BACKGROUND: Injury risk during childhood and adolescence vary depending on socio-economic factors. The aim of this study was to study if the risk of fatal and non-fatal unintentional injuries among foreign-born children was similar across parental educational level or not. METHODS: In this retrospective cohort study we followed 907,335 children between 1961 and 2007 in Sweden. We established the cohort by linkage between Swedish national registers including cause of death register and in-patient register, through unique Personal Identification Numbers. The main exposure variable was parental (maternal and paternal) educational level. The cohorts was followed from start date of follow-up period, or date of birth whichever occurred last, until exit date from the cohort, which was date of hospitalization or death due to unintentional injury, first emigration, death due to other causes than injury or end of follow-up, whichever came first. We calculated hazard ratios (HR) with 95% confidence intervals (95% CI) by Cox proportional hazards regression models. RESULTS: Overall, we found 705 and 78,182 cases of death and hospitalization due to unintentional injuries, respectively. Risk of death and hospitalization due to unintentional injuries was statistically significantly 1.48 (95% CI: 1.24-1.78) and 1.10 (95% CI: 1.08-1.12) times higher among children with lowest parental educational level (9 years and shorter years of study) compared to children with highest parental educational level (+13 years of study). We found similar results when stratified our study group by sex of children, by maternal and paternal educational level separately, and injury type (traffic-related, fall, poisoning, burn and drowning). CONCLUSIONS: It seems injury prevention work against unintentional injuries is less effective among children with low parental education compared with those with higher parental education. We recommend designing specific preventive interventions aiming at children with low parental education.© 2013 KUMS, All rights reserved
How to Cite
BEIKI, Omid; KARIMI, Najmeh; MOHAMMADI, Reza. Parental educational level and injury incidence and mortality among foreign-born children: a cohort study with 46 years follow-up. Journal of Injury and Violence Research, [S.l.], v. 6, n. 1, p. 37-43, sep. 2013. ISSN 2008-4072. Available at: <http://www.jivresearch.org/jivr/index.php/jivr/article/view/525>. Date accessed: 22 sep. 2017.
Unintentional injury; Educational level; Relative Risk; Cohort Study
Original Research Article
Copyright. Upon publication, each undersigned author agrees that Kermanshah University of Medical Sciences (KUMS) is the copyright owner of the material published in the Journal of Injury and Violence Research (JIVR). However, in accordance with Bethesda Statement on Open Access Publishing (released June 20, 2003, available from: http://www.earlham.edu/~peters/fos/bethesda.htm), all works published in JIVR are open access and are immediately available to anyone on the web site of the journal without cost. JIVR is an open-access journal distributed under the terms of the Creative Commons Attribution 3.0 License (http://creativecommons.org/licenses/by/3.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.