Title

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.

Authors

Parminder Raina, McMaster University, Hamilton, Ontario, Canada
Nazmul Sohel, McMaster University, Hamilton, Ontario, Canada
Mark Oremus, University of Waterloo, Waterloo, Ontario, Canada
Harry Shannon, McMaster University, Hamilton, Ontario, Canada
Prem Mony, St. John's Research Institute, Bangalore, India
Rajesh Kumar, PGIMER School of Public Health, Chandigarh, India
Wei Li, Cardiovascular Institute & Fuwai Hospital, Chinese Academy of Medical Sciences, Beijing, China
Yang Wang, Cardiovascular Institute & Fuwai Hospital, Chinese Academy of Medical Sciences, Beijing, China
Xingyu Wang, Beijing Hypertension League Institute, Beijing, China
Khalid Yusoff, Selangor and UCSI University Kuala Lumpur, Kuala Lumpur, Malaysia
Rita Yusuf, Independent University, Dhaka, Bangladesh
Romaina Iqbal, Aga Khan UniversityFollow
Andrzej Szuba, Wroclaw Medical University, Borowska, Wroclaw, Poland
Aytekin Oguz, Istanbul Medeniyet University, Turkey
Annika Rosengren, University of Gothenburg, Gothenburg, Sweden
Annamarie Kruger, North-West University, Potchefstroom Campus, Potchefstroom, South Africa
Jephat Chifamba, University of Zimbabwe, College of Health Sciences, Harare, Zimbabwe
Noushin Mohammadifard, Isfahan University of Medical Sciences, Isfahan, Iran
Ebtihal Ahmad Darwish, Dubai Medical College, Dubai, UAE
Gilles Dagenais, Laval University Heart and Lungs Institute, Quebec City, Canada
Rafael Diaz, Estudios Clinicos Latinoamerica ECLA, Rosario, Santa Fe, Argentina
Alvaro Avezum, Dante Pazzanese Institute of Cardiology, Sao Paulo, Brazil
Patricio Lopez-Jaramillo, Universidad de Santander, Floridablanca-Santander, Colombia
Pamela Seron, Universidad de La Frontera, Temuco, Chile
Sumathy Rangarajan, McMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada
Koon Teo, McMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada
Salim Yusuf, McMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada

Document Type

Article

Department

Community Health Sciences

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 lower-middle-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.

Publication

Injury Prevention