Socio economic status and traumatic brain injury amongst pediatric populations: A spatial analysis in greater vancouver

Ofer Amram, Nadine Schuurman, Ian Pike, Natalie L. Yanchar, Michael Friger, Paul B. McBeth, Donald Griesdale

Research output: Contribution to journalArticlepeer-review

22 Scopus citations

Abstract

Introduction: Within Canada, injuries are the leading cause of death amongst children fourteen years of age and younger, and also one of the leading causes of morbidity. Low Socio Economic Status (SES) seems to be a strong indicator of a higher prevalence of injuries. This study aims to identify hotspots for pediatric Traumatic Brain Injury (TBI) and examines the relationship between SES and pediatric TBI rates in greater Vancouver, British Columbia (BC), Canada. Methods: Pediatric TBI data from the BC Trauma Registry (BCTR) was used to identify all pediatric TBI patients admitted to BC hospitals between the years 2000 and 2013. Spatial analysis was used to identify hotspots for pediatric TBI. Multivariate analysis was used to distinguish census variables that were correlated with rates of injury. Results: Six hundred and fifty three severe pediatric TBI injuries occurred within the BC Lower Mainland between 2000 and 2013. High rates of injury were concentrated in the East, while low rate clusters were most common in the West of the region (more affluent neighborhoods). A low level of education was the main predictor of a high rate of injury (OR = 1.13, 95% CI = 1.03–1.23, p-Value 0.009). Conclusion: While there was a clear relationship between different SES indicators and pediatric TBI rates in greater Vancouver, income-based SES indicators did not serve as good predictors within this region.

Original languageEnglish
Pages (from-to)15594-15604
Number of pages11
JournalInternational Journal of Environmental Research and Public Health
Volume12
Issue number12
DOIs
StatePublished - 8 Dec 2015

Keywords

  • Geographic information systems
  • Injury hotspot
  • Injury prevention
  • Pediatric injury
  • Traumatic brain injury

ASJC Scopus subject areas

  • Pollution
  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

Fingerprint

Dive into the research topics of 'Socio economic status and traumatic brain injury amongst pediatric populations: A spatial analysis in greater vancouver'. Together they form a unique fingerprint.

Cite this