Skip to main content

Table 4 Summary of statistical approach of included studies

From: Neighborhood risk factors for sports and recreational injuries: a systematic review of studies applying multilevel modeling techniques

Study ID

Authors and year of publication

Was variance in SRI (or any injury) due to neighborhood-level differences assessed or reported for unconditional or null model(s) to justify the use of multilevel model?

Was variance in individual slopes (random effects) evaluated or reported and was cross-level interaction tested for to account for the variance where it existed?

Was the unexplained variance at neighborhood-level or the proportion of variance explained by the neighborhood-level variables assessed or reported for the final multilevel model(s)?

Model-building process employed to develop final model(s)

Multilevel modeling type and software used

1

Haynes, Reading, Gale. 2003

Yes. Unexplained variance for the null or unconditional models were reported and tested for significance; however, ICCs were not reported

No

Yes. The unexplained variances at both the enumeration district and social area levels were reported

A single multilevel model was developed; however, several variations of multilevel models (including null model, single level, and different combinations of two- and three-level models) were developed to assess the unexplained variance in models

Multilevel logistic regression using MLwiN software package

2

Sellström, Guldbrandsson, Bremberg, Hjern & Arnoldsson. 2003

No

No, variance in individual slopes was not evaluated or reported. But cross-level interactions were tested for. Interaction terms were, however, excluded from final models because they were not statistically significant

Yes

Three multilevel models of increasing complexities were developed to adjust for potential confounders

Multilevel logistic regression using SAS makro Glimmix software package

3

Kendrick, Mulvaney, Burton, & Watson. 2005

No

Yes. Two-way interactions were examined where it appeared they might exist; however, it is not stated if the interactions included cross-level interactions

Yes

A forward selection approach was used

Multilevel Poisson regression using MLwiN software package

4

Simpson, Janssen, Craig, & Pickett. 2005

No

Yes, it was reported that there was no significant variation in the slopes of the relationship between each socioeconomic variables and medically-treated injury across neighborhoods. For other injury outcomes, the variation in slopes were therefore assumed to be non-significant

No

A two-step process was employed which include: (1) fitting bivariate models, and (2) fitting multivariable multilevel models from significant socioeconomic exposure variables in the bivariate models. Age and sex were included in all multilevel models

Multilevel logistic regression using MLwiN software package

5

Pattussi, Hardy, & Sheiham. 2006

Not clear. It appears that a null model may have been fitted based on descriptive results of between-neighborhood variation in dental injuries; however, this was not clearly reported

No, variance in individual slopes was not reported. However, results of the sex-stratified multilevel models mean that cross-level interactions were tested for between sex and neighborhood-level variables

Yes, the variance explained by neighborhood-level variable was assessed based on the report that most of the between-neighborhood variation in dental injuries was explained by social capital; however, no numerical value of the proportion of variance explained was reported

Four series of pre-determined multilevel models were developed including final models containing both individual and neighborhood-level predictor variables

Multilevel logistic regression using MLwiN software package

6

Mecredy, Janssen, & Pickett. 2012

No

No

No

Three series of pre-determined multilevel models were developed including a final model for total street injuries that contained both individual- and neighborhood-level predictors fitted using a backward elimination multilevel regression method. Predictor variables in the final reduced multilevel model were also then used to develop four physical activity-specific injury multilevel models

Multilevel logistic regression using SAS Glimmix procedure

7

Mutto, Lawoko, Ovuga, & Svanstrom. 2012

Variance due to neighborhood level was reported for the null model; however, statistical significance of the variance, and/or the variance partition coefficient (VPC) for the model was not reported to justify the use of a multilevel model

No

Yes, the neighborhood level variance and the proportional change in variance (PCV) explained by the final model was reported

Four series of pre-determined multilevel models were developed including a null model, and final model that included both individual and neighborhood-level predictor variables

Multilevel logistic regression using STATA

8

Gropp, Janssen & Pickett. 2012

Yes. Intraclass correlation coefficient (ICC) was reported

No

No

A backward elimination approach was used to select statistically significant individual and area-level predictor variables

Multilevel logistic regression using SAS software package

9

Byrnes, King, Hawe, Peters, Pickett & Davison. 2015

No

No

No

A backward elimination approach was used but sex, grade, and relative family affluence were retained in the final model based on a priori decision

Multilevel, multivariable, log binomial regression model was used to analyze risk of injury among northern youths only. Modeling was carried out with SAS software package