Geospatial analyses to prioritize public health interventions: a case study of pedestrian and pedal cycle injuries in New South Wales, Australia.

Int J Public Health 2012 Jun 24;57(3):467-75. Epub 2012 Jan 24.

School of Public Health and Community Medicine, The University of New South Wales, Sydney, NSW 2052, Australia.

Objectives: Pedestrian and pedal cycle injuries are important causes of child morbidity and mortality. The combination of Bayesian methods and geographical distribution maps may assist public health practitioners to identify communities at high risk of injury.

Methods: Data were obtained on all hospitalizations of children from NSW (Australia), for pedestrian and pedal cycle injuries, from 2000-2001 to 2004-2005. Using Bayesian methods, posterior expected rate ratios (as an estimate of smoothed standardized hospitalization ratios for each injury mechanism) were mapped by local government area (LGA) across the state.

Results: There were over 7,000 hospitalizations for pedestrian and pedal cycle injuries. High risk LGAs accounted for more than one third of hospitalized pedestrian and pedal cycle injuries in NSW.

Conclusions: LGAs at high risk for pedestrian injury tended to be urbanized metropolitan areas with a high population density, while high risk LGAs for pedal cycle injury tended to be either in urban regional areas, or on the margin of urbanized metropolitan areas. Geospatial analyses can assist policymakers and practitioners to identify high risk communities for which public health interventions can be prioritized.

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00038-012-0331-7DOI Listing
June 2012
32 Reads

Publication Analysis

Top Keywords

pedal cycle
24
pedestrian pedal
20
cycle injuries
20
high risk
20
public health
12
risk lgas
8
urbanized metropolitan
8
practitioners identify
8
bayesian methods
8
injury tended
8
metropolitan areas
8
health interventions
8
geospatial analyses
8
pedal
6
cycle
6
high
6
pedestrian
6
risk
5
injuries
5
expected rate
4

References

(Supplied by CrossRef)

R Bergamaschi et al.
J Neurol Sci 2006

C DiGuiseppi et al.
BMJ 1997

G Doukas et al.
Accid Anal Prev 2010

T Dowswell et al.
Health Educ Res 2002

R Ekman et al.
Inj Prev 2005

M Hassleberg et al.
J Epidemiol Community Health 2001

Similar Publications