Cross sectional survey of socioeconomic variations in severity and mechanism of childhood injuries in Trent 1992-7
Cross sectional survey of socioeconomic variations in severity and mechanism of childhood injuries in Trent 1992-7
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DOI：
10.1136/bmj.324.7346.1132
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发表时间：
2002-05-11
影响因子：
--
通讯作者：
Savelyich, B
中科院分区：
文献类型：
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作者：
Hippisley-Cox, J;Groom, L;Savelyich, B
目的探讨0-14岁儿童不同损伤程度和不同损伤机制的损伤发病率与剥夺的关系。7.在特伦特地区设置862个选举病房。对象：21 587名04岁儿童因受伤住院，35 042名5岁至6岁儿童住院。14.主要结果测量：所有损伤、所有涉及长骨骨折的损伤和所有引起需要手术的长骨骨折的损伤的入院率比;六种损伤机制的入院率比除以选举病房的剥夺汤森分数的五分位数。通过Poisson回归计算率比，并调整了距离最近的收治受伤患者的医院的距离、农村地区、种族、仙人掌选举病房中男性的中等比例。结果受伤入院总数和较高严重程度受伤入院人数均随着社会经济贫困的增加而增加。0-4岁儿童的这些梯度比5-14岁奥尔兹更显著。就损伤机制而言，最陡峭的社会经济梯度（其中剥夺分数最高的第五个选区的比率大于或等于分数最低的第五个选区的比率的3倍）是行人受伤（校正率比3.65（9511，0置信区间2.94至4.54）），烧伤和烫伤（校正率比3.49（2.81 ~ 4.34））、中毒（校正率比2.98（2.65 ~ 3.34））。结论伤害发病率存在较大的社会经济梯度，包括最常见的伤害机制。这对在资源中针对伤害预防干预措施有影响。
Objective To determine the relation between morbidity from injury and deprivation for different levels of injury severity and for different injury mechanisms for children aged 0-14 years.Design Cross sectional survey of routinely collected hospital admission data for injury 1992-7.Setting 862 electoral wards in Trent Region.Subjects 21 587 injury related hospital admissions for children aged 04 years and 35 042 admissions for children aged 5-14.Main outcome measures Rate ratios for hospital admission for all injuries,all injuries involving long bone fracture, and all injuries invoking long bone fracture requiring an operation; rate ratios for hospital admission for six tapes of injury mechanism divided by quintiles of the electoral wards' Townsend scores for deprivation. Rate ratios calculated by Poisson regression, with adjustment for distance from nearest hospital admitting patients with injuries, rurality, ethnicity, mid percentage of males in cacti electoral ward.Results Both total number of admissions for injury and admissions for injuries of higher severity increased with increasing socioeconomic deprivation. These gradients were more marked for 0-4 year old children than 5-14 year olds. In terms of injury mechanisms, the steepest socioeconomic gradients ( where the rate for the fifth of electoral wards with die highest deprivation scores was greater than or equal to3 times that of the fifth with the lowest scores) were for pedestrian injuries (adjusted rate ratio 3.65 (9511,0 confidence interval 2.94 to 4.54)), burns and scalds (adjusted rate ratio 3.49 (2.81 to 4.34)), and poisoning (adjusted rate ratio 2.98 (2.65 to 3.34)).Conclusion There are steep socioeconomic gradients for injury morbidity including die most common mechanisms of injury. This has implications for targeting injury prevention interventions mid resources.