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Injuries among children attributed to violence and social funding: a 10-year observational study

Louise Morris1, David N Naumann2,3, John-Joe Reilly1

  • 1East Midlands Major Trauma Centre, Nottingham University Hospitals NHS Trust, Nottingham, UK.

BMJ Paediatrics Open
|January 10, 2023
PubMed

Insights

Violent injuries in children are increasing as government funding for youth services decreases. This study observed a rise in violent trauma admissions to a Major Trauma Centre alongside reduced public spending on child and youth support. Further research is needed to understand this relationship.

Area of Science:

  • Pediatric Trauma
  • Public Health Policy
  • Child Welfare

Background:

  • Childhood injury mechanisms are shifting towards violence.
  • National government funding for children and youth services has declined over the past decade.
  • Understanding trends in pediatric trauma and its potential links to social funding is crucial.

Purpose of the Study:

  • To investigate trends in admissions of injured children to a Major Trauma Centre (MTC).
  • To examine the relationship between violent injuries in children and local authority funding for children and youth services.

Main Methods:

  • A 10-year observational study (April 2012-April 2022) of pediatric patients (<18 years) at a regional MTC.
  • Analysis of admission data, including mechanism of injury, operative intervention, and mortality.
  • Comparison of trauma data with published local authority expenditure reports.

Main Results:

  • 1126 children were included; 14% were victims of violent trauma.
  • Victims of violent trauma were more likely to be male (84% vs 69%).
  • The proportion of violence-attributed injuries increased over the study period, coinciding with reduced funding for early years, family, and youth services.

Conclusions:

  • The rise in violence-related pediatric injuries correlates with decreased government spending on youth services.
  • Insufficient data currently prevents formal assessment of the interdependency between funding and violent injuries.
  • Future public health interventions for violence-related injuries should consider youth service funding levels.
Abstract

Keywords:
adolescent healthepidemiologyhealth services researchsocial work

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