Neighborhood Socioeconomic Deprivation and Youth Assault Injuries in Vancouver, Canada - 21/12/21
Abstract |
Objective |
To examine the degree to which neighborhood socioeconomic deprivation influences the risk of youth assault injury.
Study design |
Population-based retrospective study of youth aged 10-24 years seeking emergency medical care between 2012 and 2019 at 14 hospitals in Vancouver, Canada. Neighborhood material and social deprivation were examined as independent predictors of assault injury, accounting for spatial autocorrelation and controlling for neighborhood drinking establishment density.
Results |
Our data included 4166 assault injuries among 3817 youth. Male sex, substance use, and mental health disorders were common among victims of assault. Relative to the least deprived quintile of neighborhoods, assault injury risk was 2-fold higher in the most materially deprived quintile of neighborhoods (incidence rate ratio per quintile increase, 1.17; 95% CI 1.06-1.30; P < .05), and risk in the most socially deprived quintile was more than 3-fold greater than in the least deprived quintile (incidence rate ratio per quintile increase, 1.35; 95% CI 1.21-1.50; P < .001). Assault risk was 147-fold greater between 2 and 3 AM on Saturday relative to the safest hours of the week.
Conclusions |
Neighborhood socioeconomic deprivation substantially increases the risk of youth assault injury. Youth violence prevention efforts should target socioeconomically deprived neighborhoods.
Le texte complet de cet article est disponible en PDF.Keywords : youth, injury, violence, socioeconomic status, neighborhood material deprivation, neighborhood social deprivation
Abbreviations : CDS, DA, ED, MDS, TSBC
Plan
| Supported by grants from the Vancouver Coastal Health Research Institute, Canada and The University of British Columbia Division of General Internal Medicine. J.S. was supported by a Michael Smith Foundation for Health Research Health Professional-Investigator award. Funding organizations were not involved in the design and conduct of the study; collection, management, analysis and interpretation of the data; preparation, review and approval of this manuscript; or the decision to publish. The authors declare no conflicts of interest. |
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| Portions of this study were presented at the Virtual Pediatric Celebrate Research Day, April 9, 2021, Vancouver, Canada; the American Public Health Association’s (APHA) Annual Meeting and Expo, October 24-28, 2020, San Francisco, California; and the Canadian Paediatric Society Annual Conference, June 4-6, 2020, Vancouver, British Columbia (canceled). |
Vol 240
P. 199 - janvier 2022 Retour au numéro
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