Advertisement
AJPH
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

AJPH First Look, published online ahead of print Jan 15, 2009
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
AJPH.2008.139576v1
99/4/748    most recent
Right arrow Submit a response
Right arrow purchase articles
Right arrow View Shopping Cart
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Right arrow Get other permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Fabio, A.
Right arrow Articles by Li, W.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Fabio, A.
Right arrow Articles by Li, W.
Related Collections
Right arrow Community Health
Right arrow Epidemiology
Right arrow Social Science
Right arrow Injury/Emergency Care/Violence
Right arrow Other Race/Ethnicity
Right arrow Other Statistics/Evaluation/Research
April 2009, Vol 99, No. 4 | American Journal of Public Health 748-753
© 2009 American Public Health Association
DOI: 10.2105/AJPH.2008.139576

RESEARCH AND PRACTICE

The Association Between County-Level Injury Rates and Racial Segregation Revisited: A Multilevel Analysis

Anthony Fabio, PhD, MPH, Erin K. Sauber-Schatz, MPH, Kamil E. Barbour, MPH and Wei Li, PhD

At the time of the study Anthony Fabio, Erin K. Sauber-Schatz, and Kamil E. Barbour were with the Center for Injury Research and Control, Department of Neurosurgery, University of Pittsburgh, Pittsburgh, PA. Wei Li was with Bayer HealthCare Pharmaceuticals, Montville, NJ.

Correspondence: Requests for reprints should be sent to Anthony Fabio, Center for Injury Research and Control, PARKV 203, 3520 Forbes Ave, Pittsburgh, PA 15261 (e-mail: fabioa{at}upmc.edu).

Objectives. We investigated whether within-county racial segregation was associated with increased odds of violent injury beyond individual risk.

Methods. In a cross-sectional study, data on 75 310 patients admitted with an injury to Pennsylvania hospitals from 1997 to 1999 were analyzed to determine the association between county-level racial segregation and violent injury. We used multilevel analysis to adjust for individual- and county-level factors. Principal components analysis allowed us to separate the effect of segregation from other county-level variables.

Results. After adjustment, greater segregation was associated with increased odds of violent injury among Whites (odds ratio [OR] = 1.20; 95% confidence interval [CI] = 1.11, 1.30) and non-Whites (OR = 1.45; 95% CI = 1.28, 1.64). The association was stronger for non-Whites.

Conclusions. Our results suggested that living in a county with high levels of racial segregation was associated with increased odds of violence not explained by an individual's own risk. These findings represent an important step in understanding the nature of observed links between race and violence. Future work should develop prevention strategies that simultaneously target community and individual risks.






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2009 by the American Public Health Association