Navigation Links
Major cities often the safest places in the US, Penn Medicine study finds
Date:7/22/2013

PHILADELPHIA - Overturning a commonly-held belief that cities are inherently more dangerous than suburban and rural communities, researchers from the Perelman School of Medicine at the University of Pennsylvania and the Children's Hospital of Philadelphia (CHOP) have found that risk of death from injuries is lowest on average in urban counties compared to suburban and rural counties across the U.S. The new study, which appears online ahead of print in the Annals of Emergency Medicine, found that for the entire population, as well as for most age subgroups, the top three causes of death were motor vehicle collisions, firearms, and poisoning. When all types of fatal injuries are considered together, risk of injury-related death was approximately 20 percent lower in urban areas than in the most rural areas of the country.

"Perceptions have long existed that cities were innately more dangerous than areas outside of cities, but our study shows this is not the case" said lead study author, Sage R. Myers, MD, MSCE, assistant professor of Pediatrics, Perelman School of Medicine and attending physician, Department of Emergency Medicine at CHOP. "These findings may lead people who are considering leaving cities for non-urban areas due to safety concerns to re-examine their motivations for moving. And we hope the findings could also lead us to re-evaluate our rural health care system and more appropriately equip it to both prevent and treat the health threats that actually exist."

The study examined county-level data on all injury deaths across the U.S. from 1999-2006 (because of their unusual nature, deaths from the 9-11 terrorist attacks were excluded).

Findings from the study support prior work showing that overall homicide rates are lower in rural areas than urban areas. This was found to be true in all age groups, except the oldest adults (over 65 years old). Suicide rates, on the other hand, showed an increase with rurality, but the increased rate of suicide death in rural areas only reached statistical significance for the two youngest age groups: 0-14 years and 15-19 years.

However, the magnitude of homicide- and suicide-related deaths, even in urban areas, is far outweighed by the magnitude of unintentional-injury deaths such as those from car crashes and falls in nonurban areas, especially in rural areas. Specifically, the rate of unintentional-injury death is over 15 times that of homicide for the entire population and the risk of unintentional-injury death is 40 percent higher in the nation's most rural counties compared to the most urban.

The research team found that the bulk of unintentional injury deaths result from motor vehicle crashes, with motor vehicle injury-related deaths occurring at a rate that is more than 1.4 times higher than the next leading mechanism of injury death. In rural areas, this difference is even more pronounced, where motor vehicle injury-related death rates are twice that of the next leading injury mechanism. Across the rural-urban continuum, the risk of motor vehicle-related injury death is 2 times more likely in rural areas as compared to the most urban.

"We think our work serves as a reminder that injury is an important health issue for Americans, wherever they live. Our findings can inform both targeted prevention efforts and strategic efforts to improve trauma care in the U.S. This work provides a real opportunity to build systems of medical care that are positioned to best care for the populations that depend upon them for life and limb saving treatment in their time of need," said senior study author, Brendan G. Carr, MD, MSHP, assistant professor Emergency Medicine and Biostatistics and Epidemiology at Penn.

The researchers note that next steps in this line of research should focus on creating local injury priority scores a relatively simple and objective tool that uses data available in trauma center registries to rank injury causes according to both frequency and severity and considering innovative ways to continue to develop the U.S. emergency and trauma care system to assure that all Americans receive the best emergency and trauma care possible. "Trauma has been a leader in planning for care from the population perspective," says Carr, referencing the interactive trauma system mapping tool created at Penn, "but we've still got work to do."


'/>"/>

Contact: Jessica Mikulski
jessica.mikulski@uphs.upenn.edu
215-796-4829
University of Pennsylvania School of Medicine
Source:Eurekalert

Related medicine news :

1. Scientists identify major source of cells defense against oxidative stress
2. Majority of Californias Medi-Cal caregivers live in or near poverty
3. Study reveals major funding shortfall and high death rates for emergency laparotomy
4. Groundbreaking Nigeria summit results in major commitment to reduce child deaths
5. Majority of states fail to address youth exposure to alcohol marketing
6. Researchers determine vitamin D blood level for reducing major medical risks in older adults
7. Dengue Fever a Major Cost Burden in Puerto Rico
8. Living Near Major Roads May Shorten Heart Attack Survival
9. Bias found in mental health drug research presented at major psychiatric meeting
10. The Tennessee Car Accident Lawyers at Michael D. Ponce & Associates Alert Public of CDC Survey Revealing Majority of High School Seniors Admitting to Texting Behind Wheel
11. Infant Formula Can Be a Major Source of BPA: Experts
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/25/2016)... ... June 25, 2016 , ... Austin residents seeking Mohs surgery services, ... Mohs Surgery and to Dr. Russell Peckham for medical and surgical dermatology. , Dr. ... skin cancer. The selective fellowship in Mohs Micrographic Surgery completed by Dr. Dorsey was ...
(Date:6/25/2016)... ... June 25, 2016 , ... Dr. Calvin Johnson ... Recently, he has implemented orthobiologic procedures as a method for treating his patients. ... the first doctors to perform the treatment. Orthobiologics are substances that orthopaedic surgeons ...
(Date:6/24/2016)... ... 24, 2016 , ... June 19, 2016 is World Sickle Cell Observance Day. ... the benefits of holistic treatments, Serenity Recovery Center of Marne, Michigan, has ... , Sickle Cell Disease (SCD) is a disorder of the red blood cells, which ...
(Date:6/24/2016)... ... June 24, 2016 , ... Comfort Keepers® of San Diego, CA is ... Road To Recovery® program to drive cancer patients to and from their cancer treatments. ... the highest quality of life and ongoing independence. Getting to and from medical ...
(Date:6/24/2016)... ... 24, 2016 , ... Puradigm® & Innovative Solutions today announced ... and processing operations at its production facility, and opened its first two dispensaries ... manufacturer of a complete system of proactive air and surface purification solutions for ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... , June 23, 2016 Research ... Devices Global Market - Forecast to 2022" report to ... the treatment method for the patients with kidney failure, it ... excess fluid from the patient,s blood and thus the treatment ... potassium and chloride in balance. Increasing number ...
(Date:6/23/2016)... Research and Markets has announced the addition of ... Forecast to 2022" report to their offering. ... date financial data derived from varied research sources to present ... impact on the market during the next five years, including ... sub markets, regional and country level analysis. The report provides ...
(Date:6/23/2016)... and INDIANAPOLIS , June 23, 2016 ... Lilly Diabetes Tomorrow,s Leaders Scholarship is any indication, the ... announced today online at www.diabetesscholars.org by the ... diabetes stand in the way of academic and community ... Foundation,s scholarship program since 2012, and continues to advocate ...
Breaking Medicine Technology: