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Int. J. Environ. Res. Public Health 2015, 12(12), 15594-15604; doi:10.3390/ijerph121215009

Socio Economic Status and Traumatic Brain Injury amongst Pediatric Populations: A Spatial Analysis in Greater Vancouver

1
Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC V5A 1S6, Canada
2
Department of Pediatrics, Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z4, Canada; BC Injury Research and Prevention Unit, Child and Family Research Institute, BC Children’s Hospital, Vancouver V6H 3V4, Canada
3
Department of Surgery, Dalhousie University, Halifax, NS B3H 4R2, Canada
4
Faculty of Health Science, Ben Gurion University, Beer Sheva 8410501, Israel
5
Departments of Surgery and Critical Care Medicine, Alberta Health Services, Calgary, AB T6G 2R3, Canada
6
Department of Anesthesiology, Pharmacology & Therapeutics, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
*
Author to whom correspondence should be addressed.
Academic Editor: Peter Congdon
Received: 15 October 2015 / Revised: 6 November 2015 / Accepted: 1 December 2015 / Published: 8 December 2015
(This article belongs to the Special Issue Child Injury Prevention 2015)
View Full-Text   |   Download PDF [1060 KB, uploaded 8 December 2015]   |  

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. View Full-Text
Keywords: traumatic brain injury; pediatric injury; injury hotspot; injury prevention; geographic information systems traumatic brain injury; pediatric injury; injury hotspot; injury prevention; geographic information systems
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Amram, O.; Schuurman, N.; Pike, I.; Yanchar, N.L.; Friger, M.; McBeth, P.B.; Griesdale, D. Socio Economic Status and Traumatic Brain Injury amongst Pediatric Populations: A Spatial Analysis in Greater Vancouver. Int. J. Environ. Res. Public Health 2015, 12, 15594-15604.

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