Beruflich Dokumente
Kultur Dokumente
DOI 10.1007/s10900-010-9240-y
ORIGINAL PAPER
Abstract The Centers for Disease Control and Prevention began funding a Smoke Alarm Installation and Fire
Safety Education (SAIFE) program in 1998. This program
involves the installation of lithium-powered 10-year
smoke alarms in homes at high risk for fires and injuries.
This study aimed to (1) determine among original SAIFE
homes if the lithium-powered alarms were still present and
functional 810 years after installation and (2) understand
factors related to smoke alarm presence and functionality.
Data on a total of 384 homes and 601 smoke alarms in five
states were collected and analyzed. Only one-third of
alarms were still functional; 37% of installed alarms were
missing; and 30% of alarms were present, but not functioning. Alarms were less likely to be functioning if they
were installed in the kitchen and if homes had a different
resident at follow-up. Of the 351 alarms that were present
Introduction
Fatal injuries from house fires continue to be an important
problem in the United States. In 2007, there were 414,000
residential fires reported in the United States resulting in
2,865 civilian deaths, 14,000 civilian injuries, and $7.5
billion in property damage [1]. A number of risk factors
have been associated with fire related deaths at home
including socioeconomic status [2], the presence of smoke
alarms in homes [3], and older housing [4, 5]. Numerous
interventions and programs have been implemented in
hopes of addressing this problem. Most of these interventions [6] take the form of home safety education via
counseling and provision of low cost or free smoke alarms.
A targeted intervention in Oklahoma involving a smokealarmgiveaway program (with installation when requested) resulted in an 80% drop in hospitalizations and deaths
related to fire [7]. However, when residents routinely fail to
install their alarms, smoke alarm give-away programs do
not reduce injuries [8]. In fact, one study found that in
programs that gave away vouchers for free alarms, almost
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544
Methods
Site Selection
CDC and the National Center for Healthy Housing
(NCHH) identified five state programs (Georgia, Kentucky,
Oklahoma, Virginia and Washington) that were awarded
SAIFE funds in 1998. State program managers confirmed
their interest in participating in the evaluation, that they
had local participants available to assist with the inspections, and that they had records of the original installation
sites. These records indicated the type, location, number,
and date of smoke alarm(s) installed.
To avoid selection bias in sampling, state coordinators
randomly selected 100 dwellings in each state from the
total number of houses that received smoke alarms from
1998 to 2001. In all the states, more homes than needed
were randomly selected to increase the likelihood that 100
dwellings were ultimately enrolled.
Results
Number of Dwellings/Alarms Sampled
Local inspectors evaluated 427 dwelling units. Forty-three
units were excluded because inspectors did not have information on the number of smoke alarms installed. In the
remaining 384 units 601 installed alarms were evaluated,
which is an average of 1.6 alarms per dwelling unit. Table 1
presents dwelling and smoke alarm numbers by state.
Fifty-seven percent of the dwellings had one alarm installed
810 years ago; 35% of dwellings had two installed; 5%
had three installed and 3% had four or five installed.
Demographics of Communities/Dwellings Sampled
Data Collection
The inspectors traveled to each home for data collection.
All demographic data collected for this study came from
records from the time of installation (e.g., is resident at
time of installation still present?) or from inspector
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Out of the 384 homes with complete smoke alarm data, 211
(55%) were in urban/metropolitan areas; 92 (24%) were in
mid-sized cities; and 81 (21%) were in rural areas. For this
evaluation, enrolling homes in rural communities was
challenging, resulting in less than 500 units being recruited
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State
Dwellings units
evaluated
Dwellings with
complete alarm data
Installed
alarms
Georgia
152
115
141
1.2
Kentucky
40
40
82
2.1
Oklahoma
93
92
117
1.3
Virginia
100
96
154
1.6
42
41
107
2.6
427
384
601
1.6
Washington
Total
Percentage (%)
Ownership status
Owned
249
65
Rented
109
28
26
Yes
233
61
No
121
32
30
Yes
103
27
No
NA*
188
93
49
24
384
100
NA*
Eight to ten years after the installation of the lithiumpowered smoke alarms, the inspectors found that one-third
of the alarms were still functional (Table 3). Thirty-seven
percent of the installed alarms were missing, and 30% of
the alarms were present but not functioning. Of the 180
alarms that were present but not functional, 43% had a
dead battery; 17% had no battery; 13% appeared to be
nonfunctional because of physical damage, and remaining
27% were not functioning for some other reason such as
missing parts and dust accumulation. At the time of this
evaluation, 38% of the dwellings had at least one of the
originally installed alarms still functional. Thirty (30%)
percent of the dwellings had all of the originally installed
alarms still functional. For 34% of the dwellings, all of the
originally installed alarms in the home were missing.
Original resident
NA*
Smoker present
Total
Average alarms
per dwelling
Alarm status
Number
Functional
201
Missing
220
37
180
30
601
100
Number
Percentage (%)
Dead battery
77
43
Missing battery
30
17
Physical damage
24
13
Other*
34
19
Unknown
Total
* Includes missing parts and
dust accumulation
Total
15
180
100
Percentage (%)
33
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546
Odds ratio
P value*
No
1.45
0.131
0.6
0.042
Unknown
Yesa
2.37
1.00
0.005
1.07
1.00
0.814
No
0.6
0.049
2.53
\0.001
Unknown
0.4
0.034
1.61
0.226
Yesa
1.00
1.00
Smoker present
Original resident
Discussion
0.34
0.006
Unknown
0.82
0.886
Non-kitchena
1.00
Ownership status
\0.001
0.085
0.39
Unknown
0.36
0.049
0.95
0.912
Rentala
1.00
1.00
GA
KY
1.22
3.62
0.811
0.074
0.25
0.12
\0.001
\0.001
OK
7.25
0.015
0.15
\0.001
VA
1.52
0.617
0.17
\0.001
1.00
1.00
State
WA
* P value of statistical test that odds ratio equals the odds ratio of the
reference group
a
Reference group
Non-lithium n = 169
Number
Percentage (%)
Number (%)
Percentage (%)
Number (%)
Percentage (%)
Functional
57
78
89
53
55
50
Non-functional*
16
22
80
47
54
50
* For non-functional alarms the number due to dead batteries were 10 (Lithium), 33 (Non-Lithium), and 34 (battery type not reported)
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