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dc.contributor.authorChiou, Shu-Tien_US
dc.contributor.authorLu, Tsung-Hsuehen_US
dc.contributor.authorLai, Ching-Hueien_US
dc.contributor.authorChiang, Tung-liangen_US
dc.contributor.authorKawachi, Ichiroen_US
dc.date.accessioned2014-09-08T15:35:55Z
dc.date.issued2014en_US
dc.identifier.citationChiou, Shu-Ti, Tsung-Hsueh Lu, Ching-Huei Lai, Tung-liang Chiang, and Ichiro Kawachi. 2014. “Social inequality in motorcycle helmet use: when a reduction in inequality is not necessarily good news.” Journal of Epidemiology and Community Health 68 (7): 630-634. doi:10.1136/jech-2013-203505. http://dx.doi.org/10.1136/jech-2013-203505.en
dc.identifier.issn0143-005Xen
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:12785813
dc.description.abstractBackground: We sought to examine changes in the magnitude of social inequality in motorcycle helmet use in Taiwan between 2001 and 2009. Methods: Using data from the 2001 and 2009 Taiwan National Health Interview Surveys, we calculated absolute (the slope index of inequality, SII) and relative (relative index of inequality, RII) measures of inequality in helmet use by three indicators of socioeconomic position. Results: The rate of motorcycle helmet use was 92% (14 801/16 100) in 2001 and decreased to 89% (15 748/17 948) in 2009. We noted a significant decrease in social inequality in helmet use in RII according to urbanisation level, a significant decrease in SII and RII according to income level, and a significant increase in SII according to education level. The reduction in RII according to urbanisation level was more prominent than that based on income level, from 1.73 (95% CI 1.63 to 1.84) in 2001 to 1.33 (95% CI 1.27 to 1.39) in 2009. The decline in helmet use was most prominent for motorcycle users who live in suburban areas, from 94% in 2001 to 88% in 2009. Conclusions: The significant reduction of social inequality in helmet use according to urbanisation level and income is not a public health success story. Rather, it is a warning sign of slackening law enforcement in Taiwan.en
dc.language.isoen_USen
dc.publisherBMJ Publishing Groupen
dc.relation.isversionofdoi:10.1136/jech-2013-203505en
dc.relation.hasversionhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC4112434/pdf/en
dash.licenseLAAen_US
dc.subjectSocial Inequalitiesen
dc.subjectHealth Behaviouren
dc.subjectInjuryen
dc.titleSocial inequality in motorcycle helmet use: when a reduction in inequality is not necessarily good newsen
dc.typeJournal Articleen_US
dc.description.versionVersion of Recorden
dc.relation.journalJournal of Epidemiology and Community Healthen
dash.depositing.authorKawachi, Ichiroen_US
dc.date.available2014-09-08T15:35:55Z
dc.identifier.doi10.1136/jech-2013-203505*
dash.contributor.affiliatedKawachi, Ichiro


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