IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v15y2018i2p182-d128264.html
   My bibliography  Save this article

Economic Conditions May Contribute to Increased Violence toward Children: A Nationwide Population-Based Analysis of Pediatric Injuries in Taiwanese Emergency Departments

Author

Listed:
  • Yueh-Ping Liu

    (Department of Emergency Medicine, National Taiwan University Hospital, Taipei 100, Taiwan
    Department of Medical Affairs, Ministry of Health and Welfair, Taipei 115, Taiwan)

  • Ren-Jun Hsu

    (Graduate Institute of Life Sciences, National Defense Medical Center, Taipei 114, Taiwan
    Biobank Management Center of the Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan
    Department of Pathology and Graduate Institute of Pathology and Parasitology, The Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan)

  • Mei-Hwan Wu

    (Department of Pediatrics, National Taiwan University Hospital and College of Medicine, National Taiwan University, Taipei 100, Taiwan)

  • Chun-Chih Peng

    (Department of Pediatrics, MacKay Children’s Hospital, Taipei 104, Taiwan
    Department of Medicine, MacKay Medical College, New Taipei City 252, Taiwan)

  • Shu-Ting Chang

    (Department of Pediatrics, BinKun Women’s and Children’s Hospital, Taoyuan 324, Taiwan)

  • Wei-Te Lei

    (Department of Pediatrics, Hsinchu MacKay Memorial Hospital, Hsinchu 300, Taiwan)

  • Tzu-Lin Yeh

    (Department of Pediatrics, Hsinchu MacKay Memorial Hospital, Hsinchu 300, Taiwan)

  • Jui-Ming Liu

    (Graduate Institute of Life Sciences, National Defense Medical Center, Taipei 114, Taiwan
    Division of Urology, Department of Surgery, Taoyuan General Hospital, Ministry of Health and Welfare, Taoyuan 330, Taiwan
    Department of Medicine, National Yang-Ming University, Taipei 112, Taiwan)

  • Chien-Yu Lin

    (Department of Pediatrics, Hsinchu MacKay Memorial Hospital, Hsinchu 300, Taiwan)

Abstract

Childhood injuries are unfortunately common. Analysis procedures may assist professionals who work with children with developing preventive measures for protecting children’s wellness. This study explores the causes of pediatric injuries presenting to an emergency department in Taiwan. This nationwide, population-based study was conducted using data from the National Health Insurance Research Database of Taiwan (NHIRD). Patients aged <18 years were identified from approximately one million individuals listed in the NHIRD. We followed up with these patients for nine years and analyzed the causes of injuries requiring presentation to an emergency department. Variables of interest were age, sex, injury mechanisms, and temporal trends. A total of 274,028 children were identified in our study. Between 2001 and 2009, the leading causes of pediatric injuries treated in emergency departments were motor vehicle injuries, falls, and homicide. The overall incidence of injuries declined over the course of the study because of reductions in motor vehicle accidents and falls. The incidence of homicide increased during the study period, particularly between 2007 and 2009. A moderately inverse correlation between homicide rate and economic growth was observed (correlation coefficient: −0.613, p = 0.041). There was a general decline in pediatric injuries between 2001 and 2009. Public policy changes, including motorcycle helmet laws and increases in alcohol taxes, may have contributed to this decline. Unfortunately, the incidence of homicide increased over the course of the study. Ongoing financial crises may have contributed to this increase. Multidisciplinary efforts are required to reduce homicide and reinforce the importance of measures that protect children against violence.

Suggested Citation

  • Yueh-Ping Liu & Ren-Jun Hsu & Mei-Hwan Wu & Chun-Chih Peng & Shu-Ting Chang & Wei-Te Lei & Tzu-Lin Yeh & Jui-Ming Liu & Chien-Yu Lin, 2018. "Economic Conditions May Contribute to Increased Violence toward Children: A Nationwide Population-Based Analysis of Pediatric Injuries in Taiwanese Emergency Departments," IJERPH, MDPI, vol. 15(2), pages 1-10, January.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:2:p:182-:d:128264
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/15/2/182/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/15/2/182/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Kondilis, E. & Giannakopoulos, S. & Gavana, M. & Ierodiakonou, I. & Waitzkin, H. & Benos, A., 2013. "Economic crisis, restrictive policies, and the population's health and health care: The greek case," American Journal of Public Health, American Public Health Association, vol. 103(6), pages 973-980.
    2. Silvia Bacci & Claudia Pigini & Marco Seracini & Liliana Minelli, 2017. "Employment Condition, Economic Deprivation and Self-Evaluated Health in Europe: Evidence from EU-SILC 2009–2012," IJERPH, MDPI, vol. 14(2), pages 1-19, February.
    3. Debbie Scott & Victor Siskind, 2016. "Patterns of Injury in Hospitalised One-Year-Old Children: Analysis by Trimester of Age Using Coded Data and Textual Description," IJERPH, MDPI, vol. 13(7), pages 1-9, July.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Seong-Uk Baek & Sung-Shil Lim & Jihyun Kim & Jin-Ha Yoon, 2019. "How Does Economic Inequality Affect Infanticide Rates? An Analysis of 15 Years of Death Records and Representative Economic Data," IJERPH, MDPI, vol. 16(19), pages 1-12, September.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Balbo, Nicoletta & Carapella, Piergiorgio & Toffolutti, Veronica, 2020. "Trends in the use of mind-altering drugs among European adolescents during the Great Recession," Health Policy, Elsevier, vol. 124(5), pages 568-574.
    2. Edrisa Sanyang & Corinne Peek-Asa & Tracy Young & Laurence Fuortes, 2017. "Child Supervision and Burn Outcome among Admitted Patients at Major Trauma Hospitals in the Gambia," IJERPH, MDPI, vol. 14(8), pages 1-10, July.
    3. Geert Dom & Jerzy Samochowiec & Sara Evans-Lacko & Kristian Wahlbeck & Guido Van Hal & David McDaid, 2016. "The Impact of the 2008 Economic Crisis on Substance Use Patterns in the Countries of the European Union," IJERPH, MDPI, vol. 13(1), pages 1-11, January.
    4. Peralta-Gallego, Leia & Gené-Badia, Joan & Gallo, Pedro, 2018. "Effects of undocumented immigrants exclusion from health care coverage in Spain," Health Policy, Elsevier, vol. 122(11), pages 1155-1160.
    5. Xianning Wang & Zhengang Ma & Jiusheng Chen & Jingrong Dong, 2023. "Can Regional Eco-Efficiency Forecast the Changes in Local Public Health: Evidence Based on Statistical Learning in China," IJERPH, MDPI, vol. 20(2), pages 1-19, January.
    6. Strumpf, Erin C. & Charters, Thomas J. & Harper, Sam & Nandi, Arijit, 2017. "Did the Great Recession affect mortality rates in the metropolitan United States? Effects on mortality by age, gender and cause of death," Social Science & Medicine, Elsevier, vol. 189(C), pages 11-16.
    7. Bazzoli, Martina & Madia, Joan E. & Nicodemo, Catia & Podestà, Federico, 2024. "Immigration and health outcomes: A study on native health perception and limitations in Europe," Economic Modelling, Elsevier, vol. 131(C).
    8. Jeffrey Pfeffer, 2016. "Why the Assholes are Winning: Money Trumps All," Journal of Management Studies, Wiley Blackwell, vol. 53(4), pages 663-669, June.
    9. Camilla Haw & Keith Hawton & David Gunnell & Stephen Platt, 2015. "Economic recession and suicidal behaviour: Possible mechanisms and ameliorating factors," International Journal of Social Psychiatry, , vol. 61(1), pages 73-81, February.
    10. José A. Tapia Granados & Edward L. Ionides, 2017. "Population health and the economy: Mortality and the Great Recession in Europe," Health Economics, John Wiley & Sons, Ltd., vol. 26(12), pages 219-235, December.
    11. Charis E. Kubrin & Bradley J. Bartos & Richard McCleary, 2022. "The debt crisis, austerity measures, and suicide in Greece," Social Science Quarterly, Southwestern Social Science Association, vol. 103(1), pages 120-140, January.
    12. Georgia Verropoulou & Cleon Tsimbos, 2017. "Estimating Mortality Levels and Patterns among Natives, Immigrants, and Selected Ethnic Groups in Greece: 2010–2012," International Migration Review, Wiley Blackwell, vol. 51(3), pages 600-631, September.
    13. Theodoros Papaslanis & Vassilis Kontaxakis & Christos Christodoulou & George Konstantakopoulos & Maria-Irini Kontaxaki & George N Papadimitriou, 2016. "Suicide in Greece 1992–2012: A time-series analysis," International Journal of Social Psychiatry, , vol. 62(5), pages 471-476, August.
    14. Zhiming Cheng & Silvia Mendolia & Alfredo R. Paloyo & David A. Savage & Massimiliano Tani, 2021. "Working parents, financial insecurity, and childcare: mental health in the time of COVID-19 in the UK," Review of Economics of the Household, Springer, vol. 19(1), pages 123-144, March.
    15. Kyriopoulos, Ilias & Nikoloski, Zlatko & Mossialos, Elias, 2021. "Financial protection in health among the middle-aged and elderly: Evidence from the Greek economic recession," Health Policy, Elsevier, vol. 125(9), pages 1256-1266.
    16. Perelman, Julian & Felix, Sónia & Santana, Rui, 2015. "The Great Recession in Portugal: Impact on hospital care use," Health Policy, Elsevier, vol. 119(3), pages 307-315.
    17. Konstantinos N. Zafeiris & Georgios Kontogiannis & Byron Kotzamanis, 2024. "The evolution of fertility in Greece since the 1960s: a joinpoint regression analysis," Journal of Population Research, Springer, vol. 41(4), pages 1-20, December.
    18. Saskia Scholten & Julia Velten & Jürgen Margraf, 2018. "Mental distress and perceived wealth, justice and freedom across eight countries: The invisible power of the macrosystem," PLOS ONE, Public Library of Science, vol. 13(5), pages 1-20, May.
    19. Dimitris C Anagnostopoulos & George Giannakopoulos & Nikos G Christodoulou, 2017. "The synergy of the refugee crisis and the financial crisis in Greece: Impact on mental health," International Journal of Social Psychiatry, , vol. 63(4), pages 352-358, June.
    20. Cid, Camilo & Matus López, Mauricio, 2013. "Crisis y financiamiento de la salud. La Gran Recesión en los países sudamericanos [Crisis and health funding. The Great Recession in South American Countries]," MPRA Paper 105442, University Library of Munich, Germany.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:15:y:2018:i:2:p:182-:d:128264. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.