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April 2004, Vol 94, No. 4 | American Journal of Public Health 640-645
© 2004 American Public Health Association

RESEARCH AND PRACTICE

Parental Social Determinants of Risk for Intentional Injury: A Cross-Sectional Study of Swedish Adolescents

Karin Engström, PhD, MPH, Finn Diderichsen, MD, PhD and Lucie Laflamme, PhD

The authors are with the Karolinska Institutet, Department of Public Health Sciences, Division of Social Medicine, Norrbacka, Stockholm, Sweden.

Correspondence: Requests for reprints should be sent Karin Engström, PhD, MPH, Karolinska Institutet, Department of Public Health Sciences, Division of Social Medicine, Norrbacka, S-171 76 Stockholm, Sweden (e-mail: karin.engstrom{at}phs.ki.se).

Objectives. We investigated the effect of family social and economic circumstances on intentional injury among adolescents.

Methods. We conducted a cross-sectional register study of youths aged 10 to 19 years who lived in Sweden between 1990 and 1994. We used socioeconomic status, number of parents in the household (1- or 2-parent home), receipt of welfare benefits, parental country of birth, and population density as exposures and compiled relative risks and population-attributable risks (PARs) for self-inflicted and interpersonal violence–related injury.

Results. For both genders and for both injury types, receipt of welfare benefits showed the largest crude and net relative risks and the highest PARs. The socioeconomic status–related PAR for self-inflicted injury and the PAR related to number of parents in the household for interpersonal violence–related injury also were high.

Conclusions. Intentional-injury prevention and victim treatment need to be tailored to household social circumstances.






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