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Equity as the fourth ‘E’ in the ‘3 E’s’ approach to injury prevention
  1. Audrey Giles1,
  2. Michelle E E Bauer2,
  3. Janet Jull3
  1. 1 School of Human Kinetics, University of Ottawa, Ottawa, Ontario, Canada
  2. 2 School of Population Health, University of Ottawa, Ottawa, Ontario, Canada
  3. 3 School of Rehabilitation Therapy, Queen's University, Kingston, Ontario, Canada
  1. Correspondence to Dr Audrey Giles, School of Human Kinetics, University of Ottawa, Ottawa, ON K1N 6N, Canada; agiles{at}uottawa.ca

Abstract

The education, engineering and enforcement (3 E’s) approach to injury prevention is grounded in assumptions that it is effective for everyone; however, evidence demonstrates that it fails to consider opportunities for all populations to experience safe and injury-free lives. In this way, the 3 E’s approach does not support health equity in the injury prevention field. In this brief report, we argue that a fourth E, equity, must also be used with the 3 E’s approach to injury prevention.

  • Injury prevention
  • Equity
  • Health disparities
  • Education
  • Engineering
  • Enforcement

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Footnotes

  • Contributors All three authors made substantial contributions to the conceptualisation of the work, drafted the work and approved the final version for publication.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.