The effect of injuries on health measured by short form 8 among a large cohort of Thai adults

Autor: Vasoontara, Yiengprugsawan, Janneke, Berecki-Gisolf, Roderick, McClure, Matthew, Kelly, Sam-Ang, Seubsman, Adrian C, Sleigh
Rok vydání: 2013
Předmět:
Gerontology
Male
Non-Clinical Medicine
Epidemiology
Health Status
Joint Dislocations
lcsh:Medicine
Poison control
Global Health
Health informatics
Occupational safety and health
Cohort Studies
Global health
Medicine
Longitudinal Studies
lcsh:Science
Aged
80 and over
Multidisciplinary
Incidence
Accidents
Traffic
Middle Aged
Thailand
Occupational and Industrial Health
humanities
3. Good health
Female
Public Health
Behavioral and Social Aspects of Health
Cohort study
Research Article
Adult
medicine.medical_specialty
Adolescent
Clinical Research Design
Contusions
Education
Distance
Injury prevention
Humans
Students
Aged
Lifecourse Epidemiology
Health Care Policy
business.industry
Public health
lcsh:R
Health Risk Analysis
Mental health
Health Surveys
Social Epidemiology
Sprains and Strains
lcsh:Q
business
Zdroj: PLoS ONE
PLoS ONE, Vol 9, Iss 2, p e88903 (2014)
ISSN: 1932-6203
Popis: Introduction We investigate the links between health and injury in Thailand. This is important because of the high burden of injury in transitional countries and limited information for public health. Methods We analyse 2005 baseline and 2009, 4-year follow-up data from distance learning students of Sukhothai Thammathirat Open University residing nationwide (n = 60569). Injury was reported for the past year in both periods. Medical Outcome Study Short-Form (SF-8™) health status was reported and Physical and Mental Component Summary Scores (PCS and MCS) were calculated. Analyses used covariate-adjusted multivariate linear regression. Results In 2009, increasing numbers of traffic injuries (0, 1, 2, 3, 4+) associated with declining PCS scores (49.8, 48.4, 46.9, 46.2, 44.0), along with a similar monotonic decline for MCS scores (47.6, 46.0, 44.2, 42.7, 40.6). A similar (but smaller) dose-response gradient was found between non-traffic injuries and SF-8 scores. Longitudinal analyses showed those with incident injury (no injury 2005, injury 2009) had lower PCS and MCS scores compared to those with no injury in both periods. Individuals with reverting injury status (injury 2005, no injury 2009) reported improvement in PCS and MCS scores over the four-year period. Conclusion We found significant and epidemiologically important associations between increasing injury frequency and worse health in the past year, especially traffic injuries. Longitudinal 2005–2009 results were supportive and revealed statistically significant adverse 4-year effects of incident injury on health. If injury reverted over four years, low initial scores improved greatly. Findings highlight the importance of injury prevention as a public health priority.
Databáze: OpenAIRE
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