In pursuit of ‘safe’ water: the burden of personal injury from water fetching in 21 low-income and middle-income countries
| Autor: | Sabrina Rasheed, Sera L Young, Zeina Jamaluddine, Hugo Melgar-Quiñonez, Amber Wutich, Ellis Adams, Mallika Alexander, Mobolanle Balogun, Genny Carrillo, Kelly Chapman, Stroma Cole, Hassan Eini-zinab, Jorge Escobar-vargas, Hala Ghattas, Ashley Hagaman, Kenneth Maes, Jyoti Mathad, Javier Moran, Nasrin Omidvar, Luisa Samayoa-figueroa, Sonali Srivastava, Chad Staddon, Andrea Sullivan, Yihenew Tesfaye, Alex Trowell, Desire Tshala-katumbay, Raymond Tutu, Justin Stoler, Alexandra Brewis, Divya Krishnakumar, Jonathan Maupin, Vidya Venkataramanan, Jo-Anne L Geere, Benjamin Thomae, Paul R Hunter, Jam Farooq Ahmed, Michael J. Boivin, Shalean M. Collins, Matthew C. Freeman, Monet Ghorbani, Wendy E. Jepson, Joshua D. Miller, Milton Marin Morales, Patrick M. Owuor, Asher Y. Rosinger, Marianne V. Santoso, Roseanne C. Schuster, Mahdieh Sheikhi, Nathaly Triviño |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Cross-sectional study injury Psychological intervention Context (language use) 010501 environmental sciences Logistic regression 01 natural sciences maternal health cross-sectional survey lcsh:Infectious and parasitic diseases 03 medical and health sciences 0302 clinical medicine Environmental health medicine Humans lcsh:RC109-216 030212 general & internal medicine Developing Countries Poverty 0105 earth and related environmental sciences Original Research lcsh:R5-920 business.industry Health Policy Public health public health Public Health Environmental and Occupational Health Water Low income and middle income countries Personal injury Africa Income Residence Female lcsh:Medicine (General) business |
| Zdroj: | BMJ Global Health BMJ Global Health, Vol 5, Iss 10 (2020) |
| ISSN: | 2059-7908 |
| Popis: | IntroductionWater fetching for household needs can cause injury, but documentation of the burden of harm globally has been limited. We described the frequency, characteristics and correlates of water-fetching injuries in 24 sites in 21 low-income and middle-income countries in Asia, Africa and Latin America and the Caribbean.MethodsIn a survey of 6291 randomly selected households, respondents reported whether and how they had experienced water-fetching injuries. Responses were coded for injury type, mechanism, bodily location and physical context. We then identified correlates of injury using a multilevel, mixed-effects logistic regression model.ResultsThirteen per cent of respondents reported at least one water-fetching injury. Of 879 injuries, fractures and dislocations were the most commonly specified type (29.2%), and falls were the most commonly specified mechanism (76.4%). Where specified, 61.1% of injuries occurred to the lower limbs, and dangerous terrain (69.4%) was the most frequently reported context. Significant correlates included being female (aOR=1.50, 95% CI 1.15 to 1.96); rural (aOR=4.80, 95% CI 2.83 to 8.15) or periurban residence (aOR=2.75, 95% CI 1.64 to 4.60); higher household water insecurity scores (aOR=1.09, 95% CI 1.07 to 1.10) and reliance on surface water (aOR=1.97, 95% CI 1.21 to 3.22) or off-premise water sources that required queueing (aOR=1.72, 95% CI 1.19 to 2.49).ConclusionThese data suggest that water-fetching injuries are an underappreciated and largely unmeasured public health challenge. We offer guidelines for comprehensive data collection on injuries to better capture the true burden of inadequate water access. Such data can guide the design of interventions to reduce injury risk and promote equitable water access solutions. |
| Databáze: | OpenAIRE |
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