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Social deprivation and childhood injuries in North and West Belfast
J A Silversides1, A Gibson, J F T Glasgow
1Royal Belfast Hospital for Sick Children, Northern Ireland.
Insights
Children in deprived areas of North and West Belfast experience higher injury rates. Economic deprivation is significantly correlated with increased childhood injuries, particularly road traffic accidents.
Area of Science:
- Public Health
- Pediatric Injury Prevention
Background:
- Childhood injuries pose a significant public health challenge.
- North and West Belfast exhibit high emergency department injury attendance rates and widespread social deprivation.
Purpose of the Study:
- To investigate the correlation between socioeconomic deprivation and childhood injury rates in North and West Belfast.
- To identify specific injury types associated with deprivation.
Main Methods:
- Cross-sectional survey of 479 childhood injuries (0-12 years) across four emergency departments.
- Comparison of injury rates between most and least deprived areas using Noble Economic Deprivation scores.
Main Results:
- A significant positive correlation was found between economic deprivation and childhood injury rates (r = 2.14, p < 0.001).
- Children in the most deprived areas had a higher risk of road traffic accidents (RR = 3.25, p = 0.002).
- Burns, scalds, high falls, and motor vehicle accidents were notably associated with deprivation.
Conclusions:
- Children residing in deprived areas of North and West Belfast face a greater risk of injury.
- Injury prevention strategies should target specific causes of injury prevalent in deprived communities.
Abstract:
Injuries in childhood represent a major public health concern. North and West Belfast is an area in which a high rate of emergency department attendance due to injury has been observed, and in which social deprivation is widespread. We carried out a cross sectional survey of 479 injuries in children aged 0-12 years presenting to four emergency departments serving North and West Belfast. Injury rates were compared between the most deprived and least deprived areas, selected on the basis of Noble Economic Deprivation scores. A significant correlation between economic deprivation and injury rate was demonstrated (r = 2.14, p < or = 0.001). Children living within the most deprived areas were particularly likely to be involved in road traffic accidents (relative risk RR = 3.25, p = 0.002). We conclude that children living within the most deprived areas of North and West Belfast are at greater risk of injury than those in less deprived areas. Specific causes of injury, for example burns and scalds, high falls, and motor vehicle accidents are particularly associated with deprivation. Targeting should be taken into account when injury prevention strategies are being developed.
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