Are There Changes in Inequalities in Injuries? A Review of Evidence in the WHO European Region

Sengoelge, Mathilde; Leithaus, Merel; Braubach, Matthias; Laflamme, Lucie

doi:10.3390/ijerph16040653

Cited by 18 publications

(18 citation statements)

References 59 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…10 The latter finding, specifically, draws attention to the socio-historical and socio-political circumstances surrounding Indigenous peoples, who have experienced colonisation and dispossession of lands, who often remain marginalised with less access to appropriate services and who experience higher rates of injury as a result. 11 The fact that stark inequities exist, and persist, 12 in injury burden reinforces the global imperative to advance injury prevention efforts in new and unprecedented ways.…”

Section: Persisting Inequitable Burden Of Unintentional Injuriesmentioning

confidence: 99%

Out of the silos: embedding injury prevention into the Sustainable Development Goals

Peden

et al. 2020

Inj Prev

View full text Add to dashboard Cite

Globally, unintentional injuries contribute significantly to disability and death. Prevention efforts have traditionally focused on individual injury mechanisms and their specific risk factors, which has resulted in slow progress in reducing the burden. The Sustainable Development Goals (SDGs) represent a global agenda for promoting human prosperity while respecting planetary boundaries. While injury prevention is currently only recognised in the SDG agenda via two road safety targets, the relevance of the SDGs for injury prevention is much broader. In this State of the Art Review, we illustrate how unintentional injury prevention efforts can be advanced substantially within a broad range of SDG goals and advocate for the integration of safety considerations across all sectors and stakeholders. This review uncovers injury prevention opportunities within broader global priorities such as urbanisation, population shifts, water safeguarding and corporate social responsibility. We demonstrate the relevance of injury prevention efforts to the SDG agenda beyond the health goal (SDG 3) and the two specific road safety targets (SDG 3.6 and SDG 11.2), highlighting 13 additional SDGs of relevance. We argue that all involved in injury prevention are at a critical juncture where we can continue with the status quo and expect to see more of the same, or mobilise the global community in an ‘Injury Prevention in All Policies’ approach.

show abstract

Section: Persisting Inequitable Burden Of Unintentional Injuriesmentioning

confidence: 99%

Out of the silos: embedding injury prevention into the Sustainable Development Goals

Peden

et al. 2020

Inj Prev

View full text Add to dashboard Cite

show abstract

“…Children from more disadvantaged backgrounds are more likely to experience and die from UI. This is a universal finding across Europe and other high income countries, regardless of age range, severity or type of injury under study [ 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 ]. In general, health inequalities are thought to arise through material, psychosocial and behavioural-cultural pathways, as well as the wider physical, political and economic environment [4] .…”

Section: Introductionmentioning

confidence: 89%

Social inequalities and hospital admission for unintentional injury in young children in Scotland: A nationwide linked cohort study

Henery

Dundas

Katikireddi

et al. 2021

The Lancet Regional Health - Europe

View full text Add to dashboard Cite

Background Unintentional injury is a leading cause of death/disability, with more disadvantaged children at greater risk. Understanding how inequalities vary by injury type, age, severity, and place of injury, can inform prevention. Methods For all Scotland-born children 2009-2013 (n=195,184), hospital admissions for unintentional injury (HAUI) were linked to socioeconomic circumstances (SECs) at birth: area deprivation via the Scottish Index of Multiple Deprivation (SIMD), mother's occupational social class, parents’ relationship status. HAUI was examined from birth-five, and during infancy. We examined HAUI frequency, severity, injury type, and injury location (home vs. elsewhere). We estimated relative inequalities using the relative indices of inequality (RII, 95% CIs), before and after adjusting for demographics and other non-mediating SECs. Findings More disadvantaged children were at greater risk of any HAUI from birth-five, RII: 1•59(1•49-1•70), 1•74(1•62-1•86), 1•97(1•84-2•12) for area deprivation, maternal occupational social class, and relationship status respectively. These attenuated after adjustment (1•15 [1•06-1•24], 1.22 [1•12-1•33], 1.32 [1•21-1•44]). Inequalities were greater for severe (vs. non-severe), multiple (vs. one-off) and home (vs. other location) injuries. Similar patterns were seen in infancy, excluding SIMD-inequalities in falls, where infants living in more disadvantaged neighbourhoods were at lower risk (0•79 [0•62-1•00]). After adjustment, reverse SIMD-gradients were also observed for all injuries and poisonings. Interpretation Children living in more disadvantaged households are more likely to be injured across multiple dimensions of HAUI in Scotland. Upstream interventions which tackle family-level disadvantage may be most effective at reducing childhood HAUI. Funding Wellcome Trust, Medical Research Council, Scottish Government Chief Scientist Office.

show abstract

“…Health inequality gaps are unfair differences in health status between sub-groups of a population that are avoidable [10]. A recently published systematic review on inequalities in injuries in the European region identi ed two cross-country studies that investigated inequalities over time [11]. Both studies were limited to children aged 1 to 14 years and used mortality rate ratios to investigate inequalities in injuries, instead of an integrative measure that includes both fatal and non-fatal outcomes, such as the DALY [12,13].…”

Section: Introductionmentioning

confidence: 99%

The burden of injury in Central, Eastern, and Western European sub-region: a systematic analysis from the Global Burden of Disease 2019 Study

Charalampous

Haagsma

Ariani

et al. 2022

Preprint

View full text Add to dashboard Cite

Background: Injury remains a major concern to public health in the European region, particularly among adults younger than 49 years. Previous iterations of the Global Burden of Disease (GBD) study showed wide variation in injury death and disability adjusted life year (DALY) rates across Europe, indicating injury inequality gaps between sub-regions and countries. The objectives of this study were to: 1) compare GBD 2019 estimates on injury mortality and DALYs across European sub-regions and countries by cause-of-injury category and sex; 2) examine changes in injury DALY rates over a 20 year-period by cause-of-injury category, sub-region and country; and 3) assess inequalities in injury mortality and DALY rates across the countries. Methods: We performed a secondary database descriptive study using the GBD 2019 results on injuries in 44 European countries from 2000 to 2019. Inequality in DALY rates between these countries was assessed by calculating the DALY rate ratio between the highest-ranking country and lowest-ranking country in each year. Results: In 2019, in Eastern Europe 80 [95% uncertainty interval (UI): 71 to 89] people per 100,000 died from injuries; twice as high compared to Central Europe (38 injury deaths per 100,000; 95% UI 34 to 42) and three times as high compared to Western Europe (27 injury deaths per 100,000; 95%UI 25 to 28). The injury DALY rates showed less pronounced differences between Eastern (5129 DALYs per 100,000; 95% UI: 4547 to 5864), Central (2940 DALYs per 100,000; 95% UI: 2452 to 3546) and Western Europe (1782 DALYs per 100,000; 95% UI: 1523 to 2115). Injury DALY rate was lowest in Italy (1489 DALYs per 100,000) and highest in Ukraine (5553 DALYs per 100,000). The difference in injury DALY rates by country was larger for males compared to females. The DALY rate ratio was highest in 2005, with DALY rate in the lowest-ranking country (Russian Federation) 6.0 times higher compared to the highest-ranking country (Malta). After 2005, the DALY rate ratio between the lowest- and the highest-ranking country gradually decreased to 3.7 in 2019. Conclusions: Injury death and DALY rates were highest in Eastern Europe and lowest in Western Europe, although differences in injury DALY rates decline rapidly, particularly in the past decade. The injury DALY rate ratio of highest- and lowest-ranking country declined from 2005 onwards, indicating declining inequalities in injuries between European countries.

show abstract

Are There Changes in Inequalities in Injuries? A Review of Evidence in the WHO European Region

Cited by 18 publications

References 59 publications

Out of the silos: embedding injury prevention into the Sustainable Development Goals

Out of the silos: embedding injury prevention into the Sustainable Development Goals

Social inequalities and hospital admission for unintentional injury in young children in Scotland: A nationwide linked cohort study

The burden of injury in Central, Eastern, and Western European sub-region: a systematic analysis from the Global Burden of Disease 2019 Study

Contact Info

Product

Resources

About