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International Journal of Epidemiology, Vol 26, 1033-1040, Copyright © 1997 by International Epidemiological Association
F Masson, M Saves, LR Salmi, A Bourde, G Henrion and P Erny
BACKGROUND: This study was designed to estimate the incidence and describe
the characteristics of injuries during a one-year period in the French
island of Reunion, Indian Ocean, a defined geographic population with
socioeconomic problems. METHODS: Cases were injuries from accidents
(unintentional injuries), self-inflicted injuries (suicides and attempted
suicides), or injuries purposely inflicted by other people, that resulted
in hospital admission or death. Patients and injury characteristics were
recorded prospectively, alternately every other week, in all emergency
rooms on the island; all death certificates were studied. RESULTS: The
overall annual incidence of injuries was 1578 per 100,000 residents. The
three main causes of injury were (i) falls on the same level (23.6%), (ii)
poisoning (23.0%) and (iii) traffic accidents (21.5%). Of the traffic
accident cases, 44% were motorcyclists (mostly mopeds) and more than half
of the cases were 15-25 years old. Suicides and attempted suicides
accounted for 80.9% of poisonings, 35.5% of immediately fatal injuries, and
19.6% of non-fatal injuries. Homicides and assaults accounted for 8.3% of
all injuries. The employment rate was lower for injured patients than in
the total Reunion population (standardized ratio for males: 74; P <
0.001). Half of the injured hospitalized patients had an Injury Severity
Score < 5 and 8 days after hospitalization, 83.5% of patients had
returned home. CONCLUSION: Injury epidemiology may be affected by different
demographic, socioeconomic, cultural and geographical factors. Targeted
studies are therefore necessary to guide injury prevention measures.
ARTICLES
Injuries in a problematic socioeconomic context: a population-based study in Reunion, Indian Ocean, 1993-1994. GEAR. Groupement d'Etude sur les Accidents a la Reunion
Departement d'Anesthesie Reanimation, Centre Hospitalier Universitaire, Bordeaux, France.
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