| Titre : | Association between childhood community safety interventions and hospital injury records : a multi level study. (2003) |
| Auteurs : | E. SELLSTROM ; G. ARNOLDSSON ; S. BREMBERG ; K. GULDBRANDSSON ; A. HJERN |
| Type de document : | Article |
| Dans : | Journal of epidemiology and community health (vol. 57, n° 9, 2003) |
| Pagination : | 724-729 |
| Langues: | Anglais |
| Mots-clés : | Enfant ; Homme ; Santé communautaire ; Hôpital ; Facteur risque ; Accident ; Promotion santé ; Adolescent ; Evaluation ; Traumatisme |
| Résumé : | [BDSP. Notice produite par INIST-CNRS CER0xNzb. Diffusion soumise à autorisation]. Study objective : To study municipal variations in children's injury risk and to assess the impact of safety promotion measures in general municipal, preschool, school, and leisure activity settings, on injury outcome. Design : A cohort study based on individual data on children's consumption of hospital care as a result of injury, the age and sex of each child, and socioeconomic data on each child's mother. Municipal characteristics-that is, population density and municipal safety measures-were also used. Connections between individual and community level determinants were analysed with multilevel logistic regression. Setting : Twenty five municipalities in Stockholm County in Sweden were studied. Participants : Children between 1 and 15 years old in 25 municipalities in Stockholm County, identified in the Total Population Register in Sweden. The study base included 1 055 179 person years. Main results : Municipality injury rates varied between 3.84-7.69 per 1000 person years among 1-6 year olds and, between 0.86-6.18 among 7-15 year olds. Implementation of multiple safety measures in a municipality had a significant effect on the risk of injury for preschool children. In municipalities that implemented few safety measures, the risk of injury was 33% higher than in municipalities that implemented many. A similar effect, though insignificant, was observed in the school aged children. Conclusions : This study shows that how municipalities organise their safety activities affect injury rates. Sweden has a comparatively low injury rate and thus, in a European perspective, there is an obvious potential for municipal safety efforts. |
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