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Economic development and injury mortality: Studies in global trends from a health transition perspective
Karlstad University, Faculty of Social and Life Sciences.
2006 (English)Doctoral thesis, comprehensive summary (Other scientific)
Abstract [en]

Globally, injury is a major public health problem. The extent of the problem varies considerably by demographic subgroups, regions and national income. The overall objective of this thesis is to examine the relationship between injury mortality and economic development, and to discuss its role in the changing patterns of mortality as described in health transition theory.

By cross-sectional analysis between cause-specific injury-related mortality and income per capita, studies included in this thesis indicated that while unintentional injury mortality (UIM) and homicide rates correlated negatively with GNP per capita for total populations with varying patterns for age-specific mortality, suicide rates increased slightly by nations’ income per capita, especially among women. In age- and cause-specific injury mortality differentials between low-income, middle-income and high-income countries, ageing and injury interplay mutually with regard to health transition; declining rates in child UIM by income level contributes to the ageing process, while increasing UIM among the elderly, in combination with ageing populations boosts the absolute number of injury deaths in this segment.

Between the income-based country groups, both cross-sectional and longitudinal analyses show that injury mortality for all three major causes (i.e. unintentional injury, suicide and homicide) first increase and then decrease with rising income per capita, following an inverted U-shaped curve.

These results illustrate that injury is not a homogeneous public health phenomenon from a health transition perspective. While child unintentional mortality clearly agrees with ‘diseases of poverty’, unintentional injury in the elderly agrees with ‘diseases of affluence’. Patterns for homicide and suicide are more complex and uncertain. Generally, the strength and direction of injury mortality by economic development vary considerably by age, sex and type of injury.

Further research on causations, mechanisms, broader indicators and data quality, as well as theoretical developments on health transition taking new findings and parallel frameworks into account, is needed to fully understand the complex relationship between economic development and injury mortality.

Place, publisher, year, edition, pages
Fakulteten för samhälls- och livsvetenskaper , 2006.
Series
Karlstad University Studies, ISSN 1403-8099 ; 2006:60
Keywords [en]
injury, suicide, economic development, health transition, demographic transition, homicide, road traffic injury, fall injury, mortality, GDP per capita, GNP per capita
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public Health Science
Identifiers
URN: urn:nbn:se:kau:diva-730ISBN: 91-7063-091-7 (print)OAI: oai:DiVA.org:kau-730DiVA, id: diva2:6436
Public defence
2006-12-15, Geijersalen, 12A, Room 138, Karlstad universitet, 09:00
Opponent
Supervisors
Available from: 2007-03-13 Created: 2007-03-13
List of papers
1. Relationship between economic development and risk of injuries in older adults and the elderly: A global analysis of unintentional injury mortality in an epidemiologic transition perspective
Open this publication in new window or tab >>Relationship between economic development and risk of injuries in older adults and the elderly: A global analysis of unintentional injury mortality in an epidemiologic transition perspective
2005 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 15, no 5, p. 454-458Article in journal (Refereed) Published
Identifiers
urn:nbn:se:kau:diva-2087 (URN)10.1093/eurpub/cki014 (DOI)
Available from: 2007-03-13 Created: 2007-03-13 Last updated: 2017-12-06Bibliographically approved
2. Age- and sex-specific analysis of homicide mortality as a function of economic development: A cross-national comparison
Open this publication in new window or tab >>Age- and sex-specific analysis of homicide mortality as a function of economic development: A cross-national comparison
2005 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 33, p. 464-471Article in journal (Refereed) Published
Identifiers
urn:nbn:se:kau:diva-2088 (URN)10.1080/14034940510006021 (DOI)
Available from: 2007-03-13 Created: 2007-03-13 Last updated: 2017-12-06Bibliographically approved
3. Relationship between economic development and suicide mortality: a global cross-sectional analysis in an epidemiological transition perspective
Open this publication in new window or tab >>Relationship between economic development and suicide mortality: a global cross-sectional analysis in an epidemiological transition perspective
2004 (English)In: Public Health, ISSN 0033-3506, E-ISSN 1476-5616, Vol. 118, p. 346-348Article in journal (Refereed) Published
Identifiers
urn:nbn:se:kau:diva-2089 (URN)10.1016/j.puhe.2003.10.004 (DOI)
Available from: 2007-03-13 Created: 2007-03-13 Last updated: 2017-12-06Bibliographically approved
4. Cross-national injury mortality differentials by age and income level: on the possible role of age and ageing in explaining changing injury mortality patterns by economic development
Open this publication in new window or tab >>Cross-national injury mortality differentials by age and income level: on the possible role of age and ageing in explaining changing injury mortality patterns by economic development
(English)Manuscript (Other academic)
Identifiers
urn:nbn:se:kau:diva-2090 (URN)
Available from: 2007-03-13 Created: 2007-03-13 Last updated: 2010-05-19Bibliographically approved
5. Economic development as a determinant of injury mortality: a longitudinal approach
Open this publication in new window or tab >>Economic development as a determinant of injury mortality: a longitudinal approach
(English)Manuscript (Other academic)
Identifiers
urn:nbn:se:kau:diva-2091 (URN)
Available from: 2007-03-13 Created: 2007-03-13 Last updated: 2010-05-19Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
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Output format
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