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

doi:10.1371/journal.pone.0170982

. 2017 Feb 2;12(2):e0170982.

doi: 10.1371/journal.pone.0170982. eCollection 2017.

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

Homayoun Sadeghi-Bazargani^{1

2}, Reza Mohammadi², Erfan Ayubi³, Amir Almasi-Hashiani⁴, Reza Pakzad⁵, Mark J M Sullman⁶, Saeid Safiri^{7

8}

Affiliations

¹ Road Traffic Injury Research Center, Department of Statistics & Epidemiology, Tabriz University of Medical Sciences, Tabriz, Iran.
² WHO Collaborating Center on Community Safety Promotion, Karolinska Institute, Stockholm, Sweden.
³ Department of Epidemiology, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
⁴ Department of Epidemiology and Reproductive Health, Reproductive Epidemiology Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran.
⁵ Student Research Committee, Ilam University of Medical Sciences, Ilam, Iran.
⁶ Driving Research Group, Cranfield University, Bedfordshire, United Kingdom.
⁷ Managerial Epidemiology Research Center, Department of Public Health, School of Nursing and Midwifery, Maragheh University of Medical Sciences, Maragheh, Iran.
⁸ Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

PMID: 28151942
PMCID: PMC5289537
DOI: 10.1371/journal.pone.0170982

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

Homayoun Sadeghi-Bazargani et al. PLoS One. 2017.

. 2017 Feb 2;12(2):e0170982.

doi: 10.1371/journal.pone.0170982. eCollection 2017.

Authors

Homayoun Sadeghi-Bazargani^{1

2}, Reza Mohammadi², Erfan Ayubi³, Amir Almasi-Hashiani⁴, Reza Pakzad⁵, Mark J M Sullman⁶, Saeid Safiri^{7

8}

Affiliations

¹ Road Traffic Injury Research Center, Department of Statistics & Epidemiology, Tabriz University of Medical Sciences, Tabriz, Iran.
² WHO Collaborating Center on Community Safety Promotion, Karolinska Institute, Stockholm, Sweden.
³ Department of Epidemiology, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
⁴ Department of Epidemiology and Reproductive Health, Reproductive Epidemiology Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran.
⁵ Student Research Committee, Ilam University of Medical Sciences, Ilam, Iran.
⁶ Driving Research Group, Cranfield University, Bedfordshire, United Kingdom.
⁷ Managerial Epidemiology Research Center, Department of Public Health, School of Nursing and Midwifery, Maragheh University of Medical Sciences, Maragheh, Iran.
⁸ Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

PMID: 28151942
PMCID: PMC5289537
DOI: 10.1371/journal.pone.0170982

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.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

**Fig 1. The two factor uncorrelated model of Type A personality, as suggested by Nadjarian et al. [26].**

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References

1. World Health Organization. WHO launches new document on burn prevention and care 2008 [cited 2008]. Available from: http://www.who.int/violence_injury_prevention/media/news/13_03_2008/en/.
1. Chandran A, Hyder AA, Peek-Asa C. The global burden of unintentional injuries and an agenda for progress. Epidemiologic reviews. 2010:mxq009. - PMC - PubMed
1. Othman N, Kendrick D. Epidemiology of burn injuries in the East Mediterranean Region: a systematic review. BMC public health. 2010;10(1):83. - PMC - PubMed
1. Sadeghi-Bazargani H, Mohammadi R. Epidemiology of burns in Iran during the last decade (2000–2010): review of literature and methodological considerations. Burns. 2012;38(3):319–29. 10.1016/j.burns.2011.09.025 - DOI - PubMed
1. Sadeghi-Bazargani H, Mohammadi R. Unintentional domestic burns in Iran: Analysis of 125,000 cases from a national register. Burns. 2013;39(6):1304–10. 10.1016/j.burns.2013.02.013 - DOI - PubMed

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[1] World Health Organization. WHO launches new document on burn prevention and care 2008 [cited 2008]. Available from: http://www.who.int/violence_injury_prevention/media/news/13_03_2008/en/.

[2] World Health Organization. WHO launches new document on burn prevention and care 2008 [cited 2008]. Available from: http://www.who.int/violence_injury_prevention/media/news/13_03_2008/en/.

[3] Chandran A, Hyder AA, Peek-Asa C. The global burden of unintentional injuries and an agenda for progress. Epidemiologic reviews. 2010:mxq009. - PMC - PubMed

[4] Chandran A, Hyder AA, Peek-Asa C. The global burden of unintentional injuries and an agenda for progress. Epidemiologic reviews. 2010:mxq009. - PMC - PubMed

[5] Othman N, Kendrick D. Epidemiology of burn injuries in the East Mediterranean Region: a systematic review. BMC public health. 2010;10(1):83. - PMC - PubMed

[6] Othman N, Kendrick D. Epidemiology of burn injuries in the East Mediterranean Region: a systematic review. BMC public health. 2010;10(1):83. - PMC - PubMed

[7] Sadeghi-Bazargani H, Mohammadi R. Epidemiology of burns in Iran during the last decade (2000–2010): review of literature and methodological considerations. Burns. 2012;38(3):319–29. 10.1016/j.burns.2011.09.025 - DOI - PubMed

[8] Sadeghi-Bazargani H, Mohammadi R. Epidemiology of burns in Iran during the last decade (2000–2010): review of literature and methodological considerations. Burns. 2012;38(3):319–29. 10.1016/j.burns.2011.09.025 - DOI - PubMed

[9] Sadeghi-Bazargani H, Mohammadi R. Unintentional domestic burns in Iran: Analysis of 125,000 cases from a national register. Burns. 2013;39(6):1304–10. 10.1016/j.burns.2013.02.013 - DOI - PubMed

[10] Sadeghi-Bazargani H, Mohammadi R. Unintentional domestic burns in Iran: Analysis of 125,000 cases from a national register. Burns. 2013;39(6):1304–10. 10.1016/j.burns.2013.02.013 - DOI - PubMed

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

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

Authors

Affiliations

Abstract

Conflict of interest statement

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