Risk factors for injury in a national cohort of 87,134 Thai adults

Summary Background Information is needed regarding risk factors associated with injury. In middle- and lower-income countries, injury studies have focused on road traffic injuries and less attention has been given to other types of injuries. Methods This study is part of overarching health–risk tran...

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Bibliographic Details
Published in:Public health (London) 2012-01, Vol.126 (1), p.33-39
Main Authors: Yiengprugsawan, V, Stephan, K, McClure, R, Kelly, M, Seubsman, S, Bain, C, Sleigh, A.C
Format: Article
Language:English
Subjects:
Adolescent
Adult
Alcohol
Anxiety-Depression
Cohort analysis
Cohort Studies
Female
Health Status
Home injury
Humans
Incidence
Infectious Disease
Injuries
Internal Medicine
Male
Middle Aged
Original Research
Risk Factors
Social Class
Sport injury
Surveys and Questionnaires
Thailand
Thailand - epidemiology
Transport
Transport injury
Work injury
Wounds and Injuries - epidemiology
Wounds and Injuries - etiology
Young Adult
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Summary:Summary Background Information is needed regarding risk factors associated with injury. In middle- and lower-income countries, injury studies have focused on road traffic injuries and less attention has been given to other types of injuries. Methods This study is part of overarching health–risk transition research in Thailand with a large national cohort study that began in 2005 ( n  = 87,134). Associations between potential determinants and overall injury were measured, as well as injury by location (transport, home, work and sport), using data gathered from the baseline questionnaire. Results In total, 21.5% of the cohort reported at least one incidence of injury over the last 12 months. Risk factors associated with injury were being male [odds ratio (OR) 1.20], having lower income (OR 1.70), having problems with vision (OR 1.46), having epilepsy (OR 3.02), having depression/anxiety (OR 1.62), poor self-assessed health (OR 1.68), being obese (OR 1.24) and death of father due to injury (OR 1.59). Analysis of injury by location provided more specific information on risk factors. For example, females were more likely to report injuries at home, while males, urban residents and regular alcohol drinkers were more likely to report transport injuries. Conclusions The risk of injury in Thailand varies considerably by location, sociodemographic group and several categories of co-existing morbidities. Such epidemiological information identifying risk factors for injury is useful for designing targeted injury prevention programmes in Thailand and other middle-income countries.
ISSN:0033-3506
1476-5616
DOI:10.1016/j.puhe.2011.09.027