Accident and injury prevention

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Accident and injury prevention
Dr Julie Mytton Specialist Registrar in Public
Health, University of West England
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Insight into injuries in primary school aged
children

• Dr J Mytton1
• Acknowledgments Prof S Gray1, Prof E Towner1,
• Dr J Pollock1, Prof A Emond2
• 1University of the West of England, Bristol
• 2University of Bristol
• julie.mytton_at_uwe.ac.uk
• Unite/CPHVA 2008 22nd November 2008

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Childhood injury in England Wales
246 deaths (2006)
2 million emergency department visits
120,000 admissions to hospital
146m (294m) cost to National Health Service
Unknown number of injuries managed at home
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What do we already know about injuries in school
aged children?

• Number of injuries ? with age
• Boys gt girls
• Commonest injuries cuts wounds
• School leisure environments ? with age
• Family risk factors for injury
• More siblings
• Younger mother
• Single parent ?
• Low parental education ?
• Low socioeconomic status ?
• Poor parenting / family dysfunction ?

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ALSPAC

• Avon Longitudinal Study of Parents and Children
• Women recruited with an expected delivery date
  between 1st April 1991 and 31st December 1992
• 13998 infants live at 12 months
• Parentally reported injuries occurring to
  children aged 4½-11½ years

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ALSPAC primary school injury measures
UK primary school aged period
Recall period
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Injury questionnaire 1
Injury questionnaire 2
Injury questionnaire 3
Injury questionnaire 4
4 yr
5 yr
6 yr
7 yr
8 yr
9 yr
10 yr
11 yr
12 yr
Maternal questionnaire
Maternal questionnaire
Child-based questionnaire
BLUE Questions about child, usually maternal
report RED Questions about mother, asked of mother
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Injury questions
Total reported injury events 12854
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Rate of any injury event per year
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Proportion of injury types, by age
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Proportion of injury events occurring in
different locations
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Rate of reported burns / scalds per 1000 children
per year (n589)
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Frequency of burn / scald injuries by object and
sex (n833)
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Family risk factors for medically attended
injuries
Preliminary unpublished data
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Summary

• Injuries are an important cause of potentially
  preventable morbidity in school aged children
• The risks of injury and the type circumstances
  of injury change as children grow up
• Understanding these variations is important to
  help develop prevention programmes