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Taking Home Safety to the Communities in Need: A Targeted Population Health Strategy & Evaluation
Tanya Charyk Stewart,MSc1,2, Andrew Clark, PhD3,4, Jason Gilliland, PhD3, 4, 5, 6, Jane Edwards, MSc1, Tania Haidar, BSc1, Brandon Batey, MSc1, Kelly N. Vogt MD, MSc, FRCSC1,2, Douglas D. Fraser MD, PhD5, 6, 7, Neil G Parry,MD, FRCSC, FACS1,2, Neil Merritt, MD, FRCSC, FAAP1,6. 1Trauma Program, London Health Sciences Centre and Children's Hospital, London, ON, Canada, 2Department of Surgery, Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON, Canada, 3Department of Geography, Faculty of Social Sciences, University of Western Ontario, London, ON, Canada, 4School of Health Studies, Faculty of Health Sciences, University of Western Ontario, London, ON, Canada, 5Children's Health Research Institute and Lawson Health Research Institute, London, ON, Canada, 6Department of Paediatrics, Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON, Canada, 7Centre for Critical Illness Research, London, ON, Canada.

Background: The objectives of this study are to describe the methodology developed to identify the populations in most need of home safety, as well as an evaluation of these targeted community outreach events.

Methods: A methodology was developed based spatial and injury data including the density of children by census tract and home injury ED visits. Correlation with 17 socioeconomic variables was examined. The census tracts were ranked from least to most vulnerable and summed to create an index of need for the home safety event. A questionnaire was developed and administered to participants to evaluate these home safety outreach community events. Descriptive statistics were calculated on survey responses.

Results: A total of 59 home safety kits were distributed at these events. The majority of participants were female (81%) with high school or less level of education (42%) with median household income of $25,600. Nearly half (47%) had children < 2 years and 19% were pregnant. A majority of respondents (81%) think home injuries are preventable (media 6 on 7-point scale; IQR 2). Overall, 98% of respondents found the home safety event useful (median 7 on 7-point scale; IQR 1) and 100% would recommend it.

Conclusions: Home injuries are a leading cause of injury to children and toddlers. The method developed was found to be a successful way to target an injury prevention program to reach the population in greatest need and outreach events were an important population health strategy to reduce the number of home injuries to children.


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