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A cohort study of regional migration and the risks of attempted suicide and violent assault injury
- Source :
- Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention. 22(6)
- Publication Year :
- 2016
-
Abstract
- Objectives We study the association between changing residence and risks of attempted suicide and violent assault injury in Alberta, Canada. Our primary objective is to understand whether a change in residence between urban, rural and semiurban areas is associated with increased risk of intentional injury. Methods Study subjects are a cohort of residents linked to data on emergency department and inpatient hospital admissions between 1999 and 2010. We used generalised estimating equations to model the effects of changing residence on risk of intentional injury while controlling for the influence of age, sex, socio-economic status, Aboriginal status and history of intentional injury. Results Changing residence is associated with an increase in the risk of both attempted suicide and violent assault injury. In the case of attempted suicide, this effect is strongest for persons between 20 and 35 years of age. For violent assault injuries, persons from rural regions that have recently moved to urban regions have higher risk of injuries, and women of rural origin are at higher risk of violent assault injury than women of urban origin. Conclusions Our findings reveal an association between risk of intentional injuries and change of residence adjusting for geographical differences in injury risk. These findings suggest that intentional injury risk is associated with change in community at intraregional scales and that these populations may benefit from support that helps integrate them into their new communities.
- Subjects :
- Adult
Male
Rural Population
Urban Population
Poison control
Suicide, Attempted
Violence
Suicide prevention
Occupational safety and health
Health Services Accessibility
Alberta
Cohort Studies
03 medical and health sciences
Young Adult
0302 clinical medicine
Age Distribution
Injury prevention
Ethnicity
Medicine
Humans
030212 general & internal medicine
Sex Distribution
Crime Victims
030505 public health
business.industry
Public Health, Environmental and Occupational Health
Human factors and ergonomics
Emigration and Immigration
medicine.disease
Community-Institutional Relations
Socioeconomic Factors
Cohort
Residence
Female
Medical emergency
0305 other medical science
business
Emergency Service, Hospital
Cohort study
Demography
Subjects
Details
- ISSN :
- 14755785
- Volume :
- 22
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention
- Accession number :
- edsair.doi.dedup.....f43ed092f15d27253a8b5d7e41eefef8