Prevalence of Choking and Awareness about Its Proper Management among the Residents of the United Arab Emirates: Cross-sectional Study

Abstract

Introduction: World Health Organization (WHO) reports show that choking is a leading cause of unintentional death complicated by respiratory tract obstruction in both children and adults. Objectives: We aimed to measure choking prevalence and the correct knowledge regarding its management in United Arab Emirates (UAE). Methods: A cross-sectional study was conducted among 404 adults ≥18 years across public places in the UAE. People with swallowing-related medical problems were excluded. Data about the prevalence, knowledge, and management of choking were collected using a self-administered questionnaire. Results: Among the participants, 43.3% (175) of adults experienced choking and 52.7% (212) witnessed a by-standing choking episode in an adult due to food. Only 23.7% (94) correctly knew that putting hands around the throat is the most appropriate sign of choking. Forty-seven percent (188) of participants correctly identified coins as the most dangerous item a child can choke on. Moreover, 62.7% (251) knew that choking management differs between children and adults where 63.0% (254) correctly chose applying pressure on the stomach for adults and 84.8% (341) correctly chose to hit on the back for children. Male gender, lower age, and lower education were identified as the factors associated with lower knowledge of choking. Conclusion: Altogether, the exact knowledge of choking and management techniques is insufficient. We recommend awareness campaigns, specifically targeting men, younger adults, and illiterate people.