| Titre : | Socioeconomic status and injury mortality : individual and neighbourhood determinants. (2000) |
| Auteurs : | C. CUBBIN ; F.B. LECLERE ; G.S. Smith |
| Type de document : | Article |
| Dans : | Journal of epidemiology and community health (vol. 54, n° 7, 2000) |
| Pagination : | 517-524 |
| Langues: | Anglais |
| Mots-clés : | Etats Unis ; Amérique ; Traumatisme ; Homme ; Epidémiologie ; Mortalité ; Facteur socioéconomique ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST R0xWwHEk. Diffusion soumise à autorisation]. Study objective-This study examined both individual and neighbourhood correlates of injury mortality to better understand the contribution of socioeconomic status to cause specific injury mortality. Of particular interest was whether neighbourhood effects remained after adjusting for individual demographic characteristics and socioeconomic status. Design-Census tract data (measuring small area socioeconomic status, racial concentration, residential stability, urbanisation, and family structure) was merged with the National Health Interview Survey (NHIS) and a file that links the respondents to subsequent follow up of vital status and cause of death data. Cox proportional hazards models were specified to determine individual and neighbourhood effects on homicide, suicide, motor vehicle deaths, and other external causes. Variances are adjusted for the clustered sample design of the NHIS. Setting-United States, 1987-1994, with follow up to the end of 1995. Participants-From a sample of 472 364 persons ages 18-64, there were 1195 injury related deaths over the follow up period. Main results-Individual level effects were generally robust to the inclusion of neighbourhood level variables in the models. Neighbourhood characteristics had independent effects on the outcome even after adjustment for individual variability. (...) |
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