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Varying gender pattern of childhood injury mortality over time in Scotland
J Pearson1, S Jeffrey, D H Stone
1Paediatric Epidemiology and Community Health (PEACH) Unit, Department of Child Health, University of Glasgow, Glasgow, UK.
Insights
Child injury mortality in Scotland shows a historical male excess, but this gap is narrowing over time. While boys remain more likely to die from injuries, the disparity is decreasing across various causes and age groups.
Area of Science:
- Public Health
- Epidemiology
- Pediatric Injury Prevention
Background:
- Child injury mortality presents a significant public health concern.
- Understanding demographic disparities, such as gender, is crucial for targeted prevention strategies.
Purpose of the Study:
- To investigate the trends and patterns of gender differences in child injury mortality in Scotland.
- To analyze how these gender disparities have evolved over a 25-year period.
Main Methods:
- Utilized injury mortality data for children aged 0-14 years in Scotland from 1982-2006.
- Analyzed data by age, gender, year of death, and cause of death.
- Calculated age-adjusted mortality rates, male:female ratios, and temporal trends.
Main Results:
- An overall male excess in child injury mortality was observed (male:female ratio 1.70).
- Boys faced higher risks across most age groups and specific causes like poisoning, falls, suicide, drowning, suffocation, pedestrian, and road traffic injuries.
- A notable decline in the male excess was evident over the study period.
Conclusions:
- The gender pattern of child injury mortality in Scotland is dynamic and evolving.
- While an overall male excess persists, it is converging over time, with some categories showing near disappearance of the disparity.
- The underlying reasons for these changing gender patterns remain largely unexplained.
Objective:
This article explores gender in relation to Scottish child injury mortality over time.
Design:
Injury mortality data for children aged 0-14 years in Scotland were obtained from the General Register Office for Scotland. The study period was 1982-2006 inclusive. Data were analysed in terms of age, gender, year of death and cause of death. Age-adjusted injury mortality rates, male:female (m:f) ratios and temporal trends were calculated.
Setting:
Scotland, UK.
Subjects:
Children, aged 0-14 years, resident in Scotland, who died from injury during the study period.
Results:
There was an overall significant male excess (m:f ratio 1.70). Boys were significantly more likely to die from injuries in all age groups except infancy (m:f ratio 1.20, 1.32, 2.09, 2.09 in age groups <1, 1-4, 5-9 and 10-14 years). For childhood as a whole, the most gender-related fatal injury causes were poisoning (m:f ratio 3.21), falls (m:f ratio 2.75), suicide (m:f ratio 2.19), drowning and suffocation (m:f ratio 2.09), pedestrian (m:f ratio 1.72) and road traffic injuries (m:f ratio 1.65). The only cause that did not show a significant m:f ratio was fire. The male excess declined markedly over time.
Conclusion:
The gender pattern of child injury mortality in Scotland is highly variable and changing over time to the point where the previous male excess has almost disappeared in some age and cause categories. The overall male excess in child injury mortality has, however, remained consistent over time although the trend is downwards and converging. These findings are largely unexplained.
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