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Are There Changes in Inequalities in Injuries? A Review of Evidence in the WHO European Region

1
Department of Public Health Sciences, Karolinska Institutet, Widerströmska Huset, Tomtebodavägen 18 A, 171 77 Stockholm, Sweden
2
Department of International Health, Maastricht University, Universiteitssingel 40, 6229 ET Maastricht, The Netherlands
3
WHO European Centre for Environment and Health, Platz der Vereinten Nationen 1, D-53113 Bonn, Germany
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(4), 653; https://doi.org/10.3390/ijerph16040653
Received: 24 January 2019 / Revised: 17 February 2019 / Accepted: 19 February 2019 / Published: 22 February 2019
(This article belongs to the Collection Achieving Environmental Health Equity: Great Expectations)
Decreases in injury rates globally and in Europe in the past decades, although encouraging, may mask previously reported social inequalities between and within countries that persist or even increase. European research on this issue has not been systematically reviewed, which is the aim of this article. Between and within-country studies from the WHO European Region that investigate changes in social inequalities in injuries over time or in recent decades were sought in PubMed, Scopus, and Web of Science. Of the 27 studies retained, seven were cross-country and 20 were country-specific. Twelve reported changes in inequalities over time and the remaining 15 shed light on other aspects of inequalities. A substantial downward trend in injuries is reported for all causes and cause-specific ones—alongside persisting inequalities between countries and, in a majority of studies, within countries. Studies investigate diverse questions in different population groups. Depending on the social measure and injury outcome considered, many report inequalities in injuries albeit to a varying degree. Despite the downward trends in risk levels, relative social inequalities in injuries remain a persisting public health issue in the European Region. View Full-Text
Keywords: unintentional injuries; health inequalities; country-level differences; Europe; road traffic; falls; burns; poisonings unintentional injuries; health inequalities; country-level differences; Europe; road traffic; falls; burns; poisonings
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Sengoelge, M.; Leithaus, M.; Braubach, M.; Laflamme, L. Are There Changes in Inequalities in Injuries? A Review of Evidence in the WHO European Region. Int. J. Environ. Res. Public Health 2019, 16, 653.

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