ArticleJournal of safety research2023
Association between social vulnerability factors and unintentional fatal injury rates - United States, 2015-2019.
Article in Journal of safety research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- State Supplemental Nutrition Assistance Program Policies and Cardiovascular Mortality.JAMA network open · 2026Article
- Cradle to grave: how social vulnerability correlates with leading causes of injury-related mortality among children and youth.Injury epidemiology · 2025Article
- Special Report from the CDC: The association between social vulnerability and unintentional fatal drowning in the United States, 1999-2023.Journal of safety research · 2025Article
- Motor vehicle crash death rates among passenger vehicle occupants and pedestrians by county-level social vulnerability and urbanicity: the USA, 2019.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2025Article
- Unveiling Community Vulnerability to COVID-19 Incidence: A Population-Based Spatial Analysis in Clark County, Nevada.International journal of environmental research and public health · 2025Article
- Using EMS data to explore community-level factors associated with firearm violence in North Carolina.Injury epidemiology · 2024Article
- Association between social vulnerability factors and homicide and suicide rates - United States, 2016 - 2020.Journal of safety research · 2024Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundDifferences in social and environmental factors can contribute to disparities in fatal injury rates. The purpose of this study was to examine the relationship between social and environmental factors and unintentional fatal injury across counties in the United States and how this relationship varies by geography.
methodsCounty-level vital statistics on age-adjusted unintentional fatal injury rates for 2015-2019 were linked with county-level data from the 2018 Social Vulnerability Index (SVI), a dataset identifying socially vulnerable communities. We conducted linear regression to examine the association between SVI and unintentional fatal injury, overall and by Census region/division. We mapped county-level data for SVI and unintentional fatal injury rates in bivariate choropleth maps using quartiles.
resultsSVI was positively associated with unintentional fatal injury (β = 18.29, p < 0.001) across U.S. counties. The geographic distribution of SVI and unintentional fatal injury rates varied spatially and substantially for U.S. counties, with counties in the South and West regions having the greatest levels of SVI and rates of unintentional fatal injury.
conclusionsOur findings demonstrate that the social vulnerability of counties is associated with unintentional fatal injury rates. Modification of the SVI for injury research could include additional social determinants and exclude variables not applicable to injuries. A modified SVI could inform unintentional injury prevention strategies by prioritizing efforts in areas with high levels of social vulnerability. PRACTICAL APPLICATIONS: This study is the first step in combining the SVI and injury mortality data to provide researchers with an index to investigate upstream factors related to injury.
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