@article{ref1,
title="A cohort study for the impact of activity-limiting injuries based on the Canadian National Population Health Survey 1994-2006",
journal="BMJ open",
year="2013",
author="Mo, Frank and Neutel, Ineke C. and Morrison, Howard and Hopkins, Doug and Da Silva, Caroline and Jiang, Ying",
volume="3",
number="3",
pages="12-002052",
abstract="OBJECTIVE: To examine the prevalence and factors affecting activity-limiting injuries (ALI) in individuals and in the Canadian population; to estimate the short and long term impact on health status and well-being because of ALI in Canada from 1994 to 2006 using the Canadian National Population Health Survey (NPHS). DESIGN: The NPHS is a randomised longitudinal cohort study with biennial interviews, with information on age, sex, education, marital status, income, residence, height and weight to self-perceived health status, healthcare utilisation and medication use in addition to ALI. SETTING: The study population was a random sample of male and female participants 20 years and older from 10 provinces and three territories in Canada. PRIMARY AND SECONDARY OUTCOME MEASURES: Logistic regression models were used to assess the potential impact of ALI on individuals and on the Canadian population. The interviews 2 years before and 2 years after the ALI were compared to examine long-term effects, and the McNemar test option in SAS was used for the matched analysis. RESULTS: The immediate impacts of ALI were pain, disability and disruption of regular life. Long-term effects in patients were chronic pain and increased medical doctor visits. Population impact included a considerable increase in healthcare access and cost. The odds ratios (OR) for the 20-39 age group compared with those 60+ was 2.2; 95% CI 1.8 to 2.7, while the OR associated with male participants was 1.4; 95% CI 1.1 to 1.6. Individuals consuming nine or more alcoholic drinks per week were also significantly more likely to report an ALI (OR, 1.5; 95% CI 1.3 to 1.8). CONCLUSIONS: The findings from this study illustrated the immediate and long-term impact of individuals and population level injuries in Canada. Injury control policies should aim to prevent the number of injuries, fatalities as well as the consequences among survivors.<p /> <p>Language: en</p>",
language="en",
issn="2044-6055",
doi="10.1136/bmjopen-2012-002052",
url="http://dx.doi.org/10.1136/bmjopen-2012-002052"
}