Prevalence and factors associated with domestic accidents in children in the district of Orodara, Burkina Faso.

BACKGROUND

In West Africa, domestic accidents are generally underestimated, and only few scientific population-based studies have assessed their prevalence. When available, existing data often focus only a single type of accident. This study aimed to determine the prevalence of domestic accidents and their determinants among children aged 0-14 years in the Orodara health district in Burkina Faso.

METHODS

We surveyed a fixed number of households across all 37 villages of the Orodara health district, Kénédougou Province, Burkina Faso. The dependent variable was the occurrence of a domestic accident in a child aged 0 to 14 years, defined as an accident in the past six months that required treatment (coded 1 for "yes", and 0 for "no" otherwise). Independent variables included sociodemographic characteristics of the household and child. Data were analyzed using Stata software version 17.0, applying logistic regression with a 5% significance threshold.

RESULTS

Data from 1578 children from 802 mothers in 805 households were included in the analysis. We recorded 99 domestic accidents, corresponding to a prevalence of 6.27%. The main determinants of domestic accidents were the place of residence (adjusted odds ratio (ORa) = 2.9, 95% Confidence Interval (CI) = 1.44-5.84, p = 0.003), and the child's age, with children over 12 months being more likely to experience domestic accidents than those under 12 months.

CONCLUSION

Compared to the literature, domestic accidents are relatively uncommon in the Orodara health district of Burkina Faso, a result likely influenced by our study design. The main sociodemographic factors associated with higher injury risk were younger age and rural residence. The development of public awareness-raising strategies and campaigns may reduce the occurrence of domestic accidents in children.