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Housing Characteristics and Hospital Admissions due to Falls on Stairs: A National Birth Cohort Study.
Simpson, Charles H; Lewis, Kate; Taylor, Jonathon; Hajna, Samantha; Macfarlane, Alison; Hardelid, Pia; Symonds, Phil.
Afiliación
  • Simpson CH; UCL Institute for Environmental Design and Engineering, UCL, London, United Kingdom.
  • Lewis K; UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom.
  • Taylor J; Civil Engineering, Tampere University, Tampere, Finland.
  • Hajna S; Health Sciences, Brock University, St. Catharines, Canada.
  • Macfarlane A; Department of Midwifery and Radiography, City University of London, London, United Kingdom.
  • Hardelid P; UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom.
  • Symonds P; UCL Institute for Environmental Design and Engineering, UCL, London, United Kingdom. Electronic address: p.symonds@ucl.ac.uk.
J Pediatr ; 275: 114191, 2024 Jul 14.
Article en En | MEDLINE | ID: mdl-39004170
ABSTRACT

OBJECTIVE:

To assess associations between housing characteristics and risk of hospital admissions related to falls on/from stairs in children, to help inform prevention measures. STUDY

DESIGN:

An existing dataset of birth records linked to hospital admissions up to age 5 for a cohort of 3 925 737 children born in England between 2008 and 2014, was linked to postcode-level housing data from Energy Performance Certificates. Association between housing construction age, tenure (eg, owner occupied), and built form and risk of stair fall-related hospital admissions was estimated using Poisson regression. We stratified by age (<1 and 1-4 years), and adjusted for geographic region, Index of Multiple Deprivation, and maternal age.

RESULTS:

The incidence was higher in both age strata for children in neighborhoods with homes built before 1900 compared with homes built in 2003 or later (incidence rate ratio [IRR], 1.40; 95% CI, 1.10-1.77 [age <1 year], 1.20; 95% CI, 1.05-1.36 [age 1-4 years]). For those aged 1-4 years, the incidence was higher for those in neighborhoods with housing built between 1900 and 1929, compared with 2003 or later (IRR, 1.26; 95% CI, 1.13-1.41), or with predominantly social-rented homes compared with owner occupied (IRR, 1.21; 95% CI, 1.13-1.29). Neighborhoods with predominantly houses compared with flats had higher incidence (IRR, 1.24; 95% CI, 1.08-1.42 [<1 year] and IRR 1.16; 95% CI, 1.08-1.25 [1-4 years]).

CONCLUSIONS:

Changes in building regulations may explain the lower fall incidence in newer homes compared with older homes. Fall prevention campaigns should consider targeting neighborhoods with older or social-rented housing. Future analyses would benefit from data linkage to individual homes, as opposed to local area level.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Pediatr Año: 2024 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Pediatr Año: 2024 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Estados Unidos