Factors influencing injury or death due to traumatic events in Afghanistan’s crisis-affected populations: a cross-sectional nationwide study
Objective Afghanistan, with one of the world’s largest refugee populations, suffers an enormous burden of injury resulting in loss of life. This study aims to identify the epidemiology of injuries or death in the crisis-affected populations across Afghanistan and to investigate factors associated wi...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2022-12-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/12/e063329.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850040514612559872 |
|---|---|
| author | Jin-Won Noh Lena J Lee Young Dae Kwon Kyoung-Beom Kim Jiho Cha |
| author_facet | Jin-Won Noh Lena J Lee Young Dae Kwon Kyoung-Beom Kim Jiho Cha |
| author_sort | Jin-Won Noh |
| collection | DOAJ |
| description | Objective Afghanistan, with one of the world’s largest refugee populations, suffers an enormous burden of injury resulting in loss of life. This study aims to identify the epidemiology of injuries or death in the crisis-affected populations across Afghanistan and to investigate factors associated with injuries or deaths due to traumatic events.Design Cross-sectional study.Setting This study analysed Whole Afghanistan Assessment 2019 data. This survey geographically covered all 34 accessible provinces in Afghanistan.Participants 31 343 displaced and shock-affected households in Afghanistan.Primary and secondary outcome measures Injury or death of household members due to traumatic events.Results 2561 (8.2%) reported at least one household member had been injured or deceased because of a significant conflict or natural disaster in the past year. Households experienced significant events such as active conflict or violence (prevalence ratio, PR=5.575, p<0.001), earthquake (PR=3.118, p=0.004), flood (PR=1.534, p=0.008) and avalanche or heavy snowfall (PR=3.450, p<0.001) were significantly associated with injury or death. The likelihood of injury or death was significantly higher for long-distance households than for households living within a 5 km radius of the nearest healthcare facilities (6–10 km: PR=1.402, p=0.030; >10 km: PR=1.560, p=0.020).Conclusion The study provides an epidemiological profile of injuries or death in crisis-affected populations across Afghanistan. Results also suggest that certain factors place the crisis-affected populations in Afghanistan at high risk for injuries or death, which can inform the development of surveillance and prevention programmes, the monitoring of patterns over time and the formulation of healthcare policies. |
| format | Article |
| id | doaj-art-bb6c7adba5344d2ca1c92b06c126dba2 |
| institution | DOAJ |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-bb6c7adba5344d2ca1c92b06c126dba22025-08-20T02:56:05ZengBMJ Publishing GroupBMJ Open2044-60552022-12-01121210.1136/bmjopen-2022-063329Factors influencing injury or death due to traumatic events in Afghanistan’s crisis-affected populations: a cross-sectional nationwide studyJin-Won Noh0Lena J Lee1Young Dae Kwon2Kyoung-Beom Kim3Jiho Cha4Division of Health Administration, College of Software and Digital Healthcare Convergence, Yonsei University, Wonju, Gangwon-do, Korea (the Republic of)Translational Biobehavioral and Health Disparities Branch, National Institutes of Health Clinical Center, Bethesda, Maryland, USADepartment of Humanities and Social Medicine, College of Medicine and Catholic Institute for Healthcare Management, The Catholic University of Korea, Seoul, Korea (the Republic of)Industry-Academic Cooperation Foundation, Yonsei University, Wonju, Gangwon-do, Korea (the Republic of)Moonsoul Graduate School of Future Strategy, Korea Advanced Institute of Science and Technology, Daejeon, Korea (the Republic of)Objective Afghanistan, with one of the world’s largest refugee populations, suffers an enormous burden of injury resulting in loss of life. This study aims to identify the epidemiology of injuries or death in the crisis-affected populations across Afghanistan and to investigate factors associated with injuries or deaths due to traumatic events.Design Cross-sectional study.Setting This study analysed Whole Afghanistan Assessment 2019 data. This survey geographically covered all 34 accessible provinces in Afghanistan.Participants 31 343 displaced and shock-affected households in Afghanistan.Primary and secondary outcome measures Injury or death of household members due to traumatic events.Results 2561 (8.2%) reported at least one household member had been injured or deceased because of a significant conflict or natural disaster in the past year. Households experienced significant events such as active conflict or violence (prevalence ratio, PR=5.575, p<0.001), earthquake (PR=3.118, p=0.004), flood (PR=1.534, p=0.008) and avalanche or heavy snowfall (PR=3.450, p<0.001) were significantly associated with injury or death. The likelihood of injury or death was significantly higher for long-distance households than for households living within a 5 km radius of the nearest healthcare facilities (6–10 km: PR=1.402, p=0.030; >10 km: PR=1.560, p=0.020).Conclusion The study provides an epidemiological profile of injuries or death in crisis-affected populations across Afghanistan. Results also suggest that certain factors place the crisis-affected populations in Afghanistan at high risk for injuries or death, which can inform the development of surveillance and prevention programmes, the monitoring of patterns over time and the formulation of healthcare policies.https://bmjopen.bmj.com/content/12/12/e063329.full |
| spellingShingle | Jin-Won Noh Lena J Lee Young Dae Kwon Kyoung-Beom Kim Jiho Cha Factors influencing injury or death due to traumatic events in Afghanistan’s crisis-affected populations: a cross-sectional nationwide study BMJ Open |
| title | Factors influencing injury or death due to traumatic events in Afghanistan’s crisis-affected populations: a cross-sectional nationwide study |
| title_full | Factors influencing injury or death due to traumatic events in Afghanistan’s crisis-affected populations: a cross-sectional nationwide study |
| title_fullStr | Factors influencing injury or death due to traumatic events in Afghanistan’s crisis-affected populations: a cross-sectional nationwide study |
| title_full_unstemmed | Factors influencing injury or death due to traumatic events in Afghanistan’s crisis-affected populations: a cross-sectional nationwide study |
| title_short | Factors influencing injury or death due to traumatic events in Afghanistan’s crisis-affected populations: a cross-sectional nationwide study |
| title_sort | factors influencing injury or death due to traumatic events in afghanistan s crisis affected populations a cross sectional nationwide study |
| url | https://bmjopen.bmj.com/content/12/12/e063329.full |
| work_keys_str_mv | AT jinwonnoh factorsinfluencinginjuryordeathduetotraumaticeventsinafghanistanscrisisaffectedpopulationsacrosssectionalnationwidestudy AT lenajlee factorsinfluencinginjuryordeathduetotraumaticeventsinafghanistanscrisisaffectedpopulationsacrosssectionalnationwidestudy AT youngdaekwon factorsinfluencinginjuryordeathduetotraumaticeventsinafghanistanscrisisaffectedpopulationsacrosssectionalnationwidestudy AT kyoungbeomkim factorsinfluencinginjuryordeathduetotraumaticeventsinafghanistanscrisisaffectedpopulationsacrosssectionalnationwidestudy AT jihocha factorsinfluencinginjuryordeathduetotraumaticeventsinafghanistanscrisisaffectedpopulationsacrosssectionalnationwidestudy |