{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T04:22:29Z","timestamp":1747196549350,"version":"3.40.5"},"reference-count":60,"publisher":"Public Library of Science (PLoS)","issue":"11","license":[{"start":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T00:00:00Z","timestamp":1730764800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Northern Territory Government Departments of Health; Education; Territory Families, Housing and Communities; and, Attorney General and Justice"},{"name":"Northern Territory Government grant for the \u2018Child and Youth Development Research Partnership\u2019 (CYDRP), a partnership between the Menzies School of Health Research"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>Unintentional injuries are a leading cause of hospitalisation for children. This study investigated the incidence and associated risk factors for unintentional injury hospitalisation (UIH) among Aboriginal and non-Aboriginal children aged under 5 years in Australia\u2019s Northern Territory.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>This was a retrospective cohort study using linked data from a perinatal register, hospital admissions, school enrolment and child protection services. The outcome variable was a first UIH. Potential risk factors included gender, pregnancy and birth outcomes, maternal education level, child protection service contact and geographic remoteness. Modified Poisson regression was used for multivariate modelling.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>A cohort of 21,189 children (54.0% Aboriginal) born between 2000 and 2010 were followed to the age of 5 years. The overall incidence of first UIH was 25.8 per 1,000 person-years, which was 28.6% higher among Aboriginal than non-Aboriginal children (28.8 and 22.4 per 1000 person-years, respectively). Risk factors identified in the full model included: being male (incidence rate ratio (IRR) 1.26, 95%CI: 1.17\u20131.36); living in a remote (IRR 1.26, 95%CI: 1.14\u20131.40) or very remote area (IRR 1.44, 95%CI: 1.29\u20131.59); having a notification or substantiated notification for abuse (IRR 1.42, 95%CI: 1.27\u20131.58 and IRR 1.60, 95%CI: 1.41\u20131.82, respectively); or neglect (IRR 1.32, 95%CI: 1.17\u20131.48 and IRR 1.28, 95%CI: 1.11\u20131.47, respectively). After adjustment, there was no difference in UIH rates between Aboriginal and non-Aboriginal children. In both stratified models, being male, living in remote or very remote areas and having a notification or substantiated notification for child maltreatment were identified as risk factors.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusions<\/jats:title>\n<jats:p>Our study found high UIH incidence rates and evidence for an association between UIH and child maltreatment. This suggests child maltreatment and UIH have shared determinants and points to the need for clinicians to be aware of the overlap between these conditions and the importance of cross-agency collaboration in prevention and management.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0311586","type":"journal-article","created":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T18:29:12Z","timestamp":1730831352000},"page":"e0311586","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Risk factors for unintentional injury hospitalisation among Aboriginal and non-Aboriginal children in Australia\u2019s Northern Territory: A data linkage study"],"prefix":"10.1371","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1345-8013","authenticated-orcid":true,"given":"Jiunn-Yih","family":"Su","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vincent Yaofeng","family":"He","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Lithgow","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven","family":"Guthridge","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2024,11,5]]},"reference":[{"volume-title":"The Health and Welfare of Australia\u2019s Aboriginal and Torres Strait Islander People, an Overview","year":"2011","author":"Australian Institute of Health and Welfare.","key":"pone.0311586.ref001"},{"year":"2016","author":"G Robinson","key":"pone.0311586.ref002"},{"issue":"2","key":"pone.0311586.ref003","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1136\/ip.9.2.173","article-title":"Differential ranking of causes of fatal versus non-fatal injuries among US children.","volume":"9","author":"MF Ballesteros","year":"2003","journal-title":"Inj Prev."},{"volume-title":"Injury research and statistics series no. 135. 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