Injury patterns in long-term refugee populations: A survey of Afghan refugees

Document Type

Journal Article

Publication Date

3-1-2009

Journal

Journal of Trauma - Injury, Infection and Critical Care

Volume

66

Issue

3

DOI

10.1097/TA.0b013e3181627614

Keywords

Afghan; Developing countries; Injuries; Injury surveys; Pakistan; Refugees

Abstract

BACKGROUND: Injuries account for approximately 15% of global disability- adjusted life years lost each year and have an even greater impact on loss of life in vulnerable populations. For refugees, injuries reflect consequences of previous actions in their location of origin, current behavioral trends, and assimilation of risk factors from their adopted location. The Afghan Refugee Injury Survey (ARIS) was undertaken to describe the epidemiology of injuries in the long-term Afghan refugee population residing in Pakistan in 2002. METHODS: ARIS is a cross-sectional survey of injuries, injury-related deaths, and disability administrated on a representative sample of households in selected Afghan refugee camps in Pakistan. The sample design was a stratified, systematic sample of all households in the study area. RESULTS: Altogether, 1,123 households, with 8,809 persons (51% males; mean age, 20 years ± 17 years) were surveyed. One hundred twelve persons (1.27%, 95% CI = 1.0-1.5%) were injured during a 3-month recall period (69% males), reflecting an all-injury incidence of 50.8 per 1,000 persons/year. CONCLUSIONS: Our study provides an epidemiologic profile of injuries in Afghan refugees in Pakistan which can be used to inform policy makers, public health professionals, and healthcare providers to support injury prevention as a component of refugee health care. © 2009 Lippincott Williams & Wilkins, Inc.

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