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Mo F, Neutel IC, Morrison H, et al. A cohort study for the impact of activity-limiting injuries based on the Canadian National Population Health Survey 1994-2006. BMJ Open. 2013;3(3)doi: 10.1136/bmjopen-2012-002052.
Mo, F., Neutel, I. C., Morrison, H., Hopkins, D., Da Silva, C., & Jiang, Y. (2013). A cohort study for the impact of activity-limiting injuries based on the Canadian National Population Health Survey 1994-2006. BMJ open, 3(3), . https://doi.org/10.1136/bmjopen-2012-002052
Mo, Frank, et al. "A cohort study for the impact of activity-limiting injuries based on the Canadian National Population Health Survey 1994-2006." BMJ open vol. 3,3 (2013). doi: https://doi.org/10.1136/bmjopen-2012-002052
Mo F, Neutel IC, Morrison H, Hopkins D, Da Silva C, Jiang Y. A cohort study for the impact of activity-limiting injuries based on the Canadian National Population Health Survey 1994-2006. BMJ Open. 2013 Mar 13;3(3). doi: 10.1136/bmjopen-2012-002052. PMID: 23491751; PMCID: PMC3612820.
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BMJ Open. 2013 Mar 13;3(3). doi: 10.1136/bmjopen-2012-002052.

A cohort study for the impact of activity-limiting injuries based on the Canadian National Population Health Survey 1994-2006.

BMJ open

Frank Mo, Ineke C Neutel, Howard Morrison, Doug Hopkins, Caroline Da Silva, Ying Jiang

Affiliations

  1. Public Health Agency of Canada, Centre for Chronic Disease Prevention and Control, Consumer Product Safety and Injury Risk Assessment Program Working Group, Science Integration Division, Ottawa, Ontario, Canada.

PMID: 23491751 PMCID: PMC3612820 DOI: 10.1136/bmjopen-2012-002052

Abstract

OBJECTIVE: To examine the prevalence and factors affecting activity-limiting injuries (ALI) in individuals and in the Canadian population; to estimate the short and long term impact on health status and well-being because of ALI in Canada from 1994 to 2006 using the Canadian National Population Health Survey (NPHS).

DESIGN: The NPHS is a randomised longitudinal cohort study with biennial interviews, with information on age, sex, education, marital status, income, residence, height and weight to self-perceived health status, healthcare utilisation and medication use in addition to ALI.

SETTING: The study population was a random sample of male and female participants 20 years and older from 10 provinces and three territories in Canada.

PRIMARY AND SECONDARY OUTCOME MEASURES: Logistic regression models were used to assess the potential impact of ALI on individuals and on the Canadian population. The interviews 2 years before and 2 years after the ALI were compared to examine long-term effects, and the McNemar test option in SAS was used for the matched analysis.

RESULTS: The immediate impacts of ALI were pain, disability and disruption of regular life. Long-term effects in patients were chronic pain and increased medical doctor visits. Population impact included a considerable increase in healthcare access and cost. The odds ratios (OR) for the 20-39 age group compared with those 60+ was 2.2; 95% CI 1.8 to 2.7, while the OR associated with male participants was 1.4; 95% CI 1.1 to 1.6. Individuals consuming nine or more alcoholic drinks per week were also significantly more likely to report an ALI (OR, 1.5; 95% CI 1.3 to 1.8).

CONCLUSIONS: The findings from this study illustrated the immediate and long-term impact of individuals and population level injuries in Canada. Injury control policies should aim to prevent the number of injuries, fatalities as well as the consequences among survivors.

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