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Children's injuries in legislated types child-care institutions

Sachiko Yamamoto Kataoka1, Sachiko Nozawa2, Hiroki Mishina3,4

  • 1Department of Health Informatics, School of Public Health & Graduate School of Medicine, Kyoto University, Kyoto, Japan.

Pediatrics International : Official Journal of the Japan Pediatric Society
|June 20, 2024
PubMed

Insights

Severe injuries in Japanese child-care institutions show an increasing trend, particularly before the COVID-19 pandemic. This study highlights a significant rise in injury incidence rates over a five-year period.

Area of Science:

  • Pediatrics
  • Public Health
  • Social Science

Background:

  • Severe injuries in child-care institutions represent a significant social concern.
  • No prior reports on this issue exist for Japan.
  • This study investigates injury trends, considering the influence of the COVID-19 pandemic.

Purpose of the Study:

  • To examine trends in severe injury incidence rates within Japanese child-care institutions.
  • To assess the impact of the COVID-19 pandemic on these injury trends.

Main Methods:

  • A serial cross-sectional study design was employed.
  • Interrupted time-series (ITS) analysis with a linear regression model was used.
  • Japanese national open data from 2017 to 2021 were analyzed.

Main Results:

  • The number of child-care facilities and participants increased from 2017 to 2021.
  • The annual incidence rate of severe injuries in 2021 was double that of 2017 (58.3 per 100,000 person-years).
  • ITS analysis revealed an increasing monthly incidence trend prior to the COVID-19 pandemic.

Conclusions:

  • A rising trend in monthly severe injury incidence was observed before the COVID-19 pandemic.
  • The annual incidence rate of severe injuries in Japanese child-care institutions likely increased during the study period.
Abstract

Keywords:
child day care centerhealth service researchinterrupted time series analysispreschool childwounds and injuries

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