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Int. J. Environ. Res. Public Health 2016, 13(7), 651; doi:10.3390/ijerph13070651

Disparities in Paediatric Injury Mortality between Aboriginal and Non-Aboriginal Populations in British Columbia, 2001–2009

1
Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC V5A 1S6, Canada
2
Department of Pediatrics, Faculty of Medicine, University of British Columbia, Vancouver, BC V6H 3V4, Canada
3
BC Injury Research and Prevention Unit, Child and Family Research Institute, BC Children’s Hospital, Vancouver, BC V5Z 4H4, Canada
4
Department of Surgery, Dalhousie University, Halifax, NS B3H 2Y9, Canada
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Received: 3 March 2016 / Revised: 3 May 2016 / Accepted: 7 May 2016 / Published: 7 July 2016
(This article belongs to the Special Issue Child Injury Prevention 2015)
View Full-Text   |   Download PDF [815 KB, uploaded 7 July 2016]   |  

Abstract

Injury is the leading cause of death among children and youth in Canada. Significant disparities in injury mortality rates have been observed between Aboriginal and non-Aboriginal populations, but little is known about the age-, sex-, and mechanism-specific patterns of injury causing death. This study examines paediatric mortality in British Columbia from 2001 to 2009 using comprehensive vital statistics registry data. We highlight important disparities in Aboriginal and non-Aboriginal mortality rates, and use the Preventable Years of Life Lost (PrYLL) metric to identify differences between age groups and the mechanisms of injury causing death. A significantly greater age-adjusted mortality rate was observed among Aboriginal children (OR = 2.08, 95% CI: 1.41, 3.06), and significantly higher rates of death due to assault, suffocation, and fire were detected for specific age groups. Mapped results highlight regional disparities in PrYLL across the province, which may reflect higher Aboriginal populations in rural and remote areas. Crucially, these disparities underscore the need for community-specific injury prevention policies, particularly in regions with high PrYLL. View Full-Text
Keywords: paediatric injury; injury mortality; Aboriginal population paediatric injury; injury mortality; Aboriginal population
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Amram, O.; Walker, B.B.; Schuurman, N.; Pike, I.; Yanchar, N. Disparities in Paediatric Injury Mortality between Aboriginal and Non-Aboriginal Populations in British Columbia, 2001–2009. Int. J. Environ. Res. Public Health 2016, 13, 651.

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