Elinore J Kaufman1, Douglas J Wiebe2. 1. Master of Science in Health Policy, University of Pennsylvania, Philadelphia, Pennsylvania, USA. 2. Epidemiology in Biostatistics and Epidemiology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Abstract
OBJECTIVES: Death from injury is frequently preventable, but injury remains a leading cause of death in the USA. While evidence-based strategies exist to prevent many types of injuries, effective policies for implementing these strategies at the population level are needed to reduce injury deaths. We identified promising injury prevention policies and evaluated their association with injury death rate (IDR). METHODS: We identified 11 injury prevention policies and accessed data on 2013 state and county IDRs. States were divided into strong, moderate and weak tertiles based on total number of policies in place. Adjusted regression modelling compared the strength of state prevention policies with IDRs at the state level and then at the county level to account for variability within states. RESULTS: The strength of state prevention policies (tertile) was not significantly associated with IDR in US states. However, counties in strong policy states had a 11.8-point lower IDR compared with those in weak policy states (p=0.001). CONCLUSIONS: States with more injury prevention policies in place have lower rates of death from injury, particularly when evaluated at the county level. Implementing recommended prevention policies holds potential to prevent injury death in the USA. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/
OBJECTIVES: Death from injury is frequently preventable, but injury remains a leading cause of death in the USA. While evidence-based strategies exist to prevent many types of injuries, effective policies for implementing these strategies at the population level are needed to reduce injury deaths. We identified promising injury prevention policies and evaluated their association with injury death rate (IDR). METHODS: We identified 11 injury prevention policies and accessed data on 2013 state and county IDRs. States were divided into strong, moderate and weak tertiles based on total number of policies in place. Adjusted regression modelling compared the strength of state prevention policies with IDRs at the state level and then at the county level to account for variability within states. RESULTS: The strength of state prevention policies (tertile) was not significantly associated with IDR in US states. However, counties in strong policy states had a 11.8-point lower IDR compared with those in weak policy states (p=0.001). CONCLUSIONS: States with more injury prevention policies in place have lower rates of death from injury, particularly when evaluated at the county level. Implementing recommended prevention policies holds potential to prevent injury death in the USA. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/
Authors: Joseph L Annest; Lois A Fingerhut; Susan S Gallagher; David C Grossman; Holly Hedegaard; Renee L Johnson; Mel Kohn; Donna Pickett; Karen E Thomas; Roger B Trent Journal: MMWR Recomm Rep Date: 2008-03-28
Authors: Rebekah Mannix; Eric Fleegler; William P Meehan; Sara A Schutzman; Kara Hennelly; Lise Nigrovic; Lois K Lee Journal: Pediatrics Date: 2012-11-05 Impact factor: 7.124
Authors: David Watson; Blair Benton; Elizabeth Ablah; Kelly Lightwine; Ronda Lusk; Hayrettin Okut; Thuy Bui; James M Haan Journal: Kans J Med Date: 2021-01-21
Authors: Arielle C Thomas; Brendan T Campbell; Haris Subacius; Claudia P Orlas; Eileen Bulger; Ronald M Stewart; Anne M Stey; Angie Jang; Doulia Hamad; Karl Y Bilimoria; Avery B Nathens Journal: Injury Date: 2022-09-13 Impact factor: 2.687