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The societal cost of unintentional childhood injuries in Aotearoa

Michael Young1, Tom Love2, Melissa Wilson3

  • 1Managing Economist, Sapere Research Group, Wellington.

The New Zealand Medical Journal
|September 5, 2021
PubMed

Insights

Unintentional childhood injuries cost nearly $400 million in 2014, disproportionately affecting Pacific and Māori children and those in low socioeconomic areas. Addressing these inequities is crucial for reducing health and financial impacts.

Area of Science:

  • Public Health
  • Injury Prevention
  • Health Economics

Background:

  • Childhood injuries represent a significant public health concern.
  • Previous estimates of the economic and social burden of unintentional childhood injuries are limited.

Purpose of the Study:

  • To estimate the burden and inequity of unintentional childhood injury in Aotearoa.
  • To quantify the direct, indirect, and intangible costs of childhood injuries.
  • To assess the impact of childhood injury on household income and identify disparities.

Main Methods:

  • Utilized administrative data from the Accident Compensation Corporation (ACC) and Ministry of Health.
  • Employed an incidence approach to attribute costs to the year of injury.
  • Analyzed data for children under 15 years old.

Main Results:

  • In 2014, 257,000 children experienced unintentional injuries, costing nearly $400 million.
  • The health burden was equivalent to nearly 200 lives lost.
  • Pacific children had the highest incidence rates; Māori experienced lower ACC claims but higher emergency department use. Socioeconomic deprivation correlated with higher hospital admission rates. Māori and Pacific households faced a higher proportional loss of discretionary income.

Conclusions:

  • The burden of unintentional childhood injury is substantial and inequitably distributed.
  • There is a need to focus on addressing inequities in injury incidence and healthcare access.
  • Reducing health and financial disparities requires targeted interventions for vulnerable populations.
Abstract

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