Safety standards and socioeconomic disparities in school playground injuries: a retrospective cohort study

Background Playground injuries are fairly common and can require hospitalization and or surgery. Previous research has suggested that compliance with guidelines or standards can reduce the incidence of such injuries, and that poorer children are at increased risk of playground injuries. Objective Th...
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Autor*in:	Macpherson, Alison K [verfasserIn] Jones, Jennifer Rothman, Linda Macarthur, Colin Howard, Andrew W

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2010

Schlagwörter:	Injury Rate Socioeconomic Gradient Childhood Injury Canadian Standard Association School Playground

Anmerkung:	© Macpherson et al; licensee BioMed Central Ltd. 2010

Übergeordnetes Werk:	Enthalten in: BMC public health - London : BioMed Central, 2001, 10(2010), 1 vom: 08. Sept.
Übergeordnetes Werk:	volume:10 ; year:2010 ; number:1 ; day:08 ; month:09

Links:	Volltext

DOI / URN:	10.1186/1471-2458-10-542

Katalog-ID:	SPR027848892

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245	1	0	\|a Safety standards and socioeconomic disparities in school playground injuries: a retrospective cohort study
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520			\|a Background Playground injuries are fairly common and can require hospitalization and or surgery. Previous research has suggested that compliance with guidelines or standards can reduce the incidence of such injuries, and that poorer children are at increased risk of playground injuries. Objective The objective of this study was to determine the association between playground injury and school socioeconomic status before and after the upgrading of playground equipment to meet CSA guidelines. Methods Injury data were collected from January 1998-December 1999 and January 2004 - June 2007 for 374 elementary schools in Toronto, Canada. The objective of this study was to investigate the effect of a program of playground assessment, upgrading, and replacement on school injury rates and socio-economic status. Injury rates were calculated for all injuries, injuries that did not occur on equipment, and injuries on play equipment. Poisson regression was performed to determine the relationship between injury rates and school socio-economic status. Results Prior to upgrading the equipment there was a significant relationship between socio-economic status and equipment-related injuries with children at poorer schools being at increased risk (Relative risk: 1.52 [95% CI = 1.24-1.86]). After unsafe equipment was upgraded, the relationship between injury and SES decreased and was no longer significant (RR 1.13 [95% CI = 0.95-1.32]). Conclusions Improvements in playground equipment can result in an environment in which students from schools in poorer neighbourhoods are no longer at increased risk of injuries on play equipment.
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allfields	10.1186/1471-2458-10-542 doi (DE-627)SPR027848892 (SPR)1471-2458-10-542-e DE-627 ger DE-627 rakwb eng Macpherson, Alison K verfasserin aut Safety standards and socioeconomic disparities in school playground injuries: a retrospective cohort study 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Macpherson et al; licensee BioMed Central Ltd. 2010 Background Playground injuries are fairly common and can require hospitalization and or surgery. Previous research has suggested that compliance with guidelines or standards can reduce the incidence of such injuries, and that poorer children are at increased risk of playground injuries. Objective The objective of this study was to determine the association between playground injury and school socioeconomic status before and after the upgrading of playground equipment to meet CSA guidelines. Methods Injury data were collected from January 1998-December 1999 and January 2004 - June 2007 for 374 elementary schools in Toronto, Canada. The objective of this study was to investigate the effect of a program of playground assessment, upgrading, and replacement on school injury rates and socio-economic status. Injury rates were calculated for all injuries, injuries that did not occur on equipment, and injuries on play equipment. Poisson regression was performed to determine the relationship between injury rates and school socio-economic status. Results Prior to upgrading the equipment there was a significant relationship between socio-economic status and equipment-related injuries with children at poorer schools being at increased risk (Relative risk: 1.52 [95% CI = 1.24-1.86]). After unsafe equipment was upgraded, the relationship between injury and SES decreased and was no longer significant (RR 1.13 [95% CI = 0.95-1.32]). Conclusions Improvements in playground equipment can result in an environment in which students from schools in poorer neighbourhoods are no longer at increased risk of injuries on play equipment. Injury Rate (dpeaa)DE-He213 Socioeconomic Gradient (dpeaa)DE-He213 Childhood Injury (dpeaa)DE-He213 Canadian Standard Association (dpeaa)DE-He213 School Playground (dpeaa)DE-He213 Jones, Jennifer aut Rothman, Linda aut Macarthur, Colin aut Howard, Andrew W aut Enthalten in BMC public health London : BioMed Central, 2001 10(2010), 1 vom: 08. Sept. (DE-627)326643583 (DE-600)2041338-5 1471-2458 nnns volume:10 year:2010 number:1 day:08 month:09 https://dx.doi.org/10.1186/1471-2458-10-542 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2010 1 08 09
spelling	10.1186/1471-2458-10-542 doi (DE-627)SPR027848892 (SPR)1471-2458-10-542-e DE-627 ger DE-627 rakwb eng Macpherson, Alison K verfasserin aut Safety standards and socioeconomic disparities in school playground injuries: a retrospective cohort study 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Macpherson et al; licensee BioMed Central Ltd. 2010 Background Playground injuries are fairly common and can require hospitalization and or surgery. Previous research has suggested that compliance with guidelines or standards can reduce the incidence of such injuries, and that poorer children are at increased risk of playground injuries. Objective The objective of this study was to determine the association between playground injury and school socioeconomic status before and after the upgrading of playground equipment to meet CSA guidelines. Methods Injury data were collected from January 1998-December 1999 and January 2004 - June 2007 for 374 elementary schools in Toronto, Canada. The objective of this study was to investigate the effect of a program of playground assessment, upgrading, and replacement on school injury rates and socio-economic status. Injury rates were calculated for all injuries, injuries that did not occur on equipment, and injuries on play equipment. Poisson regression was performed to determine the relationship between injury rates and school socio-economic status. Results Prior to upgrading the equipment there was a significant relationship between socio-economic status and equipment-related injuries with children at poorer schools being at increased risk (Relative risk: 1.52 [95% CI = 1.24-1.86]). After unsafe equipment was upgraded, the relationship between injury and SES decreased and was no longer significant (RR 1.13 [95% CI = 0.95-1.32]). Conclusions Improvements in playground equipment can result in an environment in which students from schools in poorer neighbourhoods are no longer at increased risk of injuries on play equipment. Injury Rate (dpeaa)DE-He213 Socioeconomic Gradient (dpeaa)DE-He213 Childhood Injury (dpeaa)DE-He213 Canadian Standard Association (dpeaa)DE-He213 School Playground (dpeaa)DE-He213 Jones, Jennifer aut Rothman, Linda aut Macarthur, Colin aut Howard, Andrew W aut Enthalten in BMC public health London : BioMed Central, 2001 10(2010), 1 vom: 08. Sept. (DE-627)326643583 (DE-600)2041338-5 1471-2458 nnns volume:10 year:2010 number:1 day:08 month:09 https://dx.doi.org/10.1186/1471-2458-10-542 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2010 1 08 09
allfields_unstemmed	10.1186/1471-2458-10-542 doi (DE-627)SPR027848892 (SPR)1471-2458-10-542-e DE-627 ger DE-627 rakwb eng Macpherson, Alison K verfasserin aut Safety standards and socioeconomic disparities in school playground injuries: a retrospective cohort study 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Macpherson et al; licensee BioMed Central Ltd. 2010 Background Playground injuries are fairly common and can require hospitalization and or surgery. Previous research has suggested that compliance with guidelines or standards can reduce the incidence of such injuries, and that poorer children are at increased risk of playground injuries. Objective The objective of this study was to determine the association between playground injury and school socioeconomic status before and after the upgrading of playground equipment to meet CSA guidelines. Methods Injury data were collected from January 1998-December 1999 and January 2004 - June 2007 for 374 elementary schools in Toronto, Canada. The objective of this study was to investigate the effect of a program of playground assessment, upgrading, and replacement on school injury rates and socio-economic status. Injury rates were calculated for all injuries, injuries that did not occur on equipment, and injuries on play equipment. Poisson regression was performed to determine the relationship between injury rates and school socio-economic status. Results Prior to upgrading the equipment there was a significant relationship between socio-economic status and equipment-related injuries with children at poorer schools being at increased risk (Relative risk: 1.52 [95% CI = 1.24-1.86]). After unsafe equipment was upgraded, the relationship between injury and SES decreased and was no longer significant (RR 1.13 [95% CI = 0.95-1.32]). Conclusions Improvements in playground equipment can result in an environment in which students from schools in poorer neighbourhoods are no longer at increased risk of injuries on play equipment. Injury Rate (dpeaa)DE-He213 Socioeconomic Gradient (dpeaa)DE-He213 Childhood Injury (dpeaa)DE-He213 Canadian Standard Association (dpeaa)DE-He213 School Playground (dpeaa)DE-He213 Jones, Jennifer aut Rothman, Linda aut Macarthur, Colin aut Howard, Andrew W aut Enthalten in BMC public health London : BioMed Central, 2001 10(2010), 1 vom: 08. Sept. (DE-627)326643583 (DE-600)2041338-5 1471-2458 nnns volume:10 year:2010 number:1 day:08 month:09 https://dx.doi.org/10.1186/1471-2458-10-542 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2010 1 08 09
allfieldsGer	10.1186/1471-2458-10-542 doi (DE-627)SPR027848892 (SPR)1471-2458-10-542-e DE-627 ger DE-627 rakwb eng Macpherson, Alison K verfasserin aut Safety standards and socioeconomic disparities in school playground injuries: a retrospective cohort study 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Macpherson et al; licensee BioMed Central Ltd. 2010 Background Playground injuries are fairly common and can require hospitalization and or surgery. Previous research has suggested that compliance with guidelines or standards can reduce the incidence of such injuries, and that poorer children are at increased risk of playground injuries. Objective The objective of this study was to determine the association between playground injury and school socioeconomic status before and after the upgrading of playground equipment to meet CSA guidelines. Methods Injury data were collected from January 1998-December 1999 and January 2004 - June 2007 for 374 elementary schools in Toronto, Canada. The objective of this study was to investigate the effect of a program of playground assessment, upgrading, and replacement on school injury rates and socio-economic status. Injury rates were calculated for all injuries, injuries that did not occur on equipment, and injuries on play equipment. Poisson regression was performed to determine the relationship between injury rates and school socio-economic status. Results Prior to upgrading the equipment there was a significant relationship between socio-economic status and equipment-related injuries with children at poorer schools being at increased risk (Relative risk: 1.52 [95% CI = 1.24-1.86]). After unsafe equipment was upgraded, the relationship between injury and SES decreased and was no longer significant (RR 1.13 [95% CI = 0.95-1.32]). Conclusions Improvements in playground equipment can result in an environment in which students from schools in poorer neighbourhoods are no longer at increased risk of injuries on play equipment. Injury Rate (dpeaa)DE-He213 Socioeconomic Gradient (dpeaa)DE-He213 Childhood Injury (dpeaa)DE-He213 Canadian Standard Association (dpeaa)DE-He213 School Playground (dpeaa)DE-He213 Jones, Jennifer aut Rothman, Linda aut Macarthur, Colin aut Howard, Andrew W aut Enthalten in BMC public health London : BioMed Central, 2001 10(2010), 1 vom: 08. Sept. (DE-627)326643583 (DE-600)2041338-5 1471-2458 nnns volume:10 year:2010 number:1 day:08 month:09 https://dx.doi.org/10.1186/1471-2458-10-542 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2010 1 08 09
allfieldsSound	10.1186/1471-2458-10-542 doi (DE-627)SPR027848892 (SPR)1471-2458-10-542-e DE-627 ger DE-627 rakwb eng Macpherson, Alison K verfasserin aut Safety standards and socioeconomic disparities in school playground injuries: a retrospective cohort study 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Macpherson et al; licensee BioMed Central Ltd. 2010 Background Playground injuries are fairly common and can require hospitalization and or surgery. Previous research has suggested that compliance with guidelines or standards can reduce the incidence of such injuries, and that poorer children are at increased risk of playground injuries. Objective The objective of this study was to determine the association between playground injury and school socioeconomic status before and after the upgrading of playground equipment to meet CSA guidelines. Methods Injury data were collected from January 1998-December 1999 and January 2004 - June 2007 for 374 elementary schools in Toronto, Canada. The objective of this study was to investigate the effect of a program of playground assessment, upgrading, and replacement on school injury rates and socio-economic status. Injury rates were calculated for all injuries, injuries that did not occur on equipment, and injuries on play equipment. Poisson regression was performed to determine the relationship between injury rates and school socio-economic status. Results Prior to upgrading the equipment there was a significant relationship between socio-economic status and equipment-related injuries with children at poorer schools being at increased risk (Relative risk: 1.52 [95% CI = 1.24-1.86]). After unsafe equipment was upgraded, the relationship between injury and SES decreased and was no longer significant (RR 1.13 [95% CI = 0.95-1.32]). Conclusions Improvements in playground equipment can result in an environment in which students from schools in poorer neighbourhoods are no longer at increased risk of injuries on play equipment. Injury Rate (dpeaa)DE-He213 Socioeconomic Gradient (dpeaa)DE-He213 Childhood Injury (dpeaa)DE-He213 Canadian Standard Association (dpeaa)DE-He213 School Playground (dpeaa)DE-He213 Jones, Jennifer aut Rothman, Linda aut Macarthur, Colin aut Howard, Andrew W aut Enthalten in BMC public health London : BioMed Central, 2001 10(2010), 1 vom: 08. Sept. (DE-627)326643583 (DE-600)2041338-5 1471-2458 nnns volume:10 year:2010 number:1 day:08 month:09 https://dx.doi.org/10.1186/1471-2458-10-542 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2010 1 08 09
language	English
source	Enthalten in BMC public health 10(2010), 1 vom: 08. Sept. volume:10 year:2010 number:1 day:08 month:09
sourceStr	Enthalten in BMC public health 10(2010), 1 vom: 08. Sept. volume:10 year:2010 number:1 day:08 month:09
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Injury Rate Socioeconomic Gradient Childhood Injury Canadian Standard Association School Playground
isfreeaccess_bool	true
container_title	BMC public health
authorswithroles_txt_mv	Macpherson, Alison K @@aut@@ Jones, Jennifer @@aut@@ Rothman, Linda @@aut@@ Macarthur, Colin @@aut@@ Howard, Andrew W @@aut@@
publishDateDaySort_date	2010-09-08T00:00:00Z
hierarchy_top_id	326643583
id	SPR027848892
language_de	englisch
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Previous research has suggested that compliance with guidelines or standards can reduce the incidence of such injuries, and that poorer children are at increased risk of playground injuries. Objective The objective of this study was to determine the association between playground injury and school socioeconomic status before and after the upgrading of playground equipment to meet CSA guidelines. Methods Injury data were collected from January 1998-December 1999 and January 2004 - June 2007 for 374 elementary schools in Toronto, Canada. The objective of this study was to investigate the effect of a program of playground assessment, upgrading, and replacement on school injury rates and socio-economic status. Injury rates were calculated for all injuries, injuries that did not occur on equipment, and injuries on play equipment. Poisson regression was performed to determine the relationship between injury rates and school socio-economic status. Results Prior to upgrading the equipment there was a significant relationship between socio-economic status and equipment-related injuries with children at poorer schools being at increased risk (Relative risk: 1.52 [95% CI = 1.24-1.86]). After unsafe equipment was upgraded, the relationship between injury and SES decreased and was no longer significant (RR 1.13 [95% CI = 0.95-1.32]). 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author	Macpherson, Alison K
spellingShingle	Macpherson, Alison K misc Injury Rate misc Socioeconomic Gradient misc Childhood Injury misc Canadian Standard Association misc School Playground Safety standards and socioeconomic disparities in school playground injuries: a retrospective cohort study
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topic_title	Safety standards and socioeconomic disparities in school playground injuries: a retrospective cohort study Injury Rate (dpeaa)DE-He213 Socioeconomic Gradient (dpeaa)DE-He213 Childhood Injury (dpeaa)DE-He213 Canadian Standard Association (dpeaa)DE-He213 School Playground (dpeaa)DE-He213
topic	misc Injury Rate misc Socioeconomic Gradient misc Childhood Injury misc Canadian Standard Association misc School Playground
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title	Safety standards and socioeconomic disparities in school playground injuries: a retrospective cohort study
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title_full	Safety standards and socioeconomic disparities in school playground injuries: a retrospective cohort study
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doi_str_mv	10.1186/1471-2458-10-542
title_sort	safety standards and socioeconomic disparities in school playground injuries: a retrospective cohort study
title_auth	Safety standards and socioeconomic disparities in school playground injuries: a retrospective cohort study
abstract	Background Playground injuries are fairly common and can require hospitalization and or surgery. Previous research has suggested that compliance with guidelines or standards can reduce the incidence of such injuries, and that poorer children are at increased risk of playground injuries. Objective The objective of this study was to determine the association between playground injury and school socioeconomic status before and after the upgrading of playground equipment to meet CSA guidelines. Methods Injury data were collected from January 1998-December 1999 and January 2004 - June 2007 for 374 elementary schools in Toronto, Canada. The objective of this study was to investigate the effect of a program of playground assessment, upgrading, and replacement on school injury rates and socio-economic status. Injury rates were calculated for all injuries, injuries that did not occur on equipment, and injuries on play equipment. Poisson regression was performed to determine the relationship between injury rates and school socio-economic status. Results Prior to upgrading the equipment there was a significant relationship between socio-economic status and equipment-related injuries with children at poorer schools being at increased risk (Relative risk: 1.52 [95% CI = 1.24-1.86]). After unsafe equipment was upgraded, the relationship between injury and SES decreased and was no longer significant (RR 1.13 [95% CI = 0.95-1.32]). Conclusions Improvements in playground equipment can result in an environment in which students from schools in poorer neighbourhoods are no longer at increased risk of injuries on play equipment. © Macpherson et al; licensee BioMed Central Ltd. 2010
abstractGer	Background Playground injuries are fairly common and can require hospitalization and or surgery. Previous research has suggested that compliance with guidelines or standards can reduce the incidence of such injuries, and that poorer children are at increased risk of playground injuries. Objective The objective of this study was to determine the association between playground injury and school socioeconomic status before and after the upgrading of playground equipment to meet CSA guidelines. Methods Injury data were collected from January 1998-December 1999 and January 2004 - June 2007 for 374 elementary schools in Toronto, Canada. The objective of this study was to investigate the effect of a program of playground assessment, upgrading, and replacement on school injury rates and socio-economic status. Injury rates were calculated for all injuries, injuries that did not occur on equipment, and injuries on play equipment. Poisson regression was performed to determine the relationship between injury rates and school socio-economic status. Results Prior to upgrading the equipment there was a significant relationship between socio-economic status and equipment-related injuries with children at poorer schools being at increased risk (Relative risk: 1.52 [95% CI = 1.24-1.86]). After unsafe equipment was upgraded, the relationship between injury and SES decreased and was no longer significant (RR 1.13 [95% CI = 0.95-1.32]). Conclusions Improvements in playground equipment can result in an environment in which students from schools in poorer neighbourhoods are no longer at increased risk of injuries on play equipment. © Macpherson et al; licensee BioMed Central Ltd. 2010
abstract_unstemmed	Background Playground injuries are fairly common and can require hospitalization and or surgery. Previous research has suggested that compliance with guidelines or standards can reduce the incidence of such injuries, and that poorer children are at increased risk of playground injuries. Objective The objective of this study was to determine the association between playground injury and school socioeconomic status before and after the upgrading of playground equipment to meet CSA guidelines. Methods Injury data were collected from January 1998-December 1999 and January 2004 - June 2007 for 374 elementary schools in Toronto, Canada. The objective of this study was to investigate the effect of a program of playground assessment, upgrading, and replacement on school injury rates and socio-economic status. Injury rates were calculated for all injuries, injuries that did not occur on equipment, and injuries on play equipment. Poisson regression was performed to determine the relationship between injury rates and school socio-economic status. Results Prior to upgrading the equipment there was a significant relationship between socio-economic status and equipment-related injuries with children at poorer schools being at increased risk (Relative risk: 1.52 [95% CI = 1.24-1.86]). After unsafe equipment was upgraded, the relationship between injury and SES decreased and was no longer significant (RR 1.13 [95% CI = 0.95-1.32]). Conclusions Improvements in playground equipment can result in an environment in which students from schools in poorer neighbourhoods are no longer at increased risk of injuries on play equipment. © Macpherson et al; licensee BioMed Central Ltd. 2010
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title_short	Safety standards and socioeconomic disparities in school playground injuries: a retrospective cohort study
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Safety standards and socioeconomic disparities in school playground injuries: a retrospective cohort study

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