1. Evaluation of community coalition training effects on youth hospital-admitted injury incidence in Victoria, Australia: 2001–2017
- Author
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Nicola J. Reavley, Bosco Rowland, Janneke Berecki-Gisolf, Barbara Minuzzo, and John W. Toumbourou
- Subjects
Adult ,Adolescent ,Victoria ,Population ,education ,Psychological intervention ,Poison control ,Suicide prevention ,Occupational safety and health ,03 medical and health sciences ,Communities That Care ,Young Adult ,0302 clinical medicine ,Risk Factors ,Environmental health ,Injury prevention ,Medicine ,Humans ,030212 general & internal medicine ,Child ,Original Research ,education.field_of_study ,030505 public health ,business.industry ,Incidence ,Public Health, Environmental and Occupational Health ,Infant, Newborn ,Human factors and ergonomics ,Infant ,Hospitals ,injury diagnosis ,Child, Preschool ,Evidence-Based Practice ,Wounds and Injuries ,epidemiology ,0305 other medical science ,business ,safe Community - Abstract
BackgroundInjuries are one of the three leading causes of morbidity and mortality for young people internationally. Although community risk factors are modifiable causes of youth injury, there has been limited evaluation of community interventions. Communities That Care (CTC) offers a coalition training process to increase evidence-based practices that reduce youth injury risk factors.MethodUsing a non-experimental design, this study made use of population-based hospital admissions data to evaluate the impact on injuries for 15 communities that implemented CTC between 2001 and 2017 in Victoria, Australia. Negative binomial regression models evaluated trends in injury admissions (all, unintentional and transport), comparing CTC and non-CTC communities across different age groups.ResultsStatistically significant relative reductions in all hospital injury admissions in 0–4 year olds were associated with communities completing the CTC process and in 0–19 year olds when communities began their second cycle of CTC. When analysed by subgroup, a similar pattern was observed with unintentional injuries but not with transport injuries.ConclusionThe findings support CTC coalition training as an intervention strategy for preventing youth hospital injury admissions. However, future studies should consider stronger research designs, confirm findings in different community contexts, use other data sources and evaluate intervention mechanisms.
- Published
- 2019