Urban/rural variation in children’s bicycle-related injuries

The objective of this study was to examine bicycle-related injury rates for children living in urban and rural areas. Data on all Canadian children hospitalised because of bicycling-related injuries (1994–1998) were obtained from the Canadian Institute for Health Information (CIHI). Injured children...

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Veröffentlicht in:Accident analysis and prevention 2004-07, Vol.36 (4), p.649-654
Hauptverfasser: Macpherson, Alison K., To, Teresa M., Parkin, Patricia C., Moldofsky, Byron, Wright, James G., Chipman, Mary L., Macarthur, Colin
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container_end_page 654
container_issue 4
container_start_page 649
container_title Accident analysis and prevention
container_volume 36
creator Macpherson, Alison K.
To, Teresa M.
Parkin, Patricia C.
Moldofsky, Byron
Wright, James G.
Chipman, Mary L.
Macarthur, Colin
description The objective of this study was to examine bicycle-related injury rates for children living in urban and rural areas. Data on all Canadian children hospitalised because of bicycling-related injuries (1994–1998) were obtained from the Canadian Institute for Health Information (CIHI). Injured children were classified as residing in urban, mixed urban, mixed rural or rural areas. Incidence rates for bicycle-related head injuries and other bicycle-related injuries were calculated. Logistic regression was used to estimate the odds of head injury, controlling for age, sex, socio-economic status (SES), collision with a motor vehicle, and the presence of provincial helmet legislation. In total, 9367 children were hospitalised for a bicycling-related injury over the 4-year-study period. Of these, 21% occurred in rural areas, 18% in mixed rural, 17% in mixed urban, while the remaining 44% occurred in urban areas. The average annual incidence rate for bicycle-related head injuries in children was 18.49 per 100,000 for children living in rural areas compared with 10.93 per 100,000 for those living in urban areas, 15.49 for children in mixed urban areas and 17.38 for children living in mixed rural areas. This variation may be explained by differences in bicycling exposure, helmet use, hospital admission criteria, or road environments across geographic areas.
doi_str_mv 10.1016/S0001-4575(03)00086-1
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Accidents, Traffic - statistics & numerical data
Bicycling - injuries
Canada - epidemiology
Child
Craniocerebral Trauma - epidemiology
Craniocerebral Trauma - prevention & control
Head injuries
Head Protective Devices
Hospitalization - statistics & numerical data
Humans
Incidence
Logistic Models
Risk Factors
Rural
Rural Population
Urban
Urban Population
Wounds and Injuries - epidemiology
Wounds and Injuries - prevention & control
title Urban/rural variation in children’s bicycle-related injuries
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