Preventing Unintentional Injuries in the Home Using the Health Impact Pyramid

Mack, Karin A.; Liller, Karen D.; Baldwin, Grant T.; Sleet, David A.

doi:10.1177/1090198114568306

Cited by 26 publications

(16 citation statements)

References 47 publications

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“…This is of relevance to injury prevention, where poverty reduction, improved living conditions, safer working conditions, and access to stronger engagement of marginalized groups in developing public policy are highly salient, equityfocused interventions. This emphasis aligns closely with the recommendations of the World Health Organization (WHO) Commission on Social Determinants of Health (2008; see also Sadana and Blas, 2013) and Tom Frieden's Health Impact Pyramid (Mack et al, 2015), where interventions addressing socioeconomic factors and controlling the relative deprivation that increases exposure to environmental hazards are postulated to have the greatest population impact.…”

Section: Putting Ethics Into Practicesupporting

confidence: 58%

Preventing Unintentional Injuries: Ethical Considerations in Public Health

Ameratunga¹,

Jonas²,

Blank³

2019

The Oxford Handbook of Public Health Ethics

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Injury, which originates from the Latin word for injustice, is a global health problem that imposes a disproportionately high burden on people in fragile economies. This chapter examines the ethical implications of public health actions to prevent unintentional injuries. The concepts of social justice and autonomy are at the core of common debates about the roles of the state, communities, and individuals in controlling injury. Distinguishing unintentional injuries from violence can undermine an integrated preventive approach. Viewing unintended injuries as resulting from accidents fosters a reluctance to apply principles of justice to them and supports risk acceptance and nonintervention. This chapter first critiques arguments relating to concepts such as responsibility, risk compensation, equity in access to the social determinants of health and the so-called normal opportunity range, personal freedom, health-promoting choices, collective health interests, and the avoidance of third-party harm. This is followed by an exploration of how an ethics framework for public health could assist injury prevention.

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Section: Putting Ethics Into Practicesupporting

confidence: 58%

Preventing Unintentional Injuries: Ethical Considerations in Public Health

Ameratunga¹,

Jonas²,

Blank³

2019

The Oxford Handbook of Public Health Ethics

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“…3 In injury prevention, it may be necessary to address all four levels in the pyramid simultaneously, as each can build on the other to facilitate change. 4,5 …”

mentioning

confidence: 99%

Trends in the leading causes of injury mortality, Australia, Canada and the United States, 2000–2014

Mack

Clapperton

Macpherson

et al. 2017

Can J Public Health

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OBJECTIVES The aim of this study was to highlight the differences in injury rates between populations through a descriptive epidemiological study of population-level trends in injury mortality for the high-income countries of Australia, Canada and the United States. METHODS Mortality data were available for the US from 2000 to 2014, and for Canada and Australia from 2000 to 2012. Injury causes were defined using the International Classification of Diseases, Tenth Revision external cause codes, and were grouped into major causes. Rates were direct-method age-adjusted using the US 2000 projected population as the standard age distribution. RESULTS US motor vehicle injury mortality rates declined from 2000 to 2014 but remained markedly higher than those of Australia or Canada. In all three countries, fall injury mortality rates increased from 2000 to 2014. US homicide mortality rates declined, but remained higher than those of Australia and Canada. While the US had the lowest suicide rate in 2000, it increased by 24% during 2000–2014, and by 2012 was about 14% higher than that in Australia and Canada. The poisoning mortality rate in the US increased dramatically from 2000 to 2014. CONCLUSION Results show marked differences and striking similarities in injury mortality between the countries and within countries over time. The observed trends differed by injury cause category. The substantial differences in injury rates between similarly resourced populations raises important questions about the role of societal-level factors as underlying causes of the differential distribution of injury in our communities.

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“…This model has not been used to identify the ways to promote health in L&B women before. However, it has the advantage of allowing the consideration of a wide range of interventions to promote health (IOM 2012), and it has started to gain some recent support in specific public health areas, that is unintentional injury (Mack et al 2015). The pyramid also includes policy and socioeconomic factors that are represented in conceptual models of health determinants, for example the Dahlgren and Whitehead (1991), which informs work on health inequalities in the UK.…”

Section: The Health Impact Pyramidmentioning

confidence: 99%