Socio-demographic factors associated with caustic substance ingestion in children and adolescents

Int J Pediatr Otorhinolaryngol. 2012 Feb;76(2):253-6. doi: 10.1016/j.ijporl.2011.11.015. Epub 2011 Dec 19.

Abstract

Objective: Caustic substance ingestion is a public health issue in some underdeveloped countries. Published information on socio-demographic factors related to this problem is scarce. The aim of this study was to evaluate the association of socio-demographic factors with caustic ingestion in children.

Design: case-control study. Cases were children with caustic substance ingestion who were attended to during 2006 (n=94) at a pediatric referral hospital in Guadalajara, Mexico; the controls were a random sample of children who were hospitalized or seen as outpatients in the same pediatric referral hospital (n=641). The socio-demographic variables were studied using a validated questionnaire (Children Nutrition Organization Survey).

Statistics: OR, 95% CI and logistic regression.

Results: Mean age of the cases was 3.2 years (SD 2.4) and 37.2% of cases were girls. Caustic ingestion occurred at home in 63.8% of cases and at a relative's home in 23.4% of cases. Alkaline products were ingested by 85.1%; containers had no warning labels in 72.3% of cases and no childproof safety caps in 92.6% of cases. The socio-demographic variables associated with caustic ingestion included higher family income, lower educational level of the mother, higher proportion of fathers working as independent professionals, extended family, mother's age <30 years, and mother working outside the home.

Conclusions: The observed family risk profile for caustic ingestion was higher family income, young working mother with low educational level, father working as independent professional, and extended family.

Publication types

  • Comparative Study

MeSH terms

  • Accidents, Home / statistics & numerical data
  • Adolescent
  • Age Distribution
  • Case-Control Studies
  • Caustics / toxicity*
  • Child
  • Child, Preschool
  • Confidence Intervals
  • Developing Countries
  • Educational Status
  • Esophageal Stenosis / chemically induced*
  • Esophageal Stenosis / epidemiology*
  • Esophageal Stenosis / physiopathology
  • Esophagus / injuries*
  • Family Relations
  • Female
  • Hospitals, Pediatric
  • Humans
  • Incidence
  • Logistic Models
  • Male
  • Mexico / epidemiology
  • Odds Ratio
  • Risk Assessment
  • Sex Distribution
  • Socioeconomic Factors

Substances

  • Caustics