TREVOR HILL T.HILL@NOTTINGHAM.AC.UK
Research Assistant
Impact of the national home safety equipment scheme ‘Safe At Home’ on hospital admissions for unintentional injury in children under 5: controlled interrupted time series analysis
Hill, Trevor; Coupland, Carol; Kendrick, Denise; Jones, Matthew; Akbari, Ashley; Rodgers, Sarah; Watson, Michael Craig; Tyrrell, Edward; Merrill, Sheila; Orton, Elizabeth
Authors
CAROL COUPLAND carol.coupland@nottingham.ac.uk
Professor of Medical Statistics
DENISE KENDRICK DENISE.KENDRICK@NOTTINGHAM.AC.UK
Professor of Primary Care Research
Dr MATTHEW JONES MATTHEW.JONES3@NOTTINGHAM.AC.UK
Assistant Professor in Health Economics
Ashley Akbari
Sarah Rodgers
Michael Craig Watson
Dr EDWARD TYRRELL E.TYRRELL@NOTTINGHAM.AC.UK
Clinical Assistant Professor
Sheila Merrill
ELIZABETH ORTON ELIZABETH.ORTON@NOTTINGHAM.AC.UK
Professor of Public Health
Abstract
Background: Unintentional home injuries are a leading cause of preventable death in young children. Safety education and equipment provision improve home safety practices, but their impact on injuries is less clear. Between 2009 and 2011 a national home safety equipment scheme was implemented in England (Safe At Home), targeting high injury rate areas and socio-economically disadvantaged families with children under 5. This provided a ‘natural experiment’ for evaluating the scheme’s impact on hospital admissions for unintentional injuries.
Methods: Controlled interrupted time series analysis of unintentional injury hospital admission rates in small areas (Lower layer Super-Output Areas (LSOAs)) in England where the scheme was implemented (intervention areas, n=9,466)) matched with LSOAs in England and Wales where it was not implemented (control areas, n=9,466), with subgroup analyses by density of equipment provision.
Results: 57,656 homes receiving safety equipment were included in the analysis. In the two years after the scheme ended, monthly admission rates declined in intervention areas (-0.33% (-0.47% to -0.18%)) but did not decline in control areas (0.04% (-0.11% to 0.19%), p value for difference in trend=0.001)). Greater reductions in admission rates were seen as equipment provision density increased. Effects were not maintained beyond two years after the scheme ended.
Conclusions: A national home safety equipment scheme was associated with a reduction in injury-related hospital admissions in children under 5 in the 2-years after the scheme ended. Providing a higher number of items of safety equipment appears to be more effective in reducing injury rates than providing fewer items.
Journal Article Type | Article |
---|---|
Acceptance Date | May 31, 2021 |
Online Publication Date | Jun 22, 2021 |
Publication Date | 2022-01 |
Deposit Date | Jun 1, 2021 |
Publicly Available Date | Jun 22, 2021 |
Journal | Journal of Epidemiology and Community Health |
Print ISSN | 0143-005X |
Electronic ISSN | 470-2738 |
Peer Reviewed | Peer Reviewed |
Volume | 76 |
Issue | 1 |
Pages | 53-59 |
DOI | https://doi.org/10.1136/jech-2021-216613 |
Keywords | Unintentional injury, safety equipment, children |
Public URL | https://nottingham-repository.worktribe.com/output/5621561 |
Publisher URL | https://jech.bmj.com/content/early/2021/06/21/jech-2021-216613 |
Files
Hill J Epid Comm Health 2021
(468 Kb)
PDF
Publisher Licence URL
https://creativecommons.org/licenses/by/4.0/
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