Socioeconomic variation in injury in children and older people: a population based study
Socioeconomic variation in injury in children and older people: a population based study
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DOI：
10.1136/ip.9.1.33
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发表时间：
2003-03-01
影响因子：
3.7
通讯作者：
Heaven, M
中科院分区：
文献类型：
--
作者：
Lyons, RA;Jones, SJ;Heaven, M
目的：通过经济剥夺衡量标准，比较儿童和老年人受伤的所有原因和具体原因的入院率。研究设计：1997-99 年威尔士居民的所有紧急入院均位于 865 个选区之一，使用社会经济剥夺衡量标准将这些选区分为五分之一。以 95% 的置信区间计算各年龄段以及 0-14、15-75 和 75+ 岁组的标准化入院率。结果：284 万人口中有 90 935 名入院者，粗略入院率为 1601/100000/年，标准化入院率为 1493/100 000。富裕地区因伤害类别和年龄组而异。一般来说，老年人受伤率的社会经济差异比儿童小得多，但与行人相关的伤害除外，其发生率相似。最大的差异是因袭击或自残造成的伤害。结论：社会经济地位与伤害之间的关系因原因和年龄组而异。在制定基于区域的预防性干预措施或监测政策的有效性以减少伤害发生的不平等时，应考虑这一点。
Objectives: To compare hospital admission rates for all causes and specific causes of injury in children and the elderly by a measure of economic deprivation.Study design: All emergency admissions for Welsh residents from 1997-99 were located to one of 865 electoral tracts, which were grouped into fifths using a measure of socioeconomic deprivation. Standardised admission rates for all ages and 0-14, 15-75, and 75+ year groups for each quintile were calculated with 95% confidence intervals.Results: There were 90 935 admissions in a population of 2.84 million yielding a crude admission rate of 1601/100000/year and a standardised rate of 1493/100 000. The ratio of admissions in deprived and affluent areas varied with category of injury and age group. In general, socioeconomic variations in injury rates were much smaller in older people than in children with the exception of pedestrian related injuries where the rates were similar. The largest variations were for injuries sustained in assaults or self inflicted.Conclusions: The relationship between socioeconomic position and injury varies by cause and age group. This should be considered when developing area based preventive interventions or monitoring the effectiveness of policies to reduce inequalities in injury occurrence.