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Manifold child, family and social variables are associated with injury among New Zealand preschool children

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Authors:
Summary:

A longitudinal study of 6114 preschool children in New Zealand found a lower rate of injuries among Māori or Asian compared with European participants. Between birth and 4.5 years of age, 8% of studied children experienced 1-3 injuries with ≥1 hospitalisation, or ≥4 injuries (high injury group). Compared with European children, the odds of being in the high injury group was 0.7 (95% CI 0.5-0.97) for Māori children and 0.5 (95% CI 0.3-0.7) for Asian children, after accounting for antenatal, sociodemographic and psychosocial variables. Injury category was associated with maternal factors, family factors, social factors and service use, after adjustment for ethnicity and child variables (gender, temperament, level of activity and behaviour difficulties).

Comment:
I think the authors say it best in their conclusion: “Our findings in relation to ethnicity go against the standard public rhetoric and provide support for shifting the apportioning of blame for child injury from individuals to wider environmental exposures for which public health and societal solutions are required.”
Reference: Inj Prev. 2024;30(3):233-238.
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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