Résumé :
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[BDSP. Notice produite par INIST-CNRS K0R0xtZk. Diffusion soumise à autorisation]. Study objective : To examine the trends in childhood head injury mortality in Scotland between 1986 and 1995. Design : Analysis of routine mortality data from the registrar general for Scotland. Setting : Scotland, UK. Subjects : Children aged 0-14 years. Main results : A total of 290 children in Scotland died as a result of a head injury between 1986 and 1995. While there was a significant decline in the head injury mortality rate, head injury as a proportion of all injury fatalities remained relatively stable. Boys, and children residing in relatively less affluent areas had the highest head injury mortality rates. Although both these groups experienced a significant decline over the study period, the mortality differences between children in deprivation categories 1-2 and 6-7 persisted among 0-9 year olds, and increased in the 10-14 years age group. Pedestrian accidents were the leading cause of mortality. Conclusions : Children residing in less affluent areas seem to be at relatively greater risk of sustaining a fatal head injury than their more affluent counterparts. While the differences between the most and least affluent have decreased overall, they have widened among 10-14 year olds. The decline in head injury mortality as a result of pedestrian accidents may be partly attributable to injury prevention measures.
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