A cohort study of regional migration and the risks of attempted suicide and violent assault injury

Abstract

ObjectivesWe study the association between changing residence and risks of attempted suicide and violent assault injury in Alberta, Canada. Our primary objective is to understand whether a change in residence between urban, rural and semiurban areas is associated with increased risk of intentional injury. Methods Study subjects are a cohort of residents linked to data on emergency department and inpatient hospital admissions between 1999 and 2010. We used generalised estimating equations to model the effects of changing residence on risk of intentional injury while controlling for the influence of age, sex, socio-economic status, Aboriginal status and history of intentional injury. Results Changing residence is associated with an increase in the risk of both attempted suicide and violent assault injury. In the case of attempted suicide, this effect is strongest for persons between 20 and 35 years of age. For violent assault injuries, persons from rural regions that have recently moved to urban regions have higher risk of injuries, and women of rural origin are at higher risk of violent assault injury than women of urban origin. Conclusions Our findings reveal an association between risk of intentional injuries and change of residence adjusting for geographical differences in injury risk. These findings suggest that intentional injury risk is associated with change in community at intraregional scales and that these populations may benefit from support that helps integrate them into their new communities.

Agricultural injuries among farm and non‐farm children and adolescents in Alberta, Canada

“…The provincial government charges a healthcare insurance premium to Albertans and provides reductions of the premium for low income families. In this study, families without financial assistance for insurance premium were classified into high SES and families receiving assistance for their premiums (ie, full premium subsidy groups, partial premium subsidy groups, welfare groups with premiums waived, and FN treaty‐status Aboriginals) were categorized into low SES as done in previous studies . Healthcare premiums for all First Nations who have Treaty status are paid by the Federal government.…”

Individual and contextual determinants of male suicide in the post‐communist region: The case of Lithuania

“…However, at least some groups of migrants may be affected by elevated health (including mental health) risks. For example, it has been shown that internal migration within Canada is associated with an increased risk of suicide attempts (Yiannakoulias, Sanchez‐Ramirez, Svenson, & Voaklander, 2016).…”

Hidradenitis Suppurativa: Disease Burden and Etiology in Skin of Color

“…Racial differences in SES are also closely associated with racial disparities in health and psychosocial well-being among AA and Hispanics [14, 19]. This may directly contribute to the higher prevalence of HS in patients with SOC.…”

“…HS is reportedly more common in individuals of low SES [8], which is more prevalent in African and Hispanic populations, especially in the USA [14, 19]. Racial differences in SES are also closely associated with racial disparities in health and psychosocial well-being among AA and Hispanics [14, 19].…”

“…HS patients have higher QoL impairment than patients with psoriasis, acne, neoplasms, strokes, and heart transplant candidates [6, 16, 17]. This has serious implications for African and Hispanic populations, who already have broader ranges of psychosocial stressors [19]. A survey that oversampled AA and Hispanics relative to Caucasians found that major depression was most prevalent among Hispanics (11%) followed by AA (9%), then Caucasians (8%) [14].…”