Profiling the Ethnic Characteristics of Domestic Injuries in Children Younger than Age 5 Years

Abstract

The home remains a very common location for deadly injuries among children younger than 5 years. The aim of this study is to describe the demographic and injury characteristics of domestic injuries in children younger than 5 years. The National Trauma Data Bank's National Sample Program data set was queried for children younger than 5 years with the injury site classified as home. Bivariate analysis was performed to determine unadjusted differences by ethnicity. Appropriate weight was applied to the sample to determine accurate national estimates. A total of 7,364 children, representing 32,033 children, were analyzed. Overall mortality was 1.6 per cent. Among whites, blacks, Hispanics, Asians, and Native Americans, intentional injuries accounted for 6.5, 12.8, 10.2, 5.2, and 19.0 per cent of all injuries by intent, respectively ( P < 0.003). Burn injury was disproportionately higher in blacks (24.1%) followed by Native Americans and Asians (15.3 and 11.5%, P = 0.008). On multivariate analysis, black ethnicity was associated with increased length of stay. Intentional injuries were significantly higher in blacks and Native Americans with black patients sustaining a disproportionately higher proportion of burn injury. Therefore, greater attention is needed to provide more effective home safety interventions to children among high-risk ethnic groups.

Les accidents de la vie courante chez l’enfant à Dakar: à propos de 201 cas

“…Dans notre étude, c’est la tranche d’âge de 0 à 5 ans qui est la plus touchée. Ce résultat concorde avec la majorité des séries de la littérature [ 9 , 10 , 12 , 13 , 16 ]. La place des enfants âgés de 6 à 10 ans et de 11 à 15 ans est variable selon les études.…”

“…Il existe, en effet, un lien entre le statut socio-économique et certains risques d’exposition aux AcVC telles que les conditions d’habitation [ 16 , 17 ] et une absence d’information pour l’acquisition de connaissances utiles dans la prévention des accidents. Il est ainsi important de tenir compte des facteurs socio-économiques lors de l´élaboration d´un programme d´intervention [ 13 ]. Les mercredis sont les jours d’affluence maximale dans notre service.…”

“…Cela peut être expliqué par le fait que le jeu est la principale activité des enfants à domicile, et que celui-ci est constitué de courses et de sauts pouvant occasionner ces chutes [ 10 ]. D’autres études [ 1 , 4 , 9 , 12 , 13 , 16 , 19 ] ont placé également la chute comme le principal mécanisme de l’accident domestique. Les principales lésions sont les fractures, alors que dans les études occidentales, les contusions et les plaies viennent en première position [ 1 , 4 , 9 , 12 , 19 ].…”

“…Dans notre étude, les lésions dominantes sont les fractures de même que dans l’étude de Pelech [ 24 ]. Cependant, dans la majorité des séries de la littérature, on trouve une prédominance des contusions, suivies des entorses puis des fractures [ 1 , 3 , 4 , 9 , 13 ]. Cela s’explique, par le fait que, dans notre étude, le football et la lutte, grandes pourvoyeuses de fractures prédominent.…”

Introducing the Concepts of Advocacy and Social Determinants of Health Within the Pediatric Clerkship

“…We discuss real-world instances of advocacy that go beyond its traditional definition as legislative and policy work alone, we highlight disparities that persist, and we include examples of ongoing projects and culturally relevant community-based initiatives as essential components of advocacy. 19–22 Arming learners with knowledge of inequities that need to be rectified and ways in which to address such disparities is essential to the success and the sustainability of these projects and initiatives. This learning module therefore can serve as an adjunct to the variety of existing resources, such as instructional videos and service learning experiences, or as an introduction or alternative to monthlong courses.…”