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

Macpherson, Alison K.; Jones, Jennifer; Rothman, Linda; Macarthur, Colin; Howard, Andrew W.
January 2010
BMC Public Health;2010, Vol. 10 Issue 1, p542
Academic Journal
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.


Related Articles

  • New year, new implant: Time to add Nexplanon to contraceptive options.  // Contraceptive Technology Update;Jan2012, Vol. 33 Issue 1, p1 

    The article reports that in 2012 Nexplanon, the latest version of the contraceptive implant for women, will be available in the U.S. for health care providers who have completed a clinical training program on the administration of the device which is offered by its manufacturer, Merck & Co.

  • Age-period-cohort analysis of suicide rates in Rio de Janeiro, Brazil, 1979-1998. Rodrigues, Nádia C.; Werneck, Guilherme L.; Rodrigues, Nádia C P // Social Psychiatry & Psychiatric Epidemiology;Mar2005, Vol. 40 Issue 3, p192 

    Background: Recent studies in Brazil have demonstrated that suicide rates have been rising over the last years. The objective of this study was to investigate trends in suicide from 1979 to 1998 in Rio de Janeiro State, with emphasis on age, period, and cohort effects.Method:...

  • AN OVERVIEW OF THE FERTILITY TRENDS IN ONTARIO AND QUEBEC. Rao, N. Baskara // Canadian Studies in Population;1974, Vol. 1, p37 

    The article discusses fertility trends in Ontario and Quebec, two provinces in Canada. The two provinces differ with respect to some socioeconomic factors. Since fertility is known to respond to differences in religion, ethnicity and levels of income, it would be of interest to compare the...

  • Socioeconomic Factors and All Cause and Cause-Specific Mortality among Older People in Latin America, India, and China: A Population-Based Cohort Study. Ferri, Cleusa P.; Acosta, Daisy; Guerra, Mariella; Huang, Yueqin; Llibre-Rodriguez, Juan J.; Salas, Aquiles; Sosa, Ana Luisa; Williams, Joseph D.; Gaona, Ciro; Liu, Zhaorui; Fernandez, Lisseth Noriega-; Jotheeswaran, A. T.; Prince, Martin J. // PLoS Medicine;Feb2012, Vol. 9 Issue 2, p1 

    Background: Even in low and middle income countries most deaths occur in older adults. In Europe, the effects of better education and home ownership upon mortality seem to persist into old age, but these effects may not generalise to LMICs. Reliable data on causes and determinants of mortality...

  • Análisis de la salida de la escuela por cohorte, género y estrato socioeconómico. Pérez Baleón, Guadalupe Fabiola // Estudios Demográficos y Urbanos;sep-dic2012, Vol. 27 Issue 3, p699 

    The study analyses the changes through the time in the drop out of school in three cohorts of Mexican people: women and men located in two socioeconomic strata. The interaction among cohort, gender and stratum in this transition is complex because women had higher risk to leave the school in...

  • Birthweight and blood pressure in five European birth cohort studies: an investigation of confounding factors. Hardy, Rebecca; Sovio, Ulla; King, Vanessa J.; Skidmore, Paula M. L.; Helmsdal, Gunnhild; Olsen, Sjurdur F.; Emmett, Pauline M.; Wadsworth, Michael E. J.; Järvelin, Marjo-Riitta // European Journal of Public Health;Feb2006, Vol. 16 Issue 1, p21 

    Background: It has been suggested that the association between birthweight and blood pressure has been overstated as a result of publication bias and, within studies, a lack of adjustment for potentially important maternal and socioeconomic confounding factors and 'overadjustment' for current...

  • Socioeconomic status and health behaviour patterns through adolescence: Results from a prospective cohort study in Norway. Friestad, Christine; Klepp, Knut-Inge // European Journal of Public Health;Feb2006, Vol. 16 Issue 1, p41 

    Background: In this paper, we investigate cross-sectional and prospective relationships between various socioeconomic indicators and different health behaviours among boys and girls at ages 13-21, and whether socioeconomic status (SES) is related to changes in health behaviour over time....

  • Câţi ani ar putea trăi un român pensionat în anul 2009? Gheţău, Vasile // Social Work Review / Revista de Asistenta Sociala;2011, Vol. 10 Issue 1, p127 

    Standard retirement age is going to increase in Romania during the next two decades following the general trends of EU countries. Unrealistic figures on remaining life expectancy of persons who moved to retirement in 2009 have been propagated by media, governmental representatives and...

  • Variation by ethnic group in premature mortality risk following self-harm: a multicentre cohort study in England. Turnbull, Pauline; Webb, Roger; Kapur, Nav; Clements, Caroline; Bergen, Helen; Hawton, Keith; Ness, Jennifer; Waters, Keith; Townsend, Ellen; Cooper, Jayne // BMC Psychiatry;10/19/2015, Vol. 15, p1 

    Background: Incidence and risk factors for self-harm vary according to ethnicity. People who self-harm have been shown to have increased risk of premature death, but little is known about mortality following self-harm in ethnic minority groups. Methods: A prospective cohort study of self-harm...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics