Exploring the impact of remoteness and socio-economic status on child and adolescent injury-related mortality in Australia

Peden, Amy E., and Franklin, Richard C. (2021) Exploring the impact of remoteness and socio-economic status on child and adolescent injury-related mortality in Australia. Children, 8 (1). 5.

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Injuries are a leading cause of harm for children. This study explores the impact of determinants of health on children (0–19 years) injury-related mortality (namely remoteness and socio-economic disadvantage, calculated using the index of relative socio-economic advantage and disadvantage (IRSAD)). Cause of death data from the Australian Bureau of Statistics were sourced for children in Australia between 1 July 2007 to 30 June 2017. Fifteen injury categories (ICD-10-AM external cause codes) were used. Burden and trends by injury mechanism were explored. A total of 5153 children died; with road traffic incidents (3.39 per 100,000 population), intentional self-harm (2.46) and drowning (0.72) being the leading mechanisms. Female fatality rates in very remote areas (8.73) were nine times higher than in major cities (Relative Risk [RR] = 8.73; 95% Confidence Interval [95% CI]: 4.23–18.00). Fatality rates increased with remoteness; very remote areas recording an injury-related fatality rated six times (RR = 5.84; 95 %CI: 3.76–9.12) that of major city residents. Accidental poisoning and intentional self-harm fatalities were more likely in high IRSAD areas, while road traffic fatalities were more likely in low and mid socio-economic areas (X2 = 69.1; p < 0.001). People residing in regional and remote areas and from low socio-economic backgrounds already face significant health and lifestyle challenges associated with disadvantage. It is time to invest in injury prevention interventions for these populations, as well as upstream policy strategies to minimize any further preventable loss of life.

Item ID: 70677
Item Type: Article (Research - C1)
ISSN: 2227-9067
Keywords: Adolescent, Child, Determinants of health, Drowning, Epidemiology, Falls, Injury, Intervention, Poisoning, Prevention, Risk factor, Road traffic injury, Rurality, Self-harm, Socio-economic, Violence
Copyright Information: © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
Date Deposited: 15 Feb 2022 06:26
FoR Codes: 42 HEALTH SCIENCES > 4206 Public health > 420604 Injury prevention @ 100%
SEO Codes: 20 HEALTH > 2004 Public health (excl. specific population health) > 200408 Injury prevention and control @ 100%
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