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Low-speed vehicle run over fatalities in Australian children aged 0-5 years
Anne Paul Anthikkat1, Andrew Page, Ruth Barker
1Discipline of Epidemiology and Biostatistics, School of Population Health, University of Queensland, Brisbane, Queensland, Australia.
Insights
Low-speed vehicle run over (LSVRO) incidents in Australia disproportionately affect young children, often occurring in residential driveways. Key risk factors include vehicle type and reversing maneuvers, highlighting areas for targeted prevention strategies.
Area of Science:
- Pediatric Safety
- Public Health Research
- Injury Prevention
Background:
- Low-speed vehicle run over (LSVRO) incidents represent a significant cause of mortality in young children.
- Understanding the specific environmental and socio-demographic risk factors is crucial for developing effective prevention strategies.
Purpose of the Study:
- To investigate environmental, socio-demographic, and antecedent risk factors associated with low-speed vehicle run over (LSVRO) mortality in Australian children aged 0-5 years.
- To analyze trends in LSVRO incidence rates and identify modifiable factors contributing to these fatalities.
Main Methods:
- A population-based retrospective case series study was conducted.
- Data encompassed Australian LSVRO mortality from July 2000 to December 2010.
- Mortality data were stratified by sex, age, period, area, location of injury, and mechanism.
Main Results:
- Eighty-two fatal LSVRO cases were recorded over the 11-year period, with a declining incidence.
- Over three-quarters of incidents occurred in non-traffic settings, primarily residential driveways, involving four-wheel drives or utilities, often reversing.
- A higher proportion of fatalities occurred in lower socio-economic status areas, and drivers were often known to the child.
Conclusions:
- LSVRO incidents in Australia disproportionately affect young children (≤36 months) and occur predominantly in residential driveways.
- Modifiable antecedent factors, such as vehicle type and driver actions, were identified.
- The study underscores the need for targeted prevention strategies and improved incident reporting.
Aim:
The study aims to investigate environmental, socio-demographic and other antecedent risk factors associated with low-speed vehicle run over (LSVRO) mortality in Australian children aged 0-5 years.
Methods:
This is a population-based retrospective case series study of Australian LSVRO mortality, July 2000-December 2010.
Main Outcome Measures:
Mortality and corresponding population data were stratified by sex and period to examine trends in incidence rates over the study period. Proportional mortality was also investigated by sex, age, period, area, location of injury, mechanism and other antecedent factors identified from textual coronial information.
Results:
There were 82 fatal LSVRO cases over the 11-year study period. The annual incidence was low (less than 1 per 100,000) and declined over the study period. More than three-quarters of incidents occurred in non-traffic settings, in particular residential driveways. The most common vehicle involved was a four-wheel drive or utility with vehicles most likely to be reversing or leaving at the time of the incident. More than three-quarters of cases were aged 36 months or less. A higher proportion of LSVRO fatalities occurred in lower socio-economic status areas compared with higher socio-economic status areas. Where the vehicle was actively being driven (77 cases), the driver was known to the child in three-quarters of cases, most commonly the father (32%).
Conclusion:
The study provides a detailed analysis of mortality due to LSVRO incidents in Australia and highlights a number of modifiable antecedent factors. Precedents for the identification and reporting of LSVRO incidents as well as prevention strategies are discussed.
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