Department of Environmental and Life Sciences, Division of Risk Management, Karlstad University, Karlstad, Sweden
Centre for Public Safety, Karlstad University, Karlstad, Sweden.
Inj Prev. 2020 Apr;26(2):147-152. doi: 10.1136/injuryprev-2018-043062. Epub 2019 Mar 4.
This study aimed to investigate the association between sociodemographic factors and residential fire fatalities in Sweden. A majority of fatal fires occur in housing. An understanding of risk factors and risk groups is a must for well-founded decisions regarding targeted prevention efforts. There is a lack of consideration of the interrelation between sociodemographic factors and fire fatalities and there is a lack of high quality large-scale studies.
In this matched case-control study, residential fire fatalities (cases, n=850) (age above 19 years old) were identified in the national register on fatal fires. Four controls per case were randomly matched by gender and age. ORs were calculated to assess the association between different sociodemographic factors with residential fire fatalities using conditional logistic regression.
Having low income, receiving social allowance and receiving health-related early retirement pension were associated with an increased risk of dying in residential fires. The results also show clearly that adults dying in residential fires to a significantly lower extent were living together with a partner, were in work, were highly educated and lived in urban areas. However, contrary to previous research, living in rented apartments appeared not to influence the risk of death.
In this study, we show that fatalities due to residential fires in Sweden are associated with some but not all of previously published sociodemographic risk factors. The results provide valuable information that can improve the guiding and targeting of fire mortality prevention strategies in Sweden.
本研究旨在探讨瑞典社会人口因素与住宅火灾死亡之间的关联。大多数致命火灾发生在住房中。了解危险因素和风险群体是针对有针对性的预防措施做出合理决策的必要条件。缺乏对社会人口因素与火灾死亡之间相互关系的考虑，也缺乏高质量的大规模研究。
在这项匹配的病例对照研究中，在全国致命火灾登记册中确定了住宅火灾死亡（病例，n=850）（年龄在 19 岁以上）。每个病例随机匹配 4 名性别和年龄相同的对照。使用条件逻辑回归计算 OR 以评估不同社会人口因素与住宅火灾死亡之间的关联。
收入低、领取社会津贴和领取与健康相关的提前退休养老金与住宅火灾死亡风险增加有关。研究结果还清楚地表明，在住宅火灾中死亡的成年人与伴侣同住、工作、受过高等教育和居住在城市地区的比例显著降低。然而，与先前的研究相反，居住在出租公寓中似乎不会影响死亡风险。
在这项研究中，我们表明瑞典住宅火灾造成的死亡与以前发表的一些但不是所有社会人口危险因素有关。研究结果提供了有价值的信息，可以改善瑞典火灾死亡率预防策略的指导和针对性。
