Deprivation and unintentional injury hospitalization in Quebec children.
Injuries disproportionately affect children from deprived areas. This study examines the links between the material and social dimensions of deprivation and injury hospitalizations in children aged 14 years or under from 2000 to 2004. Hospitalization data are from the Quebec hospital administrative data system, whereas socio-economic characteristics of individuals were estimated based on the smallest geographic areas for which Canadian census data were disseminated. The Poisson regression model was used to calculate the relative risks of hospitalization for seven categories of unintentional injury. A total of 24 540 injury hospitalizations were examined. Hospitalization in children is associated with both dimensions of deprivation. Injuries to pedestrians and motor vehicle occupants and injuries related to burns and poisonings are clearly associated with both dimensions of deprivation. These inequalities should be considered in the development of preventive measures.
Gagné
Mathieu
M
Institut national de santé publique du Québec, Canada. mathieu.gagne@inspq.qc.ca
Hamel
Denis
D
D000056:Accident Prevention; D000059:Accidents / Q000145:classification / Q000401:mortality / Q000706:statistics & numerical data*; D000293:Adolescent; D002648:Child; D002669:Child Welfare / Q000706:statistics & numerical data*; D002675:Child, Preschool; D005260:Female; D019538:Health Care Surveys; D054624:Health Status Disparities; D006306:Health Surveys; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D015601:Injury Severity Score; D008297:Male; D011203:Poverty / Q000706:statistics & numerical data*; D011792:Quebec / Q000453:epidemiology; D012044:Regression Analysis; D012307:Risk Factors; D014505:Urban Population / Q000706:statistics & numerical data; D014947:Wounds and Injuries / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control