Modifiable risk factors for scald injury in children under 5 years of age: a multi-centre case–control study

Objective: To determine the relationship between a range of modifiable risk factors and medically attended scalds in children under the age of 5 years. Methods: Multicentre matched case-control study in acute hospitals, minor injury units and GP practices in four study centres in England. Cases co...

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Main Authors: Stewart, Jane, Benford, Penny, Wynn, Persephone, Watson, Craig M, Coupland, Carol, Deave, Toity, Hindmarch, Paul, Majsak-Newman, Gosia, Kendrick, Denise
Format: Article
Published: Elsevier 2016
Subjects:
Online Access:https://eprints.nottingham.ac.uk/36265/
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author Stewart, Jane
Benford, Penny
Wynn, Persephone
Watson, Craig M
Coupland, Carol
Deave, Toity
Hindmarch, Paul
Majsak-Newman, Gosia
Kendrick, Denise
author_facet Stewart, Jane
Benford, Penny
Wynn, Persephone
Watson, Craig M
Coupland, Carol
Deave, Toity
Hindmarch, Paul
Majsak-Newman, Gosia
Kendrick, Denise
author_sort Stewart, Jane
building Nottingham Research Data Repository
collection Online Access
description Objective: To determine the relationship between a range of modifiable risk factors and medically attended scalds in children under the age of 5 years. Methods: Multicentre matched case-control study in acute hospitals, minor injury units and GP practices in four study centres in England. Cases comprised 338 children under 5 presenting with a scald, and 1438 control participants matched on age, sex, date of event and study centre. Parents/caregivers completed questionnaires on safety practices, safety equipment use, home hazards and potential confounders. Odds ratios were estimated using conditional logistic regression. Results: Parents of cases were significantly more likely than parents of controls to have left hot drinks within reach of their child (adjusted odds ratio (AOR) 2.33, 95%CI 1.63, 3.31; population attributable fraction (PAF) 31%). They were more likely not to have taught children rules about climbing on kitchen objects (AOR 1.66, 95%CI 1.12, 2.47; PAF 20%); what to do or not do when parents are cooking (AOR 1.95, 95%CI 1.33, 2.85; PAF 26%); and about hot things in the kitchen (AOR 1.89, 95%CI 1.30, 2.75; PAF 26%). Conclusions: Some scald injuries may be prevented by parents keeping hot drinks out of reach of children and by teaching children rules about not climbing on objects in the kitchen, what to do or not do whilst parents are cooking using the top of the cooker and about hot objects in the kitchen. Further studies, providing a more sophisticated exploration of the immediate antecedents of scalds are required to quantify associations between other hazards and behaviours and scalds in young children.
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spelling nottingham-362652020-05-04T18:05:34Z https://eprints.nottingham.ac.uk/36265/ Modifiable risk factors for scald injury in children under 5 years of age: a multi-centre case–control study Stewart, Jane Benford, Penny Wynn, Persephone Watson, Craig M Coupland, Carol Deave, Toity Hindmarch, Paul Majsak-Newman, Gosia Kendrick, Denise Objective: To determine the relationship between a range of modifiable risk factors and medically attended scalds in children under the age of 5 years. Methods: Multicentre matched case-control study in acute hospitals, minor injury units and GP practices in four study centres in England. Cases comprised 338 children under 5 presenting with a scald, and 1438 control participants matched on age, sex, date of event and study centre. Parents/caregivers completed questionnaires on safety practices, safety equipment use, home hazards and potential confounders. Odds ratios were estimated using conditional logistic regression. Results: Parents of cases were significantly more likely than parents of controls to have left hot drinks within reach of their child (adjusted odds ratio (AOR) 2.33, 95%CI 1.63, 3.31; population attributable fraction (PAF) 31%). They were more likely not to have taught children rules about climbing on kitchen objects (AOR 1.66, 95%CI 1.12, 2.47; PAF 20%); what to do or not do when parents are cooking (AOR 1.95, 95%CI 1.33, 2.85; PAF 26%); and about hot things in the kitchen (AOR 1.89, 95%CI 1.30, 2.75; PAF 26%). Conclusions: Some scald injuries may be prevented by parents keeping hot drinks out of reach of children and by teaching children rules about not climbing on objects in the kitchen, what to do or not do whilst parents are cooking using the top of the cooker and about hot objects in the kitchen. Further studies, providing a more sophisticated exploration of the immediate antecedents of scalds are required to quantify associations between other hazards and behaviours and scalds in young children. Elsevier 2016-08-28 Article PeerReviewed Stewart, Jane, Benford, Penny, Wynn, Persephone, Watson, Craig M, Coupland, Carol, Deave, Toity, Hindmarch, Paul, Majsak-Newman, Gosia and Kendrick, Denise (2016) Modifiable risk factors for scald injury in children under 5 years of age: a multi-centre case–control study. Burns . ISSN 1879-1409 Injury prevention; Scalds; Children http://www.sciencedirect.com/science/article/pii/S0305417916302054 doi:10.1016/j.burns.2016.06.027 doi:10.1016/j.burns.2016.06.027
spellingShingle Injury prevention; Scalds; Children
Stewart, Jane
Benford, Penny
Wynn, Persephone
Watson, Craig M
Coupland, Carol
Deave, Toity
Hindmarch, Paul
Majsak-Newman, Gosia
Kendrick, Denise
Modifiable risk factors for scald injury in children under 5 years of age: a multi-centre case–control study
title Modifiable risk factors for scald injury in children under 5 years of age: a multi-centre case–control study
title_full Modifiable risk factors for scald injury in children under 5 years of age: a multi-centre case–control study
title_fullStr Modifiable risk factors for scald injury in children under 5 years of age: a multi-centre case–control study
title_full_unstemmed Modifiable risk factors for scald injury in children under 5 years of age: a multi-centre case–control study
title_short Modifiable risk factors for scald injury in children under 5 years of age: a multi-centre case–control study
title_sort modifiable risk factors for scald injury in children under 5 years of age: a multi-centre case–control study
topic Injury prevention; Scalds; Children
url https://eprints.nottingham.ac.uk/36265/
https://eprints.nottingham.ac.uk/36265/
https://eprints.nottingham.ac.uk/36265/