Hospitalizations due to unintentional transport injuries among Aboriginal population of British Columbia, Canada: Incidence, changes over time and ecological analysis of risk markers
Worldwide, Indigenous people have disproportionately higher rates of transport injuries. We examined disparities in injury-related hospitalizations resulting from transport incidents for three population groups in British Columbia (BC): total population, Aboriginal off-reserve, and Aboriginal on-res...
Gespeichert in:
| Veröffentlicht in: | PloS one 2018-01, Vol.13 (1), p.e0191384-e0191384 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | e0191384 |
|---|---|
| container_issue | 1 |
| container_start_page | e0191384 |
| container_title | PloS one |
| container_volume | 13 |
| creator | Brussoni, Mariana George, M Anne Jin, Andrew Amram, Ofer McCormick, Rod Lalonde, Christopher E |
| description | Worldwide, Indigenous people have disproportionately higher rates of transport injuries. We examined disparities in injury-related hospitalizations resulting from transport incidents for three population groups in British Columbia (BC): total population, Aboriginal off-reserve, and Aboriginal on-reserve populations. We also examined sociodemographic, geographic and ethnic risk markers for disparities.
We identified Aboriginal people through BC's universal health care insurance plan insurance premium group and birth and death record notations. We calculated crude incidence rate and Standardized Relative Risk (SRR) of hospitalization for unintentional transport injury, standardized for age, gender and Health Service Delivery Area (HSDA), relative to the total population of BC. We tested hypothesized associations of geographic, socio-economic, and employment-related characteristics of Aboriginal communities with SRR of transport injury by multivariable linear regression.
During the period 1991-2010, the SRR for the off-reserve Aboriginal population was 1.77 (95% CI: 1.71 to 1.83); and 2.00 (95% CI: 1.93 to 2.07) among those living on-reserve. Decline in crude rate and SRRs was observed over this period among both the Aboriginal and total populations of BC, but was proportionally greater among the Aboriginal population. The best-fitting multivariable risk marker model was an excellent fit (R2 = 0.912, p |
| doi_str_mv | 10.1371/journal.pone.0191384 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_plos_</sourceid><recordid>TN_cdi_plos_journals_1991547700</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A525121662</galeid><doaj_id>oai_doaj_org_article_4f40923f19714c3aabf57678053c12b0</doaj_id><sourcerecordid>A525121662</sourcerecordid><originalsourceid>FETCH-LOGICAL-c692t-b5f0a3664c898985e269958fa4e4e6114fa27eeeed4281d9278b58ed2db5231b3</originalsourceid><addsrcrecordid>eNqNk99u0zAUxiMEYmPwBggsTUIgrSV24iTmAmlUwCpNmsS_W-vEcVJ3jh1sZ2I8GM-H03bTinZBfBHr-Pd9to_PSZLnOJ3jrMRv13Z0BvR8sEbOU8xwVuUPkkPMMjIrSJo9vDM_SJ54v05TmlVF8Tg5ICwrM8roYfLnzPpBBdDqNwRljUfNKFGwaDTKBGmmGGgUHBg_WBeQMuvRKekR9NZ06LS2TnVqYgY7jHpjgmyLPjgVlF-hhdVjXys4QQsw0MA7tDRCNdIIeYLECkwXveyVdCioXiIwDZLCatspET2jRF975SdHp_wl6sFdSuefJo9a0F4-2_2Pku-fPn5bnM3OLz4vF6fnM1EwEmY1bVPIiiIXFYuDSlIwRqsWcpnLAuO8BVLK-DU5qXDDSFnVtJINaWpKMlxnR8nLre-gree7lHuOGcM0L8s0jcRySzQW1nxwKp7wmltQfBOwruPgghJa8rzNU0ayFrMS5yIDqFtaFmUVn0VgUk9e73e7jXUvGxHT70Dvme6vGLXinb3itKwKwqpo8Hpn4OzPUfrAe-WF1BqMtOPm3CRNK8JYRI__Qe-_3Y7qIF5AmdbGfcVkyk8poZjgoiCRmt9DxdHIXolYn62K8T3Bmz1BZIL8FToYvefLr1_-n734sc--usOuJOiw8rEAN5W9D-ZbUDjrvZPtbZJxyqf2uskGn9qL79oryl7cfaBb0U0_ZX8BzdojFw</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1991547700</pqid></control><display><type>article</type><title>Hospitalizations due to unintentional transport injuries among Aboriginal population of British Columbia, Canada: Incidence, changes over time and ecological analysis of risk markers</title><source>DOAJ Directory of Open Access Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Public Library of Science (PLoS) Journals Open Access</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><creator>Brussoni, Mariana ; George, M Anne ; Jin, Andrew ; Amram, Ofer ; McCormick, Rod ; Lalonde, Christopher E</creator><contributor>Fahimi, Jahan</contributor><creatorcontrib>Brussoni, Mariana ; George, M Anne ; Jin, Andrew ; Amram, Ofer ; McCormick, Rod ; Lalonde, Christopher E ; Fahimi, Jahan</creatorcontrib><description>Worldwide, Indigenous people have disproportionately higher rates of transport injuries. We examined disparities in injury-related hospitalizations resulting from transport incidents for three population groups in British Columbia (BC): total population, Aboriginal off-reserve, and Aboriginal on-reserve populations. We also examined sociodemographic, geographic and ethnic risk markers for disparities.
We identified Aboriginal people through BC's universal health care insurance plan insurance premium group and birth and death record notations. We calculated crude incidence rate and Standardized Relative Risk (SRR) of hospitalization for unintentional transport injury, standardized for age, gender and Health Service Delivery Area (HSDA), relative to the total population of BC. We tested hypothesized associations of geographic, socio-economic, and employment-related characteristics of Aboriginal communities with SRR of transport injury by multivariable linear regression.
During the period 1991-2010, the SRR for the off-reserve Aboriginal population was 1.77 (95% CI: 1.71 to 1.83); and 2.00 (95% CI: 1.93 to 2.07) among those living on-reserve. Decline in crude rate and SRRs was observed over this period among both the Aboriginal and total populations of BC, but was proportionally greater among the Aboriginal population. The best-fitting multivariable risk marker model was an excellent fit (R2 = 0.912, p<0.001), predicted SRRs very close to observed values, and retained the following terms: urban residence, population per room, proportion of the population with a high school certificate, proportion of the population employed; and multiplicative interactions of Aboriginal ethnicity with population per room and proportion of the population employed.
Disparities in risk of hospitalization due to unintentional transport injury have narrowed. Aboriginal ethnicity modifies the effects of socioeconomic risk factors. Continued improvement of socioeconomic conditions and implementation of culturally relevant injury prevention interventions are needed.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0191384</identifier><identifier>PMID: 29373595</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Biology and Life Sciences ; Crash injuries ; Earth Sciences ; Ecological risk assessment ; Ecology and Environmental Sciences ; Economic conditions ; Engineering and Technology ; Environmental risk ; Epidemiology ; Health aspects ; Health care ; Health care disparities ; Hospital care ; Hospitalization ; Hospitals ; Incidence ; Indigenous peoples ; Injuries ; Injury prevention ; Insurance ; Markers ; Medicine and Health Sciences ; Minority & ethnic groups ; Native North Americans ; Pediatrics ; People and Places ; Personal health ; Population ; Populations ; Public health ; Regression analysis ; Research and Analysis Methods ; Risk analysis ; Risk factors ; Roads & highways ; Social Sciences ; Socioeconomic factors ; Socioeconomics ; Studies ; Traffic accidents & safety ; Transport ; Trauma ; Trends ; Trucks ; Vehicles ; Vital statistics</subject><ispartof>PloS one, 2018-01, Vol.13 (1), p.e0191384-e0191384</ispartof><rights>COPYRIGHT 2018 Public Library of Science</rights><rights>2018 Brussoni et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2018 Brussoni et al 2018 Brussoni et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-b5f0a3664c898985e269958fa4e4e6114fa27eeeed4281d9278b58ed2db5231b3</citedby><cites>FETCH-LOGICAL-c692t-b5f0a3664c898985e269958fa4e4e6114fa27eeeed4281d9278b58ed2db5231b3</cites><orcidid>0000-0002-1495-816X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5786298/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5786298/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,865,886,2103,2929,23871,27929,27930,53796,53798</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29373595$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Fahimi, Jahan</contributor><creatorcontrib>Brussoni, Mariana</creatorcontrib><creatorcontrib>George, M Anne</creatorcontrib><creatorcontrib>Jin, Andrew</creatorcontrib><creatorcontrib>Amram, Ofer</creatorcontrib><creatorcontrib>McCormick, Rod</creatorcontrib><creatorcontrib>Lalonde, Christopher E</creatorcontrib><title>Hospitalizations due to unintentional transport injuries among Aboriginal population of British Columbia, Canada: Incidence, changes over time and ecological analysis of risk markers</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Worldwide, Indigenous people have disproportionately higher rates of transport injuries. We examined disparities in injury-related hospitalizations resulting from transport incidents for three population groups in British Columbia (BC): total population, Aboriginal off-reserve, and Aboriginal on-reserve populations. We also examined sociodemographic, geographic and ethnic risk markers for disparities.
We identified Aboriginal people through BC's universal health care insurance plan insurance premium group and birth and death record notations. We calculated crude incidence rate and Standardized Relative Risk (SRR) of hospitalization for unintentional transport injury, standardized for age, gender and Health Service Delivery Area (HSDA), relative to the total population of BC. We tested hypothesized associations of geographic, socio-economic, and employment-related characteristics of Aboriginal communities with SRR of transport injury by multivariable linear regression.
During the period 1991-2010, the SRR for the off-reserve Aboriginal population was 1.77 (95% CI: 1.71 to 1.83); and 2.00 (95% CI: 1.93 to 2.07) among those living on-reserve. Decline in crude rate and SRRs was observed over this period among both the Aboriginal and total populations of BC, but was proportionally greater among the Aboriginal population. The best-fitting multivariable risk marker model was an excellent fit (R2 = 0.912, p<0.001), predicted SRRs very close to observed values, and retained the following terms: urban residence, population per room, proportion of the population with a high school certificate, proportion of the population employed; and multiplicative interactions of Aboriginal ethnicity with population per room and proportion of the population employed.
Disparities in risk of hospitalization due to unintentional transport injury have narrowed. Aboriginal ethnicity modifies the effects of socioeconomic risk factors. Continued improvement of socioeconomic conditions and implementation of culturally relevant injury prevention interventions are needed.</description><subject>Biology and Life Sciences</subject><subject>Crash injuries</subject><subject>Earth Sciences</subject><subject>Ecological risk assessment</subject><subject>Ecology and Environmental Sciences</subject><subject>Economic conditions</subject><subject>Engineering and Technology</subject><subject>Environmental risk</subject><subject>Epidemiology</subject><subject>Health aspects</subject><subject>Health care</subject><subject>Health care disparities</subject><subject>Hospital care</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Incidence</subject><subject>Indigenous peoples</subject><subject>Injuries</subject><subject>Injury prevention</subject><subject>Insurance</subject><subject>Markers</subject><subject>Medicine and Health Sciences</subject><subject>Minority & ethnic groups</subject><subject>Native North Americans</subject><subject>Pediatrics</subject><subject>People and Places</subject><subject>Personal health</subject><subject>Population</subject><subject>Populations</subject><subject>Public health</subject><subject>Regression analysis</subject><subject>Research and Analysis Methods</subject><subject>Risk analysis</subject><subject>Risk factors</subject><subject>Roads & highways</subject><subject>Social Sciences</subject><subject>Socioeconomic factors</subject><subject>Socioeconomics</subject><subject>Studies</subject><subject>Traffic accidents & safety</subject><subject>Transport</subject><subject>Trauma</subject><subject>Trends</subject><subject>Trucks</subject><subject>Vehicles</subject><subject>Vital statistics</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk99u0zAUxiMEYmPwBggsTUIgrSV24iTmAmlUwCpNmsS_W-vEcVJ3jh1sZ2I8GM-H03bTinZBfBHr-Pd9to_PSZLnOJ3jrMRv13Z0BvR8sEbOU8xwVuUPkkPMMjIrSJo9vDM_SJ54v05TmlVF8Tg5ICwrM8roYfLnzPpBBdDqNwRljUfNKFGwaDTKBGmmGGgUHBg_WBeQMuvRKekR9NZ06LS2TnVqYgY7jHpjgmyLPjgVlF-hhdVjXys4QQsw0MA7tDRCNdIIeYLECkwXveyVdCioXiIwDZLCatspET2jRF975SdHp_wl6sFdSuefJo9a0F4-2_2Pku-fPn5bnM3OLz4vF6fnM1EwEmY1bVPIiiIXFYuDSlIwRqsWcpnLAuO8BVLK-DU5qXDDSFnVtJINaWpKMlxnR8nLre-gree7lHuOGcM0L8s0jcRySzQW1nxwKp7wmltQfBOwruPgghJa8rzNU0ayFrMS5yIDqFtaFmUVn0VgUk9e73e7jXUvGxHT70Dvme6vGLXinb3itKwKwqpo8Hpn4OzPUfrAe-WF1BqMtOPm3CRNK8JYRI__Qe-_3Y7qIF5AmdbGfcVkyk8poZjgoiCRmt9DxdHIXolYn62K8T3Bmz1BZIL8FToYvefLr1_-n734sc--usOuJOiw8rEAN5W9D-ZbUDjrvZPtbZJxyqf2uskGn9qL79oryl7cfaBb0U0_ZX8BzdojFw</recordid><startdate>20180126</startdate><enddate>20180126</enddate><creator>Brussoni, Mariana</creator><creator>George, M Anne</creator><creator>Jin, Andrew</creator><creator>Amram, Ofer</creator><creator>McCormick, Rod</creator><creator>Lalonde, Christopher E</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-1495-816X</orcidid></search><sort><creationdate>20180126</creationdate><title>Hospitalizations due to unintentional transport injuries among Aboriginal population of British Columbia, Canada: Incidence, changes over time and ecological analysis of risk markers</title><author>Brussoni, Mariana ; George, M Anne ; Jin, Andrew ; Amram, Ofer ; McCormick, Rod ; Lalonde, Christopher E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-b5f0a3664c898985e269958fa4e4e6114fa27eeeed4281d9278b58ed2db5231b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Biology and Life Sciences</topic><topic>Crash injuries</topic><topic>Earth Sciences</topic><topic>Ecological risk assessment</topic><topic>Ecology and Environmental Sciences</topic><topic>Economic conditions</topic><topic>Engineering and Technology</topic><topic>Environmental risk</topic><topic>Epidemiology</topic><topic>Health aspects</topic><topic>Health care</topic><topic>Health care disparities</topic><topic>Hospital care</topic><topic>Hospitalization</topic><topic>Hospitals</topic><topic>Incidence</topic><topic>Indigenous peoples</topic><topic>Injuries</topic><topic>Injury prevention</topic><topic>Insurance</topic><topic>Markers</topic><topic>Medicine and Health Sciences</topic><topic>Minority & ethnic groups</topic><topic>Native North Americans</topic><topic>Pediatrics</topic><topic>People and Places</topic><topic>Personal health</topic><topic>Population</topic><topic>Populations</topic><topic>Public health</topic><topic>Regression analysis</topic><topic>Research and Analysis Methods</topic><topic>Risk analysis</topic><topic>Risk factors</topic><topic>Roads & highways</topic><topic>Social Sciences</topic><topic>Socioeconomic factors</topic><topic>Socioeconomics</topic><topic>Studies</topic><topic>Traffic accidents & safety</topic><topic>Transport</topic><topic>Trauma</topic><topic>Trends</topic><topic>Trucks</topic><topic>Vehicles</topic><topic>Vital statistics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Brussoni, Mariana</creatorcontrib><creatorcontrib>George, M Anne</creatorcontrib><creatorcontrib>Jin, Andrew</creatorcontrib><creatorcontrib>Amram, Ofer</creatorcontrib><creatorcontrib>McCormick, Rod</creatorcontrib><creatorcontrib>Lalonde, Christopher E</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Brussoni, Mariana</au><au>George, M Anne</au><au>Jin, Andrew</au><au>Amram, Ofer</au><au>McCormick, Rod</au><au>Lalonde, Christopher E</au><au>Fahimi, Jahan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hospitalizations due to unintentional transport injuries among Aboriginal population of British Columbia, Canada: Incidence, changes over time and ecological analysis of risk markers</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2018-01-26</date><risdate>2018</risdate><volume>13</volume><issue>1</issue><spage>e0191384</spage><epage>e0191384</epage><pages>e0191384-e0191384</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Worldwide, Indigenous people have disproportionately higher rates of transport injuries. We examined disparities in injury-related hospitalizations resulting from transport incidents for three population groups in British Columbia (BC): total population, Aboriginal off-reserve, and Aboriginal on-reserve populations. We also examined sociodemographic, geographic and ethnic risk markers for disparities.
We identified Aboriginal people through BC's universal health care insurance plan insurance premium group and birth and death record notations. We calculated crude incidence rate and Standardized Relative Risk (SRR) of hospitalization for unintentional transport injury, standardized for age, gender and Health Service Delivery Area (HSDA), relative to the total population of BC. We tested hypothesized associations of geographic, socio-economic, and employment-related characteristics of Aboriginal communities with SRR of transport injury by multivariable linear regression.
During the period 1991-2010, the SRR for the off-reserve Aboriginal population was 1.77 (95% CI: 1.71 to 1.83); and 2.00 (95% CI: 1.93 to 2.07) among those living on-reserve. Decline in crude rate and SRRs was observed over this period among both the Aboriginal and total populations of BC, but was proportionally greater among the Aboriginal population. The best-fitting multivariable risk marker model was an excellent fit (R2 = 0.912, p<0.001), predicted SRRs very close to observed values, and retained the following terms: urban residence, population per room, proportion of the population with a high school certificate, proportion of the population employed; and multiplicative interactions of Aboriginal ethnicity with population per room and proportion of the population employed.
Disparities in risk of hospitalization due to unintentional transport injury have narrowed. Aboriginal ethnicity modifies the effects of socioeconomic risk factors. Continued improvement of socioeconomic conditions and implementation of culturally relevant injury prevention interventions are needed.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>29373595</pmid><doi>10.1371/journal.pone.0191384</doi><tpages>e0191384</tpages><orcidid>https://orcid.org/0000-0002-1495-816X</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2018-01, Vol.13 (1), p.e0191384-e0191384 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_1991547700 |
| source | DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Public Library of Science (PLoS) Journals Open Access; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Biology and Life Sciences Crash injuries Earth Sciences Ecological risk assessment Ecology and Environmental Sciences Economic conditions Engineering and Technology Environmental risk Epidemiology Health aspects Health care Health care disparities Hospital care Hospitalization Hospitals Incidence Indigenous peoples Injuries Injury prevention Insurance Markers Medicine and Health Sciences Minority & ethnic groups Native North Americans Pediatrics People and Places Personal health Population Populations Public health Regression analysis Research and Analysis Methods Risk analysis Risk factors Roads & highways Social Sciences Socioeconomic factors Socioeconomics Studies Traffic accidents & safety Transport Trauma Trends Trucks Vehicles Vital statistics |
| title | Hospitalizations due to unintentional transport injuries among Aboriginal population of British Columbia, Canada: Incidence, changes over time and ecological analysis of risk markers |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-12T21%3A43%3A31IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Hospitalizations%20due%20to%20unintentional%20transport%20injuries%20among%20Aboriginal%20population%20of%20British%20Columbia,%20Canada:%20Incidence,%20changes%20over%20time%20and%20ecological%20analysis%20of%20risk%20markers&rft.jtitle=PloS%20one&rft.au=Brussoni,%20Mariana&rft.date=2018-01-26&rft.volume=13&rft.issue=1&rft.spage=e0191384&rft.epage=e0191384&rft.pages=e0191384-e0191384&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0191384&rft_dat=%3Cgale_plos_%3EA525121662%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1991547700&rft_id=info:pmid/29373595&rft_galeid=A525121662&rft_doaj_id=oai_doaj_org_article_4f40923f19714c3aabf57678053c12b0&rfr_iscdi=true |