UMMS Affiliation

Department of Family Medicine and Community Health

Publication Date

4-4-2016

Document Type

Article

Disciplines

Clinical Epidemiology | Community Health and Preventive Medicine | Epidemiology

Abstract

BACKGROUND: A common issue in descriptive injury epidemiology is that in order to calculate injury rates that account for the time spent in an activity, both injury cases and exposure time of specific activities need to be collected. In reality, few national surveys have this capacity. To address this issue, we combined statistics from two different national complex surveys as inputs for the numerator and denominator to estimate injury rate, accounting for the time spent in specific activities and included a procedure to estimate variance using the combined surveys.

METHODS: The 2010 National Health Interview Survey (NHIS) was used to quantify injuries, and the 2010 American Time Use Survey (ATUS) was used to quantify time of exposure to specific activities. The injury rate was estimated by dividing the average number of injuries (from NHIS) by average exposure hours (from ATUS), both measured for specific activities. The variance was calculated using the 'delta method', a general method for variance estimation with complex surveys.

RESULTS: Among the five types of injuries examined, 'sport and exercise' had the highest rate (12.64 injuries per 100 000 h), followed by 'working around house/yard' (6.14), driving/riding a motor vehicle (2.98), working (1.45) and sleeping/resting/eating/drinking (0.23). The results show a ranking of injury rate by activity quite different from estimates using population as the denominator.

CONCLUSIONS: Our approach produces an estimate of injury risk which includes activity exposure time and may more reliably reflect the underlying injury risks, offering an alternative method for injury surveillance and research.

Rights and Permissions

Citation: Inj Prev. 2016 Apr 4. pii: injuryprev-2015-041885. doi: 10.1136/injuryprev-2015-041885. [Epub ahead of print] Link to article on publisher's site

DOI of Published Version

10.1136/injuryprev-2015-041885

Related Resources

Link to Article in PubMed

Journal/Book/Conference Title

Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention

PubMed ID

27044273

Creative Commons License

Creative Commons Attribution-Noncommercial 4.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial 4.0 License

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