Repository of Research and Investigative Information

Repository of Research and Investigative Information

Ilam University of Medical Sciences

Caregiver-related predictors of thermal burn injuries among Iranian children: A casecontrol study

(2017) Caregiver-related predictors of thermal burn injuries among Iranian children: A casecontrol study. Plos One. ISSN 19326203 (ISSN)

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Official URL: https://www.scopus.com/inward/record.uri?eid=2-s2....

Abstract

Purpose Burns are a common and preventable cause of injury in children. The aim of this study was to investigate child and caregiver characteristics which may predict childhood burn injuries among Iranian children and to examine whether confounding exists among these predictors. Methods A hospital based case-control study was conducted using 281 burn victims and 273 hospital- based controls, which were matched by age, gender and place of residence (rural/ urban). The characteristics of the children and their caregivers were analyzed using crude and adjusted models to test whether these were predictors of childhood burn injuries. Results The age of the caregiver was significantly lower for burn victims than for the controls (P<0.05). Further, the amount of time the caregiver spent outdoors with the child and their economic status had a significant positive association with the odds of a burn injury (P<0.05). A multivariate logistic regression found that Type A behaviour among caregivers was independently associated with the child's odds of suffering a burn injury (OR = 1.12, 95 CI: 1.04-1.21). The research also found that children with ADHD (Inattentive subscale: Crude OR = 2.14, 95 CI: 1.16-3.95, Adjusted OR = 5.65, 95 CI: 2.53-12.61; Hyperactive subscale: Crude OR = 1.73, 95 CI: 1.23-2.41, Adjusted OR = 2.53, 95 CI: 1.65-3.87) also had increased odds of suffering a burn injury. However, several variables were identified as possible negative confounder variables, as the associations were stronger in the multivariate model than in the crude models. Conclusion The caregiver's characteristics which were predictors of burn injuries among Iranian children were: being younger, high socio-economic status, Type A behavioural pattern and spending more time outdoors. In addition, the relationship between a child's ADHD scores and the odds of a burn injury may be negatively confounded by the caregivers predictor variables. © 2017 Sadeghi-Bazargani et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Item Type: Article
Keywords: adult age Article attention deficit disorder burn caregiver child childhood injury controlled study female health behavior human Iranian people major clinical study male population based case control study prediction social status type A behavior Burns case control study Iran preschool child socioeconomics statistics and numerical data Attention Deficit Disorder with Hyperactivity Caregivers Case-Control Studies Child, Preschool Humans Socioeconomic Factors
Divisions:
Journal or Publication Title: Plos One
Journal Index: Scopus
Volume: 12
Number: 2
Identification Number: https://doi.org/10.1371/journal.pone.0170982
ISSN: 19326203 (ISSN)
Depositing User: مهندس مهدی شریفی
URI: http://eprints.medilam.ac.ir/id/eprint/1309

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