ArticleBMC public health2010
Safety standards and socioeconomic disparities in school playground injuries: a retrospective cohort study.
Article in BMC public health, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review of the risk factors and interventions for the prevention of playground injuries.Canadian journal of public health = Revue canadienne de sante publique · 2018Pooled it
- Global burden of pediatric orthopaedic fractures: an epidemiological analysis from 1990 to 2021.Archives of orthopaedic and trauma surgery · 2025Article
- How poverty shapes children's home, neighborhood, and school environments: An integrative conceptual framework and review.The American psychologist · 2025Article
- Social inequalities and hospital admission for unintentional injury in young children in Scotland: A nationwide linked cohort study.The Lancet regional health. Europe · 2021Article
- Childhood unintentional injury: The impact of family income, education level, occupation status, and other measures of socioeconomic status. A systematic review.Paediatrics & child health · 2021Article
- Paediatric elbow fractures and public play spaces: adherence to standards for children's playground equipment and surfacing.BMJ paediatrics open · 2021Article
- The association of material deprivation component measures with injury hospital separations in British Columbia, Canada.Injury epidemiology · 2019Article
- Injury surveillance and associations with socioeconomic status indicators among youth/young workers in New Jersey secondary schools.Environmental health : a global access science source · 2016Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPlayground injuries are fairly common and can require hospitalization and or surgery. Previous research has suggested that compliance with guidelines or standards can reduce the incidence of such injuries, and that poorer children are at increased risk of playground injuries.
objectiveThe objective of this study was to determine the association between playground injury and school socioeconomic status before and after the upgrading of playground equipment to meet CSA guidelines.
methodsInjury data were collected from January 1998-December 1999 and January 2004 - June 2007 for 374 elementary schools in Toronto, Canada. The objective of this study was to investigate the effect of a program of playground assessment, upgrading, and replacement on school injury rates and socio-economic status. Injury rates were calculated for all injuries, injuries that did not occur on equipment, and injuries on play equipment. Poisson regression was performed to determine the relationship between injury rates and school socio-economic status.
resultsPrior to upgrading the equipment there was a significant relationship between socio-economic status and equipment-related injuries with children at poorer schools being at increased risk (Relative risk: 1.52 [95% CI = 1.24-1.86]). After unsafe equipment was upgraded, the relationship between injury and SES decreased and was no longer significant (RR 1.13 [95% CI = 0.95-1.32]).
conclusionsImprovements in playground equipment can result in an environment in which students from schools in poorer neighbourhoods are no longer at increased risk of injuries on play equipment.
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