Evidence map›Paper›PMID 28789649›Full record

ArticleInternational journal for equity in health2017

Intentional injury among the indigenous and total populations in British Columbia, Canada: trends over time and ecological analyses of risk.

M Anne George, Andrew Jin, Mariana Brussoni, Christopher E Lalonde, Rod McCormick

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Article in International journal for equity in health, 2017. 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
–field-weighted citation impact
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

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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.

  1. Article
  2. Article
  3. Injury-related health services use and mortality among Métis people in Alberta.Canadian journal of public health = Revue canadienne de sante publique · 2019
    Article
  4. Article
  5. 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.

M Anne GeorgeDepartment of Pediatrics, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada. ageorge@bccrhi.ca.
Andrew JinEpidemiology consultant, Surrey, Vancouver, BC, Canada.
Mariana BrussoniDepartment of Pediatrics, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Christopher E LalondeDepartment of Psychology, Faculty of Social Sciences, University of Victoria, Victoria, BC, Canada.
Rod McCormickFaculty of Human, Social and Educational Development, Thompson Rivers University, Kamloops, BC, Canada.

Funding

CIHR AHR # 81043
6 · The paper itself

Abstract

backgroundOur objective was to explore intentional injury disparity between Indigenous populations and the total population in the province of British Columbia (BC), Canada. We focus on hospitalizations, including both self-inflicted injuries and injuries inflicted by others.

methodsWe used data from BC's universal health care insurance plan, 1991 to 2010, linked to Vital Statistics databases. Indigenous people were identified through the insurance premium group, and birth and death records. Place of residence was identified through postal code. We calculated crude hospitalization incidence rates and the Standardized Relative Risk (SRR) of hospitalization, standardized by gender, 5-year age group, and Health Service Delivery Area (HSDA). With HSDA populations as the units of observation, linear regression was used to test hypothesized associations of Indigenous ethnicity, geographic, and socio-economic characteristics with SRR of injury.

resultsDuring the period 1991-2010, the crude rate of hospitalization for intentional injuries was 8.4 per 10,000 person-years (95% confidence interval (CI): 8.3 to 8.5) for the total BC population, compared to 45.3 per 10,000 (95% CI: 44.5 to 46.1) for the Indigenous population. For both populations, risk declined over the period for injuries self-inflicted and inflicted by others. The linear regression model predicts that the off-reserve Indigenous population will have SRR of intentional injury 3.98 greater, and the on-reserve Indigenous population 4.17, greater than the total population. The final model was an excellent fit (R

conclusionsThe observation of substantially declining rates of intentional injury for both the Indigenous and total BC populations is off-set by the high disparity in risk between the two populations, which will likely continue until Canada reduces disparity with respect to discriminatory practices, and physical, social, and economic conditions.

Indexed as

Health Status DisparitiesAdolescentAdultAgedAged, 80 and overBritish ColumbiaChildChild, PreschoolDatabases, FactualFemaleHospitalizationHumansIndians, North AmericanInfantInfant, NewbornInsurance, HealthAboriginalAmerican IndianCanadaHospitalizationIndigenous populationInequitiesSuicide, attemptedWounds and injuries

Identifiers

PMID28789649
PMCPMC5549349

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Registered trials

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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.