Does poverty lead to non-fatal unintentional injuries in rural Vietnam?
The aim of this study was to identify associations between poverty at the household level and unintentional injury morbidity. A cohort consisting of 24,874 person-time episodes, representing 24,776 people living in 5,801 households (classified into rich, middle income and poor by local authorities in 1999) was followed during 2000, in order to identify and assess non-fatal unintentional injuries. Incidence rate ratios were calculated using a Poisson regression model. The results showed that poverty was a risk factor for unintentional injuries generally. When looking at different types of injury, poverty was a risk for home, work and "other" injuries, protective for school injuries, while the risk of traffic injuries was not affected. The results also showed that communes in mountainous areas were at higher risk for home, work and other injuries. Overall, poverty was associated with unintentional injury morbidity. However, the relationship varied by sex, age and type of injury. Specifically, poverty increased the risk for children and elderly people being injured at home, and for adults (15-59 years) being affected by work injuries.
Thanh
Nguyen Xuan
NX
Department of Health Economics, Faculty of Public Health Hanoi Medical University, Vietnam. nxt207@yahoo.com
Hang
Hoang Minh
HM
Chuc
Nguyen Thi Kim
NT
Byass
Peter
P
Lindholm
Lars
L
D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D002648:Child; D016000:Cluster Analysis; D015331:Cohort Studies; D003906:Developing Countries; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D016012:Poisson Distribution; D011203:Poverty; D012307:Risk Factors; D012423:Rural Health; D017678:Sex Distribution; D014744:Vietnam / Q000453:epidemiology; D014947:Wounds and Injuries / Q000453:epidemiology / Q000209:etiology*