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- De Leon, AP, et al.
(författare)
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Differences in child injury hospitalizations in Sweden: the use of time-trend analysis to compare various community injury-prevention approaches
- 2007
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Ingår i: Scandinavian journal of public health. - : SAGE Publications. - 1403-4948 .- 1651-1905. ; 35:6, s. 623-630
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Tidskriftsartikel (refereegranskat)abstract
- Aim: Sweden's child injury fatality rates are among the lowest in the world. The country has engaged in a number of community injury-prevention programmes. The purpose of this study was to compare child injury hospitalization rates from the Skaraborg District with the rest of Sweden. Our study hypothesis was that municipalities that offered comprehensive child injury-prevention programmes would see significant decreases in their child injury hospitalization rates, compared with other areas. Methods: The study areas comprised three groups, consisting of municipalities in Skaraborg that had adapted the Safe Communities approach to injury prevention programmes, other municipalities in the District, and the rest of Sweden. The aim of the analysis was twofold: (1) to fit time trends for children's injuries in various areas in an integrated manner; and (2) to compare time trends across locations between community safety-promotion programmes as well as with the control areas. Panel data models and parametric splines were used. Results: There were differences between incidence rates in the study areas and with regard to gender. There was a steep decrease in injury rates in one of the Safe Communities study areas for both genders. Conclusions: The methods applied in this analysis reveal more detailed and sophisticated time trends than the usual simple linear regression approach. The model provided a clearer view of the interactions of gender, area, and time as they impacted on children's injuries, and allowed for better insight into the impact of safety programmes.
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- Schelp, L, et al.
(författare)
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The Swedish National Safety Promotion Program
- 1996
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Ingår i: Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention. - : BMJ. - 1353-8047. ; 2:3, s. 237-9
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Tidskriftsartikel (refereegranskat)
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- Lindqvist, Kent, 1948-, et al.
(författare)
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Evaluation of a child safety program based on the WHO Safe Community model
- 2002
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Ingår i: Injury Prevention. - : BMJ. - 1353-8047 .- 1475-5785. ; 8:1, s. 23-26
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: To evaluate the outcome of the World Health Organization (WHO) Safe Community model with respect to child injuries.Study design: A population based quasiexperimental design was used. Cross sectional pre-implementation and post-implementation data were collected in intervention (Motala municipality) and control (Mjölby municipality) areas, both in Östergötland county, Sweden.Results: The total relative risk of child injury in the intervention community decreased more (odds ratio 0.74; 95% confidence interval (CI) 0.68 to 0.81) than in a control community exposed only to national level injury prevention programs (0.93; 95% CI 0.82 to 1.05). The relative risk of moderately (abbreviated injury scale (AIS) 2) severe injury in the study area was reduced to almost a half (odds ratio 0.49; 95% CI 0.41 to 0.57), whereas the risk of minor (AIS 1) injuries decreased only slightly (odds ratio 0.89; 95% CI 0.80 to 0.99). The risk of severe or fatal (AIS 3–6) injuries remained constant.Conclusions: After introduction of an injury prevention program based on the WHO Safe Community model, the relative risk for child injury in the intervention community decreased significantly more than in a control community exposed only to national injury prevention programs.
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- Lindqvist, Kent, 1948-, et al.
(författare)
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Evaluation of an inter-organizational prevention program against injuries among the elderly in a WHO Safe Community
- 2001
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Ingår i: Public Health. - 0033-3506 .- 1476-5616. ; 115:5, s. 308-316
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the study was to evaluate the outcome of a participatory community-based prevention program against injuries among the elderly. A population-based quasi-experimental design was used with pre- and post-implementation measurements in an intervention and a control area. The program was based on cross-sectoral participation in detecting and taking action against injuries among the elderly. Change in the relative risk of injury was estimated by the odds ratio. Morbidity in moderately (AIS 2) severe injury in the study area was reduced from 46 per 1000 population years to 25 per 1000 population years (odds ratio 0.55, 95% confidence interval 0.46-0.65), while the minor (AIS 1) injuries increased (odds ratio 1.55, 95% confidence interval 1.21-1.91). The risk of severe or fatal (AIS 3-6) injuries remained constant. In the study area, only a slight decrease in the total morbidity rate was observed (odds ratio 0.87, 95% confidence interval 0.77-0.99). In the control area, there was no evident change in the total morbidity rates. Falls decreased or showed a tendency to decrease in the age groups 65 to 79-y-old in the study area, while they increased in the older age group. The results indicate that no sharp boundaries should be drawn between safety education, physical conditioning, environmental adjustments and secondary prevention measures when planning safety promotion among the elderly. Future studies should address these issues along with the methodological complexity associated with assessment of participatory community-based safety promotion programs.
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- Lindqvist, Kent, 1948-, et al.
(författare)
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Evaluation of inter-organizational traffic injury prevention in a WHO safe community
- 2001
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Ingår i: Accident Analysis and Prevention. - 0001-4575 .- 1879-2057. ; 33:5, s. 599-607
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Tidskriftsartikel (refereegranskat)abstract
- The objective of the study was to examine the effect of a community-based injury prevention program on traffic injuries. A population-based quasi-experimental design was used with pre- and post-implementation measurements in an intervention and a control area. The program was based on inter-organizational participation in detecting and taking action against traffic injuries. The total relative risk for traffic injury in the study area showed only a tendency to decrease following program exposure (odds ratio 0.91, 95% confidence interval 0.81-1.02). No change in relative risk was observed in the control area. The analyses of program impact on injury severity showed that the relative risk for moderate injuries in the study area was reduced by almost half (odds ratio 0.59, 95% confidence interval 0.49-0.69), the risk for severe or fatal injuries remained constant (odds ratio 1.27, 95% confidence interval 0.80-2.02), and the risk for minor injuries increased (odds ratio 1.34, 95% confidence interval 1.13-1.59). The relative risk for moderate injuries was reduced by at least half for mopedists, cyclists, pedestrians, and those leaving or entering a motor vehicle. Community-based injury prevention can be a complement to national traffic safety programs. ⌐ 2001 Elsevier Science Ltd.
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- Schelp, L, et al.
(författare)
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The Risk Line: A special telephone line to provide means of reporting potential dangers and to increase public participation
- 2006
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Ingår i: Accident Analysis and Prevention. - : Elsevier BV. - 0001-4575 .- 1879-2057. ; 38:6, s. 1190-1196
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Tidskriftsartikel (refereegranskat)abstract
- Injuries constitute a significant public health problem. There is a risk of injury in any environment in which persons are present. The purpose of this paper is to describe the development and experiences from the Risk Line. The Risk Line is a special telephone number to provide means of reporting potential risks for injuries and dangerous products and to increase public participation in injury reporting. Various strategies have been used to make the Risk Line well known in the population. Weekly reports on the risk of playground, traffic, recreational, and residential injuries and dangerous products have been distributed to those who are responsible for eliminating these hazards. The major risk environments reported were traffic, recreational, residential environments, and playgrounds. Seventy-seven percent of the reported hazards had been eliminated. A majority of the public (72%) who had phoned the Risk Line stated that they had become more observant and aware of risks for injuries. In conjunction with injury statistics and safety inspections, information from the Risk Line can contribute to give an improved overall picture of where priorities are needed in safety promotion and injury prevention work.
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