Abstract
Background
Injury is the leading cause of death among Canadian children between 1 and 19 years, and accounts for one sixth of all hospitalizations of children between 0 and 19 years. We examined the causes of injury in Manitoba children, and the relationship between injury rates and region of residence, premature mortality rate (PMR), and income.
Methods
Regional differences in injury death and hospitalization rates, and causes of injury were derived from the Population Health Research Data Repository. The relationship between injury rates and area income levels was assessed and correlations between regional premature mortality rates (PMR) and injury rates were calculated.
Results
Motor vehicle crashes were the leading cause of injury mortality. Falls were the leading cause of injury hospitalization. Regional differences were substantial. Rural-urban differences in injury rates were pronounced; northern Manitoba’s rates were very high compared to the rest of the province. Regional PMR values correlated significantly with injury mortality and hospitalization rates. Both types of injury rates correlated significantly with income; higher injury rates were associated with lower income levels.
Conclusion
Injuries are not random events, but are related to social factors.
Résumé
Contexte
les blessures sont la principale cause de mortalité chez les enfants canadiens de 1 à 19 ans et entraînent le sixième de toutes les hospitalisations de la naissance à 19 ans. On examine ici les causes de blessures chez les enfants manitobains et le lien entre les taux d’accident avec blessures et la région de résidence, le TMP et le revenu.
Méthode
les écarts régionaux dans les taux de décès et d’hospitalisation résultant de blessures et dans les causes de blessures ont été dérivés du Population Health Research Data Repository. On a examiné le lien entre les taux d’accident avec blessures et les niveaux de revenu par sous-région et calculé les corrélations entre les TMP et les taux d’accident avec blessures des sous-régions.
Résultats
les accidents de la route étaient la principale cause de décès résultant de blessures, et les chutes, la principale cause d’hospitalisation résultant de blessures. Les écarts régionaux étaient considérables. Les écarts entre les zones urbaines et rurales dans les taux d’accident avec blessures étaient marqués; les taux dans le Nord du Manitoba étaient très élevés par rapport au reste de la province. Les valeurs régionales du TMP présentaient des corrélations significatives avec les taux de décès et d’hospitalisation résultant de blessures. Ces deux types de taux d’accident avec blessures présentaient des liens significatifs avec le revenu (les taux étant plus élevés au bas de l’échelle des revenus).
Conclusion
les blessures ne sont pas le fait du hasard, mais sont liées à des facteurs sociaux.
Footnotes
The full report “Assessing the Health of Children in Manitoba: A Population-Based Study” on which this article is based is available from the Manitoba Centre for Health Policy at the above address or online at: https://doi.org/www.umanitoba.ca/centres/mchp/reports.htm
Sources of support: This work was supported as part of a project on child health in Manitoba, one of several projects undertaken each year by the Manitoba Centre for Health Policy under contract to Manitoba Health. The results and conclusions are those of the authors and no official endorsement by Manitoba Health was intended or should be inferred. Dr. Brownell was also supported by a New Investigator Award from the Canadian Institutes of Health Research.
Formerly of the Manitoba Centre for Health Policy
Formerly from MCHP
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