The Relationship Between Social Problems And Injuries: Implications For Policy And Practice Angus H Thompson, PhD. Alberta Centre for Injury Control &

Slides:

Advertisements

Similar presentations

The Relationship of Adverse Childhood

Advertisements

Introduction to Violence Epidemiology With a focus on crime-related violence Thomas Songer, PhD University of Pittsburgh

Incidence of serious injury: A comparison of emergency hospital admissions for serious injury in Ireland, Northern Ireland, England, Scotland and Wales.

Preventing Injuries in Our Community Toronto, Ontario.

Preventing Injuries in Our Community South West Ontario.

Teenage Pregnancy 1 Teenage Pregnancy: Who suffers? 16 February 2011 Dr. Shantini Paranjothy, Clinical Senior Lecturer Public Health Medicine.

Age Groups Rank

2010 National Conference on Health Statistics August 17, 2010 Identifying Accidental Passenger Vehicle Non-transport Incidents in the NVSS Seymour Stern.

International Collaborative Effort on Injury June 1-3, 2005 Cuernevaca, Mexico Yvette Holder, Consultant Biostatistician/Epidemiologist.

Stigma and schizophrenia: Attitudes of the general public, Schizophrenia Society members, and medical students Angus H. Thompson Department of Psychiatry.

Risky Drinking Behavior – Alcohol use and Injury in La Crosse County Stephen Hargarten, MD, MPH Injury Research Center, Medical College of Wisconsin Brenda.

Child & Adolescent Health. Introduction What is it that you think of when you hear “Child & Adolescent Health”? What topics are of particular interest.

Instructor’s Name Semester, 200_

1 Adolescent Mental Health: Key Data Indicators Gwendolyn J. Adam, Ph.D., L.C.S.W. Assistant Professor - Department of Pediatrics Section of Adolescent.

Injury and Violence Prevention The Road Ahead: Getting from Here to There Healthy Carolinians Vision Sept 30 th, 2010.

Linda Chamberlain, PhD MPH IPV and Sexually Transmitted Infections/HIV MENU Overview Regional and Local Data The Impact of IPV on Women’s Health IPV and.

Preventing Injuries in Our Community Northern Ontario.

Substance Abuse Alcohol & Other Drugs. They Lie Vc&feature=relmfu.

1 Healthy Carolinians 10/08/09 State of the State: Injury and Violence Overview INJURY DATA 101 Healthy Carolinians & IOM Summit October 8, 2009 Scott.

BC Injury Prevention Strategy Working Paper for Discussion.

PREVENTION OF INJURIES AND VIOLENCE IN CHILDREN AND ADOLESCENTS Tereza Koprivova Herotova, Ph.D. Eva Vaníčková, M.D., Ph.D. Department of Child and Youth.

1. Vehicle CrashesSuicides Falls Drownings Youth Violence Homicides Sports InjuriesBullying These are a few examples of a growing area in public health…

Injury Prevention Overview WHAM.  Extent of the injury problem  Science of injury prevention  Ways to help your patients and communities  Resources.

Adverse Childhood Experiences and their Relationship to

LESSON 6.5: UNINTENTIONAL INJURIES Module 6: Rural Health Obj. 6.5: Analyze risk factors for unintentional injuries in order to provide safety recommendations.

US Infant Injury Mortality Secretary’s Advisory Committee on Infant Mortality March 30, 2004 Mary D. Overpeck, DrPH Health Resources and Services Administration.

The Relationship of Adverse Childhood Experiences to Adult Health Status Presentation to MCAH Committee December2, 2010 Edwin Ferran Director of Learning.

External Cause of Injury Mortality Matrix Lois A. Fingerhut on behalf on the ICE on Injury Statistics October 2004 Centers for Disease Control and Prevention.

Childhood Injury Prevention June 5, Identify the most prevalent childhood risks for injury and death Compare and contrast national data and Nevada.

Stephen Dunlop, MD President Hoosiers Concerned About Gun Violence 3535 Kessler Blvd., North Drive Indianapolis, IN Suicide Prevention,

Preventing Injuries Chapter 12. Unintentional vs. Intentional Injuries can be unintentional – Accidents Injuries can be unintentional – Accidents Injuries.

FIVE REASONS WHY WE HAVE NOT BEEN ABLE TO PREVENT SUICIDE Angus H Thompson Department of Public Health Flinders University Suicide Prevention Australia,

Unintentional injuries among children under five years & reducing risk of fire 1.

A SYSTEMIC SOCIAL DETERMINANT OF SELF-ESTEEM AND SUICIDE The Relative Age Effect Angus Thompson Alberta Centre For Injury control & Research, and the Departments.

PREDICTING SUICIDE Specificity Of Parasuicidal Behaviour, Communication Of Intent, And Proximal Vs Distal Precursors Angus H Thompson Dept of Public Health,

Chapter 3 The health of Australian youth. Risks to health Smoking Unprotected sexual activity Unsafe driving practices Alcohol consumption Poor diet Physical.

Chapter 11 Preventing Injury. © Copyright 2005 Delmar Learning, a division of Thomson Learning, Inc.2 Chapter Objectives 1.Explain the differences between.

Hospital separations selection of records for injury surveillance Susan G. Mackenzie Public Health Agency of Canada Presented at ICE meeting in Cuernavaca.

Five Reasons Why Suicide Prevention Programs Are Ineffective Angus H Thompson Alberta Centre for Injury Control & Research & the Department of Public Health.

Adverse Childhood Experiences and their Relationship to Adult Well-being, Disease, and Death : Turning gold into lead A collaborative effort between Kaiser.

 Injuries is one area of the National Health Priority Areas. Injuries include: -Intentional Harm (Suicide) and - Non-Intentional Harm (Falls, poisoning,

The Economic Burden of Injury in Ontario Dr. Philip Groff Director, Research & Evaluation SMARTRISK SMARTRISK Learning Series October 17, 2006.

ICECI application in Injury Surveillance in Cali, Colombia Andrés Fandiño-Losada Edgar Muñoz María Isabel Gutiérrez Martínez.

A healthier and safer Indiana ADDENDUM TO INJURY MORBIDITY AND MORTALITY IN INDIANA Injury Prevention Advisory Council Meeting June 21, 2012 Julie Wirthwein—Injury.

NIXA PUBLIC SCHOOLS: SUICIDE INTERVENTION & PREVENTION Statistics, interventions and resources for students and parents.

Preventing Injuries in Our Community Eastern Ontario.

INJURY PREVENTION AND CONTROL NHPAs. What is it???!! Injuries include: Intentional harm eg suicide, Unintentional harm eg falls, drowning, burns and transported.

National Health Priority Area. INJURY PREVENTION & CONTROL Key features or description ‘INJURY’ relates to the adverse effects on the human body that.

Unit 8 – An Overview of Community Risk Reduction Issues.

hospitals-doctors-without-borders/a

Unintentional Injury. Injury Hospitalizations by Cause Source: Virginia Department of Health On-line Injury Reporting System.

Alberta Centre for Child, Family and Community Research Child and Youth Data Laboratory CYDL Project One Symposium Health and Mental Health Service Use.

Chapter 15 Injuries as a Community and Public Health Problem.

Reducing the Risk of Injury

Bell Work!!! Write a paragraph bragging about how COOL you are!!!

Allegheny County Child Death Review Allegheny County Health Department Office of Epidemiology and Biostatistics Presenter: Erin Austin Faculty Advisor:

TM Centers for Disease Control and Prevention National Center for Injury Prevention and Control Centers for Disease Control and Prevention National Center.

The World Health Organization’s Global Alcohol Database Presentation to Canadian Collaborating Workshop, Ottawa, Ontario October 23-24, 2009 Louis Gliksman,

Syed Gillani DO, Kaitlin Leckie PhD, Jodi Hasenack, RN, Kristine Miller DO, and Leslie Dempsey MD Southern Colorado Family Medicine Residency Program,

Suicide among adolescents aged in the United States

Reducing the Risk of Injury

Reducing the Risk of Injury

Personal Safety: Protecting Yourself from Unintentional Injuries and Violence Chapter 22.

Firearm Death in the United States

The Epidemiology of Injury and Science of Injury Prevention

This story illustrates a paradigm shift. A paradigm shift is a new way of looking at a situation and/or problem that is completely different from.

Injury Prevention Jeopardy Style Game.

Epidemiology of Intentional Injuries

Unintentional injury deaths for males and females 0 to 19 years of age declined between 2000 and For males there was a 34% decline and for females.

Accidents & Injuries.

Presentation transcript:

The Relationship Between Social Problems And Injuries: Implications For Policy And Practice Angus H Thompson, PhD. Alberta Centre for Injury Control & Research University of Alberta Canadian Conference on Injury Prevention & Safety Promotion. Ottawa, Canada, November 24, 2003

ACKNOWLEDGEMENTS Kathy L Belton Co-Director Alberta Centre For Injury Control & Research Kim Borden Data Analyst Alberta Centre For Injury Control & Research

Source: Thompson AH, Borden K, Belton KL. (2003). The Relationship Between Unintentional & Intentional Injuries Across Alberta’s Health Regions. Unpublished manuscript. DO UNINTENTIONAL AND INTENTIONAL INJURIES BELONG TOGETHER?

Unintentional and intentional injuries involve very different contexts and interventions “Traditional public health injury control does not apply to violence.” L.Fisher ARGUMENTS AGAINST

“Whatever the form, in the end an injury is a health problem” B. Pless “... the evidence on shared risk factors among intentional and unintentional infant deaths warrants ‘convergence’ of effort rather than the compartmen- talization engendered by separation.” Overpeck and McLoughlin ARGUMENTS FOR

SII predicts later mortality due to natural causes, unintentional injuries, & violence Common parental factors exist for a variety of infant injury deaths, regardless of intent There is a relationship between falls, suicidal behaviour, & disease There is an overlap among predictors of death by suicide, accidents & natural causes. EVIDENCE FOR

THE CANADIAN SOCIAL PROBLEM INDEX (SPI)

Murder Attempted Murder Assault Sexual assault Suicide Robbery Divorce Alcoholism SPI COMPONENTS

Source: Thompson AH, Howard AW, Yin J (2001). A social problem index for Canada. Canadian Journal of Psychiatry 46, 45-51

THE ASSOCIATION BETWEEN SOCIAL PROBLEMS AND PSYCHIATRIC DIAGNOSES IN THE EDMONTON AREA EPIDEMIOLOGICAL STUDY OF PSYCHIATRIC DISORDERS Source: Thompson A & Bland RC (1995). Social dysfunction and mental illness in a community sample. Canadian Journal of Psychiatry 40, 15 – 20.

ECOLOGICAL EVIDENCE FROM ALBERTA’S HEALTH REGIONS

METHOD Comparison of injury rates (hospitalizations) across Alberta’s 17 health regions (in 1999) Analysis of the level of association among intentional and unintentional injuries Principal components analysis to search for an independent intentional injury factor

Unintentional Injuries Adverse Effects (Medical) Adverse Effects (Drug) Falls Motor Vehicle Crash Overexertion /Strain Late Injury Effects Poison Struck Object /Person Natural /Env. Causes Sports Related Cutting/Piercing Suffoc'n Foreign Body Machinery Fire/ Scalding Bike - Non-Traffic Undetermined Intent Pedestrian - Non Traffic Drowning Firearm (Unintentional) Legal Intervention Other Injury Other Transp. Related Unspec.Cause of Injury Intentional Injuries Suicide Attempt Assault ALBERTA INJURY GROUPINGS

Unintentional Injuries Adverse Effects (Medical) Adverse Effects (Drug) Falls Motor Vehicle Crash Overexertion /Strain Late Injury Effects Poison Struck Object /Person Natural /Env. Causes Sports Related Cutting/Piercing Suffoc'n Foreign Body Machinery Fire/ Scalding Bike - Non-Traffic Undetermined Intent Pedestrian - Non Traffic Drowning Firearm (Unintentional) Legal Intervention Other Injury Other Transp. Related Unspec.Cause of Injury Intentional Injuries Suicide Attempt Assault ALBERTA INJURY GROUPINGS

Unintentional Injuries Adverse Effects (Medical) Adverse Effects (Drug) Falls Motor Vehicle Crash Overexertion /Strain Late Injury Effects Poison Struck Object /Person Natural /Env. Causes Sports Related Cutting/Piercing Suffoc'n Foreign Body Machinery Fire/ Scalding Other Injury Other Transp. Related Unspec.Cause of Injury Intentional Injuries Suicide Attempt Assault ALBERTA INJURY GROUPINGS

Unintentional Injuries Adverse Effects (Medical) Adverse Effects (Drug) Falls Motor Vehicle Crash Overexertion /Strain Poison Struck Object /Person Natural /Env. Causes Sports Related Cutting/Piercing Suffoc'n Foreign Body Machinery Fire/ Scalding Intentional Injuries Suicide Attempt Assault RETAINED INJURY GROUPINGS (91.7% of Injury Hospitalizations)

(r = 0.81)

SOCIAL PROBLEMS AND INJURIES

REVISITS TO THE EMERGENCY ROOM AFTER SELF-INFLICTED INJURY

UTILIZATION OF THE EMERGENCY DEPARTMENT AFTER SELF-INFLICTED INJURY Source: Colman I, Dryden DM, Thompson AH, Chahal AM, Borden K, Rowe BH, Voaklander DC. In press. Academic Emergency Medicine. Record-linkage study of individuals admitted to an Edmonton ER for SII in fiscal year 1995/96 Comparison groups were those admitted for asthma and a random selection of the remaining patients Groups were matched on age and sex, and were of equal size (n = 478) Groups were compared on readmissions to any regional ER over the subsequent three years

WHAT DOES IT MEAN?

They do, at least at the ecological level. Proximal vs Distal: There may be less commonality in the proximal case, but this needs to be investigated. The association among social problems, mental illness, and injuries is suggestive of a common underlying, contributing cause. DO INTENTIONAL AND UNINTENTIONAL INJURIES BELONG TOGETHER?

SOME POSSIBILITIES 1. Child Development 2. Child Development 3. Child Development

SOME POSSIBILITIES Parenting & Supervision Community Self-Efficacy Social Capital (Democracy)

The End