Understanding pathways to social inequalities in childhood unintentional injuries: findings from the UK millennium cohort study

Campbell, M, Lai, ETC, Pearce, A, Orton, E, Kendrick, D, Wickham, S and Taylor-Robinson, DC ORCID: 0000-0002-5828-7724 (2019) Understanding pathways to social inequalities in childhood unintentional injuries: findings from the UK millennium cohort study. BMC PEDIATRICS, 19 (1). 150-.

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Abstract

<h4>Background</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusions</h4>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.

Item Type:	Article
Uncontrolled Keywords:	Unintentional injuries, Inequalities, Socioeconomic, Longitudinal, Cohort, Child health
Depositing User:	Symplectic Admin
Date Deposited:	17 Feb 2020 15:25
Last Modified:	19 Jan 2023 00:41
DOI:	10.1186/s12887-019-1514-7
Open Access URL:	https://doi.org/10.1186/s12887-019-1514-7
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3043869

Available Versions of this Item

• Understanding pathways to social inequalities in childhood unintentional injuries: findings from the UK millennium cohort study. (deposited 21 May 2019 15:21)
  • Understanding pathways to social inequalities in childhood unintentional injuries: findings from the UK millennium cohort study. (deposited 17 Feb 2020 15:25) [Currently Displayed]