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Association of socioeconomic factors and the risk for unintentional injuries among children in Japan: a cross-sectional study
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  • Published on:
    Understanding the pathways linking socioeconomic factors to the risk of childhood unintentional injuries
    • Melisa C Campbell, Speciality Registrar In Public Health, Honorary Research Fellow University of Liverpool, Department of Public Health and Policy, Farr Institute, Liverpool, United Kingdom, L69 3GB.
    • Other Contributors:
      • Sophie L Wickham, Wellcome Trust Research Fellow
      • David C Taylor-Robinson, Professor Public Health and Policy

    Dear Editor,

    Sato et al's research shows no social gradient in unintentional injury (UI) risk in preschool children in Japan. However, many previous studies have shown clear evidence of increased risk of UI in children living in more disadvantaged circumstances. [1,2] Our analysis of data from the UK Millennium Cohort study shows that the relationship between SECs and risk of UIs is not static relationship, and that the association changes with age. (Figure 1) Further research is needed to understand the complex pathways linking social conditions to risk of childhood unintentional injuries, and how these vary across different settings.

    Figure 1 illustrates the relative risk ratios for an unintentional injury at different ages comparing the highest and lowest household income quintiles measured at birth.

    https://blogs.bmj.com/bmjopen/files/2018/10/Campbell-et-al-Fig-1.jpg

    1 Engström K, Laflamme L, Diderichsen F. Equalisation of socioeconomic differences in injury risks at school age? A study of three age cohorts of Swedish children and adolescents. Soc Sci Med 2003;57:1891–9. doi:10.1016/S0277-9536(03)00054-6

    2 Laflamme L, Hasselberg M, Burrows S. 20 years of research on socioeconomic inequality and children’s unintentional injuries understanding the cause-specific evidence at hand. Int J Pediatr 2010;2010:23 pages. doi:...

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    Conflict of Interest:
    None declared.