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 |
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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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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.</description><identifier>ISSN: 0001-4575</identifier><identifier>EISSN: 1879-2057</identifier><identifier>DOI: 10.1016/S0001-4575(03)00086-1</identifier><identifier>PMID: 15094419</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>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</subject><ispartof>Accident analysis and prevention, 2004-07, Vol.36 (4), p.649-654</ispartof><rights>2003 Elsevier Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c392t-77d5c6861cb9061abaf2b6ac06a5eca307f9fbe1dd400d45d1a13f3c4a05fc0d3</citedby><cites>FETCH-LOGICAL-c392t-77d5c6861cb9061abaf2b6ac06a5eca307f9fbe1dd400d45d1a13f3c4a05fc0d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0001-4575(03)00086-1$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,778,782,3539,27907,27908,45978</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15094419$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Macpherson, Alison K.</creatorcontrib><creatorcontrib>To, Teresa M.</creatorcontrib><creatorcontrib>Parkin, Patricia C.</creatorcontrib><creatorcontrib>Moldofsky, Byron</creatorcontrib><creatorcontrib>Wright, James G.</creatorcontrib><creatorcontrib>Chipman, Mary L.</creatorcontrib><creatorcontrib>Macarthur, Colin</creatorcontrib><title>Urban/rural variation in children’s bicycle-related injuries</title><title>Accident analysis and prevention</title><addtitle>Accid Anal Prev</addtitle><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.</description><subject>Accidents, Traffic - statistics & numerical data</subject><subject>Bicycling - injuries</subject><subject>Canada - epidemiology</subject><subject>Child</subject><subject>Craniocerebral Trauma - epidemiology</subject><subject>Craniocerebral Trauma - prevention & control</subject><subject>Head injuries</subject><subject>Head Protective Devices</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Humans</subject><subject>Incidence</subject><subject>Logistic Models</subject><subject>Risk Factors</subject><subject>Rural</subject><subject>Rural Population</subject><subject>Urban</subject><subject>Urban Population</subject><subject>Wounds and Injuries - epidemiology</subject><subject>Wounds and Injuries - prevention & control</subject><issn>0001-4575</issn><issn>1879-2057</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMtOwzAQRS0EoqXwCaCuECxCx7EdJxsQqnhJlVhA15ZjT4SrNCl2Uqk7foPf40tIH4JlV6OrOXdGOoScU7ihQJPRGwDQiAsproBddyFNInpA-jSVWRSDkIek_4f0yEkIsy7KVIpj0qMCMs5p1ie3U5_rauRbr8vhUnunG1dXQ1cNzYcrrcfq5-s7DHNnVqbEyGOpG7TdftZ6h-GUHBW6DHi2mwMyfXx4Hz9Hk9enl_H9JDIsi5tISitMkibU5BkkVOe6iPNEG0i0QKMZyCIrcqTWcgDLhaWasoIZrkEUBiwbkMvt3YWvP1sMjZq7YLAsdYV1G5SkKZeZSPeCcco4kxw6UGxB4-sQPBZq4d1c-5WioNaG1cawWutTwNTGsKJd72L3oM3naP9bO6UdcLcFsPOxdOhVMA4rg9Z5NI2ytdvz4hdKlIwV</recordid><startdate>20040701</startdate><enddate>20040701</enddate><creator>Macpherson, Alison K.</creator><creator>To, Teresa M.</creator><creator>Parkin, Patricia C.</creator><creator>Moldofsky, Byron</creator><creator>Wright, James G.</creator><creator>Chipman, Mary L.</creator><creator>Macarthur, Colin</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FD</scope><scope>FR3</scope><scope>KR7</scope><scope>7X8</scope></search><sort><creationdate>20040701</creationdate><title>Urban/rural variation in children’s bicycle-related injuries</title><author>Macpherson, Alison K. ; To, Teresa M. ; Parkin, Patricia C. ; Moldofsky, Byron ; Wright, James G. ; Chipman, Mary L. ; Macarthur, Colin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c392t-77d5c6861cb9061abaf2b6ac06a5eca307f9fbe1dd400d45d1a13f3c4a05fc0d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Accidents, Traffic - statistics & numerical data</topic><topic>Bicycling - injuries</topic><topic>Canada - epidemiology</topic><topic>Child</topic><topic>Craniocerebral Trauma - epidemiology</topic><topic>Craniocerebral Trauma - prevention & control</topic><topic>Head injuries</topic><topic>Head Protective Devices</topic><topic>Hospitalization - statistics & numerical data</topic><topic>Humans</topic><topic>Incidence</topic><topic>Logistic Models</topic><topic>Risk Factors</topic><topic>Rural</topic><topic>Rural Population</topic><topic>Urban</topic><topic>Urban Population</topic><topic>Wounds and Injuries - epidemiology</topic><topic>Wounds and Injuries - prevention & control</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Macpherson, Alison K.</creatorcontrib><creatorcontrib>To, Teresa M.</creatorcontrib><creatorcontrib>Parkin, Patricia C.</creatorcontrib><creatorcontrib>Moldofsky, Byron</creatorcontrib><creatorcontrib>Wright, James G.</creatorcontrib><creatorcontrib>Chipman, Mary L.</creatorcontrib><creatorcontrib>Macarthur, Colin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Civil Engineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Accident analysis and prevention</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Macpherson, Alison K.</au><au>To, Teresa M.</au><au>Parkin, Patricia C.</au><au>Moldofsky, Byron</au><au>Wright, James G.</au><au>Chipman, Mary L.</au><au>Macarthur, Colin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Urban/rural variation in children’s bicycle-related injuries</atitle><jtitle>Accident analysis and prevention</jtitle><addtitle>Accid Anal Prev</addtitle><date>2004-07-01</date><risdate>2004</risdate><volume>36</volume><issue>4</issue><spage>649</spage><epage>654</epage><pages>649-654</pages><issn>0001-4575</issn><eissn>1879-2057</eissn><abstract>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.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>15094419</pmid><doi>10.1016/S0001-4575(03)00086-1</doi><tpages>6</tpages></addata></record> |
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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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