Document Detail

Inequalities in hospital admission rates for unintentional poisoning in young children.
MedLine Citation:
PMID:  16751446     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To determine the relationship between deprivation and hospital admission rates for unintentional poisoning, by poisoning agent in children aged 0-4 years.
DESIGN: Cross sectional study of routinely collected hospital admissions data.
SETTING: East Midlands, UK.
PARTICIPANTS: 1469 admissions due to unintentional poisoning over two years.
MAIN OUTCOME MEASURE: Hospital admission rates for unintentional poisoning. Incidence rate ratios (IRRs) comparing hospital admission rates for poisoning in the most and least deprived electoral wards.
RESULTS: Children in the most deprived wards had admission rates for medicinal poisoning that were 2-3 times higher than those in the least deprived wards (IRR 2.49, 95% CI 1.87 to 3.30). Admission rates for non-medicinal poisoning were about twice as high in the most compared to the least deprived wards (IRR 1.77, 95% CI 1.19 to 2.64). Deprivation gradients were particularly steep for benzodiazepines (IRR 5.63, 95% CI 1.72 to 18.40), antidepressants (IRR 4.58, 95% CI 1.80 to 11.66), cough and cold remedies (IRR 3.93, 95% CI 1.67 to 9.24), and organic solvents (IRR 3.69, 95% CI 1.83 to 7.44).
CONCLUSIONS: There are steep deprivation gradients for admissions to hospital for childhood poisoning, with particularly steep gradients for some psychotropic medicines. Interventions to reduce these inequalities should be directed towards areas of greater deprivation.
L Groom; D Kendrick; C Coupland; B Patel; J Hippisley-Cox
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention     Volume:  12     ISSN:  1353-8047     ISO Abbreviation:  Inj. Prev.     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-06-05     Completed Date:  2007-03-08     Revised Date:  2013-06-07    
Medline Journal Info:
Nlm Unique ID:  9510056     Medline TA:  Inj Prev     Country:  England    
Other Details:
Languages:  eng     Pagination:  166-70     Citation Subset:  IM    
School of Community Health Sciences, University of Nottingham, Nottingham, UK.
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MeSH Terms
Child, Preschool
Cross-Sectional Studies
England / epidemiology
Hospitalization / statistics & numerical data*
Infant, Newborn
Poisoning / epidemiology*,  etiology
Risk Factors
Social Class*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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