Epidemiology of unintentional injuries in childhood: a population-based survey in general practice
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 017-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 04 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 1217-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.
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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