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Childrens participatory needs in injury prevention

Background

Child-centred approaches in injury prevention emphasise the importance of practising bidirectional communications and decentring researcher–child power relations to support children’s participation in research. To date, however, a dearth of scholarship offers methodological reflections on how to bolster children’s feelings of comfort in discussing sensitive topics such as their injury experiences.

Goal

Drawing from lessons we learnt working with children in a low-income to mid-income neighbourhood in Vancouver, Canada, we discuss the ways in which our strategies to support their participation succeeded in, and at times fell short of, supporting their participatory needs.

Discussion

Our discussions focus attention on two important areas for consideration in future injury prevention studies: (1) Children’s inclusion in research and the demand for them to share experience and (2) supporting children’s right to invite and comfort in discussing sensitive topics such as injury experiences. We discuss the benefits of making research fun for children and being sensitive to their needs at preliminary recruitment and data collection stages.

Implications

These discussions can strengthen researchers’ work with children by helping them to reflect on strategies that can bolster their desire to participate and feel comfortable sharing perspectives.

Injury Prevention Science and Firearm Injury in Pediatric Health

In this issue of JAMA, Wolf et al found that during the period from 2019 to 2021, the US experienced the greatest increase in all-cause pediatric fatalities (aged 1-19 years) in more than 50 years, with increased mortality disproportionately resulting from preventable injuries. Importantly, the authors identified widening racial and ethnic disparities across these preventable health outcomes, particularly for American Indian or Alaska Native and Black populations. The most stark differences were observed for homicide and suicide, with Black youth 10 times more likely to die by homicide and American Indian or Alaska Native youth almost 3 times more like to die by suicide compared with White youth. Among both populations, firearms remain the dominant mechanism of injury underlying homicide and suicide deaths, and firearm fatalities were identified by Wolf et al as one of the largest factors in observed disparities. Such findings are consistent with the trends that have been observed in the US throughout the past decade, where the firearm injury epidemic has continued to advance unabated and has now superseded motor vehicle crash deaths as the leading cause of death for US children and teens.