Laursen Bjarne, Nielsen Jeppe W
National Institute of Public Health, University of Southern Denmark, Øster Farimagsgade 5 A, 2., DK-1399 Copenhagen K, Denmark.
Eur J Public Health. 2008 Aug;18(4):366-70. doi: 10.1093/eurpub/ckn034. Epub 2008 May 31.
While social differences in childhood injuries are recognized, less is known about how social and demographic differences relate to injury mechanism. The purpose of the study was to reveal how sociodemographic factors affect the incidence of unintentional home injuries in Danish children for specific injury mechanisms and involved products.
Information on injuries in 173 504 children treated at emergency departments was recorded for the period 1998-2003. The information was linked to data including parents' education and income and family type, and the results were compared with those for a random sample of the population.
A total of 50 561 injuries were analysed. The risk was 1.5 (1.5-1.6) for children with mothers having only primary education compared to tertiary education, and 1.5 (1.4-1.6) for children in families with the lowest vs. the highest income. Risk differences were found for all injury mechanisms; however the risk for burns was 1.9 (1.6-2.3) times higher in the lowest-income group than in the highest-income group, the relative risk for poisoning was 1.7(1.4-2.1). For scalds from hot water, tea or coffee, the relative risk for the lowest-income group was 2.4(1.8-3.2). Living in a one- or two-parent family and size of the dwelling had little or no effect on risk.
Childhood injury incidence depended on sociodemographic factors. The effect of the sociodemographic factors varied between injury mechanisms and products involved in the injury.
虽然儿童伤害方面的社会差异已为人所知,但对于社会和人口差异如何与伤害机制相关联却知之甚少。本研究的目的是揭示社会人口因素如何影响丹麦儿童因特定伤害机制和相关产品导致的意外家庭伤害发生率。
记录了1998年至2003年期间在急诊科接受治疗的173504名儿童的伤害信息。这些信息与包括父母教育程度、收入和家庭类型等数据相关联,并将结果与随机抽取的人口样本结果进行比较。
共分析了50561起伤害事件。母亲只有小学教育程度的儿童与接受高等教育的儿童相比,风险为1.5(1.5 - 1.6);收入最低家庭的儿童与收入最高家庭的儿童相比,风险为1.5(1.4 - 1.6)。在所有伤害机制中均发现了风险差异;然而,最低收入组的烧伤风险比最高收入组高1.9(1.6 - 2.3)倍,中毒的相对风险为1.7(1.4 - 2.1)。对于热水、茶或咖啡烫伤,最低收入组的相对风险为2.4(1.8 - 3.2)。生活在单亲或双亲家庭以及居住面积对风险影响很小或没有影响。
儿童伤害发生率取决于社会人口因素。社会人口因素的影响在伤害机制和伤害所涉及的产品之间有所不同。