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Injuries in primary care practices

R Gofin1, M Lison, C Morag

  • 1Department of Social Medicine, Hadassah Medical Organization, Braun School of Public Health and Community Medicine of Hadassah, Jerusalem 91010, Israel.

Archives of Disease in Childhood
|February 1, 1993
PubMed
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Children in lower social class neighborhoods experience significantly higher injury rates than those in middle-class areas. This highlights disparities in child injury prevention and healthcare access.

Area of Science:

  • Pediatrics
  • Public Health
  • Epidemiology

Background:

  • Childhood injuries represent a significant public health concern.
  • Socioeconomic status is a known determinant of health outcomes, including injury risk.
  • Understanding injury patterns across different socioeconomic strata is crucial for targeted interventions.

Purpose of the Study:

  • To compare the incidence and characteristics of injuries among children aged 0-15 years attending primary care clinics in low versus middle social class neighborhoods.
  • To identify specific injury locations and causes prevalent in different socioeconomic settings.
  • To inform community-based injury prevention strategies and healthcare planning.

Main Methods:

  • A prospective one-year study involving data collection by physicians in primary care clinics.

Related Experiment Videos

  • Inclusion criteria: children aged 0-15 years attending clinics in distinct low and middle social class neighborhoods.
  • Data collection utilized structured forms capturing injury details, location, cause, and initial treatment.
  • Main Results:

    • Injury rates were substantially higher in the low social class neighborhood (121.3/1000 children/year) compared to the middle social class neighborhood (70.7/1000 children/year).
    • Injuries sustained in playgrounds, pavements, and streets were more common in the low social class group.
    • Falls and injuries from cutting/piercing instruments were the most frequent causes, primarily resulting in contusions and lacerations.

    Conclusions:

    • Primary care clinic data are valuable for estimating community injury incidence and planning interventions.
    • Disparities in childhood injury rates exist between socioeconomic groups, necessitating targeted prevention efforts.
    • Healthcare-seeking behaviors differ, with lower social class children less likely to present initially at a clinic and more likely to require hospital referral.