HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Figures Only Full Text Full Text (PDF) Submit a response View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (28) Citing Articles via Google Scholar Google Scholar Articles by Shenassa, E. D. Articles by Brown, M. J. Search for Related Content PubMed PubMed Citation Articles by Shenassa, E. D. Articles by Brown, M. J.

Edmond D. Shenassa, ScD, Amy Stubbendick, MS and Mary Jean Brown, ScD, RN

Edmond D. Shenassa is with the Department of Community Health and the Centers for Behavioral and Preventive Medicine, Brown Medical School/Miriam Hospital, Providence, RI. Amy Stubbendick is with the Department of Biostatistics, Harvard School of Public Health, Boston, Mass. Mary Jean Brown is with the Department of Maternal and Child Health, Harvard School of Public Health.

Correspondence: Requests for reprints should be sent to Edmond D. Shenassa, ScD, Brown Medical School, Department of Community Health and Centers for Behavioral and Preventive Medicine, One Hoppin Street, Suite 500, Providence, RI 02903 (e-mail: edmond_shenassa{at}brown.edu).

Objectives. We conducted an ecologic analysis to determine whether housing characteristics mediate the associations between concentration of poverty and pediatric injury and between concentration of racial minorities and pediatric injury and whether the association between housing conditions and pediatric injury is independent of other risks.

Methods. We created a hierarchical data set by linking individual-level data for pediatric injury with census data. Effect sizes were estimated with a Poisson model.

Results. After adjustment for owner occupancy and the percentage of housing built before 1950, the association between concentration of poverty and pediatric injury was attenuated. For concentration of racial minorities, only percentage of owner occupancy had some mediating effect. In hierarchical models, housing characteristics remained independent and significant predictors of pediatric injury.

Conclusions. The association between community characteristics and pediatric injury is partially mediated by housing conditions. Risk of pediatric injury associated with housing conditions is independent of other risks.

This article has been cited by other articles:

				A C Gielen, E McDonald, S Frattaroli, L B McKenzie, B Backes, M Glenshaw, W Shields, M T Bulzacchelli, and for the CARES (Children ARE Safe) Mobile Safety Ce If you build it, will they come? Using a mobile safety centre to disseminate safety information and products to low-income urban families Inj. Prev., April 1, 2009; 15(2): 95 - 99. [Abstract] [Full Text] [PDF]

				M. O. Hearst, J. M. Oakes, and P. J. Johnson The Effect of Racial Residential Segregation on Black Infant Mortality Am. J. Epidemiol., December 1, 2008; 168(11): 1247 - 1254. [Abstract] [Full Text] [PDF]

				A. J. Zolotor, M. Burchinal, D. Skinner, M. Rosenthal, and and the Key Family Life Project Investigators Maternal Psychological Adjustment and Knowledge of Infant Development as Predictors of Home Safety Practices in Rural Low-Income Communities Pediatrics, June 1, 2008; 121(6): e1668 - e1675. [Abstract] [Full Text] [PDF]

				E. D. Shenassa, C. Daskalakis, A. Liebhaber, M. Braubach, and M. Brown Dampness and Mold in the Home and Depression: An Examination of Mold-Related Illness and Perceived Control of One's Home as Possible Depression Pathways Am J Public Health, October 1, 2007; 97(10): 1893 - 1899. [Abstract] [Full Text] [PDF]

				M.-H. Kim, S V Subramanian, I. Kawachi, and C.-Y. Kim Association between childhood fatal injuries and socioeconomic position at individual and area levels: a multilevel study J Epidemiol Community Health, February 1, 2007; 61(2): 135 - 140. [Abstract] [Full Text] [PDF]