Injury hospitalizations due to unintentional falls among the Aboriginal population of British Columbia, Canada: incidence, changes over time, and ecological analysis of risk markers, 1991-2010

PloS One
Andrew JinM Anne George

Abstract

Aboriginal people in British Columbia (BC) have higher injury incidence than the general population. Our project describes variability among injury categories, time periods, and geographic, demographic and socio-economic groups. This report focuses on unintentional falls. We used BC's universal health care insurance plan as a population registry, linked to hospital separation and vital statistics databases. We identified Aboriginal people by insurance premium group and birth and death record notations. We identified residents of specific Aboriginal communities by postal code. We calculated crude incidence and Standardized Relative Risk (SRR) of hospitalization for unintentional fall injury, standardized for age, gender and Health Service Delivery Area (HSDA), relative to the total population of BC. We tested hypothesized associations of geographic, socio-economic, and employment-related characteristics with community SRR of injury by linear regression. During 1991 through 2010, the crude rate of hospitalization for unintentional fall injury in BC was 33.6 per 10,000 person-years. The Aboriginal rate was 49.9 per 10,000 and SRR was 1.89 (95% confidence interval 1.85-1.94). Among those living on reserves SRR was 2.00 (95% CI 1.93...Continue Reading

References

Aug 2, 2001·Proceedings of the National Academy of Sciences of the United States of America·T E CloutierI M Willis
Feb 10, 2011·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·Ediriweera DesapriyaIan Pike
Mar 29, 2011·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·Nathaniel BellNadine Caron
Aug 29, 2013·International Journal of Circumpolar Health·M Anne GeorgeMarianna Brussoni
Jul 16, 2014·Prevention Science : the Official Journal of the Society for Prevention Research·Mariana BrussoniChris E Lalonde
Dec 1, 2014·Health and Quality of Life Outcomes·Sami KruseMariana Brussoni

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Citations

Jan 23, 2016·The American Journal of Emergency Medicine·Yong Joo ParkSang Chul Kim
Nov 21, 2015·International Journal for Equity in Health·Andrew JinRod McCormick
Jun 21, 2019·Canadian Journal of Public Health = Revue Canadienne De Santé Publique·Diana C Sanchez-RamirezDon Voaklander

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