Prevalence of non-fatal injuries and associated factors in Mbarara Municipality, Western Uganda, December 2016-June 2017

Background: Injuries are a significant public health problem but poorly quantified especially in low and middle-income countries. In Uganda, the burden of injuries is poorly quantified with most of the data reported being facility and mortality based. Many non-fatal injuries, therefore, remain unrep...

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Main Authors: Rebecca Nuwematsiko, Angela Nakanwagi Kisakye, David Musoke, Delia Bandoh, Lillian Bulage, Olufemi Olamide Ajumobi, Frederick Oporia, Fiston Muneza, Nino Paichadze, George Pariyo, Abdulgafoor Bachani, Olive Kobusingye, Kenneth Mugwanya, John Ssempebwa
Format: Article
Language:English
Published: African Field Epidemiology Network 2018-11-01
Series:Journal of Interventional Epidemiology and Public Health
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Online Access:https://www.afenet-journal.net/content/article/1/6/full/
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author Rebecca Nuwematsiko
Angela Nakanwagi Kisakye
David Musoke
Delia Bandoh
Lillian Bulage
Olufemi Olamide Ajumobi
Frederick Oporia
Fiston Muneza
Nino Paichadze
George Pariyo
Abdulgafoor Bachani
Olive Kobusingye
Kenneth Mugwanya
John Ssempebwa
author_facet Rebecca Nuwematsiko
Angela Nakanwagi Kisakye
David Musoke
Delia Bandoh
Lillian Bulage
Olufemi Olamide Ajumobi
Frederick Oporia
Fiston Muneza
Nino Paichadze
George Pariyo
Abdulgafoor Bachani
Olive Kobusingye
Kenneth Mugwanya
John Ssempebwa
author_sort Rebecca Nuwematsiko
collection DOAJ
description Background: Injuries are a significant public health problem but poorly quantified especially in low and middle-income countries. In Uganda, the burden of injuries is poorly quantified with most of the data reported being facility and mortality based. Many non-fatal injuries, therefore, remain unreported in communities. We conducted a household survey in Mbarara Municipality to identify and describe all non-fatal injury events and the associated factors. Methods: We conducted a cross-sectional study of non-fatal injuries among 966 household members in Mbarara Municipality, from May to June 2017. The most recent non-fatal injury (within a six-month recall period; December 2016 to June 2017) resulting in loss of at least one day of usual daily operating activity was considered. We conducted a descriptive statistical analysis to estimate the counts and frequencies of non-fatal injuries. We identified factors associated with non-fatal injuries using a modified Poisson regression model. Results: The prevalence of non-fatal injuries was 18.2% (176/966) with 92% (162/176) of the non-fatal injuries being unintentional. Falls 27.3% (48/176) were the most common cause of injury followed by road traffic injuries (RTI), 26.7% (47/176), burns 16.5% (29/176) and the least being poisoning 2.8% (5/176). Occupation as casual laborer (Adjusted PR=2.1, 95% CI: 1.2 - 3.7), urban residency (Adjusted PR=1.5, 95% CI: 1.1 - 1.9) and being a non-native of the study area (Adjusted PR=1.7, 95% CI: 1.3 - 2.3) were independently associated with non-fatal injuries. Conclusion: Almost one out of five people had suffered a non-fatal injury in the past six months in Mbarara Municipality. Majority of the non-fatal injuries were unintentional, caused by falls and RTIs, and were amongst casual labourers and urban residents. These findings reveal a gap in injury prevention in Uganda that needs to be addressed to improve the quality of life.
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spelling doaj-art-cbbd415b40fe4b41a0f026f3d832dda92025-08-20T02:24:54ZengAfrican Field Epidemiology NetworkJournal of Interventional Epidemiology and Public Health2664-28242018-11-0111117https://doi.org/10.37432/JIEPH.2018.1.1.5Prevalence of non-fatal injuries and associated factors in Mbarara Municipality, Western Uganda, December 2016-June 2017Rebecca Nuwematsiko0Angela Nakanwagi Kisakye1David Musoke2Delia Bandoh3Lillian Bulage4Olufemi Olamide Ajumobi5Frederick Oporia6Fiston Muneza7Nino Paichadze8George Pariyo9Abdulgafoor Bachani10Olive Kobusingye11Kenneth Mugwanya12John Ssempebwa13Makerere University School of Public Health, College of Health Sciences, Kampala, UgandaMakerere University School of Public Health, College of Health Sciences, Kampala, Uganda, 2 African Field Epidemiology Network, Kampala UgandaMakerere University School of Public Health, College of Health Sciences, Kampala, UgandaGhana Field Epidemiology and Laboratory Training program, Accra, GhanaPublic Health Fellowship Program/African Field Epidemiology Network, Kampala, UgandaNigeria Field Epidemiology and Laboratory Training Program, Abuja, Nigeria, 6African Field Epidemiology Network Nigeria Country Office, Abuja, NigeriaMakerere University School of Public Health, College of Health Sciences, Kampala, Uganda,Makerere University School of Public Health, College of Health Sciences, Kampala, UgandaMilken Institute School of Public Health, George Washington University, Washington, DC, USAohns Hopkins International Injury Research Unit, Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore MD, USAJohns Hopkins International Injury Research Unit, Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore MD, USAMakerere University School of Public Health, College of Health Sciences, Kampala, UgandaMakerere University School of Public Health, College of Health Sciences, Kampala, UgandaMakerere University School of Public Health, College of Health Sciences, Kampala, UgandaBackground: Injuries are a significant public health problem but poorly quantified especially in low and middle-income countries. In Uganda, the burden of injuries is poorly quantified with most of the data reported being facility and mortality based. Many non-fatal injuries, therefore, remain unreported in communities. We conducted a household survey in Mbarara Municipality to identify and describe all non-fatal injury events and the associated factors. Methods: We conducted a cross-sectional study of non-fatal injuries among 966 household members in Mbarara Municipality, from May to June 2017. The most recent non-fatal injury (within a six-month recall period; December 2016 to June 2017) resulting in loss of at least one day of usual daily operating activity was considered. We conducted a descriptive statistical analysis to estimate the counts and frequencies of non-fatal injuries. We identified factors associated with non-fatal injuries using a modified Poisson regression model. Results: The prevalence of non-fatal injuries was 18.2% (176/966) with 92% (162/176) of the non-fatal injuries being unintentional. Falls 27.3% (48/176) were the most common cause of injury followed by road traffic injuries (RTI), 26.7% (47/176), burns 16.5% (29/176) and the least being poisoning 2.8% (5/176). Occupation as casual laborer (Adjusted PR=2.1, 95% CI: 1.2 - 3.7), urban residency (Adjusted PR=1.5, 95% CI: 1.1 - 1.9) and being a non-native of the study area (Adjusted PR=1.7, 95% CI: 1.3 - 2.3) were independently associated with non-fatal injuries. Conclusion: Almost one out of five people had suffered a non-fatal injury in the past six months in Mbarara Municipality. Majority of the non-fatal injuries were unintentional, caused by falls and RTIs, and were amongst casual labourers and urban residents. These findings reveal a gap in injury prevention in Uganda that needs to be addressed to improve the quality of life.https://www.afenet-journal.net/content/article/1/6/full/injurynon fatal injuryuganda
spellingShingle Rebecca Nuwematsiko
Angela Nakanwagi Kisakye
David Musoke
Delia Bandoh
Lillian Bulage
Olufemi Olamide Ajumobi
Frederick Oporia
Fiston Muneza
Nino Paichadze
George Pariyo
Abdulgafoor Bachani
Olive Kobusingye
Kenneth Mugwanya
John Ssempebwa
Prevalence of non-fatal injuries and associated factors in Mbarara Municipality, Western Uganda, December 2016-June 2017
Journal of Interventional Epidemiology and Public Health
injury
non fatal injury
uganda
title Prevalence of non-fatal injuries and associated factors in Mbarara Municipality, Western Uganda, December 2016-June 2017
title_full Prevalence of non-fatal injuries and associated factors in Mbarara Municipality, Western Uganda, December 2016-June 2017
title_fullStr Prevalence of non-fatal injuries and associated factors in Mbarara Municipality, Western Uganda, December 2016-June 2017
title_full_unstemmed Prevalence of non-fatal injuries and associated factors in Mbarara Municipality, Western Uganda, December 2016-June 2017
title_short Prevalence of non-fatal injuries and associated factors in Mbarara Municipality, Western Uganda, December 2016-June 2017
title_sort prevalence of non fatal injuries and associated factors in mbarara municipality western uganda december 2016 june 2017
topic injury
non fatal injury
uganda
url https://www.afenet-journal.net/content/article/1/6/full/
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