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Tytuł:
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Social inequalities in unintentional childhood injury incidence suggest subgroup identification and differentiation in the municipal planning of preventive efforts.
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Autorzy:
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Andersen IK; Odense University Hospital, Orthopaedic Department, Accident Analysis Group. Department of Clinical Medicine, University of Southern Denmark, Denmark.
Lauritsen J; Odense University Hospital, Orthopaedic Department, Accident Analysis Group. Department of Clinical Medicine, University of Southern Denmark, Denmark.
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Źródło:
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Scandinavian journal of public health [Scand J Public Health] 2020 Mar; Vol. 48 (2), pp. 200-206. Date of Electronic Publication: 2019 Jun 04.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Publication: <2008->: London, England : Sage Publications
Original Publication: Stockholm ; Boston : Scandinavian University Press, c1999-
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MeSH Terms:
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Health Status Disparities*
Accidental Injuries/*epidemiology
Accidental Injuries/prevention & control ; Adolescent ; Child ; Child, Preschool ; Cities ; Cohort Studies ; Denmark/epidemiology ; Emergency Service, Hospital/statistics & numerical data ; Female ; Humans ; Incidence ; Infant ; Infant, Newborn ; Male ; Parents ; Registries ; Risk Factors ; Socioeconomic Factors
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Contributed Indexing:
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Keywords: Denmark; Injury; accidents; child; socio-economic factors
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Entry Date(s):
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Date Created: 20190605 Date Completed: 20200312 Latest Revision: 20200312
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Update Code:
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20240105
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DOI:
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10.1177/1403494819850429
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PMID:
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31159653
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Aims: This registry-based study examined differences according to socio-economic factors in the incidence of unintentional childhood injuries involving main injury types. Methods : All children aged 0-15 years living in the municipality of Odense were followed from January 1 2006 to December 31 2010 ( n =176,585). Injury outcome ( n =27,745) was defined as visits to the local emergency department. Cohort data were transferred to Statistics Denmark and linked with socio-economic registry data based on unique personal identification numbers. Results : Children aged 10-15 years were at the highest risk for any injury (incidence rate ratio (IRR)=1.14), traffic injury (IRR=5.89) and sports injury (IRR=49.58) compared to children aged 0-4 years. Girls were at lower risk for any injury (IRR=0.85) and higher risk for sports injury (IRR=1.11) and home injuries (IRR=1.12) compared to boys. Children of parents with the lowest household income were at the highest risk for any injury (IRR=1.19) and traffic injury (IRR=2.16) compared to children of parents with the highest group. Children of parents with primary education were at the highest risk of any injury (IRR=1.22) and the lowest risk of traffic injury (IRR=0.80) and sports injury (IRR=0.75) compared to children of parents with tertiary education. Immigrants and descendants were at lower risk for any injury (IRR=0.75 and 0.79, respectively) and sports injury (IRR=0.81 and 0.68, respectively) compared to Danish children. Conclusions : Injury risk varied with socio-economic factors in a Danish municipal setting. The effect varied between specific injury types. Social and ethnic background is important in establishing targeted preventive efforts, but some aspects of selection bias may occur.