Manifold child, family and social variables are associated with injury among New Zealand preschool children.

Underwood, L; Kool, B; Pillai, A; Kingi, TK; Morton, S; Ameratunga, S

Manifold child, family and social variables are associated with injury among New Zealand preschool children.

Underwood, L Kool, B Pillai, A Kingi, TK Morton, S

Ameratunga, S

Permalink

Publisher:: BMJ
Publication Type:: Journal Article
Citation:: Inj Prev, 2023, pp. ip-2023-044869
Issue Date:: 2023-12-01

Closed Access

	Filename	Description	Size
	ip-2023-044869.full.pdf	Published version	468.15 kB	Adobe PDF	View/Open

Copyright Clearance Process

Recently Added
In Progress
Closed Access

This item is closed access and not available.

Full metadata record

Field	Value	Language
dc.contributor.author	Underwood, L
dc.contributor.author	Kool, B
dc.contributor.author	Pillai, A
dc.contributor.author	Kingi, TK
dc.contributor.author	Morton, S https://orcid.org/0000-0002-2231-7020
dc.contributor.author	Ameratunga, S
dc.date.accessioned	2024-02-05T00:19:54Z
dc.date.available	2023-11-09
dc.date.available	2024-02-05T00:19:54Z
dc.date.issued	2023-12-01
dc.identifier.citation	Inj Prev, 2023, pp. ip-2023-044869
dc.identifier.issn	1353-8047
dc.identifier.issn	1475-5785
dc.identifier.uri	http://hdl.handle.net/10453/175282
dc.description.abstract	AIM: Approaches to understanding child injury tend to focus on short-term proximal influences. Previous analyses have found higher rates of injury among Māori and Pacific children in Aotearoa New Zealand (NZ). This study aimed to investigate how combinations of situations and multiple events act across the life-course to either protect preschool children from, or place them at risk of, repeated injuries requiring medical attention. METHODS: Longitudinal data were used to identify parent-reported injuries requiring medical attention among 6114 preschool NZ children. The environments experienced by children with multiple and/or severe injury were explored using multivariable analyses. RESULTS: Eight percent of children (n=505) experienced 1-3 injuries with at least one hospitalisation or ≥4 injuries (high injury group) from birth to 4.5 years of age. After accounting for antenatal, sociodemographic and psychosocial variables, children of Māori mothers (OR=0.7, 95% CI 0.5 to 0.97) and children of Asian mothers (OR=0.5, 95% CI 0.3 to 0.7) were less likely to be in the high injury group than children of European mothers. After adjusting for maternal ethnicity and child variables (gender, temperament, level of activity and behaviour difficulties), cumulative exposure to factors in four domains was associated with injury category: maternal, family, social and service use. CONCLUSION: This study identified social and economic opportunities to lower rates of injury among preschool children, that might reduce associated direct and indirect costs. Our findings in relation to ethnicity go against the standard public rhetoric and provide support for shifting the apportioning of blame for child injury from individuals to wider environmental exposures for which public health and societal solutions are required.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	BMJ
dc.relation.ispartof	Inj Prev
dc.relation.isbasedon	10.1136/ip-2023-044869
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1106 Human Movement and Sports Sciences, 1117 Public Health and Health Services, 1701 Psychology
dc.subject.classification	Public Health
dc.subject.classification	4202 Epidemiology
dc.subject.classification	4206 Public health
dc.title	Manifold child, family and social variables are associated with injury among New Zealand preschool children.
dc.type	Journal Article
utslib.location.activity	England
utslib.for	1106 Human Movement and Sports Sciences
utslib.for	1117 Public Health and Health Services
utslib.for	1701 Psychology
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access	*
dc.date.updated	2024-02-05T00:19:53Z
pubs.publication-status	Published online

Abstract:

AIM: Approaches to understanding child injury tend to focus on short-term proximal influences. Previous analyses have found higher rates of injury among Māori and Pacific children in Aotearoa New Zealand (NZ). This study aimed to investigate how combinations of situations and multiple events act across the life-course to either protect preschool children from, or place them at risk of, repeated injuries requiring medical attention. METHODS: Longitudinal data were used to identify parent-reported injuries requiring medical attention among 6114 preschool NZ children. The environments experienced by children with multiple and/or severe injury were explored using multivariable analyses. RESULTS: Eight percent of children (n=505) experienced 1-3 injuries with at least one hospitalisation or ≥4 injuries (high injury group) from birth to 4.5 years of age. After accounting for antenatal, sociodemographic and psychosocial variables, children of Māori mothers (OR=0.7, 95% CI 0.5 to 0.97) and children of Asian mothers (OR=0.5, 95% CI 0.3 to 0.7) were less likely to be in the high injury group than children of European mothers. After adjusting for maternal ethnicity and child variables (gender, temperament, level of activity and behaviour difficulties), cumulative exposure to factors in four domains was associated with injury category: maternal, family, social and service use. CONCLUSION: This study identified social and economic opportunities to lower rates of injury among preschool children, that might reduce associated direct and indirect costs. Our findings in relation to ethnicity go against the standard public rhetoric and provide support for shifting the apportioning of blame for child injury from individuals to wider environmental exposures for which public health and societal solutions are required.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/175282