Skip to main content
Erschienen in: BMC Public Health 1/2013

Open Access 01.12.2013 | Research article

Children’s perceptions about falls and their prevention: a qualitative study from a rural setting in Bangladesh

verfasst von: Salim Mahmud Chowdhury, Leif Svanström, Lars-Gunnar Hörte, Rabiul Awal Chowdhury, Fazlur Rahman

Erschienen in: BMC Public Health | Ausgabe 1/2013

Einloggen, um Zugang zu erhalten

Abstract

Background

Childhood falls is a major public health problem in Bangladesh. In-depth understanding of the situation by the target groups and their families is necessary for successful development, implementation and evaluation of any intervention. The study aimed at knowing the views of Bangladeshi rural children about childhood falls and their suggestions for prevention.

Methods

Children of 10–17 were selected purposely from 4 villages of Sherpur Sadar upazila (sub-district), Sherpur district of Bangladesh. Six focus group discussions and ten in-depth interviews were conducted during July-August 2010 for this study. Gender and education of the participants were considered. Major themes were identified, coded and categorized from content analysis.

Results

Participants stated that young children (<5 years of age) and boys appeared to be the main victims of falls and majority of these injuries occurred in and around the households. Boys commonly fall from the tree around their premises and high places. Girls usually fall when they remain busy in household chores and playing with friends around their premises. Participants also mentioned that children mostly sustained injury when they are unsupervised. Supervision, public awareness and putting barriers (e.g. door barrier, putting pillow and use net around the bed etc.) were suggested as the preventive measures.

Conclusion

Findings of this study could be considered as part of knowledge-base in designing interventions to address childhood falls.
Literatur
1.
Zurück zum Zitat World Health Organization: Injury: A Leading Cause of the Global Burden of Disease. 2002, Geneva: WHO World Health Organization: Injury: A Leading Cause of the Global Burden of Disease. 2002, Geneva: WHO
2.
Zurück zum Zitat World Health Organization: World Report on Child Injury Prevention. 2008, Geneva: WHO World Health Organization: World Report on Child Injury Prevention. 2008, Geneva: WHO
3.
Zurück zum Zitat Bartlett S: The problem of children’s injuries in low-income countries: a review. Health Policy Plan. 2002, 17: 1-13.CrossRefPubMed Bartlett S: The problem of children’s injuries in low-income countries: a review. Health Policy Plan. 2002, 17: 1-13.CrossRefPubMed
4.
Zurück zum Zitat Khambalia A, Joshi P, Brussoni M, Raina P, Morrongiello B, Macauthur C: Risk factors for unintentional injuries due to falls in children aged 0–6 years: a systematic review. Inj Prev. 2006, 12: 378-385.CrossRefPubMedPubMedCentral Khambalia A, Joshi P, Brussoni M, Raina P, Morrongiello B, Macauthur C: Risk factors for unintentional injuries due to falls in children aged 0–6 years: a systematic review. Inj Prev. 2006, 12: 378-385.CrossRefPubMedPubMedCentral
5.
Zurück zum Zitat Chowdhury SM, Rahman A, Mashreky SR, Giashuddin S, Svanström L, Hörte LG, Linnan M, Shafinaz S, Uhaa IJ, Rahman F: Childhood fall: epidemiological findings from a population based survey in Bangladesh. Int J Disabil Hum De. 2008, 7 (1): 81-87. Chowdhury SM, Rahman A, Mashreky SR, Giashuddin S, Svanström L, Hörte LG, Linnan M, Shafinaz S, Uhaa IJ, Rahman F: Childhood fall: epidemiological findings from a population based survey in Bangladesh. Int J Disabil Hum De. 2008, 7 (1): 81-87.
6.
Zurück zum Zitat Rahman F, Andersson R, Svanström L: Health impact of injuries: a population-based epidemiological investigation in a local community of Bangladesh. J Safety Res. 1998, 29: 213-222.CrossRef Rahman F, Andersson R, Svanström L: Health impact of injuries: a population-based epidemiological investigation in a local community of Bangladesh. J Safety Res. 1998, 29: 213-222.CrossRef
7.
Zurück zum Zitat Ramsay LJ, Moreton G, Gorman DR, Blake E, Goh D, Elton RA, Beattie TF: Unintentional home injury in preschool-aged children: looking for the key – an exploration of the inter-relationship and relative importance of potential risk factors. Public Health. 2003, 117: 404-411.CrossRefPubMed Ramsay LJ, Moreton G, Gorman DR, Blake E, Goh D, Elton RA, Beattie TF: Unintentional home injury in preschool-aged children: looking for the key – an exploration of the inter-relationship and relative importance of potential risk factors. Public Health. 2003, 117: 404-411.CrossRefPubMed
8.
Zurück zum Zitat Vaughan E, Anderson C, Agran P, Winn D: Cultural differences in young children’s vulnerability to injuries: a risk and protection perspective. Health Psychol. 2004, 23: 289-298.CrossRefPubMed Vaughan E, Anderson C, Agran P, Winn D: Cultural differences in young children’s vulnerability to injuries: a risk and protection perspective. Health Psychol. 2004, 23: 289-298.CrossRefPubMed
9.
Zurück zum Zitat Rivara FP: Developmental and behavioral issues in childhood injury prevention. J Dev Behav Pediatr. 1995, 16: 362-370.CrossRefPubMed Rivara FP: Developmental and behavioral issues in childhood injury prevention. J Dev Behav Pediatr. 1995, 16: 362-370.CrossRefPubMed
10.
Zurück zum Zitat Schwebel DC, Barton BK: Contributions of multiple risk factors to child injury. J Pediatr Psychol. 2005, 30: 533-561.CrossRef Schwebel DC, Barton BK: Contributions of multiple risk factors to child injury. J Pediatr Psychol. 2005, 30: 533-561.CrossRef
11.
Zurück zum Zitat Welander G, Svanström L, Ekman R: Safety Promotion: An Introduction. 2000, Kristianstad, Sweden: Kristianstad Boktyckeri AB Welander G, Svanström L, Ekman R: Safety Promotion: An Introduction. 2000, Kristianstad, Sweden: Kristianstad Boktyckeri AB
12.
Zurück zum Zitat Munro SA, Van Niekerk A, Seedat M: Childhood unintentional injuries: the perceived impact of the environment, lack of supervision and child characteristics. Child: Care, Health & Development. 2006, 32 (3): 269-279. Munro SA, Van Niekerk A, Seedat M: Childhood unintentional injuries: the perceived impact of the environment, lack of supervision and child characteristics. Child: Care, Health & Development. 2006, 32 (3): 269-279.
13.
Zurück zum Zitat Dowd MD, Seidel JS, Sheehan K, Barlow B, Bradbard SL: Teenagers’ perceptions of personal safety and the role of the emergency health care provider. Ann Emerg Med. 2000, 36: 346-350.CrossRefPubMed Dowd MD, Seidel JS, Sheehan K, Barlow B, Bradbard SL: Teenagers’ perceptions of personal safety and the role of the emergency health care provider. Ann Emerg Med. 2000, 36: 346-350.CrossRefPubMed
14.
Zurück zum Zitat Chowdhury SM, Halim MA, Svanström L, Hörte LG, Rahman F: Parents’ perception about unintentional childhood injuries and its prevention in rural Bangladesh: a qualitative study in a local community. Int J Disabil Hum De. 2009, 2 (2): 195-202. Chowdhury SM, Halim MA, Svanström L, Hörte LG, Rahman F: Parents’ perception about unintentional childhood injuries and its prevention in rural Bangladesh: a qualitative study in a local community. Int J Disabil Hum De. 2009, 2 (2): 195-202.
15.
Zurück zum Zitat Lundberg S, Romich JL, Tsang KP: Decision-making by children. Rev Econ Househ. 2009, 7 (1): 1-30.CrossRef Lundberg S, Romich JL, Tsang KP: Decision-making by children. Rev Econ Househ. 2009, 7 (1): 1-30.CrossRef
16.
Zurück zum Zitat Barss P, Smith G, Baker S, Mohan D: Injury Prevention: An International Perspective. 1998, New York, USA: Oxford University Press Barss P, Smith G, Baker S, Mohan D: Injury Prevention: An International Perspective. 1998, New York, USA: Oxford University Press
17.
Zurück zum Zitat Gable S, Peterson L: School-age children’s attributions about their own naturally occurring minor injuries: a process analysis. J Pediatr Psychol. 1998, 23: 323-332.CrossRefPubMed Gable S, Peterson L: School-age children’s attributions about their own naturally occurring minor injuries: a process analysis. J Pediatr Psychol. 1998, 23: 323-332.CrossRefPubMed
18.
Zurück zum Zitat Bangladesh Health and Injury Survey: Report on Children. 2005, Dhaka. Bangladesh Bangladesh Health and Injury Survey: Report on Children. 2005, Dhaka. Bangladesh
19.
Zurück zum Zitat World Health Organization: The Global Burden of Disease: 2004 Update. 2008, Geneva: WHO World Health Organization: The Global Burden of Disease: 2004 Update. 2008, Geneva: WHO
20.
Zurück zum Zitat Duncan N, Van Niekerk A, Mufamadi J: Developmental Psychology: A Life-Span Perspective. Introduction to Psychology. Edited by: Nicholas L. 2003, Cape Town, South Africa: UCT Press Duncan N, Van Niekerk A, Mufamadi J: Developmental Psychology: A Life-Span Perspective. Introduction to Psychology. Edited by: Nicholas L. 2003, Cape Town, South Africa: UCT Press
21.
22.
Zurück zum Zitat Morrison A, Stone D: Unintentional childhood injury mortality in Europe 1984–93: a report from the WHO regional office for EuropeRISC working group. Inj Prev. 1999, 5: 171-176.CrossRefPubMedPubMedCentral Morrison A, Stone D: Unintentional childhood injury mortality in Europe 1984–93: a report from the WHO regional office for EuropeRISC working group. Inj Prev. 1999, 5: 171-176.CrossRefPubMedPubMedCentral
23.
Zurück zum Zitat Towner E: Injury and inequalities: bridging the gap. Int J Inj Contr Saf Promot. 2005, 12: 79-84.CrossRefPubMed Towner E: Injury and inequalities: bridging the gap. Int J Inj Contr Saf Promot. 2005, 12: 79-84.CrossRefPubMed
24.
Zurück zum Zitat Joseph VT, Melanie S, Jake MN, Christopher B, David MP, James N, Debbie S, Roderick MC: Socio-economic distribution of environmental risk factors for childhood injury. Aust N Z J Public Health. 2006, 30 (6): 514-518.CrossRef Joseph VT, Melanie S, Jake MN, Christopher B, David MP, James N, Debbie S, Roderick MC: Socio-economic distribution of environmental risk factors for childhood injury. Aust N Z J Public Health. 2006, 30 (6): 514-518.CrossRef
26.
Zurück zum Zitat Runyan CW, Marshall SW, Coyne BT, Casteel C: Commentary: recommendations for home safety research and intervention. Am J Prev Med. 2005, 28: 116-CrossRefPubMed Runyan CW, Marshall SW, Coyne BT, Casteel C: Commentary: recommendations for home safety research and intervention. Am J Prev Med. 2005, 28: 116-CrossRefPubMed
27.
Zurück zum Zitat Roberts MC: Health promotion and problem prevention in pediatric psychology: an overview. J Pediatr Psychol. 1986, 11: 147-161.CrossRefPubMed Roberts MC: Health promotion and problem prevention in pediatric psychology: an overview. J Pediatr Psychol. 1986, 11: 147-161.CrossRefPubMed
28.
Zurück zum Zitat Saluja G, Brenner R, Morrongiello BA, Haynie D, Rivera M, Cheng TL: The role of supervision in child injury risk: definition, conceptual and measurement issues. Inj Control Saf Promot. 2004, 11: 17-22.CrossRefPubMed Saluja G, Brenner R, Morrongiello BA, Haynie D, Rivera M, Cheng TL: The role of supervision in child injury risk: definition, conceptual and measurement issues. Inj Control Saf Promot. 2004, 11: 17-22.CrossRefPubMed
29.
Zurück zum Zitat Matheny AP: Accidental Injuries. Handbook of Pediatric Psychology. Edited by: Routh DK. 1988, New York: Guilford, 108-134. Matheny AP: Accidental Injuries. Handbook of Pediatric Psychology. Edited by: Routh DK. 1988, New York: Guilford, 108-134.
30.
Zurück zum Zitat Berger LH, Mohan D: Injury Control: a Global View. 1996, Delhi, India: Oxford University Press Berger LH, Mohan D: Injury Control: a Global View. 1996, Delhi, India: Oxford University Press
31.
Zurück zum Zitat Evans SA, Kohli HS: Socioeconomic status and the prevention of child home injuries: a survey of parents of preschool children. Inj Prev. 1997, 3: 29-34.CrossRefPubMedPubMedCentral Evans SA, Kohli HS: Socioeconomic status and the prevention of child home injuries: a survey of parents of preschool children. Inj Prev. 1997, 3: 29-34.CrossRefPubMedPubMedCentral
Metadaten
Titel
Children’s perceptions about falls and their prevention: a qualitative study from a rural setting in Bangladesh
verfasst von
Salim Mahmud Chowdhury
Leif Svanström
Lars-Gunnar Hörte
Rabiul Awal Chowdhury
Fazlur Rahman
Publikationsdatum
01.12.2013
Verlag
BioMed Central
Erschienen in
BMC Public Health / Ausgabe 1/2013
Elektronische ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-13-1022

Weitere Artikel der Ausgabe 1/2013

BMC Public Health 1/2013 Zur Ausgabe