2023-09-28 14:46:10 +00:00
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abstract: 'Background: Few studies have investigated how area-level deprivation
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influences the relationship between individual disadvantage and suicide
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mortality. The aim of this study was to examine individual measures of
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material and social disadvantage in relation to suicide mortality in
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Canada and to determine whether these relationships were modified by
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area deprivation.
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Methods: Using the 1991-2001 Canadian Census Mortality Follow-up Study
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cohort (N = 2,685,400), measures of individual social (civil status,
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family structure, living alone) and material (education, income,
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employment) disadvantage were entered into Cox proportional hazard
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models to calculate hazard ratios (HR) and 95\% confidence intervals
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(CI) for male and female suicide mortality. Two indices of area
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deprivation were computed one capturing social, and the other material,
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dimensions - and models were run separately for high versus low
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deprivation.
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Results: After accounting for individual and area characteristics,
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individual social and material disadvantage were associated with higher
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suicide mortality, especially for individuals not employed, not married,
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with low education and low income. Associations between social and
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material area deprivation and suicide mortality largely disappeared upon
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adjustment for individual-level disadvantage. In stratified analyses,
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suicide risk was greater for low income females in socially deprived
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areas and males living alone in materially deprived areas, and there was
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no evidence of other modifying effects of area deprivation.
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Conclusions: Individual disadvantage was associated with suicide
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mortality, particularly for males. With some exceptions, there was
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little evidence that area deprivation modified the influence of
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individual disadvantage on suicide risk. Prevention strategies should
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primarily focus on individuals who are unemployed or out of the labour
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force, and have low education or income. Individuals with low income or
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who are living alone in deprived areas should also be targeted.'
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affiliation: 'Burrows, S (Corresponding Author), Ctr Hosp Univ Montreal, Ctr Rech,
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1301 Rue Sherbrooke Est Montreal, Quebec City, PQ H2L 1M3, Canada.
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Burrows, Stephanie; Auger, Nathalie, Ctr Hosp Univ Montreal, Ctr Rech, Quebec City,
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PQ H2L 1M3, Canada.
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Burrows, Stephanie; Auger, Nathalie; Gamache, Philippe; St-Laurent, Danielle; Hamel,
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Denis, Inst Natl Sante Publ Quebec, Montreal, PQ, Canada.
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Burrows, Stephanie, Univ Quebec, Montreal, PQ H3C 3P8, Canada.
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Auger, Nathalie, Univ Montreal, Dept Med Sociale \& Prevent, Montreal, PQ, Canada.'
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article-number: '577'
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author: Burrows, Stephanie and Auger, Nathalie and Gamache, Philippe and St-Laurent,
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Danielle and Hamel, Denis
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author-email: burrows.stephanie@sympatico.ca
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author_list:
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- family: Burrows
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given: Stephanie
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- family: Auger
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given: Nathalie
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- family: Gamache
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given: Philippe
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- family: St-Laurent
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given: Danielle
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- family: Hamel
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given: Denis
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da: '2023-09-28'
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doi: 10.1186/1471-2458-11-577
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files: []
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issn: 1471-2458
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journal: BMC PUBLIC HEALTH
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keywords-plus: 'FOLLOW-UP; SOCIOECONOMIC-STATUS; MARITAL-STATUS; RISK-FACTORS; INJURY
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MORTALITY; UNITED-STATES; TIME-SCALE; ILLNESS; DENMARK; WALES'
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language: English
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month: JUL 19
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number-of-cited-references: '45'
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orcid-numbers: Auger, Nathalie/0000-0002-2412-0459
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papis_id: 908f29324fd00d011fd513a355293099
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ref: Burrows2011influencesocial
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researcherid-numbers: Auger, Nathalie/E-3736-2016
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times-cited: '40'
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title: 'Influence of social and material individual and area deprivation on suicide
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mortality among 2.7 million Canadians: A prospective study'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000293757500001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '6'
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volume: '11'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2011'
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