The injury iceberg: an ecological approach to planning sustainable community safety interventions

Hanson, Dale, Hanson, Jan, Vardon, Paul, McFarlane, Kathryn, Lloyd, Jacqueline, Muller, Reinhold, and Durrheim, David (2005) The injury iceberg: an ecological approach to planning sustainable community safety interventions. Health Promotion Journal of Australia, 16 (1). pp. 5-10.

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Issue addressed: A systematic ecological framework in which to design sustainable, community-based, safety promotion interventions is presented.

Methods: A literature review was undertaken of English-language articles addressing the topics of 'ecological injury prevention or safety promotion', 'ecological health promotion', 'sustainable economic, health or ecological systems' and 'steady state', with 143 articles retrieved and reviewed.

Results: Injury prevention is a biomedical construct, in which injury is perceived to be a physical event resulting from the sudden release of environmental energy producing tissue damage in an individual. This reductionist perspective overlooks the importance of psychological and sociological determinants of injury. Safety has physical, psychological and sociological dimensions. It is inherently an ecological concept. Interventions aiming to achieve long-term improvements in community safety must seek to develop sustainable safety promoting characteristics within the target community.

Conclusions: To reduce a community's risk of injury and sustain this lowered risk, the community 'ecological system' must have access to the resources necessary to maintain the desired outcome and the ability to mobilise these resources.

Item ID: 6372
Item Type: Article (Research - C1)
ISSN: 1036-1073
Keywords: ecological health promotion; injury prevention; safety promotion; sustainability
Date Deposited: 11 Mar 2010 02:22
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111712 Health Promotion @ 100%
SEO Codes: 92 HEALTH > 9202 Health and Support Services > 920205 Health Education and Promotion @ 100%
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