The Role of the Physical and Traffic Environment in Child Pedestrian Injuries

PEDIATRICS ◽  
1996 ◽  
Vol 98 (6) ◽  
pp. 1096-1103
Author(s):  
Phyllis F. Agran ◽  
Diane G. Winn ◽  
Craig L. Anderson ◽  
Cecile Tran ◽  
Celeste P. Del Valle
Keyword(s):  
Injury Risk ◽  
Population Based ◽  
Traffic Volume ◽  
Vehicular Traffic ◽  
Single Family ◽  
Pedestrian Injury ◽  
Vehicular Speed ◽  
Pedestrian Injuries ◽  
And Gender ◽  
Rate Ratios

Objective. To identify environmental risk factors on residential streets for pediatric pedestrian injuries. Method. The sample consisted of 39 Latino children 0 to 14 years of age injured as pedestrians on a street in the same block as their home and 62 randomly selected neighborhood control subjects matched to the case by city, age or year of birth, ethnicity, and gender. The cases were identified from a population-based hospital and coroner's office surveillance system established in north-central Orange County, CA. Neighborhood assessments were performed from 3:45 PM to 5 PM, a fairly active time for young pedestrians. The cases were compared with the controls using conditional logistic regressions; in this study design, the odds ratios were interpreted as estimates of the incidence rate ratios. Results. Children living in a multifamily residence had an incidence of injury greater than that of children living in single-family residence on a single lot (odds ratio [OR] 3.1, 95% confidence interval [CI] 1.3-7.6). The ORs in the highest category were several times those in the lowest category for both parked vehicles (OR 9.6, 95% CI 2.6-36) and total number of pedestrians observed (OR 4.7, 95% CI 1.4-16). Vehicle parking, total pedestrians, vehicular traffic volume, and speed were examined in a multivariate model. The association of vehicles parked on the street with pedestrian injury risk remained significant. Unlike the crude results, progressively greater vehicular speed was associated with a marked increase in risk. Progressively higher vehicular traffic volume was associated with a progressively lower adjusted OR. Conclusion. The results of this analysis would indicate that residential streets with a high proportion of multifamily residences, over 50% of the curb occupied with parked vehicles, and a large number of pedestrians observed in unenclosed areas should receive high priority for intervention programs to reduce pediatric pedestrian injuries. The analysis suggests that on these streets, measures to reduce the amount of street parking (thus increasing visibility) and reductions in vehicular speed should be considered to decrease pedestrian injuries.

Anorectal Malformations and the Risk of Colorectal Cancer—Is Early Routine Endoscopic Screening Indicated?

2020 ◽  
Author(s):  
Anna Svenningsson ◽  
Anna Gunnarsdottir ◽  
Tomas Wester
Keyword(s):  
Colorectal Cancer ◽  
Early Adulthood ◽  
Anorectal Malformations ◽  
Population Based ◽  
Observational Period ◽  
Endoscopic Screening ◽  
Medical Birth Register ◽  
National Patient ◽  
And Gender

Abstract Introduction Colorectal cancer (CRC) has been reported in early adulthood in patients with anorectal malformation (ARM), and therefore, the need of endoscopic controls has been discussed. The aim of this study was to assess the risk of CRC in patients with ARM. Materials and Methods This was a nationwide population-based study with data from Swedish national health care registers. All patients diagnosed with ARM born in Sweden between 1964 and 1999 were identified in the National Patient Register. The same group was followed up in the Swedish Cancer Register from birth to December 31, 2014, for occurrences of CRC. Five age- and gender-matched individuals randomly selected from the Medical Birth Register served as controls for each ARM patient born between 1973 and 1999. Results A total of 817 patients (474 males) with ARM were included and followed up from birth to the end of observational period. Time of follow-up ranged from 15 to 50 years (mean: 28 years). None of the patients was diagnosed with CRC during the observational period. One case of rectal cancer and one case of sigmoid cancer were detected among the 3,760 controls. Conclusion In our study, the risk of CRC in early adulthood in patients with ARM is low. Our result does not support routine endoscopic follow-up for patients with ARM during the first decade of life.

Recent Trends in the Prescribing of ADHD Medications in Canadian Primary Care

2017 ◽  
Vol 24 (2) ◽  
pp. 301-308 ◽  
Author(s):  
Rachael Morkem ◽  
Scott Patten ◽  
John Queenan ◽  
David Barber
Keyword(s):  
Primary Care ◽  
Age Groups ◽  
Fold Increase ◽  
Population Based ◽  
Adhd Medication ◽  
Fourfold Increase ◽  
School Aged Children ◽  
Medication Prescribing ◽  
And Gender ◽  
Adhd Medications

Objective: The aim of this study was to describe the prevalence and incidence of ADHD medication prescribing, by age and gender, from 2005 to 2015 in Canadian primary care. Method: A population-based retrospective cohort study was conducted to evaluate the prescribing of ADHD medications between 2005 and 2015 using electronic medical record data. Yearly prevalence and incidence of ADHD medication prescribing were calculated for preschoolers (up to 5 years old), school-aged children (6-17 years old), and adults (18-65 years old) along with a description of the types of ADHD medications prescribed between 2005 and 2015. Results: Between 2005 and 2015, there was a 2.6-fold increase in the prevalence of ADHD medication prescribing to preschoolers, a 2.5-fold increase in school-aged children, and a fourfold increase in adults. There was a corresponding rise in incidence of prescribing although this rise was moderate and estimates were much lower compared with prevalence. The most commonly prescribed medication was Methylphenidate (65.0% of all ADHD medications prescribed). Conclusion: Although the prevalence of ADHD has remained stable over time, this study found an increase in the prescribing of ADHD medications in all age groups between 2005 and 2015. Incidence of new prescriptions was small relative to prevalence, suggesting that longer term treatments are being adopted.

scholarly journals Epidemiologic trends of infants with orofacial clefts in a multiethnic country: a retrospective population-based study

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Mimi Yow ◽  
Aizhen Jin ◽  
George Seow Heong Yeo
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Population Based ◽  
Infant Mortality Rate ◽  
Prevalence Rates ◽  
Upward Trend ◽  
Significance Level ◽  
Significant Upward Trend ◽  
And Gender ◽  
Ethnicity And Gender

AbstractCleft births surveillance is essential in healthcare and prevention planning. Data are needed in precision medicine to target upstream management for at-risk individuals. This study characterizes Singapore’s population-based orofacial cleft topography by ethnicity and gender, and establishes the cleft cohort’s infant mortality rate. Data, in the decade 2003 to 2012, were extracted by the National Birth Defects Registry. Trend testing by linear regression was at p < 0.05 significance level. Prevalence per 10,000 for population-based cleft live births was 16.72 with no significant upward trend (p = 0.317). Prevalence rates were 8.77 in the isolated cleft group, 7.04 in the non-isolated cleft group, and 0.91 in the syndromic cleft group. There was significant upward trend in infants with non-isolated clefts (p = 0.0287). There were no significant upward trends in infants with isolated clefts and syndromic clefts. Prevalence rates were sexually dimorphic and ethnic-specific: male 17.72; female 15.78; Chinese group 17.17; Malay group 16.92; Indian group 10.74; and mixed ethnic origins group 21.73. The overall infant mortality rate (IMR) was 4.8% in the cohort of 608 cleft births, which was more than double the population-based IMR of 2.1% in the same period. Infants with non-isolated and syndromic clefts accounted for 96.6% of the deaths.

FOUR-SITE SKINFOLDS THICKNESS PERCENTILES of SCHOOLCHILDREN and ADOLESCENTS in TURKEY

2021 ◽  
pp. 1-28
Author(s):  
Meltem Soylu ◽  
Nazlı Şensoy ◽  
İsmet Doğan ◽  
Nurhan Doğan ◽  
Mümtaz M. Mazicioğlu ◽  
...  
Keyword(s):  
Body Fat ◽  
Skinfold Thickness ◽  
Population Based ◽  
Specific Reference ◽  
Fat Percentage ◽  
Cross Sectional ◽  
Lms Method ◽  
And Gender ◽  
Thickness Measurements ◽  
Gender Specific

Abstract Objective: The primary purpose of this study was to establish Turkish smoothed centile charts and LMS tables for four-site skinfold thickness based on a population-based sample and secondary purpose was to elaborate a reference for the percentage of body fat. Design: A cross-sectional and descriptive study was conducted between January and May 2017. Triceps, biceps and subscapular, suprailiac skinfold thickness were measured using Holtain skinfold caliper. Age and gender specific percentile values were determined with the LMS method, and body fat percentage was calculated using the Westrate and Deurenberg equation. Setting: Afyonkarahisar province in Turkey. Participants: This study was conducted on 4565, 6-18 years old students. Results: The triceps, biceps, and subscapular skinfolds of the girls were higher than the boys. From the age of seven, the sum of four skinfold thicknesses of the girls was more than those of the boys. This difference became more evident after the age of 12. Although fat percentages of girls showed a fluctuating change, it decreased with the age in boys. Westrate and Deurenberg equation fat percentages of girls until adolescence were lower than boys, but increased after 12 years of age and exceeded that of boys. Conclusions: This study has provided sex and age specific reference values for skinfold thickness, and has shown that obesity in girls is higher than in boys in schoolchildren in Afyonkarahisar. This study has also shown that skinfold thickness measurements are a valuable tool for screening obesity in children.

scholarly journals Late-life suicidal behaviours among new users of antidepressants: a prospective population-based study of sociodemographic and gender factors in those aged 75 and above

BMJ Open ◽  
2018 ◽  
Vol 8 (10) ◽  
pp. e022703 ◽  
Author(s):  
Khedidja Hedna ◽  
Karolina Andersson Sundell ◽  
Gunnel Hensing ◽  
Ingmar Skoog ◽  
Sara Gustavsson ◽  
...  
Keyword(s):  
Suicide Attempts ◽  
Nordic Country ◽  
Age Groups ◽  
Antidepressant Medication ◽  
Late Life ◽  
Sociodemographic Factors ◽  
Population Based ◽  
Entire Cohort ◽  
Hazard Ratios ◽  
And Gender

ObjectiveTo investigate sociodemographic and gender factors associated with suicide and suicide attempts among new users of antidepressants aged 75 and above.DesignRegister-based cohort study.SettingNational population-based cohort of Swedish residents aged ≥75 years.Participants185 225 patients who initiated antidepressant medication between 1 January 2007 and 31 December 2013 were followed until 31 December 2014.Main outcome measuresSuicide and suicide attempts. Fine and Gray regression models were used to analyse the sociodemographic factors (age, country of birth, marital status, education level, last occupation, income and social allowance) associated with suicidal behaviours in the entire cohort and by gender.ResultsDuring follow-up, 295 suicides and 654 suicide attempts occurred. Adjusted sub-hazard ratios (aSHRs) for suicide were lower among older age groups (aSHR 0.73, 95% CI 0.53 to 0.99 for those 85–89 years; and aSHR 0.53, 95% CI 0.33 to 0.86 for those ≥90 years). A similar pattern was observed for suicide attempts. Suicide attempts were more common among those born in foreign countries (aSHR 1.58, 95% CI 1.16 to 2.15 for those born in another Nordic country; and aSHR 1.43, 95% CI 1.06 to 1.93 for those born in non-Nordic countries). In the gender-stratified analyses, being single or divorced, and born in another Nordic country was associated with a higher risk of suicide among men. Educational and occupational history and being born in a non-Nordic country influenced risk of suicidal behaviours in women.ConclusionSuicidal behaviours occurred more commonly among new users who were ‘younger’ old adults and those with foreign background, suggesting that those groups might require greater support when initiating antidepressant therapy. Our findings suggest the need for gender-specific, multifaceted approaches to the prevention of suicidal behaviours in late life.

Sociodemographic Correlates of Health Beliefs among Black and White Community Dwelling Elderly Individuals

1994 ◽  
Vol 38 (4) ◽  
pp. 339-350 ◽  
Author(s):  
Anthony N. Galanos ◽  
Ronald P. Strauss ◽  
Carl F. Pieper
Keyword(s):  
Socioeconomic Status ◽  
Health Beliefs ◽  
Statistical Significance ◽  
Population Based ◽  
Community Dwelling ◽  
Bivariate Analysis ◽  
Elderly Individuals ◽  
Race And Gender ◽  
Black And White ◽  
And Gender

This study examined the hypothesis that sociodemographic characteristics such as age, education, race, and gender would be predictive of Multidimensional Health Locus of Control Subscale scores in a population-based sample of 342 community dwelling elderly individuals. Bivariate analysis revealed associations between black race, lower socioeconomic status, and lower education on the Chance and Powerful Others Subscales. While the multivariate analysis revealed no predictors for the Internal Subscale, a higher socioeconomic status, white race, and a higher level of education continued to predict low scores on the Chance Subscale when controlling for all other variables. Scores on the Powerful Others Subscale appeared to be a function of socioeconomic status and gender. Of note, the higher the education level for both men and women, the lower the scores on the Chance and Powerful Others Subscales. This sex by education interaction term reached statistical significance for the Chance Subscale. The results demonstrate the measurable influence of sociodemographic variables on the health beliefs of community dwelling elderly individuals.

scholarly journals Asthma remission by age at diagnosis and gender in a population-based study

2020 ◽  
Author(s):  
Jasmin Honkamäki ◽  
Päivi Piirilä ◽  
Hanna Hisinger-Mölkänen ◽  
Leena E. Tuomisto ◽  
Heidi Andersen ◽  
...  
Keyword(s):  
Population Based ◽  
Age At Diagnosis ◽  
Population Based Study ◽  
And Gender

scholarly journals Asking about Sexual Orientation and Gender Identity in Social Surveys in Japan: Findings from the Osaka City Residents’ Survey and Related Preparatory Studies

2020 ◽  
Author(s):  
Daiki Hiramori ◽  
Saori Kamano
Keyword(s):  
Sexual Orientation ◽  
Gender Identity ◽  
Population Based ◽  
Sexual And Gender Minorities ◽  
Step Method ◽  
Social Surveys ◽  
Sexual Orientation Identity ◽  
Gender Minorities ◽  
And Gender ◽  
Definition Of

Most studies on the measurement of sexual orientation and gender identity (SOGI) in representative surveys are conducted in Western countries. Whether the findings from these studies are applicable to countries with legal, religious, and cultural contexts regarding sexual and gender minorities distinct from Western societies is yet to be explored. To fill this gap, this paper summarizes the findings from focus groups and a pilot survey conducted to develop SOGI questions in the Japanese context. For sexual orientation identity, a six-category question that includes definition of each category, and for transgender status, a three-step method, are suggested for general use. The paper also reports on percentage distributions of SOGI by assigned sex at birth and by age group based on the Osaka City Residents' Survey, one of the first population-based surveys in Japan with SOGI questions. Overall, our findings illustrate the significance of examining the measurement of SOGI beyond Western societies.

scholarly journals Youth in the margin in Morocco: a qualitative approach to the perception of subjectivity and agency politics

2021 ◽  
Vol 119 ◽  
pp. 01007
Author(s):  
Ilham Sadoqi
Keyword(s):  
Social Action ◽  
Population Based ◽  
Social Actors ◽  
State Institutions ◽  
Cultural Life ◽  
The Social ◽  
Youth Agency ◽  
And Gender ◽  
The Relationship ◽  
Third Moment

This paper seeks to investigate the potentials of youth agency in the margin of society and understand the prospects for social action or “Hirak” as an ongoing sweeping protest wave of a marginalized population. Based on a national qualitative study about youth and marginality in Morocco, this paper will focus on three moments. First, it will examine youth perception, their representation of their subjectivities, and how the realities and experiences of exclusion and “Hogra” manifested in inequalities, injustice, and systematic violence have shaped their beliefs and desire to act. The second moment brings to the fore their apprehension of the hegemonic powers of state institutions and social actors to determine their motivations and initiatives to articulate their actions locally and nationally under conditions of domination. The third moment will shed light on the dynamics of youth agency and the nature of their actions, be it individual or collective, subjective or rational. Similarly, it will also consider the structural limitations impinging on the social, political, cultural life, and gender relations. This paper examines the relationship between youth agency in the margin and the emergence of a new quest for social action “Hirak” in different regions of Morocco and how this might pave the way towards renegotiating the existing social contract between society and state.

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