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The impact of the Safe Kids/Healthy Neighborhoods Injury Prevention Program in Harlem, 1988 through 1991

This study evaluated the effectiveness of a community coalition to prevent severe injuries to children in Central Harlem, New York, NY. It was hypothesized that injury incidence rates would decline during the intervention (1989 through 1991) relative to preintervention years (1983 through 1988); tha...

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Published in:American journal of public health (1971) 1994-04, Vol.84 (4), p.580-586
Main Authors: Davidson, L L, Durkin, M S, Kuhn, L, O'Connor, P, Barlow, B, Heagarty, M C
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Language:English
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cited_by cdi_FETCH-LOGICAL-c559t-dda58f87ee3e179b6441b8f9232ff5071f93c57846af6590fbe74a9ba484abcf3
cites cdi_FETCH-LOGICAL-c559t-dda58f87ee3e179b6441b8f9232ff5071f93c57846af6590fbe74a9ba484abcf3
container_end_page 586
container_issue 4
container_start_page 580
container_title American journal of public health (1971)
container_volume 84
creator Davidson, L L
Durkin, M S
Kuhn, L
O'Connor, P
Barlow, B
Heagarty, M C
description This study evaluated the effectiveness of a community coalition to prevent severe injuries to children in Central Harlem, New York, NY. It was hypothesized that injury incidence rates would decline during the intervention (1989 through 1991) relative to preintervention years (1983 through 1988); that the decline would be greatest for the targeted age group (5 through 16 years) and targeted injury causes (traffic accidents, assaults, firearms, outdoor falls); and that the decline would occur in the intervention community rather than a control community. Surveillance of injuries that result in hospitalization and/or death among children in the two communities has been under way since 1983. Data from this surveillance were used to test whether the incidence of severe injury declined during the intervention; other temporal variations were controlled by Poisson regression. The incidence of injury among school-aged children in central Harlem declined during the intervention. The decline was specific to the targeted age group and targeted causes. A nonspecific decline also occurred in the control community. The declining incidence rate in Central Harlem is consistent with a favorable program effect, but additional investigation of possible secular trend or spillover effects is needed.
doi_str_mv 10.2105/AJPH.84.4.580
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It was hypothesized that injury incidence rates would decline during the intervention (1989 through 1991) relative to preintervention years (1983 through 1988); that the decline would be greatest for the targeted age group (5 through 16 years) and targeted injury causes (traffic accidents, assaults, firearms, outdoor falls); and that the decline would occur in the intervention community rather than a control community. Surveillance of injuries that result in hospitalization and/or death among children in the two communities has been under way since 1983. Data from this surveillance were used to test whether the incidence of severe injury declined during the intervention; other temporal variations were controlled by Poisson regression. The incidence of injury among school-aged children in central Harlem declined during the intervention. The decline was specific to the targeted age group and targeted causes. A nonspecific decline also occurred in the control community. The declining incidence rate in Central Harlem is consistent with a favorable program effect, but additional investigation of possible secular trend or spillover effects is needed.</abstract><cop>Washington, DC</cop><pub>Am Public Health Assoc</pub><pmid>8154560</pmid><doi>10.2105/AJPH.84.4.580</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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identifier ISSN: 0090-0036
ispartof American journal of public health (1971), 1994-04, Vol.84 (4), p.580-586
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source EBSCOhost Business Source Ultimate; Applied Social Sciences Index & Abstracts (ASSIA); PubMed (Medline); EBSCOhost SPORTDiscus with Full Text; Social Science Premium Collection; ABI/INFORM Global; American Public Health Association; Politics Collection; PAIS Index
subjects Accidental Falls
Accidents, Traffic
Adolescent
Age groups
Biological and medical sciences
Child
Child, Preschool
Children
Children & youth
Community Health Services - organization & administration
Consumer Organizations
Female
General aspects
Harlem
Health education
Health surveillance
Hospitalization - statistics & numerical data
Humans
Incidence
Injuries
Male
Medical sciences
New York City - epidemiology
Planification. Prevention (methods). Intervention. Evaluation
Poisson Distribution
Population Surveillance
Preventive programmes
Public health
Public health. Hygiene
Public health. Hygiene-occupational medicine
Regression Analysis
Social research
Surveillance
Violence
Voluntary Health Agencies
Wounds and Injuries - epidemiology
Wounds and Injuries - mortality
Wounds and Injuries - prevention & control
Wounds, Gunshot
title The impact of the Safe Kids/Healthy Neighborhoods Injury Prevention Program in Harlem, 1988 through 1991
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