Ming Leung1, Chun Bong Chow2, Pak-Keung Patrick Ip3, Siu-Fai Paul Yip4. 1. Princess Margaret Hospital, A&E Office, 1/F, Block H, Lai King Hill Road, Kwai Chung, NT, Hong Kong; Department of Paediatrics and Adolescent Medicine, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong. Electronic address: Leungm1@ha.org.hk. 2. Department of Paediatrics and Adolescent Medicine, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong; Hospital Authority Infectious Disease Centre and Paediatrics & Adolescent Medicine, Princess Margaret Hospital, Hong Kong; University of Hong Kong - ShenZhen Hospital, ShenZhen. Electronic address: chowcb@hku.hk. 3. Department of Paediatrics and Adolescent Medicine, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong. Electronic address: patricip@hku.hk. 4. Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong; Faculty of Social Sciences, Director of HK Jockey Club Center of Suicide Research and Prevention, Hong Kong. Electronic address: sfpyip@hku.hk.
Abstract
OBJECTIVE: The study aimed to explore the association between area-based coverage of community services and the incidence of self-harm, which will provide an evaluation framework for the support of self-harm. METHODS: Enhanced two-Step floating catchment area method was used to estimate the centersto- population ratio and geographical accessibility adjusted by a distance-decay function. Spearman's rank coefficient was used to examine the association between the self-harm rate and adjusted accessibility index. RESULTS: There was a significant negative correlation between the accessibility index and selfharm rate in youth (rho = -0.87, P < 0.01) and older adults (rho = -0.87, P < 0.01). The survival curves showed no relationship between self-harm repetition and service accessibility in youth or older adults. CONCLUSIONS: The uneven spatial accessibility of community social service centers and the independence between spatial accessibility and self-harm highlights the need to explore personal barriers to community service utilization.
OBJECTIVE: The study aimed to explore the association between area-based coverage of community services and the incidence of self-harm, which will provide an evaluation framework for the support of self-harm. METHODS: Enhanced two-Step floating catchment area method was used to estimate the centersto- population ratio and geographical accessibility adjusted by a distance-decay function. Spearman's rank coefficient was used to examine the association between the self-harm rate and adjusted accessibility index. RESULTS: There was a significant negative correlation between the accessibility index and selfharm rate in youth (rho = -0.87, P < 0.01) and older adults (rho = -0.87, P < 0.01). The survival curves showed no relationship between self-harm repetition and service accessibility in youth or older adults. CONCLUSIONS: The uneven spatial accessibility of community social service centers and the independence between spatial accessibility and self-harm highlights the need to explore personal barriers to community service utilization.
Authors: Valkiria Amaya; Thibauld Moulaert; Luc Gwiazdzinski; Nicolas Vuillerme Journal: Int J Environ Res Public Health Date: 2022-02-05 Impact factor: 3.390