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Current trends and age-based differences of unintentional injury in Japanese children
Natsuki Yamamoto1, Chikako Honda, Satoko Nagata
1Department of Community Health Nursing, Graduate School of Medicine, The University of Tokyo.
Insights
Unintentional injuries are a major concern for children. Older toddlers (36 months) had more outdoor injuries and hospital visits than younger toddlers (18 months), suggesting a need for increased safety measures.
Area of Science:
- Pediatric public health
- Injury prevention research
- Child development and safety
Background:
- Unintentional injuries represent a significant global public health issue and a leading cause of mortality in children.
- Understanding age-specific differences in unintentional injuries is crucial for developing targeted child safety education strategies.
Purpose of the Study:
- To investigate current trends in unintentional injuries among young children.
- To identify and compare patterns of unintentional injury across different age groups (18 vs. 36 months).
Main Methods:
- A retrospective study analyzed data from 1,521 children at 18-month health checkups and 1,368 children at 36-month checkups.
- Data collected between January 1, 2014, and December 31, 2014, included hospital visits for unintentional injuries.
Main Results:
- Hospital visit rates for unintentional injuries were 10.6% in the 18-month group and 13.1% in the 36-month group.
- The 36-month group showed more outdoor injuries; accidental ingestion and falls were more common in the 18-month group, while 'turning over' injuries were more frequent in the 36-month group.
- In the 36-month group, boys had more hospital visits than girls, and pre-existing illness was linked to visits in both groups.
Conclusions:
- Children attending 36-month checkups may experience higher rates of unintentional injury hospital visits compared to those at 18 months.
- Maternal preventive actions might be less frequent in the 36-month group, highlighting a potential gap in safety awareness or implementation.
Abstract:
Unintentional injury in children is a worldwide public health problem, as it increases the health burden and is a leading cause of death among children. It is important to understand the differences between different age groups of children in regard to unintentional injury, in order to effectively implement child safety education. The present study aimed to determine the current trends of unintentional injury in children, and to identify the differences between different age groups of children with regard to unintentional injury. We identified 1,521 children who attended an 18-month health checkup (18-month group), and 1,368 children who attended a 36-month health checkup (36-month group), between January 1, 2014 and December 31, 2014. The rate of hospital visits associated with unintentional injury was 10.6% (161/1,521) in the 18-month group, and 13.1% (180/1,368) in the 36-month group. In both groups, present/past illness was associated with hospital visits, and in the 36-month group, hospital visits were more common in boys than in girls. The number of unintentional injuries that occurred outdoors was higher in the 36-month group than in the 18-month group. Unintentional injuries resulting from accidental ingestion and falls were more common in the 18-month group, while unintentional injuries resulting from turning over were more common in the 36-month group. In conclusion, the number of hospital visits for unintentional injury might be higher, and the number of preventive actions taken by mothers might be lower, among children attending the 36-month health checkup than among those attending the 18-month health checkup.
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