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dc.contributor.authorCameron, Cate M
dc.contributor.authorPurdie, David M
dc.contributor.authorKliewer, Erich V
dc.contributor.authorMcClure, Rod J
dc.date.accessioned2017-08-11T00:03:47Z
dc.date.available2017-08-11T00:03:47Z
dc.date.issued2006
dc.date.modified2009-01-20T06:12:42Z
dc.identifier.issn1471-2458
dc.identifier.doi10.1186/1471-2458-6-114
dc.identifier.urihttp://hdl.handle.net/10072/12362
dc.description.abstractBackground: While a number of studies report high prevalence of mental health problems among injured people, the temporal relationship between injury and mental health service use has not been established. This study aimed to quantify this relationship using 10 years of follow-up on a population-based cohort of hospitalised injured adults. Methods: The Manitoba Injury Outcome Study is a retrospective population-based matched cohort study that utilised linked administrative data from Manitoba, Canada, to identify an inception cohort (1988–1991) of hospitalised injured cases (ICD-9-CM 800–995) aged 18–64 years (n = 21,032), which was matched to a non-injured population-based comparison group (n = 21,032). Pre-injury comorbidity and post-injury mental health data were obtained from hospital and physician claims records. Negative Binomial regression was used to estimate adjusted rate ratios (RRs) to measure associations between injury and mental health service use. Results: Statistically significant differences in the rates of mental health service use were observed between the injured and non-injured, for the pre-injury year and every year of the follow-up period. The injured cohort had 6.56 times the rate of post-injury mental health hospitalisations (95% CI 5.87, 7.34) and 2.65 times the rate of post-injury mental health physician claims (95% CI 2.53, 2.77). Adjusting for comorbidities and pre-existing mental health service use reduced the hospitalisations RR to 3.24 (95% CI 2.92, 3.60) and the physician claims RR to 1.53 (95% CI 1.47, 1.59). Conclusion: These findings indicate the presence of pre-existing mental health conditions is a potential confounder when investigating injury as a risk factor for subsequent mental health problems. Collaboration with mental health professionals is important for injury prevention and care, with ongoing mental health support being a clearly indicated service need by injured people and their families. Public health policy relating to injury prevention and control needs to consider mental health strategies at the primary, secondary and tertiary level.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.format.extent286299 bytes
dc.format.extent42287 bytes
dc.format.mimetypeapplication/pdf
dc.format.mimetypetext/plain
dc.languageEnglish
dc.language.isoeng
dc.publisherBioMed Central
dc.publisher.placeLondon
dc.publisher.urihttp://www.biomedcentral.com/bmcpublichealth
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom1
dc.relation.ispartofpageto9
dc.relation.ispartofjournalBMC Public Health
dc.relation.ispartofvolume6
dc.rights.retentionY
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchcode1117
dc.titleMental health: A cause or consequence of injury? A population-based matched cohort study
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
dcterms.licensehttp://creativecommons.org/licenses/by/2.0
dc.description.versionVersion of Record (VoR)
gro.description.notepublicPage numbers are not for citation purposes. Instead, this article has the unique article number of 114.
gro.rights.copyright© 2006 Cameron, et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
gro.date.issued2006
gro.hasfulltextFull Text
gro.griffith.authorMcClure, Roderick J.
gro.griffith.authorCameron, Cate M.


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