Trends in hospitalizations resulting from violent injuries among children and youth in British Columbia during the COVID-19 pandemic
Notice bibliographique
Résumé
The increased stressors brought on by the COVID-19 pandemic and its subsequent stay-at-home policies were hypothesized to increase violence and abuse among children and youth. Data on this issue are scant and where they do exist, mixed results have been observed, with variation by jurisdiction. The availability of local data is crucial in assessing the impact of local policies on child violence outcomes. Using hospitalization records with a diagnosis of a violence-related injury, an interrupted time-series design was used to determine whether the initial stay-at-home public health policies affected the rates of violent injury hospitalizations among children and youth aged 0-19 years in British Columbia, Canada. Hospitalization data were obtained from the Discharge Abstract Database from April 1, 2015 to March 31, 2022, with the March 17, 2020 initial lockdown time taken as the interruption point. Effects were examined as the whole cohort, by sex and age-group, and by material deprivation quintiles. There were 745 violence-related injury hospitalizations observed during the study period, with 571 occurring in the pre-COVID period (0.97 per 100,000 population) and 174 in the 24-months post onset of COVID policy restrictions (0.73 per 100,000 population). There was an overall decreasing trend (0.8% per month; 95% CI: 0.2-1.4%) in hospitalization rates during the five-year pre-COVID period. No significant effects were observed at the interruption point or in the two-year follow-up phase. Older males aged 10-19 years (rate ratio: 9.6; 95% CI: 7.7-12.0) and females (rate ratio: 2.1; 95% CI: 1.6-2.7) had higher rates than their younger children aged 0-9 years. Children and youth living in the most materially deprived neighborhoods had 4.3 (95% CI: 3.2-5.6) times the hospitalization rate than those living in least deprived neighborhoods. Neither sex and age-group nor material deprivation quintiles had differential effects on the change at the interruption point or the trend during the follow-up phase. Violence-related injury hospitalization rates among children and youth in British Columbia, Canada have been on a steady decline during the pre-pandemic years. The COVID-19 stay-at-home measures did not appear to have an impact on this rate. • Decreasing trend in violence-related injury hospitalizations in pre-pandemic period • No changes observed at the initial lockdown nor in the two-year follow-up phase • Higher rates among older children and those living in poorer neighborhoods • No differential effects of lockdown policies by age group and deprivation
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,004 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,001 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».