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ABSTRACT: Objective
Afghanistan, with one of the world's largest refugee populations, suffers an enormous burden of injury resulting in loss of life. This study aims to identify the epidemiology of injuries or death in the crisis-affected populations across Afghanistan and to investigate factors associated with injuries or deaths due to traumatic events.Design
Cross-sectional study.Setting
This study analysed Whole Afghanistan Assessment 2019 data. This survey geographically covered all 34 accessible provinces in Afghanistan.Participants
31 343 displaced and shock-affected households in Afghanistan.Primary and secondary outcome measures
Injury or death of household members due to traumatic events.Results
2561 (8.2%) reported at least one household member had been injured or deceased because of a significant conflict or natural disaster in the past year. Households experienced significant events such as active conflict or violence (prevalence ratio, PR=5.575, p<0.001), earthquake (PR=3.118, p=0.004), flood (PR=1.534, p=0.008) and avalanche or heavy snowfall (PR=3.450, p<0.001) were significantly associated with injury or death. The likelihood of injury or death was significantly higher for long-distance households than for households living within a 5 km radius of the nearest healthcare facilities (6-10 km: PR=1.402, p=0.030; >10 km: PR=1.560, p=0.020).Conclusion
The study provides an epidemiological profile of injuries or death in crisis-affected populations across Afghanistan. Results also suggest that certain factors place the crisis-affected populations in Afghanistan at high risk for injuries or death, which can inform the development of surveillance and prevention programmes, the monitoring of patterns over time and the formulation of healthcare policies.
SUBMITTER: Noh JW
PROVIDER: S-EPMC9723898 | biostudies-literature | 2022 Dec
REPOSITORIES: biostudies-literature
Noh Jin-Won JW Lee Lena J LJ Kim Kyoung-Beom KB Cha Jiho J Kwon Young Dae YD
BMJ open 20221205 12
<h4>Objective</h4>Afghanistan, with one of the world's largest refugee populations, suffers an enormous burden of injury resulting in loss of life. This study aims to identify the epidemiology of injuries or death in the crisis-affected populations across Afghanistan and to investigate factors associated with injuries or deaths due to traumatic events.<h4>Design</h4>Cross-sectional study.<h4>Setting</h4>This study analysed Whole Afghanistan Assessment 2019 data. This survey geographically covere ...[more]