@article{ref1,
title="Epidemiology of fatal and hospitalised injuries among youth in Fiji (TRIP 15)",
journal="Journal of Paediatrics and Child Health",
year="2016",
author="Herman, Josephine and Peiris-John, Roshini and Wainiqolo, Iris and Kafoa, Berlin and Laginikoro, Paul and McCaig, Eddie and Ameratunga, Shanthi",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="AIM: To determine the burden and characteristics of fatal and hospitalised injuries among youth in Fiji. <br><br>METHODS: We conducted a cross-sectional analysis of the Fiji Injury Surveillance in Hospitals database - a prospective population-based trauma registry - to examine the incidence and epidemiological characteristics associated with injury-related deaths and hospital admissions among youth aged 15-24 years. The study base was Viti Levu, Fiji, during the 12-month period concluding on 30 September 2006. <br><br>RESULTS: One in four injuries in the Fiji Injury Surveillance in Hospitals database occurred among youth (n = 515, incidence rate 400/100 000). Injury rates were higher among men, those aged 20-24 years compared with 15- to 19-year-olds, and indigenous Fijians (iTaukei) compared with Indians. The leading causes among indigenous Fijians were being hit by a person/object (men) and falls (women), whereas for Indians, it was road traffic injuries (men) and intentional poisoning (women). Most injuries occurred at home (39%) or on the road (22%). Of the 63 fatal events, 57% were intentional injuries, and most deaths (73%) occurred prior to hospitalisation. Homicide rates were four times higher among indigenous Fijians than Indians, whereas suicide rates were five times higher among Indians compared with indigenous Fijians. <br><br>CONCLUSIONS: Important ethnic-specific differences in the epidemiology of fatal and serious non-fatal injuries are apparent among youth in Fiji. Efforts to prevent the avoidable burden of injury among Fiji youth thus requires inter-sectoral cooperation that takes account of important sociocultural, environmental and health system factors such as unmet mental healthcare needs and effective pre-hospital trauma services.<br><br>© 2016 The Authors Journal of Paediatrics and Child Health published by John Wiley & Sons Australia, Ltd on behalf of Paediatrics and Child Health Division (The Royal Australasian College of Physicians).<p /> <p>Language: en</p>",
language="en",
issn="1034-4810",
doi="10.1111/jpc.13250",
url="http://dx.doi.org/10.1111/jpc.13250"
}