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Non-fatal injuries among urban and rural residents: The National Health Interview Survey, 1997-2001.

Tiesman H; Zwerling C; Peek-Asa C; Sprince N; Cavanaugh JE
Inj Prev 2007 Apr; 13(2):115-119
OBJECTIVE: Although death rates from injuries are higher in rural areas compared with large metropolitan areas, little is known about how non-fatal injury rates vary by rurality. Data from the 1997-2001 US National Health Interview Surveys were used to explore associations between rurality and non-fatal injury. DESIGN: A nationally representative survey. METHODS: The annual injury rates per 1000 adults and 95% CIs were computed for medically attended injuries. Counties of residence were coded according to urban influence codes into four categories: large urban, small urban, suburban and rural. A linear-by-linear trend test was used to determine whether injury rates increase monotonically with county rurality. Logistic regression was used to control potential confounders. RESULTS: Compared with large urban counties, small urban counties experienced 8% higher injury odds (95% CI 1% to 15%); suburban counties 20% higher injury odds (95% CI 10% to 31%); and rural counties 30% higher injury odds (95% CI 17% to 43%) after adjusting for age, gender, marital status, education and health insurance. CONCLUSIONS: Rural residents had higher non-fatal injury rates than urban and suburban residents. Exploring this discrepancy can further contribute to new hypotheses regarding rural injury risk and ultimately lead to better suited interventions for rural residents.
Mortality-rates; Morbidity-rates; Injuries; Traumatic-injuries; Humans; Men; Women; Analytical-methods; Statistical-analysis
Professor C Zwerling, The University of Iowa Injury Prevention Research Center, 100 Oakdale Campus, #126 IREH, Iowa City, IA 52242-5000
Publication Date
Document Type
Journal Article
Email Address
Funding Type
Grant; Cooperative Agreement
Fiscal Year
Identifying No.
Grant-Number-T42-OH-008491; Cooperative-Agreement-Number-U60-OH-008460
Issue of Publication
Source Name
Injury Prevention
Performing Organization
University of Iowa
Page last reviewed: September 2, 2020
Content source: National Institute for Occupational Safety and Health Education and Information Division