1. Investigating the influence of socioeconomic deprivation on spatial patterns of traumatic brain injuries through Bayesian spatial modeling.
- Author
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Kureshi, Nelofar, Abidi, Syed Sibte Raza, Clarke, David B., Zeng, Weiping, and Feng, Cindy
- Abstract
Traumatic brain injury (TBI) is a leading cause of death and disability, primarily caused by falls and motor vehicle collisions (MVC). However, understanding the spatial distribution of TBI risk and their correlation with area-based deprivation remains limited. This study addresses this gap by employing a Bayesian spatial modeling approach to analyze the spatial patterns of fall and MVC-related TBI and their associations with area-based deprivation. Data on TBI cases from 2003 to 2019 in the Halifax Regional Municipality were sourced from the Nova Scotia Trauma Registry. Patients' residential postal codes were geocoded to dissemination areas (DAs), and area-based deprivation status from the national census data was linked to DAs. Bayesian spatial models were utilized to analyze TBI incidence rates resulting from falls and MVCs across DAs. The analysis revealed a substantial spatial disparity in TBI risk, illustrated through maps showing both the relative risk and posterior exceedance probability. Furthermore, area-based deprivation emerged as a significant factor associated with TBI risk. Specifically, areas within the most economically deprived quintile increased the risk of fall related TBI nearly threefold (RR = 2.7, 95%CI 1.98–3.66) compared to those in the least deprived quintile. The most residentially unstable quintile had a 35% greater risk of fall-related TBI than the least deprived quintile (RR = 1.35, 95%CI = 1.01–1.80). The risk of MVC-related TBI increased by 71% among areas in the second most deprived quintile (RR = 1.71; 95% CI 1.18–2.49), highlighting situational vulnerability as a significant risk factor. Deprivation was mapped within a social determinants of health framework to understand the downstream effects of residential instability, economic dependency, and situational vulnerability. This study reveals the unique spatial risk patterns of TBI resulting from falls and MVCs and demonstrates the impact of areal-level deprivation on injury risk. By identifying high-risk areas and understanding the pathways through which deprivation acts on the physical environment and community behavior, public health interventions can be developed to mitigate injury risk. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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