Effects of neighbourhood and individual factors on injury risk in the entire Swedish population: a 12-month multilevel follow-up study

Li, Xinjun; Sundquist, S.; Johansson, Sven‐Erik

doi:10.1007/s10654-007-9219-x

Cited by 14 publications

(15 citation statements)

References 54 publications

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“…The second study, among economically active population of north-eastern France aged ≥50 years, reported prevalence of self-reported non-fatal accidents in the last 2 years of 16.5% 33 . Considering the differences in economic activity and recall periods, our data appear generally consistent with these results, although the injury mortality is known to be higher in CEE than in Western Europe or USA 1 , 4 , 5 , 34 …”

Section: Discussionsupporting

confidence: 82%

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Non-fatal injuries in three Central and Eastern European urban population samples: the HAPIEE study

Vikhireva

Pikhart

Pająk

et al. 2009

The European Journal of Public Health

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Background: Despite high mortality from injuries and accidents, data on rates and distribution of non-fatal injuries in Central and Eastern European populations are scarce. Methods: Cross-sectional study of random population samples of 45–69-year-old men and women (n = 28 600) from Novosibirsk (Russia), Krakow (Poland) and six Czech towns, participating in the Health, Alcohol and Psychosocial factors In Eastern Europe (HAPIEE) study. Participants provided information on non-fatal injuries in the past 12 months, socio-economic characteristics, alcohol consumption and other covariates. Results: The period prevalence of non-fatal injuries in the last year among Czech, Russian and Polish men was 12.5, 9.4 and 5.3%, respectively; among women, the respective proportions were 9.9, 9.8 and 6.4%. Injury prevalence declined with age in men and increased with age in women. Higher injury prevalence was associated with being unmarried, material deprivation, higher drinking frequency and problem drinking. In the pooled data, the adjusted odds ratio (OR) for the highest versus lowest material deprivation category was 1.57 [95% confidence interval (CI) 1.38–1.79]; for problem drinking, the OR was 1.44 (95% CI 1.23–1.69). Alcohol did not mediate the link between socio-economic status and injury. Conclusion: Non-fatal injuries were associated with material deprivation, other socio-economic characteristics and with alcohol. These results not only underscore the universality of the inequality phenomenon, but also suggest that the mediating role of alcohol in social differentials in non-fatal injury remains an unresolved issue.

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Section: Discussionsupporting

confidence: 82%

“…Education is frequently reported as a core social parameter predicting non-fatal injuries 4 , 34 . Somewhat surprisingly, we did not observe an inverse educational gradient in our participants.…”

Section: Discussionsupporting

confidence: 49%

Non-fatal injuries in three Central and Eastern European urban population samples: the HAPIEE study

Vikhireva

Pikhart

Pająk

et al. 2009

The European Journal of Public Health

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“…This was not possible with the material at hand. Studies investigating the relationship between socioeconomic factors and injuries previously have shown relationships, in some cases for unspecified injuries (Owen et al 2008; Jiang et al 2007; Reading et al 1999; Faelker et al 2000; Xinjun et al 2008), whereas others have shown a relationship only with certain types of injuries (Gilbride et al 2006; Dougherty et al 1990; Reimers and Laflamme 2004; Menon et al 2008), such as fractures (Lyons et al 2000) and sports related and recreational injuries (Ni et al 2002). To reach further conclusions about the factors influencing the observed differences on the municipal level it would be of interest to direct future studies towards comparing smaller, more homogenous areas that are described in greater detail with respect to demographic, but also socioeconomic and environmental variables.…”

Section: Discussionmentioning

confidence: 99%

Incidence of fractures among children and adolescents in rural and urban communities - analysis based on 9,965 fracture events

Hedström

Waernbaum

2014

Inj. Epidemiol.

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BackgroundPrevious work has explored the significance of residence on injuries. A number of articles reported higher rates of injury in rural as compared to urban settings. This study aimed to evaluate the importance of residency on the occurrence of fractures among children and adolescents within a region in northern Sweden.MethodsIn a population based study with data from an injury surveillance registry at a regional hospital, we have investigated the importance of sex, age and place of residency for the incidence of fractures among children and adolescents 0-19 years of age using a Poisson logistic regression analysis. Data was collected between 1998 and 2011.ResultsThe dataset included 9,965 cases. Children and adolescents growing up in the most rural communities appeared to sustain fewer fractures than their peers in an urban municipality, risk ratio 0.81 (0.76-0.86). Further comparisons of fracture rates in the urban and rural municipalities revealed that differences were most pronounced for sports related fractures and activities in school in the second decade of life.ConclusionResults indicate that fracture incidence among children and adolescents is affected by place of residency. Differences were associated with activity at injury and therefore we have discussed the possibility that this effect was due to the influence of place on activity patterns.The results suggest it is of interest to explore how geographic and demographic variables affect the injury pattern further.Electronic supplementary materialThe online version of this article (doi:10.1186/2197-1714-1-14) contains supplementary material, which is available to authorized users.

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“…Level of neighbourhood deprivation may influence risk of childhood VI through a number of general mechanisms, including unfavourable health-related behaviours of injury [25], women during pregnancy [26,27], neighbourhood social disintegration (i.e. criminality, high mobility or unemployment) [22], it has been suggested that crime lies in the pathway linking the neighborhood social environment to poor health [28,29].…”

Section: Discussionmentioning

confidence: 99%

Neighbourhood Deprivation and Risk of Childhood Visual Impairment: A Nationwide Study from Sweden

Sundquist¹

2015

J Preg Child Health

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The purpose of the study was to examine the association between neighbourhood deprivation and incidence of hospitalisation for childhood visual impairment (VI), after accounting for family-and individual-level socio-demographic characteristics. All residents in Sweden aged 2-11 years were followed between January 1, 2000 and December 31, 2010. Childhood residential addresses were geocoded and classified according to neighbourhood deprivation (an index of low education, low income, unemployment, and receipt of welfare assistance). Data were analysed by multilevel logistic regression, with family-and individual-level characteristics at the first level and level of neighbourhood deprivation at the second level. During the study period, among a total of 643,304 children, 1056 were hospitalised with childhood VI. Age-adjusted cumulative hospitalisation rates for childhood VI increased with increasing level of neighbourhood deprivation. In the study population, 1.5 per 1000 and 2.4 per 1000 children in the least and most deprived neighbourhoods, respectively, were hospitalised with childhood VI. The odds ratio (OR) for hospitalisation for childhood VI for those living in high-deprivation neighbourhoods versus those living in low-deprivation neighbourhoods was 1.49 (95% confidence interval (CI) =1.20-1.86). High neighbourhood deprivation remained significantly associated with higher odds of childhood VI after adjustment for family-and individual-level socio-demographic characteristics (OR=1.33, 95% CI=1.05-1.68, p=0.016). This study is the largest so far on neighbourhood influences on childhood VI. Our results suggest that neighbourhood is associated with incidence of hospitalisation for childhood VI independently of family-and individual-level socio-demographic characteristics. Journal of Pregnancy and Child Health

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Effects of neighbourhood and individual factors on injury risk in the entire Swedish population: a 12-month multilevel follow-up study

Cited by 14 publications

References 54 publications

Non-fatal injuries in three Central and Eastern European urban population samples: the HAPIEE study

Non-fatal injuries in three Central and Eastern European urban population samples: the HAPIEE study

Incidence of fractures among children and adolescents in rural and urban communities - analysis based on 9,965 fracture events

Neighbourhood Deprivation and Risk of Childhood Visual Impairment: A Nationwide Study from Sweden

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