{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,21]],"date-time":"2025-12-21T17:52:32Z","timestamp":1766339552146,"version":"build-2065373602"},"reference-count":29,"publisher":"BMJ","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Epidemiol Community Health"],"published-print":{"date-parts":[[1995,4]]},"abstract":"<jats:p>STUDY OBJECTIVE--To study risk factors for childhood burns in order to identify possible preventive strategies. DESIGN--Case-control design with pair matching of controls to cases in relation to age, sex, and area of residence. The cases and controls were identified by a community based, multisite survey. The effects of host and socioenvironmental variables reported by mothers were investigated in a multivariate analysis using conditional logistic regression. SETTING--A developing country setting the Ashanti Region in Ghana. PARTICIPANTS--These comprised 610 cases aged 0-5 years who had been burned (as evidenced by a visible scar) and 610 controls with no burn history. MAIN RESULTS--The presence of a pre-existing impairment in a child was the strongest risk factor in this population (OR = 6.71; 95% CI 2.78, 16.16). Other significant risk factor included: sibling death from a burn (OR = 4.41; 95% CI 1.16, 16.68); history of burn in a sibling (OR = 1.79; 95% CI 1.24, 2.58); and storage of a flammable substance in the home (OR = 1.51; 95% CI 1.03; 2.21). Maternal education had a protective effect against childhood burns, although this effect was not strong (OR = 0.76; 95% CI 0.55, 1.05). CONCLUSIONS--Community programmes to ensure adequate child supervision and general child wellbeing, particularly for those with impairments, as well as parental education about burns are recommended, to reduce childhood burns in this region of Ghana. The public should bed advised against storing flammable substances in the home.<\/jats:p>","DOI":"10.1136\/jech.49.2.189","type":"journal-article","created":{"date-parts":[[2008,11,12]],"date-time":"2008-11-12T15:10:54Z","timestamp":1226502654000},"page":"189-193","source":"Crossref","is-referenced-by-count":56,"title":["Risk factors for childhood burns: a case-control study of Ghanaian children."],"prefix":"10.1136","volume":"49","author":[{"given":"S N","family":"Forjuoh","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B","family":"Guyer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D M","family":"Strobino","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P M","family":"Keyl","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Diener-West","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G S","family":"Smith","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1995,4,1]]},"reference":[{"key":"ref_1","article-title":"Injury prevention in developing countries","author":"Wintemute, G.J.","year":"1984","unstructured":"Wintemute GJ, Baker SP, Mohan D, Teret S eds. Injury prevention in developing countries. Baltimore, MC: The Johns Hopkins University, 1984."},{"key":"ref_2","first-page":"227","article-title":"Accidents in children, adolescents and young adults: a major public health problem","volume":"39","author":"Manciaux, M.; Romer, C.J.","year":"1986","unstructured":"Manciaux M, Romer CJ. Accidents in children, adolescents and young adults: a major public health problem. World Health Stat Q 1986;39:227-31.","journal-title":"World Health Stat Q"},{"key":"ref_3","first-page":"73","article-title":"Ghana Health Assessment Project Team. A quantitative method of assessing the health impact of different diseases in less developed countries","volume":"10","year":"1981","unstructured":"Ghana Health Assessment Project Team. A quantitative method of assessing the health impact of different diseases in less developed countries. IntrjEpidemiol 1981;10:73-80.","journal-title":"IntrjEpidemiol"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1093\/oxfordjournals.epirev.a036070","article-title":"Unintentional injuries in developing countries: the epidemiology of a neglected problem","volume":"13","author":"Smith, G.S.; Barss, P.","year":"1991","unstructured":"Smith GS, Barss P. Unintentional injuries in developing countries: the epidemiology of a neglected problem. Epidemiologic Reviews 1991;13:228-66.","journal-title":"Epidemiologic Reviews"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1016\/0305-4179(87)90129-X","article-title":"Hospital management of massive bums in the developing countries","volume":"13","author":"Onuba 0, Udoidiok E","year":"1987","unstructured":"Onuba 0, Udoidiok E. Hospital management of massive bums in the developing countries. 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The causes, cost and prevention of childhood bums injuries. Am _7 Dis Child 1990;144: 677-83.","journal-title":"Am _7 Dis Child"},{"key":"ref_9","first-page":"23","article-title":"Bums in childhood and early adolescence","volume":"46","author":"Sridhar, R.B.","year":"1966","unstructured":"Sridhar RB. Bums in childhood and early adolescence. I Indian Med Assoc 1966;46:23-27.","journal-title":"I Indian Med Assoc"},{"key":"ref_10","first-page":"216","article-title":"Bums in Western Nigeria","volume":"22","author":"Oluwasanmi, J.O.","year":"1969","unstructured":"Oluwasanmi JO. Bums in Western Nigeria. Br 7 Plast Surg 1969;22: 216-223."},{"key":"ref_11","first-page":"26","article-title":"Bums and child abuse","volume":"7","author":"Ofodile, F.; Norris, J.; Games, A.","year":"1979","unstructured":"Ofodile F, Norris J, Games A. Bums and child abuse. 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Ghana demographic and health survey 1988","author":"Institute for Resources Development\/Macro Systems","year":"1989","unstructured":"Ghana Statistical Service. Ghana demographic and health survey 1988. Accra, Ghana. Columbia, MA: Institute for Resources Development\/Macro Systems, 1989."},{"key":"ref_22","article-title":"The treatment of burns","author":"Wallace, A.B.","year":"1941","unstructured":"Wallace AB. The treatment of burns. London: Oxford Universty Press, 1941."},{"key":"ref_23","article-title":"Version 5: a word processing, database, and statistics program for epidemiology on microcomputers","author":"Dean, A.G.; Dean, J.A.; Burton, A.H.; Info, Dicker R.C.Epi","year":"1990","unstructured":"Dean AG, Dean JA, Burton AH, Dicker RC. Epi Info, Version 5: a word processing, database, and statistics program for epidemiology on microcomputers. Stone Mountain, Georgia: USD, 1990."},{"key":"ref_24","article-title":"language and procedures: Usage, version 6","author":"SAS Institute Inc., SAS","year":"1989","unstructured":"SAS Institute Inc., SAS language and procedures: Usage, version 6. Cary, NC: SAS Institute, 1989."},{"key":"ref_25","article-title":"EGRET Epidemiological graphics, estimation and testing package. Seattle, WA: Statistics and","year":"1988","unstructured":"EGRET Epidemiological graphics, estimation and testing package. Seattle, WA: Statistics and Epidemiology Research Corporation, 1988.","journal-title":"Epidemiology Research Corporation"},{"key":"ref_26","article-title":"Applied logistic regression","author":"Hosmer, D.W.; Lemeshow, S.","year":"1989","unstructured":"Hosmer DW, Lemeshow S. Applied logistic regression. New York: John Wiley & Sons, 1989."},{"issue":"16","key":"ref_27","first-page":"590","article-title":"'Leopard skin' as a rapid diagnostic index for estimating the endemicity of African onchoserciasis","volume":"1987","author":"Edungbola, L.D.; Alabi, T.O.; Oni, G.A.; Asaolu, S.O.; Ogunbanjo, B.O.; Parakoyi, B.D.","unstructured":"Edungbola LD, Alabi TO, Oni GA, Asaolu SO, Ogunbanjo BO, Parakoyi BD. 'Leopard skin' as a rapid diagnostic index for estimating the endemicity of African onchoserciasis. Int]t Epidemiol 1987,16:590-4.","journal-title":"Int]t Epidemiol"},{"key":"ref_28","first-page":"117","volume":"17","author":"McLaren, D.S.; Shirajain, E.; Tchallian, M.","year":"1965","unstructured":"McLaren DS, Shirajain E, Tchallian M, et al. Xerophthalmia in Jordan. AmJClin Nutr 1965;17:117-20.","journal-title":"Xerophthalmia in Jordan. AmJClin Nutr"},{"key":"ref_29","article-title":"Penry JK (eds). Antiepileptic drug therapy in pediatrics","author":"Morselli, P.L.; Pippenger, C.E.","year":"1983","unstructured":"Morselli PL, Pippenger CE, Penry JK (eds). Antiepileptic drug therapy in pediatrics. 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