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Injuries among children attributed to violence and social funding: a 10-year observational study

BACKGROUND: Mechanisms and patterns of injury in children are changing, with violent mechanisms becoming more prevalent over time. Government funding of services for children and young people has reduced nationally over the last decade. We aimed to investigate the trends in admissions of injured chi...

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Autores principales: Morris, Louise, Naumann, David N, Reilly, John-Joe, Kitchen, Samuel, Blackburn, Lauren, Bishop, Jonathan, Brooks, Adam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9835938/
https://www.ncbi.nlm.nih.gov/pubmed/36625431
http://dx.doi.org/10.1136/bmjpo-2022-001700
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author Morris, Louise
Naumann, David N
Reilly, John-Joe
Kitchen, Samuel
Blackburn, Lauren
Bishop, Jonathan
Brooks, Adam
author_facet Morris, Louise
Naumann, David N
Reilly, John-Joe
Kitchen, Samuel
Blackburn, Lauren
Bishop, Jonathan
Brooks, Adam
author_sort Morris, Louise
collection PubMed
description BACKGROUND: Mechanisms and patterns of injury in children are changing, with violent mechanisms becoming more prevalent over time. Government funding of services for children and young people has reduced nationally over the last decade. We aimed to investigate the trends in admissions of injured children to a Major Trauma Centre (MTC) and examine the relationship between injuries sustained by violent mechanisms and local authority funding of children and youth services within the same catchment area. METHODS: A 10-year observational study included all patients aged<18 years treated at a regional MTC between April 2012 and April 2022. Number of admissions with violent trauma, mechanism of injury, requirement for operative intervention and mortality were compared with published annual local authority expenditure reports. RESULTS: 1126 children were included; 71.3% were boys, with median age 11 years (IQR 3–16). There were 154/1126 (14%) children who were victims of violent trauma; they were more likely to be boys than children injured by non-violent mechanisms (84% vs 69%). The proportion of injuries attributed to violence increased over the study period at the same time as reductions in local authority funding of services for the early years, families and youth services. However, there were insufficient data to formally assess the interdependency between these factors. CONCLUSIONS: The proportion of injuries attributed to violence has increased over time, and government spending on specific children and young people’s services has decreased over the same time period. Further work is needed to examine the interdependency between spending and violent injuries in children, and public health interventions to target violence-related injuries should take into account youth service funding.
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spelling pubmed-98359382023-01-13 Injuries among children attributed to violence and social funding: a 10-year observational study Morris, Louise Naumann, David N Reilly, John-Joe Kitchen, Samuel Blackburn, Lauren Bishop, Jonathan Brooks, Adam BMJ Paediatr Open Epidemiology BACKGROUND: Mechanisms and patterns of injury in children are changing, with violent mechanisms becoming more prevalent over time. Government funding of services for children and young people has reduced nationally over the last decade. We aimed to investigate the trends in admissions of injured children to a Major Trauma Centre (MTC) and examine the relationship between injuries sustained by violent mechanisms and local authority funding of children and youth services within the same catchment area. METHODS: A 10-year observational study included all patients aged<18 years treated at a regional MTC between April 2012 and April 2022. Number of admissions with violent trauma, mechanism of injury, requirement for operative intervention and mortality were compared with published annual local authority expenditure reports. RESULTS: 1126 children were included; 71.3% were boys, with median age 11 years (IQR 3–16). There were 154/1126 (14%) children who were victims of violent trauma; they were more likely to be boys than children injured by non-violent mechanisms (84% vs 69%). The proportion of injuries attributed to violence increased over the study period at the same time as reductions in local authority funding of services for the early years, families and youth services. However, there were insufficient data to formally assess the interdependency between these factors. CONCLUSIONS: The proportion of injuries attributed to violence has increased over time, and government spending on specific children and young people’s services has decreased over the same time period. Further work is needed to examine the interdependency between spending and violent injuries in children, and public health interventions to target violence-related injuries should take into account youth service funding. BMJ Publishing Group 2023-01-10 /pmc/articles/PMC9835938/ /pubmed/36625431 http://dx.doi.org/10.1136/bmjpo-2022-001700 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Epidemiology
Morris, Louise
Naumann, David N
Reilly, John-Joe
Kitchen, Samuel
Blackburn, Lauren
Bishop, Jonathan
Brooks, Adam
Injuries among children attributed to violence and social funding: a 10-year observational study
title Injuries among children attributed to violence and social funding: a 10-year observational study
title_full Injuries among children attributed to violence and social funding: a 10-year observational study
title_fullStr Injuries among children attributed to violence and social funding: a 10-year observational study
title_full_unstemmed Injuries among children attributed to violence and social funding: a 10-year observational study
title_short Injuries among children attributed to violence and social funding: a 10-year observational study
title_sort injuries among children attributed to violence and social funding: a 10-year observational study
topic Epidemiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9835938/
https://www.ncbi.nlm.nih.gov/pubmed/36625431
http://dx.doi.org/10.1136/bmjpo-2022-001700
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