BC Centre for Disease Control, Provincial Health Services Authority, Vancouver, British Columbia, Canada.
BC Injury Research and Prevention Unit, Vancouver, British Columbia, Canada.
Health Promot Chronic Dis Prev Can. 2019 Feb;39(2):35-44. doi: 10.24095/hpcdp.39.2.01.
The association between health outcomes and socioeconomic status (SES) has been widely documented, and mortality due to unintentional injuries continues to rank among the leading causes of death among British Columbians. This paper quantified the SES-related disparities in the mortality burden of three British Columbia's provincial injury prevention priority areas: falls among seniors, transport injury, and youth suicide.
Mortality data (2009 to 2013) from Vital Statistics and dissemination area or local health area level socioeconomic data from CensusPlus 2011 were linked to examine age-standardized mortality rates (ASMRs) and disparities in ASMRs of unintentional injuries and subtypes including falls among seniors (aged 65+) and transport-related injuries as well as the intentional injury type of youth suicide (aged 15 to 24). Disparities by sex and geography were examined, and relative and absolute disparities were calculated between the least and most privileged areas based on income, education, employment, material deprivation, and social deprivation quintiles.
Our study highlighted significant sex differences in the mortality burden of falls among seniors, transport injury, and youth suicide with males experiencing significantly higher mortality rates. Notable geographic variations in overall unintentional injury ASMR were also observed across the province. In general, people living in areas with lower income and higher levels of material deprivation had increasingly higher mortality rates compared to their counterparts living in more privileged areas.
The significant differences in unintentional and intentional injury-related mortality outcomes between the sexes and by SES present opportunities for targeted prevention strategies that address the disparities.
健康结果与社会经济地位（SES）之间的关联已得到广泛证实，不列颠哥伦比亚省的非故意伤害死亡率仍然是主要死因之一。本文量化了不列颠哥伦比亚省三个省级伤害预防重点领域（老年人跌倒、交通伤害和青少年自杀）的死亡率负担与 SES 相关的差异。
将来自生命统计数据（2009 年至 2013 年）和普查加 2011 年的传播区或当地卫生区社会经济数据相关联，以检查年龄标准化死亡率（ASMR）以及老年人跌倒（65 岁及以上）和交通相关伤害等非故意伤害和亚型以及青少年自杀（15 至 24 岁）的故意伤害类型的 ASMR 差异。检查了性别和地理差异，并根据收入、教育、就业、物质剥夺和社会剥夺五分位数计算了最贫困和最富裕地区之间的相对和绝对差异。
我们的研究强调了老年人跌倒、交通伤害和青少年自杀死亡率负担方面存在显著的性别差异，男性的死亡率明显更高。全省范围内也观察到总体非故意伤害 ASMR 的显著地理差异。一般来说，与生活在收入较低和物质剥夺程度较高地区的人相比，生活在收入较低和物质剥夺程度较高地区的人死亡率更高。
男女之间以及 SES 之间在非故意伤害和故意伤害相关死亡率方面的显著差异为解决差异提供了有针对性的预防策略的机会。
