@article{ref1,
title="Geographical accessibility of community social services and incidence of self-harm",
journal="Spatial and spatio-temporal epidemiology",
year="2020",
author="Leung, Ming and Chow, Chun Bong and Ip, Pak-Keung Patrick and Yip, Siu-Fai Paul",
volume="33",
number="",
pages="e100334-e100334",
abstract="OBJECTIVE: The study aimed to explore the association between area-based coverage of community services and the incidence of self-harm, which will provide an evaluation framework for the support of self-harm. <br><br>METHODS: Enhanced two-Step floating catchment area method was used to estimate the centersto- population ratio and geographical accessibility adjusted by a distance-decay function. Spearman's rank coefficient was used to examine the association between the self-harm rate and adjusted accessibility index. <br><br>RESULTS: There was a significant negative correlation between the accessibility index and selfharm rate in youth (rho = -0.87, P < 0.01) and older adults (rho = -0.87, P < 0.01). The survival curves showed no relationship between self-harm repetition and service accessibility in youth or older adults. <br><br>CONCLUSIONS: The uneven spatial accessibility of community social service centers and the independence between spatial accessibility and self-harm highlights the need to explore personal barriers to community service utilization.<br><br>Copyright © 2020. Published by Elsevier Ltd.<p /> <p>Language: en</p>",
language="en",
issn="1877-5845",
doi="10.1016/j.sste.2020.100334",
url="http://dx.doi.org/10.1016/j.sste.2020.100334"
}