Traditional public health injury control does not apply to violence

Fisher, Leslie

doi:10.1136/ip.5.1.13

Inj Prev

1999

DOI: 10.1136/ip.5.1.13

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Traditional public health injury control does not apply to violence

Leslie Fisher

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“…Although the definition of “injury” varies across agencies whose mandate covers injury control and/or prevention, most include suicide and homicide along with the more standard topics such as motor vehicle collisions (MVCs), falls, and unintentional poisonings. However, the question of whether intentional injuries, such as suicidal behavior and serious assault, belong under the same conceptual roof as unintentional injuries has been raised (Fisher, 1999). Although both classes of injury deal with physical trauma, they seem to have such obviously different contexts and causes that there seems no reason to have them studied or dealt with within the same agency.…”

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Intentional and Unintentional Injuries Across Health Regions in Alberta, Canada

Thompson

Borden

Belton

2004

Crisis

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The growing practice of including intentional injuries (suicide and interpersonal violence) under the injury control umbrella has produced some controversy. The present study was designed to determine whether or not there might be an empirical basis for this initiative from an ecological point of view by examining the associations among unintentional and intentional injuries across 17 geographically defined health regions. The study was set in the Province of Alberta, Canada, where health services were delivered to a population of 2.96 million persons in 1999 through 17 regional health authorities. The results of a principal components analysis showed that nearly all causes of injury-hospitalization loaded on a single factor. It was not possible to produce separate factors for intentional and unintentional injuries. The strong intercorrelation among all measures suggests that there is an empirical basis for the view that intentional and unintentional injuries belong under the same conceptual umbrella, at least at the ecological level.

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confidence: 99%

Intentional and Unintentional Injuries Across Health Regions in Alberta, Canada

Thompson

Borden

Belton

2004

Crisis

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Child Maltreatment in American Indian and Alaska Native Communities: Integrating Culture, History, and Public Health for Intervention and Prevention

DeBruyn¹,

Chino

Serna

et al. 2001

Child Maltreat

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This article addresses child maltreatment intervention and prevention among American Indians and Alaska Natives. The authors argue that history and culture must be included as context and variables for developing and implementing prevention programs in Indian Country. They propose that the public health violence prevention model would benefit from incorporating tenets of the history and culture(s) of diverse groups, in this instance American Indians and Alaska Natives. The authors offer an approach that focuses on population- and individual-level risk and protective factors for child maltreatment intervention and prevention in American Indian/Alaska Native communities. They include suggestions and examples for doing the work in Indian Country.

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Injury prevention and control: reflections on the state and the direction of the field

Seguí-Gómez

Miller²

2008

Salud pública Méx

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Objective. To provide an assessment of the contours of the injury field today and to raise questions about our future direction. Material and Methods. We classified the selfreported activities of injury centers, assessed trends in injuryrelated publications in peer review journals, and compared data on current funding levels. Results. The 47 identified centers are more likely to focus on unintentional injuries and on prevention than on intentional injuries, biomechanics, acute care or rehabilitation. Injury-related publications have doubled over the past decade, yet remained dwarfed by those on other diseases. Funding for injury prevention remains incommensurate with the burden of injury. Within the injury field itself, publications and funding are not commensurate with the burden imposed by particular injuries. Conclusion. Our responsibilities as injury prevention professionals will increase not only because of the projected increase in the global burden of injury but also because of our expanded conceptualization of what the scope of injury prevention should be. The lack of clarity we project about the substantive areas of our expertise and the incommensurate funding for our efforts relative to their toll on global health represent challenges to our field's coherence and ultimate effectiveness.Key words: injury prevention; burden; professionalism; strategic thinkingSegui-Gómez M, Miller M. Prevención y control de lesiones por causas externas: reflexiones sobre la situación actual y futura. Salud Publica Mex 2008;50 supl 1:S101-S111. ResumenObjetivo. Valorar el estado actual del área de la prevención de lesiones y plantear el futuro de la misma. Material y métodos. Clasificamos las actividades llevadas a cabo por diferentes centros de prevención de lesiones; recabamos información sobre la tendencia en las publicaciones en revistas científicas, y comparamos los datos sobre financiación.Resultados. Evaluamos las actividades de 47 instituciones. En general, los centros realizan actividades relacionadas con las lesiones no intencionadas y en la prevención en detrimento de las lesiones intencionales, la biomecánica, asistencia sanitaria o la rehabilitación. Las publicaciones relacionadas con el área de las lesiones se han duplicado en la pasada década, aunque siguen muy por debajo de las publicaciones de otras enfermedades. La financiación destinada a la prevención de lesiones sigue siendo desproporcionada con respecto a la carga de enfermedad. Dentro del propio ámbito de la prevención de lesiones, tanto la financiación como las publicaciones no se adecuan a la carga impuesta por diferentes tipos de lesiones. Conclusión. Nuestra responsabilidad aumenta en tanto que aumenta la carga de las lesiones sobre la población mundial y al mismo tiempo se amplía nuestra visión sobre lo que constituye una lesión. En vista de las discrepancias sobre la percepción, necesidades y escasez de financiación, hemos de estudiar con detenimiento las estrategias de futuro.

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Traditional public health injury control does not apply to violence

Cited by 3 publications

References 8 publications

Intentional and Unintentional Injuries Across Health Regions in Alberta, Canada

Intentional and Unintentional Injuries Across Health Regions in Alberta, Canada

Child Maltreatment in American Indian and Alaska Native Communities: Integrating Culture, History, and Public Health for Intervention and Prevention

Injury prevention and control: reflections on the state and the direction of the field

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