ArticlePublic health reports (Washington, D.C. : 1974)
Leading causes of unintentional injury and suicide mortality in Canadian adults across the urban-rural continuum.
Article in Public health reports (Washington, D.C. : 1974). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 30 citations in OpenAlex.
- The epidemiology and deprivation profile of firearm-related injuries and deaths in British Columbia, Canada.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2025Article
- Self-harm and rurality in Canada: an analysis of hospitalization data from 2015 to 2019.Social psychiatry and psychiatric epidemiology · 2023Article
- Rurality as a Risk Factor for Attempted Suicide and Death by Suicide in Ontario, Canada.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2022Article
- Inequalities of Suicide Mortality across Urban and Rural Areas: A Literature Review.International journal of environmental research and public health · 2022Review
- Prevalence and Risk Factors for Fall among Rural Elderly: A County-Based Cross-Sectional Survey.International journal of clinical practice · 2022Article
- Rural-Urban Differences in Suicide Mortality: An Observational Study in Newfoundland and Labrador, Canada: Différences de la Mortalité Par Suicide en Milieu Rural-Urbain: Une Étude Observationnelle à Terre-Neuve et Labrador, Canada.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2021Review
- Connecting People with People: Diagnosing Persons with Fetal Alcohol Spectrum Disorder Using Telehealth.Journal of autism and developmental disorders · 2021Review
- Firearm-related injuries and deaths in Ontario, Canada, 2002-2016: a population-based study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2020Article
- Work accidents with children and youth in a rural environment in southern Brazil.Revista latino-americana de enfermagem · 2020Article
- Rural and Urban Living in Persons with Spinal Cord Injury and Comparing Environmental Barriers, Their Health, and Quality-of-Life Outcomes.Journal of neurotrauma · 2017Article
- Risk factors for unintentional injuries among the rural elderly: a county-based cross-sectional survey.Scientific reports · 2017Article
- National Characteristics of Emergency Medical Services in Frontier and Remote Areas.Prehospital emergency care · 2016Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveWe examined the leading causes of unintentional injury and suicide mortality in adults across the urban-rural continuum.
methodsInjury mortality data were drawn from a representative cohort of 2,735,152 Canadians aged ≥ 25 years at baseline, who were followed for mortality from 1991 to 2001. We estimated hazard ratios and 95% confidence intervals for urban-rural continuum and cause-specific unintentional injury (i.e., motor vehicle, falls, poisoning, drowning, suffocation, and fire/burn) and suicide (i.e., hanging, poisoning, firearm, and jumping) mortality, adjusting for socioeconomic and demographic characteristics.
resultsRates of unintentional injury mortality were elevated in less urbanized areas for both males and females. We found an urban-rural gradient for motor vehicle, drowning, and fire/burn deaths, but not for fall, poisoning, or suffocation deaths. Urban-rural differences in suicide risk were observed for males but not females. Declining urbanization was associated with higher risks of firearm suicides and lower risks of jumping suicides, but there was no apparent trend in hanging and poisoning suicides.
conclusionUrban-rural gradients in adults were more pronounced for unintentional motor vehicle, drowning, and fire/burn deaths, as well as for firearm and jumping suicide deaths than for other causes of injury mortality. These results suggest that the degree of urbanization may be an important consideration in guiding prevention efforts for many causes of injury fatality.
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