Parental social determinants of risk for intentional injury: a cross-sectional study of Swedish adolescents.
OBJECTIVE
We investigated the effect of family social and economic circumstances on intentional injury among adolescents.


METHODS
We conducted a cross-sectional register study of youths aged 10 to 19 years who lived in Sweden between 1990 and 1994. We used socioeconomic status, number of parents in the household (1- or 2-parent home), receipt of welfare benefits, parental country of birth, and population density as exposures and compiled relative risks and population-attributable risks (PARs) for self-inflicted and interpersonal violence-related injury.


RESULTS
For both genders and for both injury types, receipt of welfare benefits showed the largest crude and net relative risks and the highest PARs. The socioeconomic status-related PAR for self-inflicted injury and the PAR related to number of parents in the household for interpersonal violence-related injury also were high.


CONCLUSIONS
Intentional-injury prevention and victim treatment need to be tailored to household social circumstances.
Engström
Karin
K
Karolinska Institutet, Department of Public Health Sciences, Division of Social Medicine, Norrbacka, Stockholm, Sweden. karin.engstrom@phs.ki.se
Diderichsen
Finn
F
Laflamme
Lucie
L
D000293:Adolescent; D000294:Adolescent Behavior; D002648:Child; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D015999:Multivariate Analysis; D020380:Needs Assessment; D009790:Occupations / Q000706:statistics & numerical data; D010290:Parents / Q000193:education / Q000523:psychology; D011156:Population Density; D011159:Population Surveillance; D000297:Psychology, Adolescent; D012042:Registries; D012111:Residence Characteristics / Q000706:statistics & numerical data; D012307:Risk Factors; D016728:Self-Injurious Behavior / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control / Q000523:psychology; D012923:Social Class; D012946:Social Welfare / Q000706:statistics & numerical data; D012959:Socioeconomic Factors; D013548:Sweden; D014754:Violence / Q000517:prevention & control / Q000523:psychology / Q000706:statistics & numerical data