An interprovincial comparison of unintentional childhood injury rates in Canada for the period 2006–2012

Objectives To perform an interprovincial comparison of unintentional population-based injury hospitalization and death rates for Canadian children ages 0–19 years and compare trends between 2006 and 2012. Methods Annual population-based hospitalization rates per 100,000 from unintentional injuries w...

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Veröffentlicht in:Canadian journal of public health 2018-08, Vol.109 (4), p.573-580
Hauptverfasser: Fridman, Liraz, Fraser-Thomas, Jessica, Pike, Ian, Macpherson, Alison K.
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Fraser-Thomas, Jessica
Pike, Ian
Macpherson, Alison K.
description Objectives To perform an interprovincial comparison of unintentional population-based injury hospitalization and death rates for Canadian children ages 0–19 years and compare trends between 2006 and 2012. Methods Annual population-based hospitalization rates per 100,000 from unintentional injuries were calculated for children/youth (
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Methods Annual population-based hospitalization rates per 100,000 from unintentional injuries were calculated for children/youth (&lt; 19 years) using data from the Discharge Abstract Database between 2006 and 2012. Annual mortality rates were analyzed using provincial coronial data. The mean annual change in the rate of hospitalizations due to unintentional injuries was reported for each province. Results The average annual rate of hospital admissions for unintentional injuries was 305.10 per 100,000 population between 2006 and 2012, and this decreased by − 11.91 over time ( p  &lt; 0.01, − 15.85; − 7.77). Saskatchewan had the highest average annual morbidity rate (550.76 per 100,000) from all unintentional causes, and Ontario had the lowest average annual rate (238.89 per 100,000). Saskatchewan had the highest average annual rate for all subcauses except for drowning. Ontario was the only province with an average annual injury morbidity rate that was consistently below the Canadian average. The average annual mortality rate from all unintentional injury was highest in Saskatchewan (17.51 per 100,000) and lowest in Ontario (5.99 per 100,000) when compared to Canada (7.97 per 100,000). Conclusion Injury prevention policies vary considerably among provinces. Although the unintentional injury hospitalization rate is decreasing over time, some subcauses such as choking/suffocation have shown an increase in certain provinces. Evidence-based childhood injury prevention policies, such as playground equipment safety and four-sided pool fencing among others, should be standardized across Canada.</description><identifier>ISSN: 0008-4263</identifier><identifier>EISSN: 1920-7476</identifier><identifier>DOI: 10.17269/s41997-018-0112-z</identifier><identifier>PMID: 30073552</identifier><language>eng</language><publisher>Cham: Springer Science + Business Media</publisher><subject>Accidents ; Accidents - statistics &amp; numerical data ; Accidents - trends ; Adolescent ; Asphyxia ; Child ; Child, Preschool ; Childhood ; Children ; Children &amp; youth ; Comparative studies ; Databases, Factual ; Drowning ; Female ; Hospitalization ; Hospitalization - trends ; Humans ; Infant ; Infant, Newborn ; Injuries ; Injury prevention ; Male ; Medicine ; Medicine &amp; Public Health ; Morbidity ; Mortality ; Mortality - trends ; Mortality rates ; Ontario - epidemiology ; Policies ; Population ; Prevention ; Provinces ; Public Health ; QUANTITATIVE RESEARCH ; Safety equipment ; Saskatchewan - epidemiology ; Wounds and Injuries - epidemiology ; Wounds and Injuries - mortality ; Wounds and Injuries - therapy ; Young Adult ; Youth</subject><ispartof>Canadian journal of public health, 2018-08, Vol.109 (4), p.573-580</ispartof><rights>The Canadian Public Health Association 2018</rights><rights>Canadian Journal of Public Health is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c496t-9deb14a2faec167c2c4ba4bb73add1aa5b50d83582aaa66c1e5519cc996b97a73</citedby><cites>FETCH-LOGICAL-c496t-9deb14a2faec167c2c4ba4bb73add1aa5b50d83582aaa66c1e5519cc996b97a73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/27173909$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/27173909$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,723,776,780,799,881,27845,27903,27904,41467,42536,51298,53770,53772,57996,58229</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30073552$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fridman, Liraz</creatorcontrib><creatorcontrib>Fraser-Thomas, Jessica</creatorcontrib><creatorcontrib>Pike, Ian</creatorcontrib><creatorcontrib>Macpherson, Alison K.</creatorcontrib><title>An interprovincial comparison of unintentional childhood injury rates in Canada for the period 2006–2012</title><title>Canadian journal of public health</title><addtitle>Can J Public Health</addtitle><addtitle>Can J Public Health</addtitle><description>Objectives To perform an interprovincial comparison of unintentional population-based injury hospitalization and death rates for Canadian children ages 0–19 years and compare trends between 2006 and 2012. Methods Annual population-based hospitalization rates per 100,000 from unintentional injuries were calculated for children/youth (&lt; 19 years) using data from the Discharge Abstract Database between 2006 and 2012. Annual mortality rates were analyzed using provincial coronial data. The mean annual change in the rate of hospitalizations due to unintentional injuries was reported for each province. Results The average annual rate of hospital admissions for unintentional injuries was 305.10 per 100,000 population between 2006 and 2012, and this decreased by − 11.91 over time ( p  &lt; 0.01, − 15.85; − 7.77). Saskatchewan had the highest average annual morbidity rate (550.76 per 100,000) from all unintentional causes, and Ontario had the lowest average annual rate (238.89 per 100,000). Saskatchewan had the highest average annual rate for all subcauses except for drowning. Ontario was the only province with an average annual injury morbidity rate that was consistently below the Canadian average. The average annual mortality rate from all unintentional injury was highest in Saskatchewan (17.51 per 100,000) and lowest in Ontario (5.99 per 100,000) when compared to Canada (7.97 per 100,000). Conclusion Injury prevention policies vary considerably among provinces. Although the unintentional injury hospitalization rate is decreasing over time, some subcauses such as choking/suffocation have shown an increase in certain provinces. Evidence-based childhood injury prevention policies, such as playground equipment safety and four-sided pool fencing among others, should be standardized across Canada.</description><subject>Accidents</subject><subject>Accidents - statistics &amp; numerical data</subject><subject>Accidents - trends</subject><subject>Adolescent</subject><subject>Asphyxia</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Childhood</subject><subject>Children</subject><subject>Children &amp; youth</subject><subject>Comparative studies</subject><subject>Databases, Factual</subject><subject>Drowning</subject><subject>Female</subject><subject>Hospitalization</subject><subject>Hospitalization - trends</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Injuries</subject><subject>Injury prevention</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Mortality - trends</subject><subject>Mortality rates</subject><subject>Ontario - epidemiology</subject><subject>Policies</subject><subject>Population</subject><subject>Prevention</subject><subject>Provinces</subject><subject>Public Health</subject><subject>QUANTITATIVE RESEARCH</subject><subject>Safety equipment</subject><subject>Saskatchewan - epidemiology</subject><subject>Wounds and Injuries - epidemiology</subject><subject>Wounds and Injuries - mortality</subject><subject>Wounds and Injuries - therapy</subject><subject>Young Adult</subject><subject>Youth</subject><issn>0008-4263</issn><issn>1920-7476</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7TQ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kc1u1DAUhS0EokPhBZBAkdiwCfjf8QapGlFAqsQG1taN43QcZexgJ5XaVd-BN-RJ6iFl-FmwsCzrfOf42geh5wS_IYpK_TZzorWqMWnKIrS-eYA2RFNcK67kQ7TBGDc1p5KdoCc5D-XImGKP0QnDWDEh6AYNZ6HyYXZpSvHKB-thrGzcT5B8jqGKfbWEgx5mH8NB2_mx28XYFdewpOsqwexyOVRbCNBB1cdUzTtXTS75QlGM5Y_b7xQT-hQ96mHM7tn9foq-nr__sv1YX3z-8Gl7dlFbruVc6861hAPtwVkilaWWt8DbVjHoOgIgWoG7homGAoCUljghiLZWa9lqBYqdondr7rS0e9fZMnuC0UzJ7yFdmwje_K0EvzOX8cpILblkogS8vg9I8dvi8mz2Pls3jhBcXLKhuGGK8DJCQV_9gw5xSeWjCkWF4JoSeQikK2VTzDm5_jgMweZnlWat0pQqzaFKc1NML_98xtHyq7sCsBXIRQqXLv2--7-xL1bXkOeYjqlUEcU01uwORN-2fQ</recordid><startdate>20180801</startdate><enddate>20180801</enddate><creator>Fridman, Liraz</creator><creator>Fraser-Thomas, Jessica</creator><creator>Pike, Ian</creator><creator>Macpherson, Alison K.</creator><general>Springer Science + Business Media</general><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>4S-</scope><scope>4U-</scope><scope>7QP</scope><scope>7QR</scope><scope>7RV</scope><scope>7T2</scope><scope>7TK</scope><scope>7TQ</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>88J</scope><scope>8C1</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FQ</scope><scope>8FV</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DHY</scope><scope>DON</scope><scope>DPSOV</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>KC-</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2L</scope><scope>M2O</scope><scope>M2R</scope><scope>M3G</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PATMY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PYCSY</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20180801</creationdate><title>An interprovincial comparison of unintentional childhood injury rates in Canada for the period 2006–2012</title><author>Fridman, Liraz ; 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Methods Annual population-based hospitalization rates per 100,000 from unintentional injuries were calculated for children/youth (&lt; 19 years) using data from the Discharge Abstract Database between 2006 and 2012. Annual mortality rates were analyzed using provincial coronial data. The mean annual change in the rate of hospitalizations due to unintentional injuries was reported for each province. Results The average annual rate of hospital admissions for unintentional injuries was 305.10 per 100,000 population between 2006 and 2012, and this decreased by − 11.91 over time ( p  &lt; 0.01, − 15.85; − 7.77). Saskatchewan had the highest average annual morbidity rate (550.76 per 100,000) from all unintentional causes, and Ontario had the lowest average annual rate (238.89 per 100,000). Saskatchewan had the highest average annual rate for all subcauses except for drowning. Ontario was the only province with an average annual injury morbidity rate that was consistently below the Canadian average. The average annual mortality rate from all unintentional injury was highest in Saskatchewan (17.51 per 100,000) and lowest in Ontario (5.99 per 100,000) when compared to Canada (7.97 per 100,000). Conclusion Injury prevention policies vary considerably among provinces. Although the unintentional injury hospitalization rate is decreasing over time, some subcauses such as choking/suffocation have shown an increase in certain provinces. Evidence-based childhood injury prevention policies, such as playground equipment safety and four-sided pool fencing among others, should be standardized across Canada.</abstract><cop>Cham</cop><pub>Springer Science + Business Media</pub><pmid>30073552</pmid><doi>10.17269/s41997-018-0112-z</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Accidents
Accidents - statistics & numerical data
Accidents - trends
Adolescent
Asphyxia
Child
Child, Preschool
Childhood
Children
Children & youth
Comparative studies
Databases, Factual
Drowning
Female
Hospitalization
Hospitalization - trends
Humans
Infant
Infant, Newborn
Injuries
Injury prevention
Male
Medicine
Medicine & Public Health
Morbidity
Mortality
Mortality - trends
Mortality rates
Ontario - epidemiology
Policies
Population
Prevention
Provinces
Public Health
QUANTITATIVE RESEARCH
Safety equipment
Saskatchewan - epidemiology
Wounds and Injuries - epidemiology
Wounds and Injuries - mortality
Wounds and Injuries - therapy
Young Adult
Youth
title An interprovincial comparison of unintentional childhood injury rates in Canada for the period 2006–2012
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