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Impact of social standing on traffic injury prevention in a WHO safe community

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DOI: 10.4236/health.2012.44033    3,534 Downloads   5,738 Views   Citations

ABSTRACT

The objective of the current study was to evaluate outcomes of a program to prevent traffic injuries among the different social strata under WHO Safe Community Program. A quasi-experimental design was used, with pre- and post-implementation registrations in the program implementation area (population 41,000) and in a neighbouring control municipality (population 26,000) in ?sterg?tland County, Sweden. The traffic injury rate in the not vocationally active households was twice than employed or self-employed households in the intervention area. In the employed and not vocationally active households, males showed higher injury rates than females in both areas. In the self-employed households females exhibited higher injury rates than males in the intervention area. Males from not vocationally active households displayed the highest post-intervention injury rate in both the intervention and control areas. After 6 years of Safe Community program activity, the injury rates for males in employed category, injury rates for females in self-employed category, and males/females in non- vocationally active category displayed a decreasing trend in the intervention area. However, in the control area injury rate decreased only for males of employed households. The study indicated that there was almost no change in injury rates in the control area. Reduction of traffic injuries in the intervention area between 1983 and 1989 was likely to be attributable to the success of safety promotion program. Therefore, the current study concludes that Safe Community program seems to be successful for reducing traffic injuries in different social strata.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Lindqvist, K. and Dalal, K. (2012) Impact of social standing on traffic injury prevention in a WHO safe community. Health, 4, 216-221. doi: 10.4236/health.2012.44033.

References

[1] WHO. (2004) World report on road traffic injury prevention. World Health Organization, Geneva.
[2] Lindqvist, K., Timpka, T. and Schelp, L. (2001) Evaluation of inter-organizational traffic injury prevention in a WHO Safe Community. Accident Analysis and Prevention, 33, 599-607. doi:10.1016/S0001-4575(00)00071-3
[3] Lindqvist, K. (1989) Epidemiology of accidents in a Swedish municipality. Accident Analysis Prevention, 21, 33-43. doi:10.1016/0001-4575(89)90047-X
[4] Bjerre, B. and Schelp, L. (2000) The community safety approach in Falun, Sweden—Is it possible to characterise the most effective prevention endeavours and how long-lasting are the results? Accident Analysis and Prevention, 32, 461-470. doi:10.1016/S0001-4575(99)00058-5
[5] Lindqvist, K. (1991) Epidemiology of traffic accidents in a Swedish municipality. Accident Analysis and Prevention, 23, 509-519. doi:10.1016/0001-4575(91)90016-X
[6] Lindqvist, K., Timpka, T. and Schelp, L. (1996) Ten years of experiences from a participatory community-based injury prevention program in Motala, Sweden. Public Health, 110, 339-346. doi:10.1016/S0033-3506(96)80005-9
[7] Stokes, M., Ashby, K. and Clapperton, A. (2002) The effect of socio-economic status on injury among Victorians. Haz-ard, 49, 1-12.
[8] Svanstr?m, L. (2000) Evidence-based injury prevention and safety promotion: State-of-the-art. In: Mohan, D. and Tiwari, G., Eds., Injury prevention and control, Taylor & Francis, London, 181-198.
[9] Wilkinson, R. and Marmot, M. (1998) Social determinants of health: The solid facts. WHO Regional Office for Europe, Copenhagen.
[10] Laing, G.J. and Logan, S. (1999) Patterns of unintentional injury in childhood and their relation to socio-economic factors. Public Health, 113, 291-294. doi:10.1016/S0033-3506(99)00182-1
[11] Cubbin, C. LeClerc, F.B. and Smith, G.S. (2000) Socio-economic status and injury mortality: Individual and neighbourhood determinants. Journal of Epidemiology & Community Health, 54, 517-524. doi:10.1136/jech.54.7.517
[12] Moodie, R. (2002) Reducing health inequalities: Challenges to promoting health and preventing injury. Hazard, 49, 13-20.
[13] Cook, T.D. and Campell, D.T. (1979) Quasi-experimentation. Houghton-Mifflin Co., Boston.
[14] Zhao, Z. and Svanstr?m, L. (2003) Injury status and perspectives on developing community safety promotion in China. Health Promotion International, 18, 247-253. doi:10.1093/heapro/dag020
[15] Bracht, N. and Kingsbury, L. (1990) Community organization principles in health promotion: A five-stage model. In: Bracht, N., Ed., Health Promotion of the Community Level, Sage, Newbury Park. 66-88.
[16] Timpka, T., Nilsen, P. and Lindqvist, K. (2006) The impact of home safety promotion on different social strata in a WHO safe community. Public Health, 120, 427-433. doi:10.1016/j.puhe.2005.12.002
[17] Silventoinen, K. and Lahelma, E. (2002) Health inequalities by education and age in four Nordic countries, 1986 and 1994. Journal of Epidemiology & Community Health, 56, 253-258. doi:10.1136/jech.56.4.253
[18] National Board of Health and Welfare. (1982) Classification of diseases 1968: Systematic list. Allm?nna F?rlaget, Stockholm.
[19] American Association for Automotive Medicine. (1980) Joint committee on injury scaling. The abbreviated injury scale—1980 revision. AAAM, Arlington Heights.
[20] Lindqvist, K., Timpka, T., Schelp, L. and Risto, O. (2002) Evaluation of a child safety program based on the WHO Safe Community model. Injury Prevention, 8, 23-26. doi:10.1136/ip.8.1.23
[21] Lindqvist, K., Timpka, T. and Karlsson, N. (2004) Impact of social standing on injury prevention in a World Health Organization Safe Community—Intervention outcome by household employment contract. International Journal of Epidemiology, 33, 605-611. doi:10.1093/ije/dyh093
[22] Kirkwood, B.R. and Sterne, J.A.C. (2003) Medical Statistics. Blackwell Science Ltd., Massachusetts.
[23] Hasselberg, M. and Laflamme, L. (2003) Socioeconomic background and road traffic injuries: A study of young car drivers in Sweden. Traffic Injury Prevention, 4, 249-254. doi:10.1080/15389580309882
[24] Gunnarsson, S.O. (1996) Traffic accident prevention and reduction: review of strategies. IATSS Research, 20, 6-14.

  
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