Skip to main content

Research Repository

Advanced Search

Persistence of health inequalities in childhood injury in the UK: a population-based cohort study of children under 5

Orton, Elizabeth; Kendrick, Denise; West, Joe; Tata, Laila J.

Authors

DENISE KENDRICK denise.kendrick@nottingham.ac.uk
Professor of Primary Care Research

JOE WEST JOE.WEST@NOTTINGHAM.AC.UK
Professor of Epidemiology



Abstract

BACKGROUND: Injury is a significant cause of childhood death and can result in substantial long-term disability. Injuries are more common in children from socio-economically deprived families, contributing to health inequalities between the most and least affluent. However, little is known about how the relationship between injuries and deprivation has changed over time in the UK.

METHODS: We conducted a cohort study of all children under 5 registered in one of 495 UK general practices that contributed medical data to The Health Improvement Network database between 1990–2009. We estimated the incidence of fractures, burns and poisonings by age, sex, socio-economic group and calendar period and adjusted incidence rate ratios (IRR) comparing the least and most socio-economically deprived areas over time. Estimates of the UK annual burden of injuries and the excess burden attributable to deprivation were derived from incidence rates.

RESULTS: The cohort of 979,383 children experienced 20,804 fractures, 15,880 burns and 10,155 poisonings, equating to an incidence of 75.8/10,000 person-years (95% confidence interval 74.8–76.9) for fractures, 57.9 (57.0–58.9) for burns and 37.3 (35.6–38.0) for poisonings. Incidence rates decreased over time for burns and poisonings and increased for fractures (p

Journal Article Type Article
Publication Date Oct 27, 2014
Journal Plos One
Electronic ISSN 1932-6203
Publisher Public Library of Science
Peer Reviewed Peer Reviewed
Volume 9
Issue 10
Article Number e111631
APA6 Citation Orton, E., Kendrick, D., West, J., & Tata, L. J. (2014). Persistence of health inequalities in childhood injury in the UK: a population-based cohort study of children under 5. PLoS ONE, 9(10), doi:10.1371/journal.pone.0111631
DOI https://doi.org/10.1371/journal.pone.0111631
Publisher URL http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0111631
Related Public URLs http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4210227/
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0

Files

Orton 2014 PlosOne.pdf (383 Kb)
PDF

Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0





You might also like



Downloadable Citations

;