Elsevier

Preventive Medicine

Volume 15, Issue 2, March 1986, Pages 139-149
Preventive Medicine

A population-based study of nonfatal childhood injuries

https://doi.org/10.1016/0091-7435(86)90084-8Get rights and content

Abstract

A random-digit-dialing telephone survey was used to assess the frequency and associated characteristics of childhood poisoning, burns, and head injuries in 1.213 San Diego County households having at least one child 14 years of age or younger at the time of the telephone interview in 1980. The survey population was representative of the general San Diego County population with regard to socioeconomic status and geographic distribution. The frequency of injuries judged to be serious enough to require medical care and the median ages for each injury were head injury, 4.2% and 5.5 years: burns, 4.0% and 2 years: and poisonings, 3.4% and 2 years. Forty-four percent of all poisonings were related to drugs. of which aspirin was the single most common medication. Hot liquids or hot surfaces were responsible for 52% of burns. The majority of head injuries (65%) were caused by falls, usually outside the home. Education was positively associated with poisonings. and income was negatively associated with burns. Children of caretakers working outside the home did not have higher injury rates than those whose caretakers were not so employed. Differences in caretaker attitudes were few, and may reflect the experience of having an injury, rather than factors preceding it. The advantages and limitations of this method of assessing childhood injury in populations are discussed.

References (37)

  • T.M. Deeths et al.

    Poisoning in children—a statistical study of 1,057 cases

    Pediatrics

    (1971)
  • J.A. Waller et al.

    Nonfatal burns of children in a well-defined urban population

    J. Pediatr.

    (1964)
  • J.H. Annegers et al.

    Central nervous system trauma research status report

  • S.P. Baker

    Determinants of injury and opportunities for intervention

    Amer. J. Epidemiol.

    (1975)
  • R. Befenstam

    The work of the Swedish Joint Committee for Childhood Accident Prevention

  • L. Corsa et al.

    Epidemiologic study of childhood poisonings in two California counties

    Pediatrics

    (1961)
  • D.A. Dillman

    Mail and Telephone Surveys: The Total Design Method

    (1978)
  • C. Feck et al.

    The epidemiology of burn injury in New York

    Public Health Rep.

    (1979)
  • L.B. Feinberg et al.

    Hospital-treated injuries: Patient characteristics and incidence in a large emergency medical service region

    J. Burn Care Rehabil.

    (1981)
  • S.S. Gallagher et al.

    The incidence of injuries among 87,000 Massachusetts children and adolescents: Results of the 1980–1981 statewide childhood injury prevention program surveillance system

    Amer. J. Public Health

    (1984)
  • R.M. Groves et al.

    Surveys by Telephone

    (1979)
  • R.J. Izant et al.

    The annual injury of 15,000,000 children: A limited study of childhood accidental injury and death

    J. Trauma

    (1966)
  • J.A. Keddy

    Accidents in childhood: A report on 17,142 accidents

    J. Canad. Med. Assoc.

    (1964)
  • M.R. Klauber et al.

    The epidemiology of head injury: A prospective study of an entire community—San Diego County, California, 1978

    Amer. J. Epidemiol.

    (1981)
  • J.E. Kraus et al.

    The incidence of acute brain injury and serious impairment in a defined population

    Amer. J. Epidemiol.

    (1984)
  • A. Learmonth

    Factors in child burn and scald accidents in Bradford 1969–1973

    J. Epidemiol. Community Health

    (1979)
  • A. MacKay et al.

    A comparison of age-specific burn injury rates in five Massachusetts communities

    Amer. J. Public Health

    (1979)
  • D.L. Manheimer et al.

    50,000 child-years of accidental injuries

    Public Health Rep.

    (1966)
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    Supported by Contract MCH 005001-03-02 with the Office of Maternal and Child Health Services, State of California, and Contract NO1-NS-9-2312 with the U.S. National Institute of Neurological and Communicative Disorders and Stroke, National Institutes of Health.

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