The effect of eradicating poverty on childhood unintentional injury mortality in New Zealand: a cohort study with counterfactual modelling

D’Souza, Amanda; Blakely, Tony; Woodward, Alistair

doi:10.1136/jech.2007.068072

Cited by 20 publications

(26 citation statements)

References 32 publications

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“…29 Additionally, low household income has been shown to be related with an increased risk of childhood unintentional injury mortality. 30 All these factors together contribute to a higher overall injury mortality in the rural population compared to urban.…”

Section: Discussionmentioning

confidence: 99%

Burden and trend analysis of injury mortality in China among children aged 0–14 years from 2004 to 2011

Yin

Wu²,

Luo

et al. 2015

BMJ Open

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ObjectiveTo track changes of the burden and trends of childhood injury mortality among children aged 0–14 years in China from 2004 to 2011.DesignNational representative data from the Chinese Disease Surveillance Points system and Chinese Maternal and Child Mortality Surveillance system from 2004 to 2011 were used. Rates and 95% CIs of aged-standardised mortality, as well as the proportions of injury death, were estimated.SettingUrban and rural China.ParticipantsChildren aged 0–14 years from 2004 to 2011.ResultsThe proportion of injury among all deaths in children increased from 18.69% in 2004 to 21.26% in 2011. A ‘V’ shape change was found in the age-standardised injury mortality rate during the study period among the children aged 0–14 years, with the age-standardised injury mortality rate decreasing from 29.71 per 100 000 per year in 2004 to 24.12 in 2007, and then increasing to 28.12 in 2011. A similar change was observed in the rural area. But the age-standardised mortality rate decreased consistently in the urban area. The rate was higher among boys than among girls. Drowning, road traffic accidents and falls were consistently the top three causes of death among children.ConclusionsChildhood injury is an increasingly serious public health problem in China. The increasing trend of childhood injury mortality is driven by the rural areas rather than urban areas. More effective strategies and measures for injury prevention and control are needed for rural areas, boys, drowning, road traffic accidents and falls.

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Section: Discussionmentioning

confidence: 99%

Burden and trend analysis of injury mortality in China among children aged 0–14 years from 2004 to 2011

Yin

Wu²,

Luo

et al. 2015

BMJ Open

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“…Low SES yields highest Odds Ratio (mOR = 9.2, 95% CI 2.8–30.1) a findings consistent with studies from developing as well as developed countries [7] , [8] , [30] , the PAR reached 48%. This SES gradient is not only associated with exposure to poisonous substances but is also related with several other factors such as poor storage, literacy of parents and household fuel consumption as the use of kerosene is common in low socioeconomic group [31] , [32] . However, in our data SES does not have any correlation with storage practices (p-value >0.05); moreover gender does not play a significant role with SES gradient.…”

Section: Discussionmentioning

confidence: 99%

Population Attributable Risk of Unintentional Childhood Poisoning in Karachi Pakistan

2011

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BackgroundThe percentage of unintentional childhood poisoning cases in a given population attributable to specific risk factors (i.e., the population attributable risk) which can be calculated; determination of such risk factors associated with potentially modifiable risk factors, are necessary to focus on the prevention strategies.MethodsWe calculated PARs, using 120 cases with unintentional poisoning and 360 controls in a hospital based matched case- control study. The risk factors were accessibility to hazardous chemicals and medicines due to unsafe storage, child behavior reported as hyperactive, storage of kerosene and petroleum in soft drink bottles, low socioeconomic class, less education of the mother and the history of previous poisoning.ResultsThe following attributed risks were observed: 12% (95% confidence interval [CI] = 8%–16%) for both chemicals and medicines stored unsafe, 19% (15%–23%) for child reported as hyperactive, 40% (38%–42%) for storage of kerosene and petroleum in soft drink bottles, 48% (42%–54%) for low socioeconomic status, 38% (32%–42%) for no formal mothers education and 5.8% (2%–10%) for history of previous poisoning. 48% of cases for overall study population which could be attributed to at least one of the six risk factors. Among girls, this proportion was 23% and 43% among boys. About half of the unintentional childhood poisoning cases in this Pakistani population could be avoided.ConclusionExposure to potentially modifiable risk indicators explained about half of the cases of unintentional poisoning among children under five years of age in this Pakistani population, indicating the theoretical scope for prevention of the disease.

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“…In the USA, children of immigrants are much more likely to be impoverished than children of natives, often due to the influx of parents who are refugees with low levels of education 8. Poverty is inextricably linked to unintentional injuries, and in one study, 30% of unintentional injury was attributable to low household income 9. Because immigrants are in a vulnerable position and may not have citizenship, unemployment may be a struggle along with access to healthcare for their children 10.…”

Section: Introductionmentioning

confidence: 99%

Unintentional ingestion of cleaners and other substances in an immigrant Mexican population: a qualitative study

Crosslin¹,

Tsai²

2015

Inj Prev

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Paediatric poisoning is a salient issue worldwide and also affects the USA. In past years, ingestion of household cleaners was the second leading cause of unintentional poisonings in children. All children are at risk for ingestions, although immigrant children may be at greater risk. The purpose of this study was to document child ingestion experiences from toxic household substances via semistructured interviews with immigrant Mexican mothers. Participants were recruited from a paediatric primary care practice in Dallas/Fort Worth, Texas (N=35). Eighteen of 35 respondents (51%) reported that their child, nephew/niece or a friend's child had accidentally ingested a cleaning solution, gasoline or herbal remedy. Of those ingestions, 12 were reportedly from an alternative container, such as a juice box or soda bottle. Improper storage was the primary reason for ingestion. Culturally appropriate home visits and interventions are needed to better prevent ingestion in young children.

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The effect of eradicating poverty on childhood unintentional injury mortality in New Zealand: a cohort study with counterfactual modelling

Cited by 20 publications

References 32 publications

Burden and trend analysis of injury mortality in China among children aged 0–14 years from 2004 to 2011

Burden and trend analysis of injury mortality in China among children aged 0–14 years from 2004 to 2011

Population Attributable Risk of Unintentional Childhood Poisoning in Karachi Pakistan

Unintentional ingestion of cleaners and other substances in an immigrant Mexican population: a qualitative study

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