130.41 Accidents increase in bad housing conditions: A cross-sectional study

Thursday, April 30, 2009
Sadrivaan A and B (The Hilton Istanbul Hotel )
Fehminaz Temel Hacettepe University, Turkey
Songül A. Vaizoglu Hacettepe University, Turkey
Objectives:
The aim of this study is to determine the prevalence of home accidents, and to evaluate the associations between housing conditions and accidents in a health center region.
Material and Methods: In this cross-sectional research, data were collected from a sample of 210 houses using two standard questionnaires, which was used in the WHO’s Large Analysis and Review of European Housing and Health Status (LARES) project, and applied by face- to-face interviews and observations. In total, 528 people participated. 
Home accidents were self-reported and questioned for the last year. A composite index is developed to assess the housing conditions. Housing conditions were accepted “bad” if the score was below the median. A logistic regression model was developed to predict the home related factors in accidents.
Results:
Of the respondents 58.3% were living in bad housing conditions. The prevalence of home accidents during last year was 21.2%. The first three most common accident types were falls, cuts, collision/striking and the mostly injured body parts were arm/upper limb, leg/lower limb, surface area of the body. Some of the items which have been involved in these accidents were construction features, kitchen equipment, and knives. The accidents were more common among females (p<0.05), people who felt tired (p<0.05), in kitchens with too little workplace (p=0.05), and houses with noise problems (p>0.05). The relative risk of home accidents was 1.76 times more (CI 95%=1.11-2.82) among respondents living in bad housing conditions.
The logistic model showed that, accidents were 2.1 times more in those living in houses where adaptations for physical constraints were lacking (CI 95%=1.026-4.242), and 1.9 times more among females (CI 95%=1.083-3.314) .
Conclusion: Accidents were common in the study group. Accident prevention should be taken into consideration from the construction period.           
Key words: Housing, home accidents, injury, LARES, housing conditions

Learning Objectives: 1. Assess the association between the housing conditions and accidents 2. Identify the prevalence of home accidents 3. Discuss the solutions for accidents, an important public health problem

Sub-Theme: Environmental and Occupational Health