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Road traffic injuries among young car drivers by country of origin and socioeconomic position.

https://arctichealth.org/en/permalink/ahliterature156875
Source
Int J Public Health. 2008;53(1):40-5
Publication Type
Article
Date
2008
Author
Marie Hasselberg
Lucie Laflamme
Author Affiliation
Karolinska Institutet, Department of Public Health Sciences, Stockholm, Sweden. marie.hasselberg@ki.se
Source
Int J Public Health. 2008;53(1):40-5
Date
2008
Language
English
Publication Type
Article
Keywords
Accidents, Traffic - statistics & numerical data
Adolescent
Adult
Cohort Studies
Cross-Sectional Studies
Emigrants and Immigrants - statistics & numerical data
Ethnic Groups - statistics & numerical data
Female
Humans
Male
Population Surveillance
Risk
Socioeconomic Factors
Sweden
Wounds and Injuries - epidemiology - ethnology
Abstract
The study examines the relationship between country of birth, socioeconomic position, and the risk of being injured as a young car driver.
The study consists of a nationwide follow-up of young people in Sweden in which individual census records on country of birth and household socioeconomic position were linked to the Hospital Discharge Register so as to identify subjects' road traffic injuries (RTIs) as car drivers. Multivariate analyses were conducted using Cox regression, with hospital admission due to RTI as car driver as the dependent variable.
There are no significant differences in injury risks between foreign-born and Swedish-born drivers, but clear socioeconomic differences were found. Young drivers from manual worker families have 80% higher risk for RTIs compared to drivers in families with salaried employee parents (RR 1.83, CI 1.63-2.05).
The results do not support the idea that type of country of origin constitutes a significant marker of risk level for RTI as novice car driver. On the other hand, the results reconfirm that, in Sweden, the risk of RTI among young drivers from different socioeconomic backgrounds varies.
PubMed ID
18522368 View in PubMed
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The social patterning of injury repetitions among young car drivers in Sweden.

https://arctichealth.org/en/permalink/ahliterature51927
Source
Accid Anal Prev. 2005 Jan;37(1):163-8
Publication Type
Article
Date
Jan-2005
Author
Marie Hasselberg
Lucie Laflamme
Author Affiliation
Department of Public Health Sciences, Division of Social Medicine, Karolinska Institute, Norrbacka, SE-171 76 Stockholm, Sweden. marie.hasselberg@smd.sll.se
Source
Accid Anal Prev. 2005 Jan;37(1):163-8
Date
Jan-2005
Language
English
Publication Type
Article
Keywords
Accidents, Traffic - statistics & numerical data
Adolescent
Adult
Automobile Driving - legislation & jurisprudence
Female
Humans
Male
Odds Ratio
Socioeconomic Factors
Sweden - epidemiology
Wounds and Injuries - epidemiology
Abstract
A national register-based cohort study was conducted to explore whether the social patterning of car drivers suffering injury repetitions differs from that of once-injured drivers in a cohort of young persons in Sweden (aged 18-26). Injury repeaters were defined as individuals sustaining injuries as a car driver on more than one occasion over an 8-year period. Only subjects obtaining a driver's licence before the age of 27 were included in the study. The social variables considered were, in turn, gender, socioeconomic position of origin, and own educational attainment. Attention was also paid to age at licensing. Two types of comparisons were made, using odds ratios with 95% confidence intervals. First, the odds of injury repeaters were computed using the once-injured car drivers as a reference group. Second, odds were compiled for once, twice, and three or more times injured people, using the non-injured at all as a comparison group. The results show that, by and large, the injury-risk distribution of car drivers with injury repetition does not differ from that of one-injury drivers with regard to gender, education, or socioeconomic group. However, drivers from self-employed households show greater odds of injury repetition (OR 1.65, CI 1.02-2.67) than of one injury compared with drivers from the families of non-manual employees. Since the number of injury repeaters is low and their socioeconomic distribution is very similar to that of the once injured, there is no need to regard them as a group at excess risk or different from the one-time injured. Reducing risk levels and risk differentials for the one time injured should therefore receive priority with regard to traffic-injury prevention.
PubMed ID
15607287 View in PubMed
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How do car crashes happen among young drivers aged 18-20 years? Typical circumstances in relation to license status, alcohol impairment and injury consequences.

https://arctichealth.org/en/permalink/ahliterature150187
Source
Accid Anal Prev. 2009 Jul;41(4):734-8
Publication Type
Article
Date
Jul-2009
Author
Marie Hasselberg
Lucie Laflamme
Author Affiliation
Karolinska Institutet, Department of Public Health Sciences, Division of International Health, Nobels väg 9, Stockholm SE-171 77, Sweden. marie.hasselberg@ki.se
Source
Accid Anal Prev. 2009 Jul;41(4):734-8
Date
Jul-2009
Language
English
Publication Type
Article
Keywords
Accidents, Traffic - statistics & numerical data
Adolescent
Adult
Age Factors
Alcoholic Intoxication - epidemiology
Automobile Driving - statistics & numerical data
Confidence Intervals
Female
Humans
Licensure - statistics & numerical data
Male
Odds Ratio
Registries
Risk factors
Sweden
Time Factors
Young Adult
Abstract
The study aims to clarify the most typical circumstances in which car crashes involving young drivers and leading to the occurrence of injuries and to consider the various licensing statuses of the drivers in such crashes.
Young Swedish drivers born between 1984 and 1986 were followed up in the Police register (2003-2004) for their involvement in car crashes as drivers (n=2448). A set of five variables (25 categories) descriptive of those crashes was analyzed simultaneously by means of cluster analysis. Associations between crash clusters and licensing status (including none), licensing duration and alcohol involvement were also measured.
Five clusters were identified, typical of one or some specific crash type(s): single-vehicle in sparsely populated areas, front-on collisions, crashes at dawn or at dusk, turning, cars of later model, crashes in urban areas and speed limits below 50 km/h. Clusters differ in consequences and in the proportions of alcohol impaired drivers involved but not regarding proportions of novice drivers. Unlicensed drivers were found in excess in some clusters (especially single and night time crashes).
Young drivers are involved in crashes leading to injuries in rather specific circumstances. For some of them, novice drivers or even unlicensed drivers are over-represented, which points to the need for targeted counter-measures, alongside those general ones already in place.
PubMed ID
19540962 View in PubMed
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Socioeconomic background and road traffic injuries: a study of young car drivers in Sweden.

https://arctichealth.org/en/permalink/ahliterature30703
Source
Traffic Inj Prev. 2003 Sep;4(3):249-54
Publication Type
Article
Date
Sep-2003
Author
Marie Hasselberg
Lucie Laflamme
Author Affiliation
Karolinska Institute, Department of Public Health Sciences, Division of Social Medicine, Stockholm, Sweden. marie.hasselberg@smd.sll.se
Source
Traffic Inj Prev. 2003 Sep;4(3):249-54
Date
Sep-2003
Language
English
Publication Type
Article
Keywords
Accidents, Traffic - prevention & control - statistics & numerical data
Adolescent
Adult
Age Factors
Automobile Driving
Female
Humans
Male
Research Support, Non-U.S. Gov't
Risk Reduction Behavior
Socioeconomic Factors
Sweden
Abstract
The aim of this study is to explore the manner in which different measures of original socioeconomic position (SEP) influence road traffic injuries (RTIs) among young car drivers in Sweden. The study consists of young people age 16-23. Subjects were taken from the Swedish Population and Housing Census of 1990 (n=727,995), and followed up by a search for cases of injury to car drivers in Sweden's National Hospital Discharge Register over the years 1991-96 (n=1,599). Household SEP was measured using social class, education, and disposable income. Relative risks were estimated by Poisson regression and population attributable risks were computed for each measure of SEP. Children of unskilled workers, of the self-employed, and of farmers, as well as children of parents with compulsory education only showed an increased risk of injury as car drivers compared to children in the highest socioeconomic group and children of highly educated parents. By contrast, level of household disposable income was found not to vary with RTI among young drivers. Twenty-five percent of the injuries could be avoided if all young people had the injury rate of the highest socioeconomic group, and 29% if all young people had the injury rate of those with highly educated parents. The reduction of risk differences based on household SEP calls for consideration of factors related to both differential exposure and differential susceptibility, which may be addressed in driver education.
PubMed ID
14522649 View in PubMed
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Active commuting to and from school among Swedish children--a national and regional study.

https://arctichealth.org/en/permalink/ahliterature134964
Source
Eur J Public Health. 2012 Apr;22(2):209-14
Publication Type
Article
Date
Apr-2012
Author
Klara Johansson
Lucie Laflamme
Marie Hasselberg
Author Affiliation
Department of Public Health Sciences, Karolinska Institutet, Division of Global Health/IHCAR, Nobels väg 9, SE-171 77 Stockholm, Sweden. klara.johansson@ki.se
Source
Eur J Public Health. 2012 Apr;22(2):209-14
Date
Apr-2012
Language
English
Publication Type
Article
Keywords
Adolescent
Age Factors
Bicycling - statistics & numerical data
Child
Female
Growth
Health Surveys
Housing
Humans
Male
Motor Skills
Personality Development
Schools
Self Report
Socioeconomic Factors
Students
Sweden - epidemiology
Transportation - statistics & numerical data
Urban Population
Walking - statistics & numerical data
Abstract
Active commuting to school by walking or cycling can have positive impact on children's health and development. The study investigates the prevalence of active commuting to school in Sweden, a setting where it is facilitated and promoted; and how active commuting varies according to socio-demographic and socio-economic characteristics.
Self-reports from a national sample of Swedish children (11- to 15-year-olds, n = 4415) and a regional one from Stockholm County (13-year-olds, n = 1008) on transport to school were compared. The association that active commuting has with socio-demographic (gender, school grade, Swedish origin, type of housing, urbanicity in the local area), and socio-economic characteristics (household socio-economic status, family car ownership) was studied using logistic regression, controlling for car ownership and urbanicity, respectively.
Active commuting was high (62.9% in the national sample) but decreased with age-76% at the age of 11 years, 62% at the age of 13 years and 50% at the age of 15 years-whereas public transport increased (19-43%). Living in an apartment or row-house (compared with detached house) and living in a medium-sized city (compared with a metropolitan area) was associated with active commuting. In urban areas, active commuting was more common in worker households compared with intermediate- to high-level salaried employees.
Active commuting is common but decreases with age. Active commuting differed based on housing and urbanicity but not based on gender or Swedish origin, and impact of socio-economic factors differed depending on level of urbanicity.
PubMed ID
21521708 View in PubMed
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Exploring the neighborhood: a web-based survey on the prevalence and determinants of fear among young adolescent girls and boys.

https://arctichealth.org/en/permalink/ahliterature146649
Source
Int J Adolesc Med Health. 2009 Jul-Sep;21(3):347-59
Publication Type
Article
Author
Klara Johansson
Marie Hasselberg
Lucie Laflamme
Author Affiliation
Karolinska Institutet, Department of Public Health Sciences, Division of Global Health, Stockholm, Sweden. klara.johansson@ki.se
Source
Int J Adolesc Med Health. 2009 Jul-Sep;21(3):347-59
Language
English
Publication Type
Article
Keywords
Adaptation, Psychological
Adolescent
Adolescent Behavior
Child
Confidence Intervals
Epidemiologic Factors
Fear
Female
Humans
Internet
Logistic Models
Male
Multivariate Analysis
Odds Ratio
Parent-Child Relations
Prevalence
Psychometrics
Questionnaires
Residence Characteristics
Safety - statistics & numerical data
Sex Factors
Socioeconomic Factors
Stress, Psychological - epidemiology - etiology
Sweden - epidemiology
Abstract
Children's independent everyday mobility can be hindered by fears experienced in their neighborhood. The aim of this study is to assess the prevalence and determinants of such fears among boys and girls in early adolescence, a period when individual freedom is expected to be on the increase. A sample of 7th grade students (age-13 years) in Stockholm County, Sweden, during 2005/06 answered a survey in class (n = 1,008). The relation that gender, housing, family characteristics, individual and peer negative experiences in the neighborhood, parental licensing, and length of stay in the neighborhood have with fear disclosure was assessed through multivariate logistic regression. A total of 60% of the girls and 40% of the boys reported experiencing fears in their neighborhood. Gender differences were significant for all of the most common fears, in particular darkness. When respondents or their friends had been chased, hit, or had something taken from them in their neighborhood, they were more likely to report fear (OR girls 2.3; 95% CI 1.6-4.5; boys 2.8; 95% CI 1.9-4.2). For girls, having one or more parents born outside Sweden was associated with fear. Boys nearly three times more often reported fear if (a) they thought their parents were negative toward adolescent independent mobility in the evening, or (b) they had lived longer than one year in their area. Many young adolescents admitted to experiencing fear in their neighborhood. Fears were more common among girls, and the types and determinants of fear seem to be gender specific.
PubMed ID
20014638 View in PubMed
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Young adolescents' independent mobility, related factors and association with transport to school. A cross-sectional study.

https://arctichealth.org/en/permalink/ahliterature139866
Source
BMC Public Health. 2010;10:635
Publication Type
Article
Date
2010
Author
Klara Johansson
Marie Hasselberg
Lucie Laflamme
Author Affiliation
Department of Public Health Sciences, Division of Global Health/IHCAR, Karolinska Institutet, Nobels väg 9, SE-171 77 Stockholm, Sweden. klara.johansson@ki.se
Source
BMC Public Health. 2010;10:635
Date
2010
Language
English
Publication Type
Article
Keywords
Adolescent
Cluster analysis
Cross-Sectional Studies
Female
Humans
Male
Personal Autonomy
Questionnaires
Schools
Sweden
Transportation
Abstract
Children's independent mobility differs between groups of adolescents, but knowledge is lacking on how mobility-limiting factors interact. This study explores the association between factors that can affect young adolescents' mobility, searching for typical patterns within a geographical area where mobility is both relatively high and promoted (in this case Stockholm County, Sweden). An additional question is how clusters of limiting factors and demographic attributes relate to active commuting to school.
A sample of 7th grade students (ca 13-14 years old) in Stockholm County, Sweden, answered a survey (n = 1008). A cluster analysis was performed on variables descriptive of the respondents and of potential limitations to their independent mobility, such as fears, coping, traffic situation in the neighbourhood and parent/child opinions on mobility (18 variables and 50 categories). Active commuting to/from school was compared using proportion (with 95% confidence intervals) by cluster.
Five consistent and distinct clusters were identified. Among the most discriminating factors were fears experienced in the neighbourhood, strategies to cope with fear, type of housing and traffic environment. Girls were over-represented in the two clusters most typical of respondents experiencing fears (either several of these or darkness in particular) and boys in two others where housing (house vs. apartment) and neighbourhood conditions played a more determinant role. The proportion of active commuting among respondents was quite similar over clusters but was nonetheless higher in the cluster (over girls) reporting more fears and other factors limiting mobility.
Whereas fears--and coping--are more typical of adolescent girls in the formation of the clusters, household and neighbourhood characteristics are more typical of boys. Broadly speaking, there seem to be two groups of girls with fears but these differ based on types of fear, ways of coping with fear and their living conditions. The association between the limitations to mobility and active commuting is unclear, the latter being higher among those disclosing a broader range of limiting factors, including fears.
Notes
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PubMed ID
20969747 View in PubMed
Less detail

Socioeconomic aspects of the circumstances and consequences of car crashes among young adults.

https://arctichealth.org/en/permalink/ahliterature51928
Source
Soc Sci Med. 2005 Jan;60(2):287-95
Publication Type
Article
Date
Jan-2005
Author
Marie Hasselberg
Marjan Vaez
Lucie Laflamme
Author Affiliation
Karolinska Institutet, Department of Public Health Sciences, Division of Social Medicine, Norrbacka, SE-171 76 Stockholm, Sweden. marie.hasselberg@smd.sll.se
Source
Soc Sci Med. 2005 Jan;60(2):287-95
Date
Jan-2005
Language
English
Publication Type
Article
Keywords
Accidents, Traffic - classification - statistics & numerical data
Adult
Age Factors
Automobile Driving - statistics & numerical data
Censuses
Cohort Studies
Female
Humans
Male
Occupations - classification
Proportional Hazards Models
Registries
Research Support, Non-U.S. Gov't
Risk factors
Sex Factors
Social Class
Socioeconomic Factors
Sweden - epidemiology
Wounds and Injuries - epidemiology
Abstract
The study examines whether there are socioeconomic differences between young adult car drivers involved in road-traffic crashes with regard to crash-injury severity and crash circumstances. Differences in social patterning based on socioeconomic position (SEP) of origin and of destination, and also the effect of gender, are considered. Subjects born in 1970-1972 were extracted from the Swedish Population and Housing Census of 1985 (n = 329,716). Individual records from the 1985 census were linked to road-traffic data for the period 1988-2000 on the basis of a search for each subject's first police-registered road-traffic crash as a car driver (n = 12,502). Information on household socioeconomic group was taken from the census of 1985, and data on completed education at age 28-30 were gathered from Sweden's Register of Education. Two categories of crash severity were analysed (minor/no injury and severe/fatal injury), and also five crash circumstances (based on a classification of five crash descriptors). Both crash severity and crash circumstances are unequally distributed across social groups among young adult drivers. Social patterning is more pronounced for severe injuries/fatalities, and is consistently so across crash circumstances depending on SEP of destination, particularly for males. Socioeconomic differences are more pronounced for crash circumstances characterised as front-on and overtaking collisions and for single-vehicle crashes (43% of total crashes). In conclusion,the excess risk of young drivers from lower socioeconomic groups is consistent over crash severity but more pronounced as severity increases and for certain crash circumstances.
PubMed ID
15587501 View in PubMed
Less detail

Road traffic crash circumstances and consequences among young unlicensed drivers: a Swedish cohort study on socioeconomic disparities.

https://arctichealth.org/en/permalink/ahliterature99450
Source
BMC Public Health. 2010;10:14
Publication Type
Article
Date
2010
Author
Christina L Hanna
Marie Hasselberg
Lucie Laflamme
Jette Möller
Author Affiliation
Karolinska Institutet, Department of Public Health Sciences, Division of Public Health Epidemiology, Stockholm, Sweden.
Source
BMC Public Health. 2010;10:14
Date
2010
Language
English
Publication Type
Article
Keywords
Accidents, Traffic - statistics & numerical data
Adolescent
Cohort Studies
Female
Humans
Licensure - statistics & numerical data
Male
Prevalence
Risk
Risk-Taking
Sex Distribution
Socioeconomic Factors
Sweden - epidemiology
Wounds and Injuries - epidemiology
Abstract
BACKGROUND: Young car drivers run a higher risk of road traffic crash and injury not only because of their lack of experience but also because of their young age and their greater propensity for adopting unsafe driving practices. Also, low family socioeconomic position increases the risk of crash and of severe crash in particular. Whether this holds true for young unlicensed drivers as well is not known. Increasing attention is being drawn to the prevalence and practice of unlicensed driving among young people as an important contributor to road traffic fatalities. METHODS: This is a population-based cohort study linking Swedish national register data for a cohort of 1 616 621 individuals born between 1977 and 1991. Crash circumstances for first-time road traffic crash (RTC) were compared considering licensed and unlicensed drivers. The socioeconomic distribution of injury was assessed considering household socioeconomic position, social welfare benefits, and level of urbanicity of the living area. The main outcome measure is relative risk of RTC. RESULTS: RTCs involving unlicensed drivers were over-represented among male drivers, suspected impaired drivers, severe injuries, crashes occurring in higher speed limit areas, and in fair road conditions. Unlicensed drivers from families in a lower socioeconomic position showed increased relative risks for RTC in the range of 1.75 to 3.25. Those living in rural areas had an increased relative risk for a severe RTC of 3.29 (95% CI 2.47 - 4.39) compared to those living in metropolitan areas. CONCLUSIONS: At the time of the crash, young unlicensed drivers display more risky driving practices than their licensed counterparts. Just as licensed drivers, unlicensed young people from low socioeconomic positions are over-represented in the most severe injury crashes. Whether the mechanisms lying behind those similarities compare between these groups remains to be determined.
PubMed ID
20074325 View in PubMed
Less detail

Children's perceptions of injuries: a qualitative study in Sweden.

https://arctichealth.org/en/permalink/ahliterature105816
Source
Pediatr Nurs. 2013 Sep-Oct;39(5):225-32
Publication Type
Article
Author
Richard Allan Dale
Marie Hasselberg
Annika Jakobsson
Gunnel Hensing
Author Affiliation
Department of Social Medicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Source
Pediatr Nurs. 2013 Sep-Oct;39(5):225-32
Language
English
Publication Type
Article
Keywords
Child
Humans
Qualitative Research
Sweden
Wounds and Injuries - psychology
Abstract
To understand one of the major public health problems for children, it is important to consider the children's perspective. The purpose of this qualitative study was to explore, describe, and categorize children's perceptions of injury severity and children's explanations of the injuries they experience. A total of 29 students from six randomly selected schools were interviewed in age groups of 9, 13, and 17 years. Manifest content analysis according to Graneheim and Lundman (2004) was used to categorize children's own statements. Need of medical attention, long-term consequences, and familiarity with the injury risk situation were identified as important determinants of children's perception of injury severity. Three categories emerged from children's explanations of their injuries: "Because of Me" (beliefs, lack of concentration, health conditions, and lack of awareness of risk), "Because of the Situation" (rain, ice, wind, animals, inanimate objects, constructions, and the children's games), and "Just Inexplicable" to the children. Findings suggest that children have a wide perception of injury severity and that children's beliefs of injury causation, as well as children's familiarity with injury risk situations, need to be considered in future studies focusing on the development of childhood injury prevention strategies. Additionally, results suggest that sometimes children cannot or do not want to explain their injuries.
PubMed ID
24308087 View in PubMed
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12 records – page 1 of 2.