Demographic and clinical characteristics of hospitalised unintentional poisoning in Aboriginal and non-Aboriginal preschool children in New South Wales, Australia: a population data linkage study.
Age Distribution
Child, Preschool
Clinical Coding
/ statistics & numerical data
Female
Hospitalization
/ statistics & numerical data
Humans
Infant
Infant, Newborn
Information Storage and Retrieval
Logistic Models
Male
Native Hawaiian or Other Pacific Islander
/ statistics & numerical data
New South Wales
/ epidemiology
Poisoning
/ epidemiology
Retrospective Studies
Sex Distribution
Socioeconomic Factors
aboriginal
child, preschool
data linkage
poisoning
unintentional injury
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
30 01 2019
30 01 2019
Historique:
entrez:
2
2
2019
pubmed:
2
2
2019
medline:
30
1
2020
Statut:
epublish
Résumé
To investigate differences in demographic and clinical characteristics of Aboriginal and non-Aboriginal children aged 0-4 years hospitalised for unintentional poisoning in New South Wales (NSW), Australia. Retrospective whole-of-population cohort analysis of linked hospital and mortality data for 2000-2014. All children (Aboriginal and non-Aboriginal) under the age of 5 years who were born in a hospital in NSW from 2000 to 2009. The primary outcome was hospitalisation for unintentional poisoning. Logistic regression was used to estimate odds of poisoning hospitalisation for Aboriginal and non-Aboriginal children. Poisoning agents and clinical outcomes were compared by Aboriginality. The cohort included 767 119 children, including 28 528 (3.7%) Aboriginal children. Aboriginal children had approximately three times higher rates of hospitalised poisoning (1.34%) compared with non-Aboriginal children (0.41%). Poisoning incidence peaked at 2-3 years of age. Male sex, socioeconomic disadvantage and geographical remoteness were associated with higher odds of poisoning hospitalisation for Aboriginal and non-Aboriginal children, but associations with disadvantage and remoteness were statistically significant only for non-Aboriginal children. Most (83%) poisonings were caused by pharmaceutical agents. Few Aboriginal and non-Aboriginal children had repeat admissions for poisoning; most had a length of stay of 1 day or less. Only 8% of poisoning admissions involved contact with a social worker. Commonly used medications in the general population contribute to poisonings among both Aboriginal and non-Aboriginal preschool-aged children. This study highlights a need to develop culturally safe poisoning prevention strategies and policies.
Identifiants
pubmed: 30705236
pii: bmjopen-2018-022633
doi: 10.1136/bmjopen-2018-022633
pmc: PMC6359875
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e022633Informations de copyright
© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
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