Epidemiological profile of injuries in urban and urban slum areas of Rajkot city, India: a community based study

Vibha V. Gosalia, Dhara V. Thakrar, Rajesh K. Chudasama


Background: Injuries and violence are among the most prominent public health problems in the world. Objective was to study the epidemiological profile of injuries in urban and urban slum areas of Rajkot city, India.

Methods: A community based study was conducted in Rajkot city with sample size of 540 households. Total 30 clusters (society) were selected from 805 notified societies including 20 clusters from urban areas and 10 clusters from urban slum areas of Rajkot city. From identified cluster, 18 households were selected to achieve targeted sample size 540. All injuries reported among all household members in the last 12 months were included in the study. A total of 2,367 persons of all ages were interviewed.

Results: The prevalence of injury was 14% among 2,367 study participants. Almost all injuries (99.1%) were unintentional in nature. The leading causes of injures were falls (49.2%) and road traffic accidents (RTAs) (35.7%). Significant numbers of injuries were reported among males (p<0.01). The males reported RTAs (46.9%) and females reported falls (64.2%) as a common type of injury (p<0.01). Lower limb (70.1%) was the most commonly affected body part and road (38.4%) was the most common place of injury occurrence. Average money spent by injured person was Rs. 7,000. Only 11.3 % study participants had health insurance.

Conclusions: Injury prevention priorities should be focused on the leading causes such as falls and RTAs to develop specific preventive strategies. 


Prevalence, Accidents, Wounds and injuries, India

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Sethi D, Habibula S, McGee K, Peden M, Bennett S. Guidelines for conducting community surveys on injuries and violence. WHO Geneva, 2004. Available at: 2004/9241546484.pdf. Accessed on 18 January 2019.

Gururaj G. Burden of Disease in India: NCMH Background Papers, 2005. Available at: Accessed on 10 January 2019.

Injury and violence: The facts, WHO 2014. Available at: _prevention/media/news/2015. Accessed on 18 January 2019.

Gumber A. Cost and Burden of Injury in India: An Emerging Public Health Threat. Available at: Accessed on 18 January 2019.

Govt. of India (2012), Census 2011: Provisional Population Report, Office of the Registrar General and Census Commissioner India, Ministry of Home affairs, 2011. Available at: 2011-prov-results/data_files/india/pov_popu_total_ presentation_2011.pdf. Accessed on 12 January 2019.

Centers for Disease Control and Prevention. Epi Info version 3.5.3, 2008. Available at: http://www. Accessed on 18 January 2019.

Moshiro C, Heuch I, Astrom AN, Setel P, Hemed Y, Kvale G. Injury morbidity in an urban and a rural area in Tanzania: an epidemiological survey. BMC Public Health. 2005;11:324-30.

Gosavi SV, Deshmukh PR. Epidemiology of injuries in rural Wardha, Central India. Med J Armed Forces India. 2013;70:380-2.

Kalaiselvan G, Dongre AR, Mahalakshmy T. Epidemiology of injury in rural Pondicherry, India. J Inj Violence Res. 2011;3:62-7.

Zhou L, Chen D, Dong G. Characteristics and related factors of nonfatal injuries among adolescents and college students in Shenzhen city of China. BMC Public Health. 2013;13:392-4.

Olawale OA, Owoaje ET. Incidence and pattern of injuries among residents of a rural area in South-Western Nigeria: A community-based study. BMC Public Health. 2007;17:246-54.

Tayeb SE, Abdalla S, Morkve O, Heuch I, Van den Bergh G. Injuries in Khartoum state, the Sudan: a household survey of incidence and risk factors. Int J Inj Contr Saf Promot. 2014;21:144-53.

Weerasinghe IE, Rajapaksa AW, Premaratne CS, Jayatilake J, Dharmaratne SD. Injury occurrence among residents in a semi urban area in Sri Lanka: A community survey. International J Sci Res Publication. 2015;5:1-8.

Injury/Road Traffic Injury Surveillance Programme: A feasibility study National Institute of Mental Health and Neuro Sciences, Bengaluru, India, 2008. Available at: traffic.pdf. Accessed on 13 January 2019.

Lamawansa MD, Piyathilake A. Incidence of physical injuries in a rural Community in Sri Lanka: results of the first community survey in Sri Lanka. Indian J Commun Med. 2008;33:238-42.

Bansal M, Dalal S. Unintentional injuries in rural area–A Community based study in rural Bhopal. Nat J Community Med. 2013;4:449-53.

Gathecha G, Githinji W, Maina A. Demographic profile and pattern of fatal injuries in Nairobi, Kenya, January–June 2014. BMC Public Health. 2017;17:34.

Moghaddam AA, Martiniuk AL, Mohammadi M, Rad M, Sargazi M, Sheykhzadeh K, et al. The pattern of injury and poisoning in South East Iran. BMC Int Health Hum Rights. 2012;12:17.

Swarnakar M, Singh P, Dwivedi S. Pattern of trauma in central India: an epidemiological study with special reference to mode of injury. Int J Epidemiol. 2010;7(9).

Fatmi Z, Hadden WC, Razzak JK, Qureshi H, Hyder AA, Pappas G. Incidence, patterns and severity of reported unintentional injuries in Pakistan for persons five years and older: results of the National Health Survey of Pakistan 1990–94. BMC Public Health. 2007;7:152-9.

National crime report of bureau. National Crime Records of Bureau, Ministry of Home affairs, 2015. Available at: Accessed on 13 January 2019.

Tayeb SE, Abdalla S, Abdalla S, Morke O, Heuch I, Bergh GV. Socioeconomic and disability consequences of injuries in the Sudan: a community-based survey in Khartoum State. Inj Prev. 2015;21(1):56-62.

Healtlh Insurance Coverage in India. Available at: Accessed on 13 January 2019.