Relation of child, caregiver, and environmental characteristics to childhood injury in an urban Aboriginal cohort in New South Wales, Australia

Autor: Christopher T. Cowell, Holger Möller, Kathleen Falster, Kathleen F Clapham, Leonie Burgess, Deanna Kalucy, Emily Banks, Peter Fernando, Cheryl Woodall, Rebecca Ivers, Vivian Isaac, Katherine A Thurber
Rok vydání: 2017
Předmět:
Gerontology
Adult
Male
medicine.medical_specialty
Childhood injury
Native Hawaiian or Other Pacific Islander
Urban Population
injury prevention
Environment
Social Environment
Cohort Studies
03 medical and health sciences
Young Adult
0302 clinical medicine
child injury
Sex Factors
Injury prevention
medicine
Humans
030212 general & internal medicine
Social determinants of health
Early career
Aboriginal Community Controlled Health Services
Child
030505 public health
Public health
Aboriginal child health
lcsh:Public aspects of medicine
Public Health
Environmental and Occupational Health
Age Factors
Capacity building
lcsh:RA1-1270
Medical research
Caregivers
social determinants of health
Child
Preschool
Cohort
Housing
Wounds and Injuries
Environment Design
Female
New South Wales
0305 other medical science
Psychology
Zdroj: Australian and New Zealand Journal of Public Health, Vol 42, Iss 2, Pp 157-165 (2018)
ISSN: 1753-6405
Popis: Objective: Despite being disproportionately affected by injury, little is known about factors associated with injury in Aboriginal children. We investigated factors associated with injury among urban Aboriginal children attending four Aboriginal Community Controlled Health Services in New South Wales, Australia. Methods: We examined characteristics of caregiver‐reported child injury, and calculated prevalence ratios of ‘ever‐injury’ by child, family, and environmental factors. Results: Among children in the cohort, 29% (n=373/1,303) had ever broken a bone, been knocked out, required stitches or been hospitalised for a burn or poisoning; 40–78% of first injuries occurred at home and 60–91% were treated in hospital. Reported ever‐injury was significantly lower (prevalence ratio ≤0.80) among children who were female, younger, whose caregiver had low psychological distress and had not been imprisoned, whose family experienced few major life events, and who hadn't experienced alcohol misuse in the household or theft in the community, compared to other cohort members. Conclusions: In this urban Aboriginal child cohort, injury was common and associated with measures of family and community vulnerability. Implications for public health: Prevention efforts targeting upstream injury determinants and Aboriginal children living in vulnerable families may reduce child injury. Existing broad‐based intervention programs for vulnerable families may present opportunities to deliver targeted injury prevention.
Databáze: OpenAIRE
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