Socioeconomic status and deaths due to unintentional injury among children: A socio-spatial analysis in Taiwan

In Taiwan, unintentional injury is the leading cause of death among children <10 years old. Low socioeconomic status is a risk factor associated with a high prevalence of injuries and our study aimed to explore the geographic distribution of mortality due to unintentional injury in this age group...

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Main Authors: An-Kuo Chou, Duan-Rung Chen
Format: Article
Language:English
Published: PAGEPress Publications 2019-05-01
Series:Geospatial Health
Subjects:
Online Access:https://geospatialhealth.net/index.php/gh/article/view/736
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author An-Kuo Chou
Duan-Rung Chen
author_facet An-Kuo Chou
Duan-Rung Chen
author_sort An-Kuo Chou
collection DOAJ
description In Taiwan, unintentional injury is the leading cause of death among children <10 years old. Low socioeconomic status is a risk factor associated with a high prevalence of injuries and our study aimed to explore the geographic distribution of mortality due to unintentional injury in this age group assessing the association between this type of injury on the one hand and socioeconomic disadvantages and family structure on the other using cluster and spatial regression analyses. Using exploratory factor analysis, we assembled nine socioeconomic variables into four composite factors including area-level poverty, family burden, family fragility and unemployment. We found significant spatial clusters of childhood deaths due to unintentional injury and identified three major causes of death involved, i.e. traffic accidents, drowning and suffocation. Significant associations were found between death due to unintentional injury and area-level social disadvantages including poverty, family fragility, family economic burden and unemployment, while controlling for spatial autocorrelation. Our conclusion is that socioeconomic disadvantages need to be addressed to reduce the number of deaths due to childhood unintentional injury.
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spelling doaj.art-4725bd46f3e945cfb07ae87f41c3f34c2022-12-21T22:02:08ZengPAGEPress PublicationsGeospatial Health1827-19871970-70962019-05-0114110.4081/gh.2019.736Socioeconomic status and deaths due to unintentional injury among children: A socio-spatial analysis in TaiwanAn-Kuo Chou0Duan-Rung Chen1Department of Pediatrics, National Taiwan University Hospital, Hsin-Chu Branch, Hsinchu; Institute of Health Policy and Management, College of Public Health, National Taiwan UniversityInstitute of Health Behaviors and Community Sciences, College of Public Health, National Taiwan University; Public Health Research Center, National Taiwan University, TaipeiIn Taiwan, unintentional injury is the leading cause of death among children <10 years old. Low socioeconomic status is a risk factor associated with a high prevalence of injuries and our study aimed to explore the geographic distribution of mortality due to unintentional injury in this age group assessing the association between this type of injury on the one hand and socioeconomic disadvantages and family structure on the other using cluster and spatial regression analyses. Using exploratory factor analysis, we assembled nine socioeconomic variables into four composite factors including area-level poverty, family burden, family fragility and unemployment. We found significant spatial clusters of childhood deaths due to unintentional injury and identified three major causes of death involved, i.e. traffic accidents, drowning and suffocation. Significant associations were found between death due to unintentional injury and area-level social disadvantages including poverty, family fragility, family economic burden and unemployment, while controlling for spatial autocorrelation. Our conclusion is that socioeconomic disadvantages need to be addressed to reduce the number of deaths due to childhood unintentional injury.https://geospatialhealth.net/index.php/gh/article/view/736ChildLocal Spatial AutocorrelationSpatial analysisUnintentional injury mortalityTaiwan
spellingShingle An-Kuo Chou
Duan-Rung Chen
Socioeconomic status and deaths due to unintentional injury among children: A socio-spatial analysis in Taiwan
Geospatial Health
Child
Local Spatial Autocorrelation
Spatial analysis
Unintentional injury mortality
Taiwan
title Socioeconomic status and deaths due to unintentional injury among children: A socio-spatial analysis in Taiwan
title_full Socioeconomic status and deaths due to unintentional injury among children: A socio-spatial analysis in Taiwan
title_fullStr Socioeconomic status and deaths due to unintentional injury among children: A socio-spatial analysis in Taiwan
title_full_unstemmed Socioeconomic status and deaths due to unintentional injury among children: A socio-spatial analysis in Taiwan
title_short Socioeconomic status and deaths due to unintentional injury among children: A socio-spatial analysis in Taiwan
title_sort socioeconomic status and deaths due to unintentional injury among children a socio spatial analysis in taiwan
topic Child
Local Spatial Autocorrelation
Spatial analysis
Unintentional injury mortality
Taiwan
url https://geospatialhealth.net/index.php/gh/article/view/736
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