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Socio-demographic risk factors for home-type injuries in Swedish infants and toddlers
A Hjern1, G Ringbäck-Weitoft, R Andersson
1Department of Clinical Sciences, Huddinge University Hospital, Karolinska Institutet, Sweden. anders.hjern@sos.se
Insights
Home injuries in children aged 0-3 in Sweden are more common in families with young mothers or those receiving social welfare. Specific injury types, like poisoning and scalds, are linked to age, informing targeted parental counseling.
Area of Science:
- Pediatric injury prevention
- Public health
- Socio-demographic risk factors
Background:
- Home injuries are a significant cause of hospital admissions in young children.
- Understanding socio-demographic patterns can help identify at-risk populations.
- Swedish national registers provide a robust data source for epidemiological studies.
Purpose of the Study:
- To investigate the socio-demographic patterns of home-related injuries in children aged 0-3 years in Sweden.
- To identify specific injury mechanisms (poisoning, falls, scalding, foreign object ingestion) and their age-specific peaks.
- To analyze the association between socio-demographic factors and the risk of these injuries.
Main Methods:
- Utilized data from Swedish national registers for a study population of 546,336 children born between 1987-1991.
- Employed multivariate analysis to assess the relationship between socio-demographic variables and hospital admissions for home injuries.
- Examined injury mechanisms including poisoning, falls, scalding, and ingestion/intrusion of foreign objects.
Main Results:
- Injury mechanisms showed age-specific peaks: foreign object ingestion (10-12 mo), scalds (13-15 mo), non-drug poisoning (16-18 mo), and drug poisoning (24-30 mo).
- Children of young mothers (<24 years) had higher risks for falls and poisonings.
- Children in families receiving social welfare benefits had increased risks for falls, drug poisoning, non-drug poisoning, and scald injuries.
- Children of mothers born in non-western countries had a higher risk of scald injuries but lower risks of fall injuries and non-drug poisoning.
Conclusions:
- Infants and toddlers in families with young mothers and those on social welfare are at heightened risk for home injuries in Sweden.
- Age-specific risks for poisoning, scalding, and foreign object ingestion highlight opportunities for timely parental counseling.
- Socio-demographic factors play a crucial role in the epidemiology of home injuries among young children.
Unlabelled:
In this paper we use data from Swedish national registers to study socio-demographic patterns of hospital admissions as a result of injuries sustained at home (poisoning, falls, scalding and ingestion/intrusion of foreign objects) in children 0-3 y. The study population comprised 546 336 children born in Sweden during the period 1987-91. The different injury mechanisms peaked at different ages: ingestion of foreign objects at 10-12 mo, scald injuries at 13-15 mo, non-drug poisoning at 16-18 mo and drug poisoning at 24-30 mo. In a multivariate analysis it was demonstrated that children of young mothers (<24 y) were more likely to have been admitted to hospital because of fall injuries and poisonings, while children with more than two siblings had a slightly increased risk for all injuries. Children of mothers born in a non-western country were more likely to have been admitted to hospital because of scald injuries; odds ratio (OR) 1.7 (95% CI: 1.4-2.1), while they were less likely to have been admitted because of fall injuries; OR 0.8 (0.7-0.8) and non-drug poisoning; OR 0.5 (0.4-0.6). Children in families who received social welfare benefits were more likely to have been admitted to hospital because of fall injuries; OR 1.3 (1.2-1.4), drug poisoning; OR 1.8 (1.7-2.0), non-drug poisoning; OR 1.4 (1.3-15) and scald injuries; OR 1.1 (1.1-1.5), while injuries with ingestion/intrusion of foreign objects tended to vary little with socio-economic indicators.
Conclusion:
Infants and toddlers in families with young mothers and in families on social welfare are at particular risk for home injuries in Sweden. The knowledge that the risk of poisoning, scalding and ingestion of foreign objects is related to specific ages can be used in timing of parent counselling.
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