Formulating a programme of repairs to structural home injury hazards in New Zealand
Abstract
Home injuries are a substantial health burden worldwide, with the home setting being at least as important as the road for injury. Focusing on common injury hazards presented by the home environment, we sought to examine the justification for significant expenditure on safety-related repairs to the housing stock. Trained inspectors assessed 961 New Zealand houses for injury hazards. Using administrative data from the Accident Compensation Corporation (the national injury insurance agency), 1328 home injuries were identified amongst the 1612 occupants of these houses over the 2006-2009 period. Telephone interviews gathered data on the location and nature of these injuries, and the attitudes of those injured to potential injury hazards in their homes. Commonly occurring injury hazards that could be repaired at modest cost were identified based on their prevalence estimated by the housing inspection, and their location with respect to the areas of the home where the injuries occurred (identified during the telephone interviews). About 38% of the home injuries studied were potentially related to a structural aspect of the home environment. Common safety hazards included the lack of working smoke detectors (65% of the sample), inadequately fenced driveways (55%), hot water temperatures measured at over 60° (49%) and poorly lit access to the house (34%). A protocol for identifying and repairing important common hazards was designed. The actual safety effects of this protocol are in the process of being examined in a randomised controlled trial.
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In New Zealand, high rates of home injury correspond with a high prevalence of housing hazards, indicating that addressing safety is a likely pathway to reducing injury rates.
“In New Zealand, high rates of home injury correspond with a high prevalence of housing hazards, indicating that addressing safety is a likely pathway to reducing injury rates (85).”
From Review of the Impact of Housing Quality on Inequalities in Health and Well-Being (2023) · cites this paper as [85]
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Self-citation
- Authors
- Keall, M. D., Howden-Chapman, P., Baker, M. G., Kamalesh, V., Cunningham, M., Cunningham, C., Guria, J., Draper, R., & Skelton, P.
- Affiliations
- University of Otago (NZ)
- Building Research Association of New Zealand (NZ)
- Massey University (NZ)
- Corresponding author
- Keall, Michael D.
- Venue
- Accident Analysis & Prevention
- Publisher
- Elsevier BV
- Published
- 2013-08
- Volume
- 57
- Pages
- 124-130
- ISSN
- 0001-4575 (ISSN-L)
- OpenAlex
- W2153946416
- Cited by
- 18
- References
- 21
- Citations by year
- 2024: 2 · 2023: 4 · 2022: 1 · 2021: 1 · 2020: 1 · 2018: 2 · 2017: 3 · 2016: 1 · 2015: 1 · 2014: 2
- FWCI
- 1.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Accident Analysis & Prevention (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Injury Epidemiology and Prevention
- Health Sciences › Health Professions › Radiological and Ultrasound Technology › Occupational Health and Safety Research
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Keywords
- home injuries, housing repair, home safety, smoke detectors, hot water temperature, lighting, injury prevention, home inspection, New Zealand
- MeSH terms
- Accidents, Home, Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Environment Design, Facility Design and Construction, Government Programs, Housing, Humans, Middle Aged, New Zealand, Risk Factors, Safety, Wounds and Injuries, Program Development, Young Adult, Construction Industry
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