PMID- 29360765 OWN - NLM STAT- MEDLINE DCOM- 20181126 LR - 20181126 IS - 1660-4601 (Electronic) IS - 1661-7827 (Print) IS - 1660-4601 (Linking) VI - 15 IP - 2 DP - 2018 Jan 23 TI - Economic Conditions May Contribute to Increased Violence toward Children: A Nationwide Population-Based Analysis of Pediatric Injuries in Taiwanese Emergency Departments. LID - 10.3390/ijerph15020182 [doi] LID - 182 AB - 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. FAU - Liu, Yueh-Ping AU - Liu YP AD - Department of Emergency Medicine, National Taiwan University Hospital, Taipei 100, Taiwan. dtemer14@gmail.com. AD - Department of Medical Affairs, Ministry of Health and Welfair, Taipei 115, Taiwan. dtemer14@gmail.com. FAU - Hsu, Ren-Jun AU - Hsu RJ AD - Graduate Institute of Life Sciences, National Defense Medical Center, Taipei 114, Taiwan. hsurnai@gmail.com. AD - Biobank Management Center of the Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan. hsurnai@gmail.com. AD - Department of Pathology and Graduate Institute of Pathology and Parasitology, The Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan. hsurnai@gmail.com. FAU - Wu, Mei-Hwan AU - Wu MH AD - Department of Pediatrics, National Taiwan University Hospital and College of Medicine, National Taiwan University, Taipei 100, Taiwan. wumh@ntu.edu.tw. FAU - Peng, Chun-Chih AU - Peng CC AD - Department of Pediatrics, MacKay Children's Hospital, Taipei 104, Taiwan. pengcc4566@gmail.com. AD - Department of Medicine, MacKay Medical College, New Taipei City 252, Taiwan. pengcc4566@gmail.com. FAU - Chang, Shu-Ting AU - Chang ST AD - Department of Pediatrics, BinKun Women's and Children's Hospital, Taoyuan 324, Taiwan. tototinforever@yahoo.com.tw. FAU - Lei, Wei-Te AU - Lei WT AD - Department of Pediatrics, Hsinchu MacKay Memorial Hospital, Hsinchu 300, Taiwan. lazyleisure@gmail.com. FAU - Yeh, Tzu-Lin AU - Yeh TL AUID- ORCID: 0000-0003-1894-0394 AD - Department of Pediatrics, Hsinchu MacKay Memorial Hospital, Hsinchu 300, Taiwan. 5767@mmh.org.tw. FAU - Liu, Jui-Ming AU - Liu JM AD - Graduate Institute of Life Sciences, National Defense Medical Center, Taipei 114, Taiwan. mento1218@gmail.com. AD - Division of Urology, Department of Surgery, Taoyuan General Hospital, Ministry of Health and Welfare, Taoyuan 330, Taiwan. mento1218@gmail.com. AD - Department of Medicine, National Yang-Ming University, Taipei 112, Taiwan. mento1218@gmail.com. FAU - Lin, Chien-Yu AU - Lin CY AUID- ORCID: 0000-0003-4630-8724 AD - Department of Pediatrics, Hsinchu MacKay Memorial Hospital, Hsinchu 300, Taiwan. mmhped.lin@gmail.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180123 PL - Switzerland TA - Int J Environ Res Public Health JT - International journal of environmental research and public health JID - 101238455 SB - IM MH - Accidental Falls/statistics & numerical data MH - Accidents, Traffic/statistics & numerical data MH - Adolescent MH - Child MH - Child, Preschool MH - Emergency Service, Hospital/*statistics & numerical data MH - Female MH - Homicide/*statistics & numerical data MH - Humans MH - Incidence MH - Male MH - Motorcycles MH - Retrospective Studies MH - Taiwan/epidemiology MH - Taxes MH - Violence/*economics MH - Wounds and Injuries/*epidemiology PMC - PMC5858257 OTO - NOTNLM OT - NHIRD OT - National Health Insurance Research Database OT - economics OT - emergency department OT - financial crisis OT - pediatric injuries OT - public health OT - unintentional injuries COIS- The authors declare no conflict of interest. EDAT- 2018/01/24 06:00 MHDA- 2018/11/27 06:00 PMCR- 2018/02/01 CRDT- 2018/01/24 06:00 PHST- 2017/12/02 00:00 [received] PHST- 2018/01/21 00:00 [revised] PHST- 2018/01/22 00:00 [accepted] PHST- 2018/01/24 06:00 [entrez] PHST- 2018/01/24 06:00 [pubmed] PHST- 2018/11/27 06:00 [medline] PHST- 2018/02/01 00:00 [pmc-release] AID - ijerph15020182 [pii] AID - ijerph-15-00182 [pii] AID - 10.3390/ijerph15020182 [doi] PST - epublish SO - Int J Environ Res Public Health. 2018 Jan 23;15(2):182. doi: 10.3390/ijerph15020182.