caa a22 4500 606153667 CHVBK 20210128100554.0 cr unu---uuuuu 210128e20150501xx s 000 0 eng 10.1007/s11121-014-0503-1 doi (NATIONALLICENCE)springer-10.1007/s11121-014-0503-1 Aboriginal Community-Level Predictors of Injury-Related Hospitalizations in British Columbia, Canada [Elektronische Daten] [Mariana Brussoni, Andrew Jin, M. George, Chris Lalonde] Population-level statistics indicating disparities in injury rates between Aboriginal and non-Aboriginal populations disguise considerable community-level heterogeneity. Using an ecological approach, we analyzed linked data from British Columbia's (BC) universal health care insurance plan, worker compensation, vital statistics, and census databases to identify community-level risk markers for hospitalization due to injury among the Aboriginal population of BC, Canada. Community standardized relative risks (SRR) of injury hospitalization relative to the total population of BC ranged from 0.24 to 9.35. Variables associated with increased SRRs included the following: higher proportions of crowded housing, housing in poor condition, participating in industries with greater risk of a work injury claim, being more remote, and at higher latitude. Higher income and more high school graduates were protective. In the best-fitting multivariable model, variables independently associated with SRR were proportion of the population with a high school certificate (RR = 0.89 per unit standard deviation change, 95% confidence interval 0.83 to 0.94), and remoteness index (RR = 1.06, 95% confidence interval (CI) 1.01 to 1.11). Results confirm profound diversity in Aboriginal communities across BC. SRRs of injury hospitalization increased as proportion of high school graduates dropped and remoteness increased. Promoting the educational attainment of community members should be an important focus of initiatives to improve health. Society for Prevention Research, 2014 First Nations nationallicence Accidents nationallicence Population health data nationallicence Social determinants of health nationallicence Injury risk nationallicence Brussoni Mariana Department of Pediatrics, School of Population and Public Health, British Columbia Injury Research and Prevention Unit, Child and Family Research Institute, University of British Columbia, F511, 4480 Oak Street, V6H 3V4, Vancouver, BC, Canada aut Jin Andrew Surrey, Canada aut George M. Department of Pediatrics, School of Population and Public Health, Child and Family Research Institute, University of British Columbia, Vancouver, BC, Canada aut Lalonde Chris Department of Psychology, University of Victoria, Victoria, BC, Canada aut Prevention Science Springer US; http://www.springer-ny.com 16/4(2015-05-01), 560-567 1389-4986 16:4<560 2015 16 11121 https://doi.org/10.1007/s11121-014-0503-1 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s11121-014-0503-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Brussoni Mariana Department of Pediatrics, School of Population and Public Health, British Columbia Injury Research and Prevention Unit, Child and Family Research Institute, University of British Columbia, F511, 4480 Oak Street, V6H 3V4, Vancouver, BC, Canada aut NATIONALLICENCE 700 1- Jin Andrew Surrey, Canada aut NATIONALLICENCE 700 1- George M. Department of Pediatrics, School of Population and Public Health, Child and Family Research Institute, University of British Columbia, Vancouver, BC, Canada aut NATIONALLICENCE 700 1- Lalonde Chris Department of Psychology, University of Victoria, Victoria, BC, Canada aut NATIONALLICENCE 773 0- Prevention Science Springer US; http://www.springer-ny.com 16/4(2015-05-01), 560-567 1389-4986 16:4<560 2015 16 11121