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PMID: 18193169 Published · ppublish English Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

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

European journal of epidemiology ·Vol. 23 ·No. 3 ·2008-00-00 ·Pages 191-203

Li X, Sundquist S, Johansson SE

Abstract

In this cumulative incidence study of the entire population of Sweden, we examined the association between neighbourhood income level and injury risks across a comprehensive set of individual variables. The population, stratified by age (0-14, 15-64, and > or =65 years), was followed for incident injury events in 1998. Multilevel logistic regression was used to examine the associations between neighbourhood income level and injury, including deaths from injury. Risks were analyzed, taking individual demographic and socioeconomic variables and alcohol/substance abuse into account. Falls were the most frequent non-fatal injuries in all age groups. People (0-14 years and 15-64 years) in the most deprived neighbourhoods exhibited higher odds of injuries (OR = 1.15; CI = 1.08-1.22 and OR = 1.34; CI = 1.26-1.43, respectively) than those in the same age groups in the most affluent neighbourhoods (OR = 1). In the full model, injury odds ratios decreased but remained significant in people 0-14 years. The large between-neighbourhood variance in all age groups indicated variation between neighbourhoods in injury incidence. Our results suggest that interventions focused on contextual aspects of neighbourhoods, in addition to individual behaviours, may have a positive impact on injury prevention.

MeSH Terms
Adolescent Adult Age Distribution Aged Aged, 80 and over Child Child, Preschool Female Follow-Up Studies Humans Infant Male Middle Aged Residence Characteristics Risk Factors Socioeconomic Factors Substance-Related Disorders Sweden/epidemiology Wounds and Injuries/epidemiology
Authors & Affiliations
3 authors, click to expand affiliations / ORCID
Li Xinjun
Center for Family and Community Medicine, Department of Neurobiology, Caring Sciences and Society, Karolinska Institutet, Alfred Nobels allé 12, 141 83, Huddinge, Sweden. [email protected]
Sundquist Sanna
Johansson Sven-Erik
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Article Info
Journal
European journal of epidemiology
Abbr.
Eur J Epidemiol
ISSN
0393-2990
DOI
10.1007/s10654-007-9219-x
Email
[email protected]
Published
2008-00-00
Epub
2008-00-10
Pages
191-203
Language
English
Region
Netherlands
NLM ID
8508062
Subset
IM
Grants
NICHD NIH HHS · 1 R01 HD052848-01 A1 · United States
NHLBI NIH HHS · 1 R01 HL71084-01 · United States
External Links
PubMed source DOI: 10.1007/s10654-007-9219-x View journal details
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