Language and unintentional injury mortality in Quebec, Canada.
Language-based differences in unintentional injury are poorly understood, despite the importance of language as a determinant of health. This study assessed inequalities in unintentional injury mortality between Francophones and Anglophones of Quebec, Canada. We calculated age-standardised rates of death by period, region, residential deprivation and cause of injury, and estimated rate ratios for Francophones relative to Anglophones. Francophones had higher unintentional injury mortality rates than Anglophones. Inequalities decreased over time for men, but rates remained 50% higher for Francophones at the end of the study period. Rates were stable for women, but were 30% higher for Francophones compared with Anglophones. Inequalities were larger at age 15-44 years, in urban areas, and for MVCs. Better understanding of risk factors for MVCs may benefit injury prevention in Quebec. Language-based differences in injury mortality warrant attention in other multilingual populations, especially across different demographic, temporal, regional and cause-of-injury groups.
Centre de recherche du Centre Hospitalier de l'Université de Montréal, Montreal, Quebec, Canada Département de Médecine Sociale et Préventive, Université de Montréal, Montreal, Quebec, Canada.
Stephanie
S
Burrows
Centre de recherche du Centre Hospitalier de l'Université de Montréal, Montreal, Quebec, Canada Département de Médecine Sociale et Préventive, Université de Montréal, Montreal, Quebec, Canada Institut national de santé publique du Québec, Montreal, Quebec, Canada.
Nathalie
N
Auger
Institut national de santé publique du Québec, Montreal, Quebec, Canada Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Quebec, Canada.
Ernest
E
Lo
D000293:Adolescent; D000328:Adult; D000368:Aged; D002423:Cause of Death; D002648:Child; D002675:Child, Preschool; D005260:Female; D054624:Health Status Disparities; D006801:Humans; D007223:Infant; D007802:Language; D008297:Male; D008875:Middle Aged; D008913:Minority Groups / Q000706:statistics & numerical data; D011792:Quebec / Q000453:epidemiology; D012959:Socioeconomic Factors; D014505:Urban Population / Q000706:statistics & numerical data; D014947:Wounds and Injuries / Q000401:mortality*; D055815:Young Adult