Relation of child, caregiver, and environmental characteristics to childhood injury in an urban Aboriginal cohort in New South Wales, Australia
Abstract Objective: Despite being disproportionately affected by injury, little is known about factors associated with injury in Aboriginal children. We investigated factors associated with injury among urban Aboriginal children attending four Aboriginal Community Controlled Health Services in New S...
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| Format: | Article |
| Language: | English |
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Elsevier
2018-04-01
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| Series: | Australian and New Zealand Journal of Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/1753-6405.12747 |
| _version_ | 1797711573243920384 |
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| author | Katherine Thurber Leonie Burgess Kathleen Falster Emily Banks Holger Möller Rebecca Ivers Chris Cowell Vivian Isaac Deanna Kalucy Peter Fernando Cheryl Woodall Kathleen Clapham |
| author_facet | Katherine Thurber Leonie Burgess Kathleen Falster Emily Banks Holger Möller Rebecca Ivers Chris Cowell Vivian Isaac Deanna Kalucy Peter Fernando Cheryl Woodall Kathleen Clapham |
| author_sort | Katherine Thurber |
| collection | DOAJ |
| description | Abstract Objective: Despite being disproportionately affected by injury, little is known about factors associated with injury in Aboriginal children. We investigated factors associated with injury among urban Aboriginal children attending four Aboriginal Community Controlled Health Services in New South Wales, Australia. Methods: We examined characteristics of caregiver‐reported child injury, and calculated prevalence ratios of ‘ever‐injury’ by child, family, and environmental factors. Results: Among children in the cohort, 29% (n=373/1,303) had ever broken a bone, been knocked out, required stitches or been hospitalised for a burn or poisoning; 40–78% of first injuries occurred at home and 60–91% were treated in hospital. Reported ever‐injury was significantly lower (prevalence ratio ≤0.80) among children who were female, younger, whose caregiver had low psychological distress and had not been imprisoned, whose family experienced few major life events, and who hadn't experienced alcohol misuse in the household or theft in the community, compared to other cohort members. Conclusions: In this urban Aboriginal child cohort, injury was common and associated with measures of family and community vulnerability. Implications for public health: Prevention efforts targeting upstream injury determinants and Aboriginal children living in vulnerable families may reduce child injury. Existing broad‐based intervention programs for vulnerable families may present opportunities to deliver targeted injury prevention. |
| first_indexed | 2024-03-12T07:09:02Z |
| format | Article |
| id | doaj.art-3894c936b37447fe8d47020cc2874aa6 |
| institution | Directory Open Access Journal |
| issn | 1326-0200 1753-6405 |
| language | English |
| last_indexed | 2024-03-12T07:09:02Z |
| publishDate | 2018-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Australian and New Zealand Journal of Public Health |
| spelling | doaj.art-3894c936b37447fe8d47020cc2874aa62023-09-02T23:12:37ZengElsevierAustralian and New Zealand Journal of Public Health1326-02001753-64052018-04-0142215716510.1111/1753-6405.12747Relation of child, caregiver, and environmental characteristics to childhood injury in an urban Aboriginal cohort in New South Wales, AustraliaKatherine Thurber0Leonie Burgess1Kathleen Falster2Emily Banks3Holger Möller4Rebecca Ivers5Chris Cowell6Vivian Isaac7Deanna Kalucy8Peter Fernando9Cheryl Woodall10Kathleen Clapham11National Centre for Epidemiology and Population Health, Research School of Population Health The Australian National University Australian Capital TerritoryNational Centre for Epidemiology and Population Health, Research School of Population Health The Australian National University Australian Capital TerritoryNational Centre for Epidemiology and Population Health, Research School of Population Health The Australian National University Australian Capital TerritoryNational Centre for Epidemiology and Population Health, Research School of Population Health The Australian National University Australian Capital TerritoryCentre for Big Data Research in Health New South WalesThe George Institute for Global Health UNSW Sydney New South WalesChildren's Hospital, Westmead New South WalesSydney Children's Health Network New South WalesThe Sax Institute New South WalesThe Sax Institute New South WalesTharawal Aboriginal Medical Service New South WalesAustralian Health Services Research Institute University of Wollongong New South WalesAbstract Objective: Despite being disproportionately affected by injury, little is known about factors associated with injury in Aboriginal children. We investigated factors associated with injury among urban Aboriginal children attending four Aboriginal Community Controlled Health Services in New South Wales, Australia. Methods: We examined characteristics of caregiver‐reported child injury, and calculated prevalence ratios of ‘ever‐injury’ by child, family, and environmental factors. Results: Among children in the cohort, 29% (n=373/1,303) had ever broken a bone, been knocked out, required stitches or been hospitalised for a burn or poisoning; 40–78% of first injuries occurred at home and 60–91% were treated in hospital. Reported ever‐injury was significantly lower (prevalence ratio ≤0.80) among children who were female, younger, whose caregiver had low psychological distress and had not been imprisoned, whose family experienced few major life events, and who hadn't experienced alcohol misuse in the household or theft in the community, compared to other cohort members. Conclusions: In this urban Aboriginal child cohort, injury was common and associated with measures of family and community vulnerability. Implications for public health: Prevention efforts targeting upstream injury determinants and Aboriginal children living in vulnerable families may reduce child injury. Existing broad‐based intervention programs for vulnerable families may present opportunities to deliver targeted injury prevention.https://doi.org/10.1111/1753-6405.12747Aboriginal child healthchild injurysocial determinants of healthinjury preventionAboriginal Community Controlled Health Services |
| spellingShingle | Katherine Thurber Leonie Burgess Kathleen Falster Emily Banks Holger Möller Rebecca Ivers Chris Cowell Vivian Isaac Deanna Kalucy Peter Fernando Cheryl Woodall Kathleen Clapham Relation of child, caregiver, and environmental characteristics to childhood injury in an urban Aboriginal cohort in New South Wales, Australia Australian and New Zealand Journal of Public Health Aboriginal child health child injury social determinants of health injury prevention Aboriginal Community Controlled Health Services |
| title | Relation of child, caregiver, and environmental characteristics to childhood injury in an urban Aboriginal cohort in New South Wales, Australia |
| title_full | Relation of child, caregiver, and environmental characteristics to childhood injury in an urban Aboriginal cohort in New South Wales, Australia |
| title_fullStr | Relation of child, caregiver, and environmental characteristics to childhood injury in an urban Aboriginal cohort in New South Wales, Australia |
| title_full_unstemmed | Relation of child, caregiver, and environmental characteristics to childhood injury in an urban Aboriginal cohort in New South Wales, Australia |
| title_short | Relation of child, caregiver, and environmental characteristics to childhood injury in an urban Aboriginal cohort in New South Wales, Australia |
| title_sort | relation of child caregiver and environmental characteristics to childhood injury in an urban aboriginal cohort in new south wales australia |
| topic | Aboriginal child health child injury social determinants of health injury prevention Aboriginal Community Controlled Health Services |
| url | https://doi.org/10.1111/1753-6405.12747 |
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