Abstract
Abstract
A population survey was conducted to determine the incidence of injuries among preschoolers and their risk factors. A systematic sample (15%,n-4540) of families with at least one child aged 0–5 years in 1991 living in the Canton of Vaud (Switzerland) received a mailed questionnaire in February 1992. There were 5827 eligible children in the sample. The response rate was 67.5% after two recall mailings. Injuries were defined as those from all causes with at least one physician contact in 1991. The overall incidence was 224 injuries per 1000 children (95% CI [=confidence intervall]: 211–237); 188 per 1000 children were injured over 1 year (95% CI: 176–200,n-746), of whom 16.5% (n=123) had 32 injuries. Falls represented 66% of all injuries, followed by burns (8%) and poisonings (5%). The proportion of hospitalized cases was 4.8% and the population incidence of hospitalization due to injury was 10.8/1000 children. Socioeconomic factors did not influence the occurrence of injuries.
Conclusion
The measured incidence of injuries among preschoolers is among the highest in developed countries. Practitioners could contribute more effectively to injury prevention through routine information and counselling of parents from all social backgrounds.
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Abbreviations
- CI :
-
confidence interval
References
Abdelilah M, Mabé B (1991) Prévention auprès des populations immigrées. In: Félix M, Tursz A (eds) Les accidents domestiques de l'enfant: un problème majeur de santé publique. Institut de l'enfance et de la famille, Centre international de l'enfance, Coll. Syros Alternatives, Paris, pp 217–226
Alies-Patin AM, Holla H (1987) Les accidents de la vie domestique chez l'enfant. Caisse nationale de l'assurance maladie des travailleurs salariés, Département statistique, Dossier Etudes et Statistiques No. 7), Paris
Baruch M, MacKenzie EJ, Deshpande JK, Ramsy AI, Haller JA (1992) Hospitalizations for traumatic injuries among children in Maryland: trends in incidence and severity, 1979 through 1988. Pediatrics 89: 608–613
Bass JL, Christoffel KK, Widome M, Boyle W, Scheidt P, Stanwick R, Roberts K (1993) Childhood injury prevention counselling in primary care settings: a critical review of the literature. Pediatrics 92: 544–550
Benediktsdottir B (1993) Upper airway infections in preschool children: frequency and risk factors. Scand J Prim Health Care 11: 197–201
Bijur PE, Golding J, Kurzon M (1988) Childhood accidents, family size and birth order. Soc Sci Med 26: 839–843
Christoffel KK, Scheidt PC, Agran PF, Kraus JF, McLoughlin E, Paulson JA (1992) Standard definitions for childhood injury research: excerpts of a conference report. Pediatrics 89: 1027–1034
Davidson LL, Durkin MS, O'Connor P, Barlow B, Heagarty MC (1992) The epidemiology of severe injuries to children in Northern Manhattan: methods and incidence rates. Paediatr Perinat Epidemiol 6: 153–165
Durkin MS, Davidson LL, Kuhn L, O'Connor P, Barlow B (1994) Low-income neighborhoods and the risk of severe pediatric injuries: a small-area analysis in Northern Manhattan. Am J Public Health 84: 587–592
Gallagher SS, Finison K, Guyer B, Goodenough S (1984) The incidence of injuries among 87'000 Massachusetts children and adolescents: results of the 1980–81 Statewide Childhood Injury Prevention Program surveillance system. Am J Public Health 74: 1340–1347
Gofin R, Israeli I, Palti H (1991) The incidence of childhood and adolescent injuries and their outcome: a population-based study. Isr J Med Sci 27: 566–571
Harel Y, et al (1994) The effects of recall on estimating annual nonfatal injury rates for children and adolescents. Am J Public Health 84: 599–605
Hort KP (1992) Health problems and services use by parents of normal infants in the first 6 months of life. J Paediatr Child Health 28:286–290
Jolly DL, Moller JN, Volkmer RE (1993) The socio-economic context of child injury in Australia. J Paediatr Child Health 29: 438–444
Robertson LS (1992) Injury epidemiology. Oxford University Press, New York
Sahlin Y, Lereim I (1990) Accidents among children below schoolage: changes of incidence after intervention. Acta Paediatr Scand 79: 691–697
Shanon A, Batshaw B, Lewis J, Feldman W (1992) Nonfatal childhood injuries: a survey at the Children's Hospital of Eastern Ontario. Can Med Assoc J 146: 361–365
Sibert JR (1991) Accidents to children: the doctor's role: education or environmental change? Arch Dis Child 66: 890–893
Spuhler T (1991) Statisque des causes de décès 1986–1990. Office Fédéral de la Statistique, Info à la carte, Berne
Taket A (1986) Accident mortality in children, adolescents and young adults. World Health Stat Q 39: 232–256
Towner EML, Jarvis SN, Walsh SSM, Aynsley-Green A (1994) Measuring exposure to injury risk in schoolchildren aged 11–14. BMJ 308: 449–452
Tursz A, Lelong N, Crost M (1990) Home accidents to children under 2 years of age. Paediatr Perinat Epidemiol: 408–421
Walsh SS, Jarvis SN (1992) Measuring the frequency of “severe” accidental injury in childhood. J. Epidemiol community Health 46: 26–32
Wilson MH, Baker SP, Teret SP, Shock S, Gabarino J (1991) Saving children: a guide to injury prevention. Oxford University Press, New York
World Health Organization (1994) Causes of death, by sex and age. In: World Health Statistics Annual. World Health Organization, Geneva, pp D10–401
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Addor, V., Santos-Eggimann, B. Population-based incidence of injuries among preschoolers. Eur J Pediatr 155, 130–135 (1996). https://doi.org/10.1007/BF02075767
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DOI: https://doi.org/10.1007/BF02075767