Caregiver Supervision Practices and Risk of Childhood Unintentional Injury Mortality in Bangladesh

Khaula Khatlani, Olakunle Alonge, Aminur Rahman, Dewan Md. Emdadul Hoque, Al-Amin Bhuiyan, Priyanka Agrawal and Fazlur Rahman
Additional contact information
Khaula Khatlani: Johns Hopkins International Injury Research Unit, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
Olakunle Alonge: Johns Hopkins International Injury Research Unit, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
Aminur Rahman: Centre for Injury Prevention and Research, Bangladesh (CIPRB), Dhaka 1206, Bangladesh
Dewan Md. Emdadul Hoque: International Centre for Diarrheal Diseases Research in Bangladesh (ICDDR,B), Dhaka 1212, Bangladesh
Al-Amin Bhuiyan: Centre for Injury Prevention and Research, Bangladesh (CIPRB), Dhaka 1206, Bangladesh
Priyanka Agrawal: Johns Hopkins International Injury Research Unit, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
Fazlur Rahman: Centre for Injury Prevention and Research, Bangladesh (CIPRB), Dhaka 1206, Bangladesh

IJERPH, 2017, vol. 14, issue 5, 1-12

Abstract: Unintentional injury-related mortality rate, including drowning among children under five, is disproportionately higher in low- and middle-income countries. The evidence links lapse of supervision with childhood unintentional injury deaths. We determined the relationship between caregiver supervision and unintentional injury mortality among children under five in rural Bangladesh. We conducted a nested, matched, case-control study within the cohort of a large-scale drowning prevention project in Bangladesh, “SOLID—Saving of Children’s Lives from Drowning”. From the baseline survey of the project, 126 cases (children under five with unintentional injury deaths) and 378 controls (alive children under five) were selected at case-control ratio of 1:3 and individually matched on neighborhood. The association between adult caregiver supervision and fatal injuries among children under five was determined in a multivariable conditional logistic regression analysis, and reported as adjusted matched odds ratio (MOR) with 95% confidence intervals (CIs). Children under five experiencing death due to unintentional injuries, including drowning, had 3.3 times increased odds of being unsupervised as compared with alive children (MOR = 3.3, 95% CI: 1.6–7.0), while adjusting for children’s sex, age, socioeconomic index, and adult caregivers’ age, education, occupation, and marital status. These findings are concerning and call for concerted, multi-sectoral efforts to design community-level prevention strategies. Public awareness and promotion of appropriate adult supervision strategies are needed.

Keywords: childhood unintentional injuries; drowning; drowning mortality; caregiver supervision; children under five; developing country; Bangladesh (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2017
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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