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Hospital admissions for unintentional poisoning in preschool children in England; 2000-2011
Cordelle N A Mbeledogu1, Elizabeth V Cecil1, Christopher Millett1
1Department of Primary Care and Public Health, School of Public Health, Imperial College London, London, UK.
Insights
Hospital admissions for poisoning in preschool children decreased by 23% from 2000 to 2011. While social disparities narrowed, children in deprived areas remain at higher risk, suggesting a need for targeted safety education.
Area of Science:
- Public Health
- Pediatric Toxicology
- Epidemiology
Background:
- Unplanned hospital admissions for poisoning in young children represent a significant public health concern.
- Understanding temporal trends and socioeconomic disparities in pediatric poisoning is crucial for targeted prevention strategies.
Purpose of the Study:
- To analyze time trends in hospital admissions for poisoning in preschool children in England.
- To investigate changes in socioeconomic gradients associated with poisoning admissions over a decade.
Main Methods:
- Population-based time-trend analysis of unplanned hospital admissions.
- Data collected for preschool children (aged <5 years) in England between 2000 and 2011.
- Analysis of medicinal and non-medicinal poisoning admissions, stratified by socioeconomic deprivation.
Main Results:
- Overall hospital admission rates for poisoning decreased by 23% from 2000 to 2011.
- The relative risk of admission for children from the most deprived quintile decreased from 2.37 to 1.54 compared to the least deprived quintile.
- Despite a narrowing gap, significant socioeconomic disparities in poisoning risk persist.
Conclusions:
- Pediatric poisoning admissions in England have declined over the study period.
- Targeted home safety education programs in deprived areas may further reduce poisoning risks in vulnerable preschool children.
- Continued monitoring of poisoning trends and socioeconomic factors is essential for effective public health interventions.
Abstract:
We conducted a population based time-trend analysis of all unplanned admissions to National Health Service hospitals for poisoning in preschool children (aged <5 years) in England, between 2000 and 2011. Hospital admission rates for poisoning (medicinal and non-medicinal) decreased overall from 179 per 100 000 in 2000 to 139 per 100 000 in 2011 (rate ratio 0.77, 95% CI 0.74 to 0.81). The relative risk of hospital admission from the most deprived quintile compared with the least deprived quintile reduced from 2.37 (95% CI 2.15 to 2.60) in 2001 to 1.54 (95% CI 1.40 to 1.70) in 2011. Poisoning admissions in preschool children have decreased by 23% over the past decade. Although social gradients have narrowed, those from the most deprived areas are at higher risk of poisoning, and may benefit from targeted schemes of home safety education in deprived areas.
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