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The Effect of Injuries on Health Measured by Short Form 8 among a Large Cohort of Thai Adults

Author

Listed:
  • Vasoontara Yiengprugsawan
  • Janneke Berecki-Gisolf
  • Roderick McClure
  • Matthew Kelly
  • Sam-ang Seubsman
  • Adrian C Sleigh
  • the Thai Cohort Study Team

Abstract

Introduction: We investigate the links between health and injury in Thailand. This is important because of the high burden of injury in transitional countries and limited information for public health. Methods: We analyse 2005 baseline and 2009, 4-year follow-up data from distance learning students of Sukhothai Thammathirat Open University residing nationwide (n = 60569). Injury was reported for the past year in both periods. Medical Outcome Study Short-Form (SF-8™) health status was reported and Physical and Mental Component Summary Scores (PCS and MCS) were calculated. Analyses used covariate-adjusted multivariate linear regression. Results: In 2009, increasing numbers of traffic injuries (0, 1, 2, 3, 4+) associated with declining PCS scores (49.8, 48.4, 46.9, 46.2, 44.0), along with a similar monotonic decline for MCS scores (47.6, 46.0, 44.2, 42.7, 40.6). A similar (but smaller) dose-response gradient was found between non-traffic injuries and SF-8 scores. Longitudinal analyses showed those with incident injury (no injury 2005, injury 2009) had lower PCS and MCS scores compared to those with no injury in both periods. Individuals with reverting injury status (injury 2005, no injury 2009) reported improvement in PCS and MCS scores over the four-year period. Conclusion: We found significant and epidemiologically important associations between increasing injury frequency and worse health in the past year, especially traffic injuries. Longitudinal 2005–2009 results were supportive and revealed statistically significant adverse 4-year effects of incident injury on health. If injury reverted over four years, low initial scores improved greatly. Findings highlight the importance of injury prevention as a public health priority.

Suggested Citation

  • Vasoontara Yiengprugsawan & Janneke Berecki-Gisolf & Roderick McClure & Matthew Kelly & Sam-ang Seubsman & Adrian C Sleigh & the Thai Cohort Study Team, 2014. "The Effect of Injuries on Health Measured by Short Form 8 among a Large Cohort of Thai Adults," PLOS ONE, Public Library of Science, vol. 9(2), pages 1-8, February.
    • Handle: RePEc:plo:pone00:0088903
    DOI: 10.1371/journal.pone.0088903
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    References listed on IDEAS

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    1. Kavi Bhalla & James Harrison & Jerry Abraham & Nagesh N Borse & Ronan Lyons & Soufiane Boufous & Limor Aharonson-Daniel & on behalf of the Global Burden of Disease Injury Expert Group, 2009. "Data Sources for Improving Estimates of the Global Burden of Injuries: Call for Contributors," PLOS Medicine, Public Library of Science, vol. 6(1), pages 1-3, January.
    2. Li, W. & Keegan, T.H.M. & Sternfeld, B. & Sidney, S. & Quesenberry Jr., C.P. & Kelsey, J.L., 2006. "Outdoor falls among middle-aged and older adults: A neglected public health problem," American Journal of Public Health, American Public Health Association, vol. 96(7), pages 1192-1200.
    3. Fingerhut, L.A. & Harrison, J. & Holder, Y. & Frimodt-Møller, B. & Mackenzie, S. & Mulder, S. & Scott, I., 2005. "Addressing the growing burden of trauma and injury in low- and middle-income countries [2] (multiple letters)," American Journal of Public Health, American Public Health Association, vol. 95(7), pages 1089-1090.
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    Cited by:

    1. Matthew J. Kelly & Chalapati Rao & Sam-ang Seubsman & Adrian C. Sleigh, 2019. "Death in Transitional Asia: 11-Year All-Cause Mortality in the Thai Cohort Study," Global Journal of Health Science, Canadian Center of Science and Education, vol. 11(4), pages 1-1, April.

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