TY  - JOUR
PY  - 2016//
TI  - Long-term health, economic, and social impact of injury in four low- and middle-income countries (Safety-2016 abstract #117)
JO  - Injury prevention
A1  - Bachani, Abdulgafoor M.
A1  - Zhang, Xiaoge Julia
A1  - Hung, Yuen Wai
A1  - Risko, Casey
A1  - Olumasegun, Rantimi
A1  - Pham, Cuong
A1  - Quang, La Ngoc
A1  - Yusoff, Muhammad Fadhli
A1  - Coelho, Sohie
A1  - Aketch, Stephanie
A1  - Stevens, Kent A.
A1  - Hyder, Adnan Ali
SP  - A43
EP  - A44
VL  - 22
IS  - Suppl 2
N2  - Background With 90% of the burden of injuries concentrated in low- and middle-income countries (LMICs), the impact on individuals, families, and society, especially in the case of non-fatal injuries, is exacerbated by the absence of insurance or social support mechanisms. There is a dearth of information in the literature on the occurrence of non-fatal injuries, and their long-term consequences. This study aims to understand the health (disability), social and economic impact of injuries in LMICs.     Methods This is a prospective cohort study of 4200 moderate to severely injured patients at seven government hospitals in four LMICs (Cambodia, Kenya, Malaysia, and Vietnam). We administer a baseline and four follow-up surveys at home (at 1, 2, 4, and 12 months after discharge) to participants about their injury, functioning and disability, medical costs, employment, household composition and roles, as well as support systems (social & economic).     Results The on-going study has enrolled 2293 individuals at the seven hospitals (Cambodia: 595, Kenya: 320, Malaysia: 284, and Vietnam: 1094). Participants are 72-84% male, with an average age of 30-42 years. The top cause of injury across all countries is road traffic injury (47-72%). The second leading cause is falls (17-20%), except for Kenya, where assaults rank second (20%) and falls rank third (16%). Changes in levels of disability, health care costs, productivity, household economic status, and roles of family members, as well as the respective influencing factors will be examined using marginal models with Generalised Estimating Equations (GEE) approach.     Conclusions Injury predominantly affects young males at their prime, having a significant impact not only on themselves, but their family as well as the society. This study will lead to a better understanding of the far reaching health, social, and economic impact of injuries. Data collected could be used to guide policy and programs in each of the implementing countries.     Abstract from Safety 2016 World Conference, 18-21 September 2016; Tampere, Finland. Copyright © 2016 The author(s), Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions   <p />  <p>Language: en</p>
LA  - en
SN  - 1353-8047
UR  - http://dx.doi.org/10.1136/injuryprev-2016-042156.117
ID  - ref1
ER  -