Evidence map›Paper›PMID 28401124›Full record

ArticleCMAJ open

Unintentional injuries in children and youth from immigrant families in Ontario, Canada: a population-based cross-sectional study.

Natasha Ruth Saunders, Alison Macpherson, Jun Guan, Lisa Sheng, Astrid Guttmann

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in CMAJ open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.2field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Suicide and Self-Harm in Recent Immigrants in Ontario, Canada: A Population-Based Study.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2019
    Article
  4. Article
  5. The authors respond to: "Questions on analysis of firearm injuries study".CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 5 institutions in 2 countries.

Natasha Ruth SaundersThe Hospital for Sick Children (Saunders, Guttmann); Department of Pediatrics (Saunders, Guttmann), University of Toronto; Institute for Clinical Evaluative Sciences (Saunders, Macpherson, Guan, Sheng, Guttmann); York University (Macpherson); Institute of Health Policy, Management and Evaluation (Guttmann); Dalla Lana School of Public Health (Guttmann), University of Toronto; Child Health Evaluative Sciences (Guttmann), SickKids Research Institute, Toronto, Ont.
Alison MacphersonThe Hospital for Sick Children (Saunders, Guttmann); Department of Pediatrics (Saunders, Guttmann), University of Toronto; Institute for Clinical Evaluative Sciences (Saunders, Macpherson, Guan, Sheng, Guttmann); York University (Macpherson); Institute of Health Policy, Management and Evaluation (Guttmann); Dalla Lana School of Public Health (Guttmann), University of Toronto; Child Health Evaluative Sciences (Guttmann), SickKids Research Institute, Toronto, Ont.
Jun GuanThe Hospital for Sick Children (Saunders, Guttmann); Department of Pediatrics (Saunders, Guttmann), University of Toronto; Institute for Clinical Evaluative Sciences (Saunders, Macpherson, Guan, Sheng, Guttmann); York University (Macpherson); Institute of Health Policy, Management and Evaluation (Guttmann); Dalla Lana School of Public Health (Guttmann), University of Toronto; Child Health Evaluative Sciences (Guttmann), SickKids Research Institute, Toronto, Ont.
Lisa ShengThe Hospital for Sick Children (Saunders, Guttmann); Department of Pediatrics (Saunders, Guttmann), University of Toronto; Institute for Clinical Evaluative Sciences (Saunders, Macpherson, Guan, Sheng, Guttmann); York University (Macpherson); Institute of Health Policy, Management and Evaluation (Guttmann); Dalla Lana School of Public Health (Guttmann), University of Toronto; Child Health Evaluative Sciences (Guttmann), SickKids Research Institute, Toronto, Ont.
Astrid GuttmannThe Hospital for Sick Children (Saunders, Guttmann); Department of Pediatrics (Saunders, Guttmann), University of Toronto; Institute for Clinical Evaluative Sciences (Saunders, Macpherson, Guan, Sheng, Guttmann); York University (Macpherson); Institute of Health Policy, Management and Evaluation (Guttmann); Dalla Lana School of Public Health (Guttmann), University of Toronto; Child Health Evaluative Sciences (Guttmann), SickKids Research Institute, Toronto, Ont.
Hospital for Sick Children · CAInstitute for Clinical Evaluative Sciences · CAUniversity College London · GBUniversity of Toronto · CAYork University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUnintentional injury is the leading cause of childhood death. Injury is associated with a number of sociodemographic characteristics, but little is known about risk in immigrants. Our objective was to examine the association between family immigrant status and unintentional injury in children and youth.

methodsWe performed a population-based, cross-sectional study involving children and youth (age 0-24 yr) residing in Ontario from 2008 to 2012. Multiple linked health and administrative databases were used to describe unintentional injuries by family immigrant status. Unintentional injury events (e.g., emergency department visits, admissions to hospital, deaths) were analyzed using Poisson regression models to estimate rate ratios (RRs) for injury by immigrant status.

resultsAnnualized injury rates were 11 749 emergency department visits per 100 000 population, 267 hospital admissions per 100 000 population and 12 deaths per 100 000 population. Injury rates were lower among immigrants across all causes of unintentional injury (adjusted RR 0.56, 95% confidence interval [CI] 0.54-0.59). Among nonimmigrants, lowest neighbourhood income quintile was associated with the highest rates (RR 1.13, 95% CI 1.08-1.18, quintile 5 v. 1); among immigrants, lowest income quintile was associated with the lowest rates of injury (RR 0.88, 95% CI 0.82-0.94, quintile 5 v. 1). Highest rates of injury for nonimmigrants were among adolescents (age 10-14 yr, RR 1.23, 95% CI 1.18-1.28; v. 20-24 yr), but for immigrants, was highest among young children (0-4 yr RR 1.23, 95% CI 1.16-1.31; v. 20-24 yr).

interpretationRates of unintentional injury are lower among immigrant than among Canadian-born children, supporting a healthy immigrant effect. Socioeconomic status and age have different associations with injury risk, suggesting alternative causal pathways for injuries in immigrant children and youth.

Identifiers

PMID28401124
PMCPMC5378502
OpenAlexW2585766819

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.