Demographic risk factors for injury among Hispanic and non-Hispanic white children: an ecologic analysis
Objectives—To determine the effects of neighborhood levels of poverty, household crowding, and acculturation on the rate of injury to Hispanic and non-Hispanic white children. Setting—Orange County, California. Methods—An ecologic study design was used with census block groups as the unit of analysi...
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| Veröffentlicht in: | Injury prevention 1998-03, Vol.4 (1), p.33-38 |
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| creator | Anderson, Craig L Agran, Phyllis F Winn, Diane G Tran, Cecile |
| description | Objectives—To determine the effects of neighborhood levels of poverty, household crowding, and acculturation on the rate of injury to Hispanic and non-Hispanic white children. Setting—Orange County, California. Methods—An ecologic study design was used with census block groups as the unit of analysis. Measures of neighborhood poverty, household crowding, and acculturation were specific to each ethnic group. Poisson regression was used to calculate mutually adjusted incidence rate ratios (IRRs) corresponding to a 20% difference in census variables. Results—Among non-Hispanic white children, injury rates were more closely associated with neighborhood levels of household crowding (adjusted IRR 2.36, 95% confidence interval (CI) 1.22 to 4.57) than with neighborhood poverty (adjusted IRR 1.06, 95% CI 0.89 to 1.26). For Hispanic children, the strongest risk factors were the proportion of Hispanic adults who spoke only some English (compared with the proportion who spoke little or no English, adjusted IRR 1.26, 95% CI 1.04 to 1.53) and the proportion who were US residents for |
| doi_str_mv | 10.1136/ip.4.1.33 |
| format | Article |
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Setting—Orange County, California. Methods—An ecologic study design was used with census block groups as the unit of analysis. Measures of neighborhood poverty, household crowding, and acculturation were specific to each ethnic group. Poisson regression was used to calculate mutually adjusted incidence rate ratios (IRRs) corresponding to a 20% difference in census variables. Results—Among non-Hispanic white children, injury rates were more closely associated with neighborhood levels of household crowding (adjusted IRR 2.36, 95% confidence interval (CI) 1.22 to 4.57) than with neighborhood poverty (adjusted IRR 1.06, 95% CI 0.89 to 1.26). For Hispanic children, the strongest risk factors were the proportion of Hispanic adults who spoke only some English (compared with the proportion who spoke little or no English, adjusted IRR 1.26, 95% CI 1.04 to 1.53) and the proportion who were US residents for <5 years (adjusted IRR 1.20, 95% CI 1.001 to 1.43). Neighborhood levels of household crowding were not related to injury among Hispanic children (adjusted IRR 0.98, 95% CI 0.89 to 1.08), but surprisingly, neighborhood poverty was associated with lower injury rates (adjusted IRR 0.89, 95% CI 0.81 to 0.97). Conclusions—Cultural and geographic transitions, as well as socioeconomic differences, appear to contribute to differences in childhood injury rates between ethnic groups.</description><identifier>ISSN: 1353-8047</identifier><identifier>EISSN: 1475-5785</identifier><identifier>DOI: 10.1136/ip.4.1.33</identifier><identifier>PMID: 9595329</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd</publisher><subject>Acculturation ; Adolescent ; Age ; California - epidemiology ; Census ; Child ; Child, Preschool ; Children & youth ; Crowding ; Cultural change ; European Continental Ancestry Group ; Families & family life ; Female ; Hispanic Americans ; Hospitalization ; Humans ; Infant ; Injuries ; Low income groups ; Male ; Minority & ethnic groups ; Original ; Poisson Distribution ; Population ; Poverty ; Prevention ; Race ; Risk Factors ; Socioeconomic Factors ; Studies ; Target markets ; Wounds and Injuries - epidemiology</subject><ispartof>Injury prevention, 1998-03, Vol.4 (1), p.33-38</ispartof><rights>Copyright 1998 Injury Prevention</rights><rights>Copyright: 1998 Copyright 1998 Injury Prevention</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b3803-fbb5e2ba7c48fbdcef31949feb039daa536fcea4033d3f47be4d86237186d86e3</citedby><cites>FETCH-LOGICAL-b3803-fbb5e2ba7c48fbdcef31949feb039daa536fcea4033d3f47be4d86237186d86e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1730333/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1730333/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,315,728,781,785,886,27929,27930,53796,53798</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9595329$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Anderson, Craig L</creatorcontrib><creatorcontrib>Agran, Phyllis F</creatorcontrib><creatorcontrib>Winn, Diane G</creatorcontrib><creatorcontrib>Tran, Cecile</creatorcontrib><title>Demographic risk factors for injury among Hispanic and non-Hispanic white children: an ecologic analysis</title><title>Injury prevention</title><addtitle>Inj Prev</addtitle><description>Objectives—To determine the effects of neighborhood levels of poverty, household crowding, and acculturation on the rate of injury to Hispanic and non-Hispanic white children. Setting—Orange County, California. Methods—An ecologic study design was used with census block groups as the unit of analysis. Measures of neighborhood poverty, household crowding, and acculturation were specific to each ethnic group. Poisson regression was used to calculate mutually adjusted incidence rate ratios (IRRs) corresponding to a 20% difference in census variables. Results—Among non-Hispanic white children, injury rates were more closely associated with neighborhood levels of household crowding (adjusted IRR 2.36, 95% confidence interval (CI) 1.22 to 4.57) than with neighborhood poverty (adjusted IRR 1.06, 95% CI 0.89 to 1.26). For Hispanic children, the strongest risk factors were the proportion of Hispanic adults who spoke only some English (compared with the proportion who spoke little or no English, adjusted IRR 1.26, 95% CI 1.04 to 1.53) and the proportion who were US residents for <5 years (adjusted IRR 1.20, 95% CI 1.001 to 1.43). Neighborhood levels of household crowding were not related to injury among Hispanic children (adjusted IRR 0.98, 95% CI 0.89 to 1.08), but surprisingly, neighborhood poverty was associated with lower injury rates (adjusted IRR 0.89, 95% CI 0.81 to 0.97). Conclusions—Cultural and geographic transitions, as well as socioeconomic differences, appear to contribute to differences in childhood injury rates between ethnic groups.</description><subject>Acculturation</subject><subject>Adolescent</subject><subject>Age</subject><subject>California - epidemiology</subject><subject>Census</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children & youth</subject><subject>Crowding</subject><subject>Cultural change</subject><subject>European Continental Ancestry Group</subject><subject>Families & family life</subject><subject>Female</subject><subject>Hispanic Americans</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Infant</subject><subject>Injuries</subject><subject>Low income groups</subject><subject>Male</subject><subject>Minority & ethnic groups</subject><subject>Original</subject><subject>Poisson Distribution</subject><subject>Population</subject><subject>Poverty</subject><subject>Prevention</subject><subject>Race</subject><subject>Risk Factors</subject><subject>Socioeconomic Factors</subject><subject>Studies</subject><subject>Target markets</subject><subject>Wounds and Injuries - epidemiology</subject><issn>1353-8047</issn><issn>1475-5785</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kU1v1DAQhiNEVUrhwA9AigRC6iGLnbFjhwMSCrRFVHDh62bZib3xNrGDnQD77-t2VyvgwMkjv4-emdFk2ROMVhhD9dJOK7LCK4B72QkmjBaUcXo_1UCh4IiwB9nDGDcIYWBVeZwd17SmUNYnWf9Wj34d5NTbNg82XudGtrMPMTc-5NZtlrDN5ejdOr-0cZIuYdJ1ufOuOHz86u2s87a3Qxe0e5WAXLd-8Os7WA7baOOj7MjIIerH-_c0-3L-7nNzWVx9unjfvLkqFHAEhVGK6lJJ1hJuVNdqA7gmtdEKQd1JSaEyrZYEAXRgCFOadLwqgWFepULDafZ6550WNeokcHOQg5iCHWXYCi-t-Dtxthdr_1NgBkkKSfBiLwj-x6LjLEYbWz0M0mm_RMFqzjijt-Czf8CNX0JaNyYXR3VJ6xIl6mxHtcHHGLQ5jIKRuD2esJMgAou71k__nP1A7q-V8mKX2zjr34dYhmtRMWBUfPzaCNp8hw_VeSO-Jf75jlfj5j9tbwDH27Ii</recordid><startdate>199803</startdate><enddate>199803</enddate><creator>Anderson, Craig L</creator><creator>Agran, Phyllis F</creator><creator>Winn, Diane G</creator><creator>Tran, Cecile</creator><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group LTD</general><general>BMJ Group</general><scope>BSCLL</scope><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>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>199803</creationdate><title>Demographic risk factors for injury among Hispanic and non-Hispanic white children: an ecologic analysis</title><author>Anderson, Craig L ; Agran, Phyllis F ; Winn, Diane G ; Tran, Cecile</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b3803-fbb5e2ba7c48fbdcef31949feb039daa536fcea4033d3f47be4d86237186d86e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Acculturation</topic><topic>Adolescent</topic><topic>Age</topic><topic>California - epidemiology</topic><topic>Census</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children & youth</topic><topic>Crowding</topic><topic>Cultural change</topic><topic>European Continental Ancestry Group</topic><topic>Families & family life</topic><topic>Female</topic><topic>Hispanic Americans</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Infant</topic><topic>Injuries</topic><topic>Low income groups</topic><topic>Male</topic><topic>Minority & ethnic groups</topic><topic>Original</topic><topic>Poisson Distribution</topic><topic>Population</topic><topic>Poverty</topic><topic>Prevention</topic><topic>Race</topic><topic>Risk Factors</topic><topic>Socioeconomic Factors</topic><topic>Studies</topic><topic>Target markets</topic><topic>Wounds and Injuries - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Anderson, Craig L</creatorcontrib><creatorcontrib>Agran, Phyllis F</creatorcontrib><creatorcontrib>Winn, Diane G</creatorcontrib><creatorcontrib>Tran, Cecile</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Injury prevention</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Anderson, Craig L</au><au>Agran, Phyllis F</au><au>Winn, Diane G</au><au>Tran, Cecile</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Demographic risk factors for injury among Hispanic and non-Hispanic white children: an ecologic analysis</atitle><jtitle>Injury prevention</jtitle><addtitle>Inj Prev</addtitle><date>1998-03</date><risdate>1998</risdate><volume>4</volume><issue>1</issue><spage>33</spage><epage>38</epage><pages>33-38</pages><issn>1353-8047</issn><eissn>1475-5785</eissn><abstract>Objectives—To determine the effects of neighborhood levels of poverty, household crowding, and acculturation on the rate of injury to Hispanic and non-Hispanic white children. Setting—Orange County, California. Methods—An ecologic study design was used with census block groups as the unit of analysis. Measures of neighborhood poverty, household crowding, and acculturation were specific to each ethnic group. Poisson regression was used to calculate mutually adjusted incidence rate ratios (IRRs) corresponding to a 20% difference in census variables. Results—Among non-Hispanic white children, injury rates were more closely associated with neighborhood levels of household crowding (adjusted IRR 2.36, 95% confidence interval (CI) 1.22 to 4.57) than with neighborhood poverty (adjusted IRR 1.06, 95% CI 0.89 to 1.26). For Hispanic children, the strongest risk factors were the proportion of Hispanic adults who spoke only some English (compared with the proportion who spoke little or no English, adjusted IRR 1.26, 95% CI 1.04 to 1.53) and the proportion who were US residents for <5 years (adjusted IRR 1.20, 95% CI 1.001 to 1.43). Neighborhood levels of household crowding were not related to injury among Hispanic children (adjusted IRR 0.98, 95% CI 0.89 to 1.08), but surprisingly, neighborhood poverty was associated with lower injury rates (adjusted IRR 0.89, 95% CI 0.81 to 0.97). Conclusions—Cultural and geographic transitions, as well as socioeconomic differences, appear to contribute to differences in childhood injury rates between ethnic groups.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd</pub><pmid>9595329</pmid><doi>10.1136/ip.4.1.33</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Acculturation Adolescent Age California - epidemiology Census Child Child, Preschool Children & youth Crowding Cultural change European Continental Ancestry Group Families & family life Female Hispanic Americans Hospitalization Humans Infant Injuries Low income groups Male Minority & ethnic groups Original Poisson Distribution Population Poverty Prevention Race Risk Factors Socioeconomic Factors Studies Target markets Wounds and Injuries - epidemiology |
| title | Demographic risk factors for injury among Hispanic and non-Hispanic white children: an ecologic analysis |
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