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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 Jin, Andrew; Lalonde, Christopher E.; Brussoni, Mariana; McCormick, Rod; George, M. Anne

Abstract

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.

Item Metadata

Title
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
Creator
Jin, Andrew; Lalonde, Christopher E.; Brussoni, Mariana; McCormick, Rod; George, M. Anne
Contributor
B.C. Injury Research and Prevention Unit; Child and Family Research Institute
Publisher
Public Library of Science
Date 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.
Subject
Injury inequities; Fall-related injury; Indigenous injury; Injury risks
Genre
Article
Type
Text
Language
eng
Date Available
2021-02-22
Provider
Vancouver : University of British Columbia Library
Rights
Attribution-NonCommercial-NoDerivatives 4.0 International
DOI
10.14288/1.0395932
URI
http://hdl.handle.net/2429/77357
Affiliation
Medicine, Faculty of; Other UBC; Non UBC; Pediatrics, Department of; Population and Public Health (SPPH), School of
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.
Publisher DOI
10.1371/journal.pone.0121694
Peer Review Status
Reviewed
Scholarly Level
Faculty; Researcher
Copyright Holder
Jin et al.
Rights URI
http://creativecommons.org/licenses/by-nc-nd/4.0/
Aggregated Source Repository
DSpace

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Attribution-NonCommercial-NoDerivatives 4.0 International