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Geographic mapping as a tool for identifying communities at high risk of fire and burn injuries in children
Roslyn G Poulos1, Andrew Hayen, Shanley S S Chong
1The School of Public Health and Community Medicine, The University of New South Wales, Sydney, Australia. r.poulos@unsw.edu.au
Insights
Childhood burns remain a significant health issue, with higher risks found in rural, remote, and coastal areas of New South Wales, Australia. Targeted interventions are needed to address these geographic disparities in pediatric burn injuries.
Area of Science:
- Pediatric injury prevention
- Public health surveillance
- Geographic epidemiology
Background:
- Burns are a major cause of child morbidity and mortality.
- Declines in burn injuries are not uniform across socioeconomic groups.
- Geographic disparities in pediatric burn risks exist.
Purpose of the Study:
- To map the geographic distribution of burn injury risks in children in New South Wales (NSW).
- To identify high-risk communities for targeted interventions.
- To analyze variations in burn risk by geographic location and age group.
Main Methods:
- Utilized Bayesian statistical methods for spatial analysis.
- Mapped posterior expected relative risks of hospital separations for fire and burns.
- Analyzed data across local government areas in NSW, Australia.
Main Results:
- Geographic patterns of burn risk varied significantly by age group.
- Higher-than-average burn risks were identified in rural and remote NSW.
- Increased risks were also observed in coastal and some metropolitan areas.
Conclusions:
- Geographic mapping of pediatric burn injuries highlights areas needing focused prevention strategies.
- Spatial analysis can guide resource allocation for injury control programs.
- Addressing socioeconomic and geographic disparities is crucial for reducing child burn burden.
Abstract:
Burns are a significant cause of morbidity and mortality in children. Although industrialized countries have achieved significant declines in deaths and hospitalizations for these injuries in recent decades, the benefits have not been shared equally by children across all socioeconomic groups. We used Bayesian methods to map posterior expected relative risks, as an estimate of smoothed hospital separation ratios for fire and burns in children, across local government areas in New South Wales, Australia. The geographic pattern of relative risk varied by age group; higher than average risks were observed for children residing in rural and remote areas, as well as in scattered local government areas closer to the coast and in some metropolitan regions. Mapping the occurrence of injury gives injury practitioners the opportunity to identify high risk communities for further investigation of risk factors and implementation of targeted interventions within a defined area.
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