ArticleThe Lancet regional health. Europe2021
Social inequalities and hospital admission for unintentional injury in young children in Scotland: A nationwide linked cohort study.
Article in The Lancet regional health. Europe, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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Who cites it
8 citing papers in PubMed, 23 citations in OpenAlex.
- Evaluability assessment of a targeted national anti-child poverty policy: option appraisal for evaluating the Scottish Child Payment.Health research policy and systems · 2026Article
- Clinical characteristics and socioeconomic determinants of unintentional childhood injuries: An emergency department perspective.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026Article
- Social Inequalities in Dog Bites and Strikes in Scotland: Evidence from Administrative Health Records and Implications for Prevention Policy.Animals : an open access journal from MDPI · 2025Article
- Social Determinants of Health: Analysis of the Effect of Socio-environmental Factors to Diseases, Injury-related DALYs, and Deaths based on WHO, ILO, and WB Data.Acta medica Philippina · 2025Article
- Health inequalities in childhood diseases: temporal trends in the inter-crisis period.International journal for equity in health · 2024Article
- A maternal and child health administrative cohort in Scotland: the utility of linked administrative data for understanding early years' outcomes and inequalities.International journal of population data science · 2024Article
- Unintentional Injuries Are Associated with Self-Reported Child Maltreatment among Swedish Adolescents.International journal of environmental research and public health · 2023Article
- Determinants of accident and emergency attendances and emergency admissions in infants: birth cohort study.BMC health services research · 2022Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundUnintentional injury is a leading cause of death/disability, with more disadvantaged children at greater risk. Understanding how inequalities vary by injury type, age, severity, and place of injury, can inform prevention.
methodsFor all Scotland-born children 2009-2013 (n=195,184), hospital admissions for unintentional injury (HAUI) were linked to socioeconomic circumstances (SECs) at birth: area deprivation via the Scottish Index of Multiple Deprivation (SIMD), mother's occupational social class, parents' relationship status. HAUI was examined from birth-five, and during infancy. We examined HAUI frequency, severity, injury type, and injury location (home vs. elsewhere). We estimated relative inequalities using the relative indices of inequality (RII, 95% CIs), before and after adjusting for demographics and other non-mediating SECs.
findingsMore disadvantaged children were at greater risk of any HAUI from birth-five, RII: 1•59(1•49-1•70), 1•74(1•62-1•86), 1•97(1•84-2•12) for area deprivation, maternal occupational social class, and relationship status respectively. These attenuated after adjustment (1•15 [1•06-1•24], 1.22 [1•12-1•33], 1.32 [1•21-1•44]). Inequalities were greater for severe (vs. non-severe), multiple (vs. one-off) and home (vs. other location) injuries. Similar patterns were seen in infancy, excluding SIMD-inequalities in falls, where infants living in more disadvantaged neighbourhoods were at lower risk (0•79 [0•62-1•00]). After adjustment, reverse SIMD-gradients were also observed for all injuries and poisonings.
interpretationChildren living in more disadvantaged households are more likely to be injured across multiple dimensions of HAUI in Scotland. Upstream interventions which tackle family-level disadvantage may be most effective at reducing childhood HAUI.
fundingWellcome Trust, Medical Research Council, Scottish Government Chief Scientist Office.
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What OpenQuestion holds
Registered trials
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