@article{ref1,
title="Exploring the impact of remoteness and socio-economic status on child and adolescent injury-related mortality in Australia",
journal="Children (Basel, Switzerland)",
year="2021",
author="Peden, Amy Elizabeth and Franklin, Richard Charles",
volume="8",
number="1",
pages="e5-e5",
abstract="Injuries are a leading cause of harm for children. This study explores the impact of determinants of health on children (0-19 years) injury-related mortality (namely  remoteness and socio-economic disadvantage, calculated using the index of relative  socio-economic advantage and disadvantage (IRSAD)). Cause of death data from the  Australian Bureau of Statistics were sourced for children in Australia between 1  July 2007 to 30 June 2017. Fifteen injury categories (ICD-10-AM external cause  codes) were used. Burden and trends by injury mechanism were explored. A total of  5153 children died; with road traffic incidents (3.39 per 100,000 population),  intentional self-harm (2.46) and drowning (0.72) being the leading mechanisms. Female fatality rates in very remote areas (8.73) were nine times higher than in  major cities (Relative Risk [RR] = 8.73; 95% Confidence Interval [95% CI]:  4.23-18.00). Fatality rates increased with remoteness; very remote areas recording  an injury-related fatality rated six times (RR = 5.84; 95% CI: 3.76-9.12) that of  major city residents. Accidental poisoning and intentional self-harm fatalities were  more likely in high IRSAD areas, while road traffic fatalities were more likely in  low and mid socio-economic areas (X(2) = 69.1; p < 0.001). People residing in  regional and remote areas and from low socio-economic backgrounds already face  significant health and lifestyle challenges associated with disadvantage. It is time  to invest in injury prevention interventions for these populations, as well as  upstream policy strategies to minimize any further preventable loss of life.<p /> <p>Language: en</p>",
language="en",
issn="2227-9067",
doi="10.3390/children8010005",
url="http://dx.doi.org/10.3390/children8010005"
}