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Social determinants of child and adolescent traffic-related and intentional injuries: A multilevel study in Stockholm County

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  • Laflamme, Lucie
  • Hasselberg, Marie
  • Reimers, Anne-Mari
  • Cavalini, Luciana Tricai
  • Ponce de Leon, Antonio

Abstract

Several significant developmental and socialisation processes in the life of children and adolescents take place in the area where they live. The extent to which they can feel and be safe in this environment is an important component of the success of those processes. This study highlights the independent contribution of neighbourhood and individual-level demographic and socioeconomic attributes to child and adolescent injuries. All individuals between the ages of 7 and 16 years living in Stockholm County in January 1998 (n = 184[punctuation space]545) were followed up for their injuries during a five-year period considering injuries sustained as a pedestrian/cyclist/motor-vehicle rider and intentional injuries (violence-related and self-inflicted). A series of two-level logistic regressions were conducted to examine the association between the occurrence of injuries and individual (compositional) characteristics nested into parish of residence as well as contextual characteristics. For children and adolescents living in Stockholm County, contextual socioeconomic and social attributes of their place of residence were significant for injuries sustained as motor-vehicle riders but not for those sustained as pedestrians/cyclists or those inflicted intentionally. In the latter case, only the highest concentration of social benefit recipients was associated with significantly higher odds ratios. This emphasises that each injury mechanism has its own socioeconomic and social pathway, where contextual and compositional factors come into play to varying degrees.

Suggested Citation

  • Laflamme, Lucie & Hasselberg, Marie & Reimers, Anne-Mari & Cavalini, Luciana Tricai & Ponce de Leon, Antonio, 2009. "Social determinants of child and adolescent traffic-related and intentional injuries: A multilevel study in Stockholm County," Social Science & Medicine, Elsevier, vol. 68(10), pages 1826-1834, May.
    • Handle: RePEc:eee:socmed:v:68:y:2009:i:10:p:1826-1834
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    References listed on IDEAS

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    1. Marie Hasselberg & Lucie Laflamme, 2008. "Road traffic injuries among young car drivers by country of origin and socioeconomic position," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 53(1), pages 40-45, January.
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    5. Lucie Laflamme & Anne Reimers, 2006. "Neighborhood social characteristics and fall injuries in children. An area-based study in Stockholm County," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 51(6), pages 355-362, November.
    6. Haynes, Robin & Reading, Richard & Gale, Susan, 2003. "Household and neighbourhood risks for injury to 5-14 year old children," Social Science & Medicine, Elsevier, vol. 57(4), pages 625-636, August.
    7. Weitoft, Gunilla Ringbäck & Hjern, Anders & Batljan, Ilija & Vinnerljung, Bo, 2008. "Health and social outcomes among children in low-income families and families receiving social assistance--A Swedish national cohort study," Social Science & Medicine, Elsevier, vol. 66(1), pages 14-30, January.
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    9. Engström, K. & Diderichsen, F. & Laflamme, L., 2004. "Parental Social Determinants of Risk for Intentional Injury: A Cross-Sectional Study of Swedish Adolescents," American Journal of Public Health, American Public Health Association, vol. 94(4), pages 640-645.
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    Cited by:

    1. Philip McHale & Daniel Hungerford & David Taylor-Robinson & Thomas Lawrence & Timothy Astles & Ben Morton, 2018. "Socioeconomic status and 30-day mortality after minor and major trauma: A retrospective analysis of the Trauma Audit and Research Network (TARN) dataset for England," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-10, December.
    2. Jones, Peter & Lucas, Karen, 2012. "The social consequences of transport decision-making: clarifying concepts, synthesising knowledge and assessing implications," Journal of Transport Geography, Elsevier, vol. 21(C), pages 4-16.
    3. repec:hal:journl:halshs-00918073 is not listed on IDEAS
    4. Mohamed Mouloud Haddak & Pascal Pochet & Idlir Licaj & Eliette Randriantovomanana & Judit Vari & Dominique Mignot, 2012. "Inégalités socio-spatiales de risque routier et mobilité à l'adolescence," Post-Print halshs-00687851, HAL.

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