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Pedestrian Injuries in School Attending Children: A Comparison of Injury Data Sources in Low-Income Setting

Submission Number 750
Submitted By Jerome Nsajju
Submitted On Tuesday, September 15th, 2009 @ 02:01:13 PDT -0700
Last Updated By Josephine Walsh-Mahaux
Last Updated On Thursday, April 22nd, 2010 @ 22:58:39 PDT -0700
Record Status Approved
Approved By Josephine Walsh-Mahaux
Visit Journal Web Site injuryprevention.bmj.com
Article Publication Year 2009
Author And
Journal Reference
Department of Surgery, University of Toronto, Ontario, Canada
  P. Lee
  A Mihailovic
  A. Howard
Child Health Evaluative Sciences Research Program, Hospital for Sick Children, Toronto, Ontario, Canada
  L. Rothman
Injury Control Center, Kampala, Uganda
  M. Mutto
  M. Nakitto

Injury Prevention, April 2009, Vol. 15, Pgs.  100-104
Related Countries Uganda
Cause Of Injury V01-V09
Nature Of Injury S00-T19
Abstract OBJECTIVE:
To estimate and compare the rate of pedestrian injuries in primary school-attending children of urban Uganda using different data sources.

DESIGN:
Data collection from a hospital-based trauma registry, police data, teacher reports, and a cross-sectional community-based survey.

SETTING:
Kawempe, the largest urban district in the capital Kampala, Uganda.

PATIENTS OR SUBJECTS:
Primary school-attending children aged 4–12 from 39 randomly selected schools were included in the trauma registry, police data, and teacher reports. 1828 households randomly selected from the 39 schools were interviewed for the community survey.

MAIN OUTCOME MEASURE:
A pedestrian injury. For the trauma registry—defined as a pedestrian injury resulting in a visit to the hospital. For the police data—defined as a pedestrian injury reported to the police. For the teacher reports and survey—defined as a pedestrian injury resulting in at least a day off school.

RESULTS:
The estimated pedestrian injury rates per 100 000 person-years were 54.0 (95% CI 25.3 to 117.4), <53.97 (95% CI 23.8 to 125.9), 1878.8 (95% CI 1513.1 to 2322.4), and 764.0 (95% CI 523.3 to 1117.2) from the trauma registry, police data, teacher reports, and community survey, respectively.

CONCLUSIONS:
Pedestrian injury rates differed significantly between different data sources. Users must be aware of the different target populations, definitions, and limitations of the data sources before direct comparisons are made. Injury reports by volunteer teachers may be a feasible source of injury data in other low/middle-income countries.

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