Evidence map›Paper›PMID 40493309›Full record

ArticleJournal of epidemiology and global health2025

Unintentional Injuries Requiring Medical Attention in Low-Income and Middle-Income Countries: Evidence from Nationally Representative surveys in 12 Countries.

Leila Ghalichi, Albertino Damasceno, David Flood, Pascal Geldsetzer, Mongal Gurung, Maja Marcus, Kibachio Joseph Mwangi, Sebastian Vollmer, Michaela Theilmann, Justine Davies

Abstract read
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Article in Journal of epidemiology and global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Leila GhalichiDepartment of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Birmingham, UK. L.Ghalichi@bham.ac.uk.
Albertino DamascenoFaculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique.
David FloodDepartment of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
Pascal GeldsetzerDivision of Primary Care and Population Health, Stanford University, Stanford, CA, USA.
Mongal GurungPolicy and Planning Division, Ministry of Health, Thimphu, Bhutan.
Maja MarcusDivision of Infectious Diseases, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Kibachio Joseph MwangiDivision of Non-Communicable Diseases, Ministry of Health, Nairobi, Kenya.
Sebastian VollmerDepartment of Economics and Centre for Modern Indian Studies, University of Goettingen, Göttingen, Germany.
Michaela Theilmann *Division of Infectious Diseases, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Justine Davies *Department of Applied Health Sciences, College of Medicine and Health, University of Birmingham, Birmingham, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite a high burden of injuries in low-income and middle-income countries (LMICs), a lack of empirical evidence on mechanism, location, and distribution of unintentional injuries requiring medical attention (hereafter injuries) hinders informed health system policy development.

methodsUsing individual-level data from nationally representative surveys conducted in LMICs between 2014-2019, we describe the weighted annual prevalence of non-fatal injuries, their mechanisms, environments in which they occur, and characteristics of people injured, in individuals aged 15-64 years. Multivariable logistic regression models were estimated to evaluate associations of injuries with individual-level characteristics.

resultsWe included data on 47,747 participants from 12 LMICs in four WHO regions. The weighted prevalence of non-fatal injuries in the past year was 6.8% (95% CI: 6.3%-7.2%); men suffered a greater prevalence of injuries than women (8.3% [95% CI 7.6%-9.0%] vs. 5.4% [95% CI 5.0%-5.9%], respectively). In the multivariable logistic regression, the odds of having any injury were lower among females and married people and higher among individuals with some primary education. Prevalence of non-road traffic collision injuries was almost threefold that of road traffic collision (RTC) injuries: 5.6% (5.2%-6.0%) vs. 1.7% (1.5%-2.0%). When considering non-RTC injuries, falls were the most common mechanism (47.0%, 95% CI 44.0%-50.1%), and homes were the most common location (38.1%, 95% CI 34.9%-41.4%), followed by road (17.9%, 95% CI 15.7%-20.4%), and workplace (17.4%, 95% CI 15.2%-19.8%). The largest proportion (23.2%, [95% CI 20.6%-25.9%]) of non-RTC injuries happened to women at home.

conclusionNon-RTC injuries, in particular falls, predominate in this population. This highlights a neglected side of injuries, many of which happen at home to women, whereas global attention tends to focus on RTCs. Data on all mechanisms of injuries and care-seeking behaviour after injuries are required for health system planning.

Indexed as

Accidental InjuriesDeveloping CountriesWounds and InjuriesAdolescentAdultFemaleHumansMaleMiddle AgedPrevalenceYoung AdultEquityGlobal HealthInjuryLMIC

Identifiers

PMID40493309
PMCPMC12151921

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.