OBJECTIVES: We describe educational inequalities in the incidence of injuries resulting in hospital admission and explore the contribution of exposure variables and chronic diseases, alcohol consumption, and sedative use to the observed inequalities. STUDY DESIGN AND SETTING: Data from the Dutch prospective GLOBE study were linked to the National Hospital Discharge Register after 7 years of follow-up. RESULTS: Significantly higher hazard ratios (HRs) of traffic injuries in lower compared with higher educational groups were substantially reduced after adjustment for differences in the use of cars and mopeds between these groups. Significantly increased HRs in occupational, home, and sports (OHS) injuries in lower compared with higher educational groups were reduced after adjustment for higher prevalence rates of chronic diseases, very excessive alcohol consumption, and sedative use in lower educational groups. CONCLUSION: Exposure variables, chronic diseases, alcohol consumption, and sedative use contribute to educational inequalities in traffic and OHS injuries resulting in hospital admission.
OBJECTIVES: We describe educational inequalities in the incidence of injuries resulting in hospital admission and explore the contribution of exposure variables and chronic diseases, alcohol consumption, and sedative use to the observed inequalities. STUDY DESIGN AND SETTING: Data from the Dutch prospective GLOBE study were linked to the National Hospital Discharge Register after 7 years of follow-up. RESULTS: Significantly higher hazard ratios (HRs) of traffic injuries in lower compared with higher educational groups were substantially reduced after adjustment for differences in the use of cars and mopeds between these groups. Significantly increased HRs in occupational, home, and sports (OHS) injuries in lower compared with higher educational groups were reduced after adjustment for higher prevalence rates of chronic diseases, very excessive alcohol consumption, and sedative use in lower educational groups. CONCLUSION: Exposure variables, chronic diseases, alcohol consumption, and sedative use contribute to educational inequalities in traffic and OHS injuries resulting in hospital admission.
Authors: Olga Vikhireva; Hynek Pikhart; Andrzej Pajak; Ruzena Kubinova; Sofia Malyutina; Anne Peasey; Roman Topor-Madry; Yuri Nikitin; Michael Marmot; Martin Bobak Journal: Eur J Public Health Date: 2009-12-03 Impact factor: 3.367