Deprived neighborhoods and risk of road trauma (incidence and severity) among under 25year-olds in the Rhône Département (France)

Licaj, Idlir; Haddak, Mohamed Mouloud; Hours, Martine; Chiron, Mireille

doi:10.1016/j.jsr.2011.05.004

Cited by 6 publications

(4 citation statements)

References 16 publications

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“…Reducing speeds to 20 mph in London has been shown to reduce the incidence of RTC but there is a limit to how much speed restriction in urban areas can provide a cost-effective reduction in accidents [23]. French road safety experts have suggested targeted education programmes for drivers in socioeconomically deprived urban areas in order to reduce the endemic problem of children injured from RTCs [24].…”

Section: Discussionmentioning

confidence: 99%

The association of socioeconomic deprivation and paediatric open tibia fractures

Harrison

Chan

James

et al. 2020

Journal of Pediatric Orthopaedics B

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The primary aim of this study is to test the association of open tibial fractures (OTF), in a paediatric age group, with socioeconomic deprivation. The secondary objectives are to more clearly define the epidemiological characteristics of these high-energy injuries. A consecutive series of patients with OTF presenting to a major trauma centre at a children's hospital in Liverpool had age, gender, fracture pattern, mechanism, timing of the injury and their postcode of residence recorded. Those cases outside Liverpool, Sefton and Knowsley local authorities were excluded from incidence calculations. Postcodes were used to generate deprivation scores (Index of Multiple Deprivation, 2010) based on census data (2011). Cases were ranked and allocated to deprivation quintiles. A comparison to the normal population within Merseyside was undertaken using regression analysis. There were 71 cases over a 9-year period. Fifty cases resided within the geographical limits of Merseyside and were included in the incidence calculations. The annual incidence of paediatric OTF is 3.09 per 100 000 children (0-16 years).The median age at injury was 11 years (range 2-16) and this occurred most usually during term-time between 3 and 5 p.m. from road traffic collisions. Paediatric OTFs are strongly associated with socioeconomic deprivation. The association with deprivation reflects an exposure to unsafe roads in busy urban areas with limited access to safe playing spaces. Socioeconomically deprived men are most at risk from this injury. The links between deprivation and outcomes of treatment or long-term prospects are unclear.

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Section: Discussionmentioning

confidence: 99%

The association of socioeconomic deprivation and paediatric open tibia fractures

Harrison

Chan

James

et al. 2020

Journal of Pediatric Orthopaedics B

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“…Young individuals, including children, living in deprived areas have been found to have higher injury rates [ 12 , 23 , 24 ]. For instance, a French study found higher rates of traffic accident-related injuries among children and young adults living in deprived areas in the Rhône Department [ 12 ]. A similar pattern was observed in a UK study, which found increased injury rates in particular among children from deprived urban areas [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

Regional Deprivation and Non-Cancer Related Computed Tomography Use in Pediatric Patients in Germany: Cross-Sectional Analysis of Cohort Data

et al. 2016

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BackgroundConflicting findings were observed in recent studies assessing the association between patients’ area-level socio-economic status and the received number of computed tomography (CT) examinations in children. The aim was to investigate the association between area-level socio-economic status and variation in CT examination practice for pediatric patients in Germany.MethodsData from Radiology Information Systems for children aged 0 to < 15 years without cancer who had at least one CT examination between 2001 and 2010 were extracted in 20 hospitals across Germany. The small-area German Index of Multiple Deprivation (GIMD) was used to assess regional deprivation. The GIMD scores were classified into least, medium and most deprived areas and linked with the patient’s last known postal code. A multinomial logistic regression model was used to assess the association between patients’ CT numbers and regional deprivation adjusting for age, sex, and location of residence (urban/rural).ResultsA total of 37,810 pediatric patients received 59,571 CT scans during the study period. 27,287 (72%) children received only one CT, while n = 885 (2.3%) received six or more. Increasing numbers of CT examinations in non-cancer patients were significantly associated with higher regional deprivation, which increased, although CI overlap, for higher CT categories: ‘2–3 CT’ odds ratio (OR) = 1.45, 95%CI: 1.40–1.50; ‘4–5 CT’ OR = 1.48, 95%CI: 1.38–1.59; ‘6+CT’ OR = 1.54, 95%CI: 1.41–1.69. In addition, male sex, higher age categories, and specific body regions were positively associated with increased numbers of CT examinations.ConclusionWe observed a positive association between regional deprivation and CT numbers in non-cancer pediatric patients. Limitations of the ecological approach and the lack of differentiation of CT details have to be acknowledged. More information on CT indications is necessary for a full assessment of this finding. In addition, further work on ways to assess socio-economic status more accurately may be required.

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“…They particularly emphasized spatial variations of these events in areas with large low-income and minority populations versus other areas. Other studies were conducted in France and focused on all modes (Fleury et al, 2010;Licaj et al, 2011). Fleury et al (2010) studied the traffic crash risk of residents of deprived areas (i.e.…”

Section: Introductionmentioning

confidence: 99%

“…Explanations for the origin of such an excessive risk were related to behavior (attitudes and risk-taking among certain social groups, notably young residents of these neighborhoods), and to variations in mobility in the different areal types (e.g., travelling significantly less by car in the sensitive urban areas). A similar study conducted by Licaj et al (2011), included only young people (under 25) and also considered the severity of road trauma. It was found that the incidence of injuries as a pedestrian, cyclist or motorist was higher among young people living in deprived municipalities.…”

Section: Introductionmentioning

confidence: 99%

Socioeconomic and sociodemographic inequalities and their association with road traffic injuries

Pirdavani

Daniëls

Vlierden

et al. 2017

Journal of Transport & Health

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Increasing evidence suggests that neighborhood-based measures of socioeconomic status are correlated with traffic injury. The main objective of this study is to determine the differences in associations between predictive variables and injury crashes (i.e. including injury and fatal crashes). This study makes a novel contribution by establishing the association between traffic casualties and socio-demographic, socioeconomic characteristics, traffic exposure data and road network variables, at the neighborhood-level while categorized by different genders and transport mode; 'car driver', 'car passenger' and 'active mode users' (i.e. pedestrians and cyclists). In this study an activity-based transportation model called FEATHERS (Forecasting Evolutionary Activity-Travel of Households and their Environmental RepercussionS) is utilized to produce exposure measures. Exposure measures are in the form of production/attraction trips for several traffic analysis zones (TAZ) in Flanders, Belgium. Analyzing crashes at a neighborhood-level provides important information that enables us to compare traffic safety of different neighborhoods. This information is used to identify safety problems in specific zones and consequently, implementing safety interventions to improve the traffic safety condition. This can be carried out by associating casualty counts with a number of factors (i.e. developing crash prediction models) which have macro-level characteristics, such as socio-demographic and network level exposure. The results indicate that socioeconomic variables are differently associated with casualties of different travel modes and genders. For instance, income level of residence of a TAZ is a significant predictor of male car driver injury crashes while it does not significantly contribute to the prediction of female car driver injury crashes.

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Deprived neighborhoods and risk of road trauma (incidence and severity) among under 25year-olds in the Rhône Département (France)

Abstract: The incidence of injuries as a pedestrian, cyclist or motorist is higher among young people living in deprived municipalities. These areas should therefore be the targets of dedicated education programs, as well as further investigations about urban planning.

Cited by 6 publications

References 16 publications

The association of socioeconomic deprivation and paediatric open tibia fractures

The association of socioeconomic deprivation and paediatric open tibia fractures

Regional Deprivation and Non-Cancer Related Computed Tomography Use in Pediatric Patients in Germany: Cross-Sectional Analysis of Cohort Data

Socioeconomic and sociodemographic inequalities and their association with road traffic injuries

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