Epidemiology of unintentional injuries in childhood: a population-based survey in general practice

Hanneke Otters, François G. Schellevis, Jurgen Damen, Johannes C van der Wouden*, Lisette W.A. van Suijlekom-Smit, Bart W Koes

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

26 Citations (Scopus)
17 Downloads (Pure)

Abstract

This study aimed to assess the incidence of unintentional injuries presented in general practice, and to identify children at risk from experiencing an unintentional injury. We used the data of all 0-17-year-old children from a representative survey in 96 Dutch general practices in 2001. We computed incidence rates and multilevel multivariate regression analysis in different age strata and identified patient and family characteristics associated with an elevated injury risk. Nine thousand four hundred and eighty-four new injury episodes were identified from 105 353 new health problems presented in general practice, giving an overall incidence rate of 115 per 1000 person years (95% confidence interval [CI] = 113 to 118). Sex and residence in rural areas are strong predictors of injury in all age strata. Also, in children aged 0-4 years, a higher number of siblings is associated with elevated injury risk (≥3 siblings odds ratio [OR] = 1.57, 95% CI = 1.19 to 2.08) and in the 12-17-year-olds, ethnic background and socioeconomic class are associated with experiencing an injury (non-western children OR = 0.67, 95% CI = 0.54 to 0.81; low socioeconomic class OR = 1.39, 95% CI = 1.22 to 1.58). Unintentional injury is a significant health problem in children in general practice, accounting for 9% of all new health problems in children. In all age groups, boys in rural areas are especially at risk to experience an injury.

Original languageEnglish
Pages (from-to)630-633
Number of pages4
JournalBritish Journal of General Practice
Volume55
Issue number517
Publication statusPublished - Aug 2005

Bibliographical note

© British Journal of General Practice

Research programs

  • EMC NIHES-02-67-01
  • EMC OR-02-54-06

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