DEP - Apresentações orais em encontros internacionais
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- The epidemiology of burns at home in Portugal: 2023 data from the EVITA systemPublication . JORGE SILVA ALVES, TATIANA DANIELA; das Neves Pereira da Silva, Susana; Braz, Paula; Aniceto, Carlos; Papadakaki, Maria; Mexia, Ricardo; Matias-Dias, CarlosBackground/Objectives: Burns represent a relevant public health problem worldwide, occurring at all ages, particularly affecting children. The severity of the injury associated with burns can vary from mild to severe, requiring different levels of care, making it difficult to understand the magnitude of this phenomenon. The aim of the study is to describe the characteristics of burns that occurred at home using emergencies departments of the National Health Service in 2023, and to understand their associated factors. Methods: A cross-sectional study was carried out, with an analytical component of the data collected through the EVITA monitoring system, which is part of the European Injury Database. To assess the associations, we performed Pearson's Chi-square test in the bivariate analysis and logistic regression in the multivariate analysis, estimating odds ratios (OR). A significance level of 5% (p < .05) was considered. Results: In this study 1 206 episodes of admission to the Emergency Department due to burns at home were analyzed. The majority of burns were observed in children and young people up to 19 years of age (34.1%) and in females (56.5%). Burns did not occur uniformly throughout the day; in the population up to 64 years old, they were more frequent in the afternoon and evening (54.7%). The likelihood of children up to 4 years of age being treated in the emergency department due to a burn that occurred at home was 6.97 times that of the group aged 75 years or older (OR=6.97; 95% [4.77, 10.17]). The OR estimate point in the relationship between burns and sex was OR=1.74; 95% CI [1.45–2.08]. Burns at home occurring between 17:00-23:00H had the highest odds (OR=2.10; 95% CI: 1.53–2.88) compared to those observed during the early morning hours. Conclusions: Burns affect the population differently depending on age, sex, period of time in which they occur and the associated activity. These results show the need for prevention measures adapted to this reality.
- Methodological challenges in collecting and analysing data on child unintentional injuries: Insights from the CHILD Vigilance project (CHIVI) on parents’ attitudes and practicesPublication . Alves, Tatiana; Papadakaki, Maria; Silva, Susana; Braz, Paula; Vagionaki, K.The CHILD Vigilance project is a European study supported by the Injury Prevention & Safety Promotion Section of the European Public Health Association (EUPHA INJ) and aims at assessing parenting knowledge and attitudes that are relevant to supervision and risk taking in children. For children the majority of these injuries occur in or around the home when their safety is the responsibility of a parent or other caregiver. There has been considerable speculation that inadequate supervision may be an important contributing factor for understanding childhood injuries. Research indicates that inadequate supervision is the most common preventable factor that leads to death. Evidence linking supervision directly to child injury risk, however, has proven difficult to obtain, largely because of the methodological challenges in measuring supervision. The study aims contribute to the epidemiological knowledge of injuries and accidents in Greece and Portugal, through the study of the knowledge of the perceptions of parents and caregivers of children and adolescents between 0 and 14 years old. A descriptive, observational, cross-sectional study was developed in these countries during the period from february till april 2023, under the CHILD Vigilance project, without external funding, developed at European level within the scope of the Injury Prevention & Safety Promotion Section of the European Public Health Association. The information was collected by survey, from parents' associations and schools in the EU countries represented in the EUPHA INJ Section. A well-structured questionnaire was developed which was constituted by questions regarding parents and, or, caregivers’ knowledge, attitudes and risk perception towards prevention of unintentional injuries in children aged up to 14 years In this study was obtained a total of 577 valid responses, involving 890 children (53,1% male; 46,8% female), with an average age of 8,9 years old. The results revealed that almost all the parents knew about unintentional injuries (82,4 % in Greece vs 92,3% in Portugal), considered that have a big impact on children (89,8% in Greece vs 66,9% in Portugal) and injuries are preventable .(63,2% in Greece vs 88,4% in Portugal). Considering data from both countries, the analysis of the association of parents’ knowledge with their occupation showed that freelance worker or trader were those who most considered that injuries have a big impact on children (95,0% - mother; 84,7% - father). Also the fathers employee were the major group that considered injuries can be preventable (93,4%), these differences were statistically significant (p<0,01). The results may inform the design, implementation and evaluation of interventions to promote safety and prevent accidents in these both countries.