Volume 23, Issue 1 (Apr - May 2019)                   J Qazvin Univ Med Sci 2019, 23(1): 52-61 | Back to browse issues page

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Hosseinzadeh K, Souri A, Daliri S. The Incidence and Related Risk Factors for Accidents Among Women Living in Qazvin City, Iran From 2006 to 2015. J Qazvin Univ Med Sci. 2019; 23 (1) :52-61
URL: http://journal.qums.ac.ir/article-1-2298-en.html
1- Department of Nursing, Faculty of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran.
2- Safety Promotion and Injury Prevention Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
3- Department of Epidemiology, Faculty of Health Sciences, Ilam University of Medical Sciences, Ilam, Iran. , daliri.salman@yahoo.com
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1. Introduction
njuries are damages to the structure or function of the body by an external force or agent that is above the body’s pain tolerance. Injuries are caused by intentional (suicide) and unintentional (traffic, hit, and fall) accidents [1]. Accidents are among the leading causes of mortality and disability worldwide and are considered as one of the most important public health challenges in the world [1-3]. Around the world, approximately 15000 people suffer minor injuries per day [4], and about 8.5 million people die per year due to accidents [4-6].
Accidents account for 10% of all deaths, 16% of disabilities, and 12% of the disease burden in the world, and the highest mortality rate is due to unintentional accidents. Accidents affect people of all ages and genders and impose a high socio-economic burden on developing countries [5, 7]. Accident rates are rapidly increasing in low-income and middle-income countries [4], and the deaths from accidents in these countries are expected to rise to 8.4 million per year in 2020 [8]. Women play an essential role in maintaining the health of the family and the community. As a result, the involvement of this group in accidents causes not only disability and death in them but also imposes tangible and intangible costs on the individual, family, society, and medical treatment systems.
Preventing accidents and controlling them in the community is a necessity for health and treatment, and provides conditions for promoting life expectancy and reducing their burden. For this purpose, there is a need for basic information and factors related to accidents in different geographical areas. In this regard, this study was conducted to estimate the incidence of accidents among women in Qazvin City, Iran, during 2006-2015 and evaluate the factors affecting its rate.
2. Materials and Methods
In this descriptive analytical study, the samples were all the female population admitted to hospitals in Qazvin due to accidents. Also, their data were recorded and registered in the health information system (HIS). All data related to urban and rural women were analyzed by using the Chi-squared test and univariate/multivariate logistic regression analysis in SPSS v. 16 The significance level was set at 0.05.
3. Results
There was a significant relationship between accident location and accident outcome (death or recovery) and thus, between the incidence of death and road/highway accidents (P<0.0001). Results of the univariate logistic regression analysis showed a significant relationship between the seasonal prevalence of accidents and the variables of age, accident location, accident outcome, and type of accident (P<0.0001) (Table 1). Based on the results of multivariate logistic regression analysis, after controlling confounding variables, the incidence of a hit, fall, and traffic accidents accounted for 56% of all accidents among young and adult women in Qazvin. Age, accident location, and type of accident increased by 0.006, 0.015, and 0.007 units respectively in the first 6 months of the year, compared to the second 6 months of the year. The beta coefficient value for age, accident location, and type of accident were positive (Table 2).
4. Conclusion
Based on the study results, the female population in Qazvin City are at risk of accidents. The burden of accidents in this province is high because most of the injured people are young women. The main causes of accidents were hit, car crash, fall, and suicide, and most of the accidents occurred at homes, streets, and highways. Therefore, by adopting preventive measures, increasing the safety of these locations, and drafting laws about traffic accidents, the incidence of accidents can be reduced in this province.
Ethical Considerations
Compliance with ethical guidelines

To observe the ethical principles, the researchers avoided bias in interpreting the results, kept the samples’ information and organizational secrets confidential, and conducted several analyzes to reduce possible errors.
This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
Authors' contributions
Study conceptualization, data collection, and supervision: Kazem Hosseinzadeh; Data analysis: Alireza Souri and Salman Daliri; Draft preparation, editing, and review: Salman Daliri.
Conflicts of interest
The authors declare no conflict of interest.
The authors would like to thank the Vice-Chancellor of Health Affairs at Qazvin University of Medical Sciences, heads of hospitals, and experts of medical documentation centers for their valuable cooperation.
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Type of Study: Research | Subject: Community Medicine

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