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Social deprivation as a risk factor for fractures in childhood

R Ramaesh1, N D Clement1, L Rennie1

  • 1The Royal Hospital for Sick Children, 18/5 Sciennes Road, Edinburgh, EH16 5PN, UK.

The Bone & Joint Journal
|January 29, 2015
PubMed

Insights

Social deprivation significantly increases the incidence of paediatric fractures. Children in the most deprived areas experienced 35% more fractures, often from falls or accidents.

Area of Science:

  • Orthopedics
  • Public Health
  • Epidemiology

Background:

  • Paediatric fractures are a common cause of childhood morbidity.
  • Socioeconomic deprivation is linked to increased fracture incidence in adults and children.
  • Limited data exists on the epidemiology of paediatric fractures concerning social deprivation.

Purpose of the Study:

  • To investigate the impact of social deprivation on the epidemiology of paediatric fractures.
  • To analyze the relationship between socioeconomic status and fracture incidence in children.
  • To identify specific injury mechanisms associated with deprivation in paediatric fractures.

Main Methods:

  • Prospective database compilation of all fractures in children under 16 years.
  • Recording of demographics, fracture type, mode of injury, and postcode.
  • Assignment of socioeconomic status quintiles using the Scottish Index for Multiple Deprivation (SIMD).

Main Results:

  • A strong positive correlation was found between increasing deprivation and fracture incidence (r = 1.00, p < 0.001).
  • Fracture incidence was higher in the most deprived group (2420/100,000/yr) compared to the least deprived (1775/100,000/yr).
  • Deprived children had higher odds of fractures from falls (OR=1.5), blunt trauma (OR=1.5), and road traffic accidents (OR=2.7).

Conclusions:

  • Social deprivation is a significant risk factor for paediatric fractures.
  • Targeted public health interventions and preventative measures are needed for deprived populations.
  • Understanding deprivation-related injury patterns can inform injury prevention strategies.

Keywords:
EpidemiologyFracturesPaediatricsSocial deprivation

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