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Updated: Oct 18, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Patterns of unintentional injury in childhood and their relation to socio-economic factors
Insights
Childhood unintentional injuries lead to frequent visits to Accident and Emergency Departments, with risk significantly higher in boys and socially deprived areas. Targeted prevention strategies are crucial for child safety.
Area of Science:
- Pediatric Emergency Medicine
- Public Health
- Injury Prevention
Background:
- Childhood unintentional injuries are a significant public health concern, necessitating accurate data on incidence and risk factors.
- Accident and Emergency (A&E) Departments serve as key points for identifying and managing childhood injuries.
- Understanding the relationship between socio-economic factors and injury risk is vital for effective public health interventions.
Purpose of the Study:
- To determine the incidence of childhood injuries requiring A&E attendance.
- To classify the types of unintentional injuries and associated accident mechanisms.
- To investigate the correlation between injury risk and socio-economic status.
Main Methods:
- A prospective study utilizing A&E records over one year.
- Inclusion criteria: children aged 0-14 years residing in the study area, treated for unintentional injury.
- Data collection occurred every fifth day, capturing demographic and injury details.
Main Results:
- 1147 children met the study criteria, with an annual A&E attendance rate of 138.2 per 1000 children.
- Boys exhibited higher A&E attendance rates than girls across all age groups, especially for severe injuries.
- Social deprivation, quantified by the Townsend score, was a strong predictor of injury risk, explaining 33% of inter-ward variance.
Conclusions:
- Unintentional injuries result in substantial A&E utilization, though rates in this study were lower than UK averages.
- A clear link exists between social disadvantage and increased risk of childhood injury.
- Local data collection is effective for developing targeted child safety initiatives and setting public health priorities.
Objective:
To estimate the rate of childhood injury resulting in attendance at Accident and Emergency Departments, to describe the types of accidents and injuries seen and to relate these to socio-economic indices for ward of residence.
Methods:
Data were collected from Accident and Emergency records, on every fifth day for a year, for children 0-14 y, who attended following unintentional injury and were resident within the study area.
Results:
1147 children fulfilled the inclusion criteria. The annual rate of attendance was 138.2 per 1000. There was a higher rate of attendance in boys than in girls in all age groups and the gender difference was particularly marked for severe injuries. Social deprivation, measured by Townsend score, of ward of residence was a powerful predictor of risk of attendance; accounting for 33% of the variance between wards.
Conclusion:
Unintentional injury results in high rates of attendance at Accident and Emergency Departments although the rates in this community were substantially lower than those reported from elsewhere in the United Kingdom. Risk of injury was strongly related to social disadvantage. District based data collection can be used to facilitate the development of priorities and a locally applicable safety agenda for children.
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