlburt MS, et al (2012). Caregiver reports of serious injuries in children who remain at home after a child protective services investiga-tion. Matern Child Health J, 16 (2): 328-35.
4. Weir S, Salkever DS, Rivara FP, et al (2010). One-year treatment costs of trauma care in the USA. Expert Rev Pharmacoecon Outcomes Res, 10(2): 187-97.
5. Hsia RY, Ozgediz D, Mutto M, et al (2010). Epidemiology of injuries presenting to the national hospital in Kampala, Ugan-da: implications for research and policy. Int J Emerg Med, 3 (3): 165-72.
6. Paes CE, Gaspar VL (2005). Unintentional injuries in the home environment: home safety. J Pediatr (Rio J), 81:146-54.
7. Mahram M, Derakhshandeh J, Jamshidi M, Yektaparast M (2000). Study Of Emer-gency & Domestic Accidents Cases In The Patients Which Refered To The Cen-ters Of Health Services In The Province Of Zanjan In 1999. J Adv Med Biomed Res, 8 (33): 41-6.
8. Gielen AC, McDonald EM, Shields W (2015). Unintentional home injuries across the life span: problems and solu-tions. Annu Rev Public Health, 36: 231-53.
9. Peden M, Oyegbite K, Ozanne-Smith J, et al (2009). World report on child injury pre-vention. Geneva: World Health Organiza-tion; 2008. Inj Prev, 14 (1): 69.
10. Ramezani AA, Ezad Khah MH. Qoli nejad B, Amirabadi zadeh H (2011). Epidemio-logic study and relationship factors of home injuries in clienteles to Birjand hospital in 2004. Q J Rostamine, 3: 72-8.
11. Neghab M, Rajaei Fard A, Habibi M, Choobineh A (2006). Home accidents in rural and urban areas of Shiraz, 2000-02. East Mediterr Health J, 12 (6): 824-833.
12. Dianati M, Akbari H (2009). Epidemiology of home injuries in Kashan during 2005. KAUMS J (FEYZ), 12 (5): 27-32.
13. Dianati M, Lotfi MS (2015). Study of the home-related traumas in patients referred to the emergency treatment centers of Kashan, 2010-2012. Iran J Epidemiol, 11(2): 37-45.
14. Mannocci A, Waure CD, Gualano MR, et al (2013). Epidemiology of home injuries: a large observational study among adult mothers in Italy. Ann Ist Super Sanita, 49 (4): 376-82.
15. Guasticchi G, Paolo GR, Borgia P, et al (2004). Analysis of home injuries through an emergency Based surveillance system. Epidemiol, 15 (4): S155.
16. Gielen AC, Sleet D (2003). Application of behavior-change theories and methods to injury prevention. Epidemiol Rev, 25: 65-76.
17. Heidari SM, Naseri M, Akhavan H, et al (2022). The Epidemiological Pattern of Childhood Injuries and Accidents among Iranian Children: A Systematic Review. Health Providers, 1 (3): 119-29.
18. Hoy D, Brooks P, Woolf A, et al (2012). As-sessing risk of bias in prevalence studies: modification of an existing tool and evi-dence of interrater agreement. J Clin Epi-demiol, 65 (9): 934-9.
19. Biria Sh, Arshi Sh, Sadeghi H, Malek Poor N, (2008). Effective Factors on Burn In-cidence inChildren under 6 yrs in rural areas of Ardabil 2003. J Ardabil Uni Med Sci, 8 (1): 14-19.
20. Jafarian Amiri SR, Zabihi A, Aziznejad Roshan P, et al (2013). Fall at home and its related factors among the elderly in Babol city Iran. J Babol Univ Med Sci, 15 (5): 95-101.
21. Sotoudeh GR, Mohammadi R, Mo-sallanezhad Z, et al (2018). The preva-lence, circumstances and consequences of unintentional falls among elderly Iranians: A population study. Arch Gerontol Geriatr, 79: 123-30.
22. Mortazavi H, Tabatabaeichehr M, Taherpour M, Masoumi M (2018). Relationship be-tween home safety and prevalence of falls and fear of falling among elderly people: a cross-sectional study. Mater Sociomed, 30 (2): 103-107.
23. Nouhjah S, Ghanavatizadeh A, Eskandri N, Daghlavi M (2012). Prevalence of non-fatal home injuries and its related factors among children attending health centers in Ahvaz: a pilot study. Hakim Res J, 15 (3): 238-42.
24. Khosravi Sh, Ghaffari M (2003). Epidemio-logical study of home accidents in the population covered by urban and rural health centers in Shahrekord, 1999. J Shahrekord Uni Med Sci, 5 (2): 54-64.
25. Gielen AC, Bachman G, Badaki-Makun O, et al (2020). National survey of home in-juries during the time of COVID-19: who is at risk?. Inj Epidemiol, 7 (1): 63.
26. Rehman T, Sulgante S, Sekhar SK (2020). Prevalence and pattern of domestic acci-dents in the field practice area of Ja-waharlal Institute of Urban Health Cen-tre, Puducherry: a cross-sectional analyti-cal study. J Inj Violence Res, 12 (1): 1-10.
27. Gillespie LD, Robertson MC, Gillespie WJ, et al (2012). Interventions for preventing falls in older people living in the commu-nity. Cochrane Database Syst Rev, 2012(9):CD007146.
28. Almeida LM, Meucci RD, Dumith SC (2019). Prevalence of falls in elderly peo-ple: a population based study. Rev Assoc Med Bras, 65 (11): 1397-1403.
29. Tsai YJ, Yang PY, Yang YC, et al (2020). Prevalence and risk factors of falls among community-dwelling older people: results from three consecutive waves of the national health interview survey in Taiwan. BMC Geriatr, 20 (1): 529.
30. Liu M, Hou T, Li Y, et al (2021). Fear of fall-ing is as important as multiple previous falls in terms of limiting daily activities: a longitudinal study. BMC Geriatr, 21 (1): 350.
31. Farchi S, Rossi PG, Chini F, et al (2006). Unintentional home injuries reported by an emergency-based surveillance system: incidence, hospitalisation rate and mortal-ity. Accid Anal Prev, 38 (5): 843-53.
32. Kaur M, Deol R, Kaur J (2016). A descrip-tive study to assess the prevalence of home accidents in children less than ten years of age in a selected rural area. Int J Health Sci Res, 6 (3): 202-205.
33. Ahmed WA (2016). Home accidents and as-sociated factors among children less than five years old in Sudan: A descriptive study. Gulf Med J, 5(1): 10-15.
34. Al Rumhi A, Al Awisi H, Al Buwaiqi M, Al Rabaani S (2020). Home accidents among children: a retrospective study at a tertiary care center in Oman. Oman Med J, 35 (1): e85.
35. Hyder AA, Sugerman DE, Puvanachandra P, et al (2009). Global childhood uninten-tional injury surveillance in four cities in developing countries: a pilot study. Bull World Health Organ, 87 (5): 345-52.
36. CDC. Injuries among children and teens. 2019 [Available from: https: //www.cdc.gov/injury/features/child-injury/index.html].
37. Underwood P, Waterson P (2013). Accident analysis models and methods: guidance for safety professionals. Loughborough Uni-versity: Loughborough, UK. 2013 May: 28.
38. Zou K, Wynn PM, Miller P, et al (2015). Preventing childhood scalds within the home: overview of systematic reviews and a systematic review of primary stud-ies. Burns, 41 (5): 907-24.
39. Kawalec A, Pawlas K (2020). Home envi-ronment and burns in children. Burns Open, 4 (4): 167-75.
40. Brito JG, de Godoy Martins CB (2016). Queimaduras domésticas na população infantojuvenil: atendimentos de urgência e emergência. Revista Eletrônica de Enferma-gem, 18.
41. Golshan A, Patel C, Hyder AA (2013). A systematic review of the epidemiology of unintentional burn injuries in South Asia. J Public Health (Oxf), 35 (3): 384-96.
42. Martin C, Neyraud E (2021). Impact of very hot drink consumption habits, age, and sex, on taste sensitivity. Foods, 10 (5): 1139.
43. Rezapur-Shahkolai F, Afshari M, Moghimbeigi A, Hazavehei SM (2016). Home-related injuries among under-five-year children and mothers' care regarding injury prevention in rural areas. Int J Inj Contr Saf Promot, 24 (3): 354-362.
44. Jadgal MS, Vahedian-SHahroodi M, Lale-Monfared E, et al (2019). The study of domestic accidents prevention behaviors based on protection motivation theory among mothers with children less than 6 years covered by health centers in Tor-bat-Heydariyeh City. J Saf Promot Inj Prev, 7 (3): 159-65.
45. Rahimi T, Faryabi R, Javadi A (2017). Atti-tudes of women from jiroft city about prevention of home injuries in children under 5 years using protection motivation theory in 2015. J Rafsanjan Uni Med Sci, 16 (1): 17-30.
46. Nazari J, Hasirchi N (2016). Falling As a Hidden Health Problem: Trends and Prevalence of Falling Accidents at Home and Its Associated Factors in Tabriz, Iran, during 2006-2010. J Health Syst Res, 12 (2) : 152-159.
47. Dianati M, Lotfi MS (2015). Study of the home-related traumas in patients referred to the emergency treatment centers of Kashan, 2010-2012. Iran J Epidemiol, 11 (2): 37-45.
48. Vahdati SS, Karzar BH, Momen N (2015). Independent predictive factors of hospi-talization in a North-West Burn Center of Iran; an Epidemiologic Study. Emerg (Teh-ran), 3 (1):40-4.
49. Fazel MR, Fakharian E, Mahdian M, et al (2012). Demographic profiles of adult trauma during a 5 year period (2007-2011) in Kashan, IR Iran. Arch Trauma Res, 1(2): 63-6.
50. Sheikh Azadi A, Qara Daghi J, Qadiani MH (2006). Epidemiological investigation of burns leading to death in Tehran during 2004. Iran J Forensic Med, 12(3): 151-7.
51. Mohammadi R, Ekman R, Svanström L, Gooya MM (2005). Unintentional home-related injuries in the Islamic Republic of Iran: findings from the first year of a na-tional programme. Public Health, 119 (10): 919-24.
| Files | ||
| Issue | Vol 52 No 9 (2023) | |
| Section | Review Article(s) | |
| DOI | https://doi.org/10.18502/ijph.v52i9.13568 | |
| Keywords | ||
| Home accident Prevalence Systematic review Meta-analysis Iran | ||
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How to Cite
1.
Abedi Gheshlaghi L, Rastegar A, Moradi Binabaj M, Shoraka HR, Fallahi M. Analysis of the Home Accidents and Their Risk Factors in Iran: A Systematic Review and Meta-Analysis. Iran J Public Health. 2023;52(9):1855-1865.
