Document Detail


An ecological assessment of the population and environmental correlates of childhood accident, assault, and child abuse injuries.
MedLine Citation:
PMID:  18782339     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: This study examines the relationships of population and environmental characteristics to hospital discharges for childhood accident, assault, and child abuse injuries among youth from 0 to 17 years of age.
METHODS: The analysis uses aggregate data on populations and environments in 1,646 California zip code areas that were collected for the year 2000. Zero inflated negative binomial models were used to assess ecological relationships between these characteristics and numbers of hospital discharges for childhood injuries from accidents and assaults; negative binomial models were used to assess these relationships for injuries related to child abuse.
RESULTS: A number of different characteristics were related to the different injury outcomes. Childhood accident injuries were related to measures female headed households, adult to child ratio, and nonalcohol retail establishments (e.g., numbers of gas stations). Assault injuries were related to measures of poverty and vacant housing. All 3 outcomes were directly related to percent of female-headed households, percent African American residents, and density of off-premise alcohol outlets.
CONCLUSIONS: The results demonstrate that both population and environmental characteristics are significantly correlated with rates of childhood injuries. These results suggest that some environmental characteristics, in particular the presence of many off-premise alcohol outlets in neighborhoods, may reduce the overall level of guardianship of children's activities in zip code areas, resulting in harm to their children.
Authors:
Bridget Freisthler; Paul J Gruenewald; Lori Ring; Elizabeth A LaScala
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2008-09-06
Journal Detail:
Title:  Alcoholism, clinical and experimental research     Volume:  32     ISSN:  1530-0277     ISO Abbreviation:  Alcohol. Clin. Exp. Res.     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-11-26     Completed Date:  2009-02-09     Revised Date:  2014-09-21    
Medline Journal Info:
Nlm Unique ID:  7707242     Medline TA:  Alcohol Clin Exp Res     Country:  England    
Other Details:
Languages:  eng     Pagination:  1969-75     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Accidents / statistics & numerical data*
Adolescent
African Americans / ethnology,  statistics & numerical data
Alcoholic Beverages / statistics & numerical data
California
Child
Child Abuse / statistics & numerical data*
Child, Preschool
Cross-Sectional Studies
Environment Design*
Family Characteristics / ethnology
Housing
Humans
Infant
Infant, Newborn
Models, Statistical
Risk Factors
Single-Parent Family / ethnology,  statistics & numerical data
Violence / statistics & numerical data*
Grant Support
ID/Acronym/Agency:
P60-AA06282/AA/NIAAA NIH HHS; R21 AA015180/AA/NIAAA NIH HHS; R21 AA015180-01A1/AA/NIAAA NIH HHS; R21-AA015180/AA/NIAAA NIH HHS; R37-AA12927/AA/NIAAA NIH HHS
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