Gagné Mathieu, Hamel Denis
Institut national de santé publique du Québec, Canada.
Chronic Dis Can. 2009;29(2):56-69.
Injuries disproportionately affect children from deprived areas. This study examines the links between the material and social dimensions of deprivation and injury hospitalizations in children aged 14 years or under from 2000 to 2004. Hospitalization data are from the Quebec hospital administrative data system, whereas socio-economic characteristics of individuals were estimated based on the smallest geographic areas for which Canadian census data were disseminated. The Poisson regression model was used to calculate the relative risks of hospitalization for seven categories of unintentional injury. A total of 24 540 injury hospitalizations were examined. Hospitalization in children is associated with both dimensions of deprivation. Injuries to pedestrians and motor vehicle occupants and injuries related to burns and poisonings are clearly associated with both dimensions of deprivation. These inequalities should be considered in the development of preventive measures.
伤害对贫困地区儿童的影响尤为严重。本研究调查了2000年至2004年期间14岁及以下儿童贫困的物质层面和社会层面与伤害住院之间的联系。住院数据来自魁北克医院管理数据系统，而个人的社会经济特征则是根据加拿大人口普查数据所公布的最小地理区域进行估算的。采用泊松回归模型计算七类意外伤害的住院相对风险。共检查了24540例伤害住院病例。儿童住院与贫困的两个层面均相关。行人及机动车驾乘人员的伤害以及与烧伤和中毒相关的伤害显然与贫困的两个层面都有关联。在制定预防措施时应考虑到这些不平等现象。
