Effectiveness of breed-specific legislation in decreasing the incidence of dog-bite injury hospitalisations in people in the Canadian province of Manitoba
- 1Department of Community Health Sciences, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
- 2Undergraduate Medical Education, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
- 3Manitoba Centre for Health Policy, University of Manitoba, Winnipeg, Manitoba, Canada
- Correspondence to Dr Malathi Raghavan, 260-727 McDermot Avenue, Winnipeg, Manitoba R3E 3P5, Canada;
Contributors MR: study design, data assembly, model specification, data analysis, interpretation of data and models, writing and editing of the manuscript, final approval of the version to be published. PJM: obtained funding, administrative, technical and material support and supervision, interpretation of data and models, editing of manuscript and final approval of the version to be published. DC: contributed statistical expertise, model specification and interpretation, final approval of the version to be published. CB: data assembly, administrative and technical support including mapping, interpretation of data, final approval of the version to be published.
- Accepted 4 June 2012
- Published Online First 30 June 2012
Background The city of Winnipeg was the first among several jurisdictions in Manitoba, Canada, to introduce breed specific legislation (BSL) by banning pit-bull type dogs in 1990. The objective of the present work was to study the effectiveness of BSL in Manitoba.
Methods Temporal differences in incidence of dog-bite injury hospitalisations (DBIH) within and across Manitoba jurisdictions with and without BSL were compared. Incidence was calculated as the number of unique cases of DBIH divided by the total person-years at risk and expressed as the number per 100 000 person-years. Year of implementation determined the pre-BSL and post-BSL period for jurisdictions with BSL; for jurisdictions without BSL to date, the entire study period (1984–2006) was considered as the preimplementation period. The annual number of DBIH, adjusted for total population at risk, was modelled in a negative binomial regression analysis with repeated measures. Year, jurisdiction and BSL implementation were independent variables. An interaction term between jurisdiction and BSL was introduced.
Results A total of 16 urban and rural jurisdictions with pit-bull bans were identified. At the provincial level, there was a significant reduction in DBIH rates from the pre-BSL to post-BSL period (3.47 (95% CI 3.17 to 3.77) per 100 000 person-years to 2.84 (95% CI 2.53 to 3.15); p=0.005). In regression restricted to two urban jurisdictions, DBIH rate in Winnipeg relative to Brandon (a city without BSL) was significantly (p<0.001) lower after BSL (rate ratio (RR)=1.10 in people of all ages and 0.92 in those aged <20 years) than before (RR=1.29 and 1.28, respectively).
Conclusions BSL may have resulted in a reduction of DBIH in Winnipeg, and appeared more effective in protecting those aged <20 years.
- Dog-bite injury hospitalisations
- breed-specific legislation
- dangerous dog legislation
- pit-bull ban
- comparative effectiveness
- generalised estimating equations
Funding This study was made possible by funding from the CIHR/PHAC Applied Public Health Chair Award (2007–2012) to PJM.
Competing interests None.
Ethics approval Ethics approval was provided by Manitoba Health Information Privacy Committee and University of Manitoba Health Research Ethics Board.
Provenance and peer review Not commissioned; externally peer reviewed.
Data sharing statement The dataset created for the purpose of this analytical study is available from MR. Almost all the analyses performed are presented in the manuscript.
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