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

Ofer Amram, Blake Byron Walker, Nadine Schuurman, Ian Pike and Natalie Yanchar
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Ofer Amram: Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC V5A 1S6, Canada
Blake Byron Walker: Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC V5A 1S6, Canada
Nadine Schuurman: Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC V5A 1S6, Canada
Ian Pike: Department of Pediatrics, Faculty of Medicine, University of British Columbia, Vancouver, BC V6H 3V4, Canada
Natalie Yanchar: Department of Surgery, Dalhousie University, Halifax, NS B3H 2Y9, Canada

IJERPH, 2016, vol. 13, issue 7, 1-9

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.

Keywords: paediatric injury; injury mortality; Aboriginal population (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2016
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