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
department or school: Medicine, Faculty of
department or school: Other UBC
department or school: Non UBC
department or school: Pediatrics, Department of
department or school: Population and Public Health (SPPH), School of
data provider: DSpace
identifier citation: Jin A, Lalonde CE, Brussoni M, McCormick R, George MA (2015) 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 10(3): e0121694.
contributor: B.C. Injury Research and Prevention Unit
contributor: Child and Family Research Institute
rights copyright: Jin et al.
creator: Jin, Andrew
creator: Lalonde, Christopher E.
creator: Brussoni, Mariana
creator: McCormick, Rod
creator: George, M. Anne
issued: 2021-02-22T22:43:41Z
issued: 2015-03-20
description: Background: 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. Results: 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 1.93-2.07). Northern and non-urban HSDAs had higher SRRs, within both total and Aboriginal populations. In every age and gender category, the HSDA-standardized SRR was higher among the Aboriginal than among the total population. Between 1991 and 2010, crude rates and SRRs declined substantially, but proportionally more among the Aboriginal population, so the gap between the Aboriginal and total population is narrowing, particularly among females and older adults. These community characteristics were associated with higher risk: lower income, lower educational level, worse housing conditions, and more hazardous types of employment. Conclusions: Over the years, as socio-economic conditions improve, risk of hospitalization due to unintentional fall injury has declined among the Aboriginal population. Women and older adults have benefited more.
aggregated CHO: https://circle.library.ubc.ca/rest/handle/2429/77357
note: RESEARCH ARTICLEInjury Hospitalizations Due to UnintentionalFalls among the Aboriginal Population ofBritish Columbia, Canada: Incidence,Changes over Time, and Ecological Analysisof Risk Markers, 1991-2010Andrew Jin1☯, Christopher E. Lalonde2☯, Mariana Brussoni3,4,5☯¤a, Rod McCormick6☯,M. Anne George3,4,5☯¤b*1 Epidemiology Consultant, Surrey, British Columbia, Canada, 2 Department of Psychology, Faculty ofSocial Sciences, University of Victoria, Victoria, British Columbia, Canada, 3 Department of Pediatrics,Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada, 4 Child andFamily Research Institute, Vancouver, British Columbia, Canada, 5 School of Population and Public Health,University of British Columbia, Vancouver, British Columbia, Canada, 6 Faculty of Human, Social andEducational Development, Thompson Rivers University, Kamloops, British Columbia, Canada☯ These authors contributed equally to this work.¤a Current address: BC Injury Research & Prevention Unit, Vancouver, British Columbia, Canada¤b Current address: University of Northern British Columbia, Prince George, British Columbia, Canada* ageorge@mail.ubc.caAbstractBackgroundAboriginal people in British Columbia (BC) have higher injury incidence than the general pop-ulation. Our project describes variability among injury categories, time periods, and geo-graphic, demographic and socio-economic groups. This report focuses on unintentional falls.MethodsWe used BC’s universal health care insurance plan as a population registry, linked to hospi-tal separation and vital statistics databases. We identified Aboriginal people by insurancepremium group and birth and death record notations. We identified residents of specific Ab-original communities by postal code. We calculated crude incidence and Standardized Rel-ative Risk (SRR) of hospitalization for unintentional fall injury, standardized for age, genderand Health Service Delivery Area (HSDA), relative to the total population of …
has type: Article
is shown at: 10.14288/1.0395932
language: eng
peer review status: Reviewed
provider: Vancouver : University of British Columbia Library
publisher: Public Library of Science
publisher DOI: 10.1371/journal.pone.0121694
rights: Attribution-NonCommercial-NoDerivatives 4.0 International
rights URI: http://creativecommons.org/licenses/by-nc-nd/4.0/
scholar level: Faculty
scholar level: Researcher
subject: Injury inequities
subject: Fall-related injury
subject: Indigenous injury
subject: Injury risks
type: Text
identifier URI: http://hdl.handle.net/2429/77357