Premium
Social determinants of health and maxillofacial injuries in children and adolescents victims of violence: A novel GIS ‐based modelling application
Author(s) -
Bernardino Ítalo,
Nóbrega Lorena Marques,
Silva José Régis Cordeiro,
Alencar Catarina Ribeiro Barros,
Olinda Ricardo Alves,
d’Ávila Sérgio
Publication year - 2019
Publication title -
international journal of paediatric dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.183
H-Index - 62
eISSN - 1365-263X
pISSN - 0960-7439
DOI - 10.1111/ipd.12461
Subject(s) - medicine , socioeconomic status , social vulnerability , vulnerability (computing) , incidence (geometry) , injury prevention , ecological study , poison control , suicide prevention , human factors and ergonomics , environmental health , demography , psychiatry , population , physics , computer security , sociology , computer science , psychological intervention , optics
Background Physical violence against children and adolescents comprises a serious public health problem and often results in oral and maxillofacial traumas. Social determinants may favour the occurrence of these events, but few studies have critically evaluated the interaction between social and geographical risk factors. Aims To investigate the spatiotemporal distribution of oral and maxillofacial traumas resulting from violence against children and adolescents through geostatistical techniques. Methods This study was an ecological analysis of cases of trauma caused by violence against Brazilian children and adolescents using aggregated data from victims attended at a Center of Forensic Medicine and Forensic Dentistry between January 2012 and December 2015. Data were analysed through modelling based on geographic information system ( GIS ). Results Two distinct patterns of longitudinal trajectory of oral and maxillofacial trauma related to violence against children and adolescents were identified ( TP 1 and TP 2, P < 0.05). The spatial regression analysis revealed a statistically significant association between higher incidence of cases and areas with worse socioeconomic conditions (β = 0.047, SE = 0.020, P < 0.05). Conclusion Neighbourhoods with considerable socio‐spatial vulnerability for violence against children and adolescents and maxillofacial traumas were identified.