Patterns of child death in England and Wales

Sidebotham, Peter; Fraser, James; Fleming, Peter; Platt, Martin Ward; Hain, Richard

doi:10.1016/s0140-6736(13)61090-9

Cited by 57 publications

(49 citation statements)

References 66 publications

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“…Deliberate self-harm and suicide in children aged <10 years is unusual, establishing the intent of the child after their death is impossible, and the death could be related to other factors. [15] Not much is known about suicides in this young age group, and understanding the underlying risk factors for young children is critical to inform interventions to prevent such deaths. Homicide due to interpersonal violence was the leading cause of injury death in this pilot, and mainly affected young men.…”

Section: Child Deaths In South Africa: Lessons From the Child Death Rmentioning

confidence: 99%

Child deaths in South Africa: Lessons from the child death review pilot

et al. 2016

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Section: Child Deaths In South Africa: Lessons From the Child Death Rmentioning

confidence: 99%

Child deaths in South Africa: Lessons from the child death review pilot

et al. 2016

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“…SIDS is the second leading cause of death for babies aged 1 month to 1 year in England and Wales 2. In 2014, there were 212 unexplained infant deaths in England and Wales, a rate of 0.3 deaths per 1,000 live births 3.…”

Section: Introductionmentioning

confidence: 99%

Mothers’ knowledge and attitudes to sudden infant death syndrome risk reduction messages: results from a UK survey

et al. 2017

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ObjectiveTo investigate mothers’ knowledge of reducing the risks for sudden infant death syndrome (SIDS) and attitudes towards safer sleep practices.Design and settingA cross-sectional survey was carried out in deprived areas of Bristol, UK. Recruitment took place in 2014 at local health visitor-led baby clinics.ParticipantsOf 432 mothers approached, 400 (93%) completed the face-to-face survey. Participants with infants at ‘higher’ risk of SIDS (using an algorithm based on a previous observational study) were compared with those at ‘lower’ risk.Main outcome measuresThe survey asked participants to recall three SIDS risk reduction strategies (unprompted), and scored responses to 14 SIDS risk-related infant sleep scenarios (prompted).ResultsOverall, 48/400 (12%) mothers were classified as higher risk. Mothers in the higher risk group were less likely to breast feed (multivariate OR=3.59(95% CI 1.46 to 8.86)), less likely to be able to cite two or more unprompted correct SIDS risk reduction strategies (multivariate OR=2.05(95% CI 1.02 to 4.13)) and scored lower on prompted safer sleep scenarios overall.Notably, only 206/400 (52%) of all mothers surveyed (33% in the higher risk group) from these deprived areas in Bristol identified infant sleep position as a risk reduction strategy for SIDS, despite 25 years of campaigns.ConclusionsMothers in the higher risk group were disadvantaged when it came to some aspects of knowledge of SIDS risk reduction and attitudes to safer sleep. The initial ‘Back-to Sleep’ message that dramatically reduced these deaths a generation ago needs more effective promotion for today’s generation of mothers.

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“…1,2 The dramatic fall in child mortality in high income countries over the past century has been accompanied by changes in the causes and patterns of mortality. For example, in England and Wales, there were 16,909 deaths in children and young people aged 0-19 years in 1974.…”

Section: Introductionmentioning

confidence: 99%

Understanding why children die in high-income countries

et al. 2014

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Copyright and reuse:The Warwick Research Archive Portal (WRAP) makes this work of researchers of the University of Warwick available open access under the following conditions. Copyright © and all moral rights to the version of the paper presented here belong to the individual author(s) and/or other copyright owners. To the extent reasonable and practicable the material made available in WRAP has been checked for eligibility before being made available.Copies of full items can be used for personal research or study, educational, or not-forprofit purposes without prior permission or charge. Provided that the authors, title and full bibliographic details are credited, a hyperlink and/or URL is given for the original metadata page and the content is not changed in any way. AbstractThrough a structured narrative review of the literature, we have identified a wide range of factors influencing child and adolescent mortality in high income countries. These can be conceptualised within the four domains of intrinsic factors, the physical environment, the social environment, and service delivery factors. The most prominent factors in the literature are socio-economic gradients, although the mechanisms through which these gradients exert their effects are complex, affecting all four domains, and often poorly understood. While some factors are relatively fixed, including the child's gender, age, ethnicity and inherent genetic make-up, some parental characteristics, and some wider 3 environmental conditions, others may be amenable to interventions that could lessen risks and help to prevent future child deaths. A number of examples of systemic health service factors that may impact child survival are given, along with interventions such as modifications to the physical or social environmental that may impact more distal factors.

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Patterns of child death in England and Wales

Cited by 57 publications

References 66 publications

Child deaths in South Africa: Lessons from the child death review pilot

Child deaths in South Africa: Lessons from the child death review pilot

Mothers’ knowledge and attitudes to sudden infant death syndrome risk reduction messages: results from a UK survey

Understanding why children die in high-income countries

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