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Closing the Aboriginal child injury gap: targets for injury prevention
Holger Möller1, Kathleen Falster1,2,3, Rebecca Ivers4
1Centre for Big Data Research in Health, UNSW Kensington Campus, New South Wales.
Insights
Australian Aboriginal children face higher rates of unintentional injury hospitalisation than non-Aboriginal children. Targeted prevention strategies are needed for specific injury mechanisms and age groups to reduce this health disparity.
Area of Science:
- Public Health
- Paediatric Injury Epidemiology
- Health Disparities
Background:
- Unintentional injuries are a significant cause of hospitalisation in children.
- Understanding injury mechanisms is crucial for effective prevention.
- Disparities in child injury rates between Aboriginal and non-Aboriginal populations require investigation.
Purpose of the Study:
- To identify leading unintentional injury mechanisms in Australian Aboriginal children.
- To compare injury rates between Aboriginal and non-Aboriginal children.
- To pinpoint injury mechanisms with the greatest inequalities.
Main Methods:
- Utilised linked NSW population birth cohort data (2000-2012).
- Included 1,124,717 children (35,749 Aboriginal).
- Calculated injury hospitalisation rates using ICD10-AM codes.
Main Results:
- Falls from playground equipment were the leading mechanism for both groups.
- Aboriginal children had higher hospitalisation rates for 66 of 69 mechanisms.
- Largest relative inequalities: fire/flame exposure; largest absolute inequalities: playground falls.
Conclusions:
- Aboriginal children in NSW bear a disproportionately higher burden of unintentional injury.
- Significant health inequalities exist in child injury hospitalisation.
- Public health implications include implementing targeted injury prevention measures.
Objective:
To describe the leading mechanisms of hospitalised unintentional injury in Australian Aboriginal children and identify the injury mechanisms with the largest inequalities between Aboriginal and non-Aboriginal children.
Methods:
We used linked hospital and mortality data to construct a whole of population birth cohort including 1,124,717 children (1,088,645 non-Aboriginal and 35,749 Aboriginal) born in the state of New South Wales (NSW), Australia, between 1 July 2000 and 31 December 2012. Injury hospitalisation rates were calculated per person years at risk for injury mechanisms coded according to the ICD10-AM classification.
Results:
The leading injury mechanisms in both groups of children were falls from playground equipment. For 66 of the 69 injury mechanisms studied, Aboriginal children had a higher rate of hospitalisation compared with non-Aboriginal children. The largest relative inequalities were observed for injuries due to exposure to fire and flame, and the largest absolute inequalities for injuries due to falls from playground equipment.
Conclusion:
Aboriginal children in NSW experience a significant higher burden of unintentional injury compared with their non-Aboriginal counterparts. Implications for Public Health: We suggest the implementation of targeted injury prevention measures aimed at injury mechanism and age groups identified in this study.
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