Inequalities in Hospitalized Unintentional Injury Between Aboriginal and Non-Aboriginal Children in New South Wales, Australia

Möller, Holger; Falster, Kathleen; Ivers, Rebecca; Falster, Michael O.; Randall, Deborah; Clapham, Kathleen; Jorm, Louisa

doi:10.2105/ajph.2015.303022

Cited by 20 publications

(30 citation statements)

References 36 publications

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“…Identification of Aboriginal status in these data is based on self‐identification and research by the Australian Bureau of Statistics (ABS) suggests that Aboriginal people are more likely to identify in ABS data collections, such as the Census, compared with other data collections such as hospital data 4 . This is supported by findings of our previous studies which investigated injuries in a cohort of Aboriginal and non‐Aboriginal children born in a NSW hospital 5,6 . They showed larger inequalities in unintentional injury between Aboriginal and non‐Aboriginal children in New South Wales (NSW), Australia, compared with previous cross‐sectional studies using population rates 5 .…”

supporting

confidence: 81%

Are we closing the Aboriginal child injury gap? A cohort study

Möller

Ivers

Clapham

et al. 2019

Australian and New Zealand Journal of Public Health

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Objective: To assess if rates of hospitalised injury in Australian Aboriginal children, and differences in these rates between Aboriginal and non‐Aboriginal children, have changed over time. Methods: We used linked hospital data for New South Wales (NSW), Australia, to construct cohorts of children born in NSW hospitals between 2003–2007 and 2008–2012. We calculated rates of hospitalised injuries per 10,000 person years for Aboriginal and non‐Aboriginal children for both cohorts, and compared these using rate differences and rate ratios. Results: Rates of unintentional injury hospitalisation were similar in Aboriginal children in both cohorts and Aboriginal children had 1.7 times higher rates of unintentional injury hospitalisation compared with non‐Aboriginal children. Rate ratios between Aboriginal and non‐Aboriginal children for leading injury mechanisms, burns, poisonings and transport were similar in both cohorts, with 2.5, 3.0 and 2.4 times higher rates in Aboriginal children in the 2008–2012 cohort, respectively. Conclusions and Implications for public health: Our findings suggest that current injury prevention measures have not been successful in reducing either rates of unintentional injury in Aboriginal children, or injury inequalities between Aboriginal and non‐Aboriginal children. We recommend the implementation of targeted Aboriginal led injury prevention measures.

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supporting

confidence: 81%

Are we closing the Aboriginal child injury gap? A cohort study

Möller

Ivers

Clapham

et al. 2019

Australian and New Zealand Journal of Public Health

Self Cite

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show abstract

“…We used Indigenous status as recorded in birth records to minimise the effect of differential misclassification bias, whereby the opportunity to be recorded as Indigenous rises with the number of times a child is admitted to hospital. However, applying different algorithms to identify Indigenous children on the basis of linked hospital data has been shown to increase both their identification and the sizes of differences between Indigenous and non‐Indigenous children 2 , 27 . Our estimates of differences between Indigenous and non‐Indigenous children may therefore be conservative.…”

Section: Discussionmentioning

confidence: 99%

“…The linked data were used to define a cohort of children for the analysis, details of which have been described elsewhere 2 . In brief, we selected all children resident in NSW and born in a NSW hospital between 1 July 2000 and 31 December 2012.…”

Section: Methodsmentioning

confidence: 99%

“…Burns are a major cause of injury for children in Australia 1 . Indigenous Australian children are disproportionally affected: they are more than twice as likely to be hospitalised for a burn injury as non‐Indigenous children, and mortality is five times as high 2 . ‐ 4 Despite this high burden, little is known about the characteristics of burn injuries to Indigenous children or whether they differ from those to non‐Indigenous children 5 …”

mentioning

confidence: 99%

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Indigenous and non‐Indigenous Australian children hospitalised for burn injuries: a population data linkage study

Möller

Harvey

Falster

et al. 2017

Medical Journal of Australia

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Objective: To investigate differences in the characteristics of burn injuries leading to hospitalisation of Indigenous Australian and non‐Indigenous children in New South Wales. Design, setting: Population‐based cohort analysis of linked hospital and mortality data for 2000–2014. Participants: 35 749 Indigenous and 1 088 938 non‐Indigenous children aged 0–13 years. Main outcome measures: The external cause of the injury, its anatomic location, total body surface area affected (%TBSA), burn depth, length of hospital stay (LOS). Results: 4246 non‐Indigenous and 323 Indigenous children were hospitalised for a first burn injury during 2000–2014. A higher proportion of Indigenous than non‐Indigenous children were admitted with burns affecting more than 10% TBSA (17% v 12%) and a lower proportion of Indigenous children than of non‐Indigenous children were treated at a hospital with a paediatric tertiary referral burn unit (40% v 50%; P < 0.001). The mean LOS during the index admission was almost 3 days longer for Indigenous children than for non‐Indigenous children (6.1 days [95% CI, 4.8–7.4 days] v 3.4 days [95% CI, 3.2–3.7 days]; P < 0.001); the difference in LOS was still statistically significant after adjusting for characteristics of the burn and residential location. Conclusion: The proportion of Indigenous children with burns who presented with burn injuries affecting more than 10% TBSA was greater than for non‐Indigenous children. Their mean LOS was also longer; the difference remained statistically significant after adjusting for characteristics of the burn and of residential location.

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“…Burns are a leading cause of child morbidity and mortality in Australia 1,2 . Previous studies have shown that Indigenous children and children living in rural and remote areas are disproportionally affected by burn injuries 3,4 . A much larger proportion of Indigenous (5.1%) compared with non‐Indigenous (0.5%) children live in remote areas 5 .…”

mentioning

confidence: 99%

High rates of hospitalised burn injury in Indigenous children living in remote areas: a population data linkage study

Möller

Falster

Ivers

et al. 2018

Australian and New Zealand Journal of Public Health

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Inequalities in Hospitalized Unintentional Injury Between Aboriginal and Non-Aboriginal Children in New South Wales, Australia

Abstract: Australian Aboriginal children suffer a disproportionately high burden of unintentional injury.

Cited by 20 publications

References 36 publications

Are we closing the Aboriginal child injury gap? A cohort study

Are we closing the Aboriginal child injury gap? A cohort study

Indigenous and non‐Indigenous Australian children hospitalised for burn injuries: a population data linkage study

High rates of hospitalised burn injury in Indigenous children living in remote areas: a population data linkage study

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