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Assessing Global Risk Factors for Non-Fatal Injuries From Road Traffic Accidents and Falls in Adults Aged 35–70 Years in 17 Countries: A Cross-Sectional Analysis of the Prospective Urban Rural Epidemiological (Pure) Study Publisher Pubmed



Raina P1 ; Sohel N1 ; Oremus M2 ; Shannon H1 ; Mony P3 ; Kumar R4 ; Li W5 ; Wang Y5 ; Wang X6 ; Yusoff K7, 23 ; Yusuf R8 ; Iqbal R9 ; Szuba A10 ; Oguz A11 Show All Authors
Authors
  1. Raina P1
  2. Sohel N1
  3. Oremus M2
  4. Shannon H1
  5. Mony P3
  6. Kumar R4
  7. Li W5
  8. Wang Y5
  9. Wang X6
  10. Yusoff K7, 23
  11. Yusuf R8
  12. Iqbal R9
  13. Szuba A10
  14. Oguz A11
  15. Rosengren A12
  16. Kruger A13
  17. Chifamba J14
  18. Mohammadifard N15
  19. Darwish EA16
  20. Dagenais G17
  21. Diaz R18
  22. Avezum A19
  23. Lopezjaramillo P20
  24. Seron P21
  25. Rangarajan S22
  26. Teo K22
  27. Yusuf S22
Show Affiliations
Authors Affiliations
  1. 1. Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON, Canada
  2. 2. School of Public Health and Health Systems, University of Waterloo, Waterloo, ON, Canada
  3. 3. Division of Epidemiology and Population Health, St. John’s Research Institute, Bangalore, India
  4. 4. PGIMER School of Public Health, Chandigarh, India
  5. 5. National Centre for Cardiovascular Diseases, Cardiovascular Institute & Fuwai Hospital, Chinese Academy of Medical Sciences, Beijing, China
  6. 6. Beijing Hypertension League Institute, Beijing, China
  7. 7. Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Selangor, Malaysia
  8. 8. School of Life Sciences, Independent University, Dhaka, Bangladesh
  9. 9. Departments of Community Health Sciences and Medicine, Aga Khan University, Karachi, Pakistan
  10. 10. Department of Internal Medicine, Wroclaw Medical University, Borowska, Wroclaw, Poland
  11. 11. Faculty of Medicine, Department of Internal Medicine Istanbul, Istanbul Medeniyet University, Turkiye
  12. 12. Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
  13. 13. Faculty of Health Science North-West University, Potchefstroom Campus, Potchefstroom, South Africa
  14. 14. Physiology Department, University of Zimbabwe, College of Health Sciences, Harare, Zimbabwe
  15. 15. Isfahan Cardiovascular Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
  16. 16. Family Medicine Department, Dubai Medical College, Dubai, United Arab Emirates
  17. 17. Laval University Heart and Lungs Institute, Quebec City, Canada
  18. 18. Estudios Clinicos Latinoamerica ECLA, Rosario, Santa Fe, Argentina
  19. 19. Dante Pazzanese Institute of Cardiology, Sao Paulo, Brazil
  20. 20. Fundacion Oftalmologica de Santander (FOSCAL), Medical School, Universidad de Santander, Floridablanca-Santander, Colombia
  21. 21. Facultad de Medicina, Universidad de La Frontera, Temuco, Chile
  22. 22. Population Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, ON, Canada
  23. 23. UCSI, University Kuala Lumpur, Kuala Lumpur, Malaysia

Source: Injury Prevention Published:2016


Abstract

Objectives To assess risk factors associated with non-fatal injuries (NFIs) from road traffic accidents (RTAs) or falls. Methods Our study included 151 609 participants from the Prospective Urban Rural Epidemiological study. Participants reported whether they experienced injuries within the past 12 months that limited normal activities. Additional questions elicited data on risk factors. We employed multivariable logistic regression to analyse data. Results Overall, 5979 participants (3.9% of 151 609) reported at least one NFI. Total number of NFIs was 6300: 1428 were caused by RTAs (22.7%), 1948 by falls (30.9%) and 2924 by other causes (46.4%). Married/common law status was associated with fewer falls, but not with RTA. Age 65–70 years was associated with fewer RTAs, but more falls; age 55–64 years was associated with more falls. Male versus female was associated with more RTAs and fewer falls. In lowermiddle- income countries, rural residence was associated with more RTAs and falls; in low-income countries, rural residence was associated with fewer RTAs. Previous alcohol use was associated with more RTAs and falls; current alcohol use was associated with more falls. Education was not associated with either NFI type. Conclusions This study of persons aged 35–70 years found that some risk factors for NFI differ according to whether the injury is related to RTA or falls. Policymakers may use these differences to guide the design of prevention policies for RTA-related or fall-related NFI. © 2016, BMJ Publishing Group. All rights Reserved.
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