Burns : journal of the International Society for Burn Injuries · 2026
Low socio-economic status increases risk of pediatric burn injury and predicts worse post-burn outcomes.
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Lenz Moritz, Korczanowski Leonie, Witt Stefanie, Mohr Christoph, Maurer Kristina, Thees Patrick, Glissmann Marielle, Boettcher Michael, Elrod Julia
Аннотация
BACKGROUND: Pediatric thermal injuries represent a major public health concern worldwide. Socio-economic disparities influence burn risk and recovery. This study identified socio-economic risk factors for pediatric burn injury and examined associations between socio-economic status (SES), poverty, and post-burn outcomes.
METHODS: Between May 2023 and July 2024, 334 pediatric burn patients and 136 hospitalized non-burn controls were surveyed at a German level I pediatric burn center. SES was assessed using the KiGGS index. Logistic regression analyses identified risk factors; subgroup analyses examined differences in Children's Dermatology Life Quality Index (CDLQI) and functional outcomes.
RESULTS: Low SES (per-point decrease in SES score; OR 0.87, 95% CI 0.81-0.94, p < 0.001) and younger maternal age (OR 0.92, 95% CI 0.86-0.98, p = 0.015) were independently associated with an increased risk of burn injury. In bivariate analyses, poverty (OR 3.29, p = 0.002), low paternal education (OR 3.59, p < 0.001), and maternal unemployment (OR 2.87, p < 0.001) were additional predictors. Children from families with poverty or low SES had greater impairment in skin-related QoL (higher CDLQI scores) (5.17 ± 6.75 vs. 2.13 ± 4.13, p < 0.001; 4.95 ± 6.76 vs. 2.17 ± 4.22, p < 0.001), more persistent pain (OR 4.01, p = 0.002), and activity limitations (OR 3.38, p < 0.001).
CONCLUSIONS: Low SES is an independent determinant of pediatric burn injury and a predictor of impaired post-burn quality of life. Prevention should integrate social determinants and parent-prioritized measures, including stress reduction, education, and childcare support, to reduce incidence and improve recovery among socio-economically disadvantaged children.
METHODS: Between May 2023 and July 2024, 334 pediatric burn patients and 136 hospitalized non-burn controls were surveyed at a German level I pediatric burn center. SES was assessed using the KiGGS index. Logistic regression analyses identified risk factors; subgroup analyses examined differences in Children's Dermatology Life Quality Index (CDLQI) and functional outcomes.
RESULTS: Low SES (per-point decrease in SES score; OR 0.87, 95% CI 0.81-0.94, p < 0.001) and younger maternal age (OR 0.92, 95% CI 0.86-0.98, p = 0.015) were independently associated with an increased risk of burn injury. In bivariate analyses, poverty (OR 3.29, p = 0.002), low paternal education (OR 3.59, p < 0.001), and maternal unemployment (OR 2.87, p < 0.001) were additional predictors. Children from families with poverty or low SES had greater impairment in skin-related QoL (higher CDLQI scores) (5.17 ± 6.75 vs. 2.13 ± 4.13, p < 0.001; 4.95 ± 6.76 vs. 2.17 ± 4.22, p < 0.001), more persistent pain (OR 4.01, p = 0.002), and activity limitations (OR 3.38, p < 0.001).
CONCLUSIONS: Low SES is an independent determinant of pediatric burn injury and a predictor of impaired post-burn quality of life. Prevention should integrate social determinants and parent-prioritized measures, including stress reduction, education, and childcare support, to reduce incidence and improve recovery among socio-economically disadvantaged children.