Perception and awareness of unintentional childhood injuries among primary caregivers of children in Vellore, South Indi
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Perception and awareness of unintentional childhood injuries among primary caregivers of children in Vellore, South India: a community-based cross-sectional study using photo-elicitation method Leeberk Raja Inbaraj1,2* , Kulandaipalayam Natarajan Sindhu2,3, Lalmalsawmi Ralte2, Basir Ahmed2, Chandni Chandramouli2, Elza Rebecca Kharsyntiew2, Evelina Jane2, Joshaphine Victoria Paripooranam2, Nikhil Muduli2, Padebettu Devendra Akhilesh2, Prakash Joseph2, Renata Nappoly2, Tamma Anusha Reddy2 and Shantidani Minz2,4
Abstract Objective: We studied the primary caregivers’ perception, and further, their awareness of unintentional childhood injuries in south India. Methods: A cross-sectional study was conducted in the rural block of Kaniyambadi, Vellore, among 300 primary caregivers of children aged between 0 and 14 years. A semi-structured interview was conducted with the primary caregivers using a photo-elicitation method, with a visual depiction of ten injury risky scenarios for a child. Scoring was done to assess the perception of environmental hazards in these scenarios, and further, knowledge on the prevention of these injuries. An independent ‘t’ test was done to elicit differences in mean scores and a multivariate regression analysis was applied to ascertain factors independently associated with the scores. Results: Primary caregivers had adequate perception regarding risks posed to children in scenarios such as climbing trees (96.2%), playing near construction sites (96%), firecrackers (96.4%) and crossing unmanned roads with no traffic signals (94%). Knowledge of prevention was poor however, in the following scenarios: a woman riding a bicycle without safety features, with child pillion sitting behind bare foot and legs hanging by one side (72.6%); a child playing near a construction site (85.9%); and a child playing with plastic bags (88.3%). Overall, educational status of the primary caregiver and socioeconomic status were associated with poorer perception of risks and knowledge about unintentional childhood injuries and their prevention. (Continued on next page)
* Correspondence: [email protected] 1 Division of Community Health, Bangalore Baptist Hospital, Bangalore, Karnataka 560024, India 2 Department of Community Health, Christian Medical College, Vellore, Tamil Nadu, India Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your in
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