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Understanding pathways to social inequalities in childhood unintentional injuries: findings from the UK millennium cohort study
BACKGROUND: Childhood unintentional injuries (UI) are common but continue to happen more often to children living in less advantaged socioeconomic circumstances (SEC). Our aim was to explore how early life factors mediate the association between SEC and UIs, using the UK Millennium Cohort Study. MET...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6518796/ https://www.ncbi.nlm.nih.gov/pubmed/31088415 http://dx.doi.org/10.1186/s12887-019-1514-7 |
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author | Campbell, M. Lai, E. T. C. Pearce, A. Orton, E. Kendrick, D. Wickham, S. Taylor-Robinson, D. C. |
author_facet | Campbell, M. Lai, E. T. C. Pearce, A. Orton, E. Kendrick, D. Wickham, S. Taylor-Robinson, D. C. |
author_sort | Campbell, M. |
collection | PubMed |
description | BACKGROUND: Childhood unintentional injuries (UI) are common but continue to happen more often to children living in less advantaged socioeconomic circumstances (SEC). Our aim was to explore how early life factors mediate the association between SEC and UIs, using the UK Millennium Cohort Study. METHODS: We calculated risk ratios (RR) and 95% confidence intervals (95%CI) for parental report of UI occurring between age 3 and 5 years, using Poisson regression according to family income as a measure of SEC. We explored potentially mediating pathways by controlling associations between SEC and UI for groups of early life risks in three domains: factors that may influence environmental safety, supervision and the MCS child’s abilities and behaviours. RESULTS: Twenty eight percent of children had a UI from 3 to 5 years old. Children from the lowest income quintile were more likely to be injured compared to those from the highest (RR 1.20 95%CI 1.05, 1.37). Sequentially controlling for early life factors that may influence environmental safety (RR 1.19 95%CI 1.02, 1.38), then supervision (RR 1.18, 95%CI 1.02, 1.36), and finally adding child’s behaviour and abilities (RR 1.15, 95%CI 1.00, 1.34) into the model reduced the RR by 5, 10 and 25% respectively. CONCLUSIONS: Addressing factors that may influence environmental safety and supervision, and the child’s abilities and behaviours only partly explains the increased UI risk between the highest and lowest income quintiles. Further research is required to explore factors mediating associations between SEC and specific mechanisms and types of injuries. |
format | Online Article Text |
id | pubmed-6518796 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-65187962019-05-21 Understanding pathways to social inequalities in childhood unintentional injuries: findings from the UK millennium cohort study Campbell, M. Lai, E. T. C. Pearce, A. Orton, E. Kendrick, D. Wickham, S. Taylor-Robinson, D. C. BMC Pediatr Research Article BACKGROUND: Childhood unintentional injuries (UI) are common but continue to happen more often to children living in less advantaged socioeconomic circumstances (SEC). Our aim was to explore how early life factors mediate the association between SEC and UIs, using the UK Millennium Cohort Study. METHODS: We calculated risk ratios (RR) and 95% confidence intervals (95%CI) for parental report of UI occurring between age 3 and 5 years, using Poisson regression according to family income as a measure of SEC. We explored potentially mediating pathways by controlling associations between SEC and UI for groups of early life risks in three domains: factors that may influence environmental safety, supervision and the MCS child’s abilities and behaviours. RESULTS: Twenty eight percent of children had a UI from 3 to 5 years old. Children from the lowest income quintile were more likely to be injured compared to those from the highest (RR 1.20 95%CI 1.05, 1.37). Sequentially controlling for early life factors that may influence environmental safety (RR 1.19 95%CI 1.02, 1.38), then supervision (RR 1.18, 95%CI 1.02, 1.36), and finally adding child’s behaviour and abilities (RR 1.15, 95%CI 1.00, 1.34) into the model reduced the RR by 5, 10 and 25% respectively. CONCLUSIONS: Addressing factors that may influence environmental safety and supervision, and the child’s abilities and behaviours only partly explains the increased UI risk between the highest and lowest income quintiles. Further research is required to explore factors mediating associations between SEC and specific mechanisms and types of injuries. BioMed Central 2019-05-15 /pmc/articles/PMC6518796/ /pubmed/31088415 http://dx.doi.org/10.1186/s12887-019-1514-7 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Campbell, M. Lai, E. T. C. Pearce, A. Orton, E. Kendrick, D. Wickham, S. Taylor-Robinson, D. C. Understanding pathways to social inequalities in childhood unintentional injuries: findings from the UK millennium cohort study |
title | Understanding pathways to social inequalities in childhood unintentional injuries: findings from the UK millennium cohort study |
title_full | Understanding pathways to social inequalities in childhood unintentional injuries: findings from the UK millennium cohort study |
title_fullStr | Understanding pathways to social inequalities in childhood unintentional injuries: findings from the UK millennium cohort study |
title_full_unstemmed | Understanding pathways to social inequalities in childhood unintentional injuries: findings from the UK millennium cohort study |
title_short | Understanding pathways to social inequalities in childhood unintentional injuries: findings from the UK millennium cohort study |
title_sort | understanding pathways to social inequalities in childhood unintentional injuries: findings from the uk millennium cohort study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6518796/ https://www.ncbi.nlm.nih.gov/pubmed/31088415 http://dx.doi.org/10.1186/s12887-019-1514-7 |
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