Department of Major Trauma, East Midlands Major Trauma Centre, Queens Medical Centre, Nottingham, UK.
University of Birmingham, Birmingham, UK.
Pediatr Surg Int. 2022 Nov 28;39(1):8. doi: 10.1007/s00383-022-05298-6.
Children who live in areas of socioeconomic deprivation may be at higher risk of being victims of violent crime such as knife wounds. The current study investigated whether socioeconomic disparity was associated with higher risk of knife crime.
An observational study included patients aged ≤ 17 years at a UK Major Trauma Centre injured by knife trauma from 2016 to 2022. Indices of deprivation were recorded according to the zip code of residence and compared with those of all of England. These included Index of Multiple Deprivation (IMD); income; employment; education and skills; health and disability; crime; barriers to housing and services; living environment; and Income Deprivation Affecting Children Index (IDACI).
There were 139 patients (96% male) with median age of 16 years. When compared with the whole of England, patients had worse indices of IMD (p = 0.021); income (p < 0.001); employment (p < 0.001); education and skills (p < 0.001); health and disability; and IDACI (p < 0.001). There were no significant differences in indices of crime, barriers to housing and services or living environment.
Paediatric knife injury was associated with poor socioeconomic status in multiple domains. Focussed efforts to address socioeconomic disparities should be a priority as a public health measure for vulnerable children.
生活在社会经济贫困地区的儿童可能面临更高的暴力犯罪（如刀伤）受害风险。本研究旨在探讨社会经济差距是否与更高的持刀犯罪风险相关。
本观察性研究纳入了 2016 年至 2022 年期间在英国一家大型创伤中心因刀伤受伤的年龄≤17 岁的患者。根据居住的邮政编码记录了剥夺指数，并与英格兰的所有指数进行了比较。这些指数包括多维度剥夺指数（IMD）；收入；就业；教育和技能；健康和残疾；犯罪；住房和服务障碍；生活环境；以及影响儿童收入剥夺指数（IDACI）。
共有 139 名（96%为男性）患者，中位年龄为 16 岁。与整个英格兰相比，患者的 IMD 指数（p=0.021）；收入（p<0.001）；就业（p<0.001）；教育和技能（p<0.001）；健康和残疾；以及 IDACI（p<0.001）更差。犯罪、住房和服务障碍或生活环境方面的指数没有显著差异。
儿科刀伤与多个领域的贫困社会经济状况有关。作为一项针对弱势儿童的公共卫生措施，有针对性地解决社会经济差距应是优先事项。
