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BMJ Publishing Group, BMJ Open, 8(8), p. e021621, 2018

DOI: 10.1136/bmjopen-2018-021621

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Association of socioeconomic factors and the risk for unintentional injuries among children in Japan: a cross-sectional study

Journal article published in 2018 by Nobuhiro Sato ORCID, Yusuke Hagiwara, Junta Ishikawa, Kohei Akazawa
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

ObjectivesWhile Japan has socioeconomic issues, such as income inequality, little is known about the association between socioeconomic factors and the risk of unintentional childhood injuries. The purpose of the study was to evaluate the influence of socioeconomic factors on the risk for unintentional injuries among preschool children in Japan.DesignCross-sectional study using data from a web-based questionnaire survey.SettingJapan (January 2015).Participants1000 households with preschool children under 6 years of age.Outcome measuresMultivariate logistic regression was performed to analyse the influence of socioeconomic factors on the incidence of unintentional injuries.ResultsOverall, 976 households were eligible for the analysis, with 201 households reporting unintentional injuries. The incidence rates for unintentional injury were estimated to be constant across all strata constructed using combinations of socioeconomic factors. The multivariate logistic regression analysis showed no significant differences in socioeconomic factors between households that reported unintentional injuries and those that did not.ConclusionThe findings of our study demonstrated that unintentional injuries among preschool children occurred at approximately fixed rates, independent of socioeconomic factors. Accordingly, prevention strategies for unintentional injuries that concern socioeconomic disadvantages should be avoided in Japan.