Authors: Otters, Hanneke¹; Schellevis, François G.²; Damen, Jurgen³; van der Wouden, Johannes C.⁴; van Suijlekom-Smit, Lisette W.A.⁵; Koes, Bart W.⁶

Source: British Journal of General Practice, Volume 55, Number 517, August 2005 , pp. 630-633(4)

Publisher: Royal College of General Practitioners

Abstract:

This study aimed to assess the incidence of unintentional injuries presented in general practice, and to identify children at risk from experiencing an unintentional injury. We used the data of all 0–17-yearold children from a representative survey in 96 Dutch general practices in 2001. We computed incidence rates and multilevel multivariate regression analysis in different age strata and identified patient and family characteristics associated with an elevated injury risk. Nine thousand four hundred and eighty-four new injury episodes were identified from 105 353 new health problems presented in general practice, giving an overall incidence rate of 115 per 1000 person years (95% confidence interval [CI] = 113 to 118). Sex and residence in rural areas are strong predictors of injury in all age strata. Also, in children aged 0–4 years, a higher number of siblings is associated with elevated injury risk (3 siblings odds ratio [OR] = 1.57, 95% CI = 1.19 to 2.08) and in the 12–17-year-olds, ethnic background and socioeconomic class are associated with experiencing an injury (non-western children OR = 0.67, 95% CI = 0.54 to 0.81; low socioeconomic class OR = 1.39, 95% CI = 1.22 to 1.58). Unintentional injury is a significant health problem in children in general practice, accounting for 9% of all new health problems in children. In all age groups, boys in rural areas are especially at risk to experience an injury.

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Keywords: CHILD; EPIDEMIOLOGY; WOUNDS AND INJURIES

Document Type: Short communication

Affiliations: 1: General practitioner, department of general practice, Erasmus MC — University Medical Center Rotterdam 2: Senior researcher, NIVEL, Netherlands Institute for Health Services Research, Utrecht 3: Medical student, Department of general practice, Erasmus MC — University Medical Center Rotterdam 4: Senior lecturer, Department of general practice, Erasmus MC — University Medical Center Rotterdam 5: Paediatrician, Department of pediatrics, Erasmus MC — University Medical Center and Sophia Children's Hospital, Rotterdam 6: Department of general practice, Erasmus MC — University Medical Center Rotterdam

Publication date: 2005-08-01

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• The British Journal of General Practice (BJGP) is an international journal publishing articles of interest to family practitioners and primary care researchers worldwide. The journal's 2011 Impact Factor is 1.83, making it one of the world's most highly cited journals of general practice and primary health care.
  
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