Williamson L M, Morrison A, Stone D H
Paediatric Epidemiology and Community Health (PEACH) Unit, Department of Child Health, University of Glasgow, Royal Hospital for Sick Children, Yorkhill, Glasgow G3 8SJ, UK.
J Epidemiol Community Health. 2002 Apr;56(4):285-8. doi: 10.1136/jech.56.4.285.
To examine the trends in childhood head injury mortality in Scotland between 1986 and 1995.
Analysis of routine mortality data from the registrar general for Scotland.
Scotland, UK.
Children aged 0-14 years.
A total of 290 children in Scotland died as a result of a head injury between 1986 and 1995. While there was a significant decline in the head injury mortality rate, head injury as a proportion of all injury fatalities remained relatively stable. Boys, and children residing in relatively less affluent areas had the highest head injury mortality rates. Although both these groups experienced a significant decline over the study period, the mortality differences between children in deprivation categories 1-2 and 6-7 persisted among 0-9 year olds, and increased in the 10-14 years age group. Pedestrian accidents were the leading cause of mortality.
Children residing in less affluent areas seem to be at relatively greater risk of sustaining a fatal head injury than their more affluent counterparts. While the differences between the most and least affluent have decreased overall, they have widened among 10-14 year olds. The decline in head injury mortality as a result of pedestrian accidents may be partly attributable to injury prevention measures.
调查1986年至1995年间苏格兰儿童头部损伤死亡率的趋势。
对苏格兰总登记官的常规死亡率数据进行分析。
英国苏格兰。
0至14岁儿童。
1986年至1995年间，苏格兰共有290名儿童因头部损伤死亡。虽然头部损伤死亡率显著下降，但头部损伤在所有损伤死亡中所占比例保持相对稳定。男孩以及居住在相对不太富裕地区的儿童头部损伤死亡率最高。尽管在研究期间这两组的死亡率都显著下降，但1至2类贫困儿童与6至7类贫困儿童之间的死亡率差异在0至9岁儿童中仍然存在，并且在10至14岁年龄组中有所增加。行人事故是主要死因。
与较为富裕的儿童相比，居住在不太富裕地区的儿童遭受致命头部损伤的风险似乎相对更高。虽然最富裕和最不富裕儿童之间的差异总体上有所减少，但在10至14岁儿童中差异有所扩大。行人事故导致的头部损伤死亡率下降可能部分归因于伤害预防措施。
