The impact of neighborhood socioeconomic disparities on injury

Israeli Trauma Group (ITG)

    Research output: Contribution to journalArticlepeer-review

    14 Scopus citations

    Abstract

    Objectives: To examine the relationship between neighborhood socioeconomic level (NSEL) and injury-related hospitalization. Methods: The National Trauma Registry (INTR) and the National Population Census (NPC), including NSEL, were linked by individual identity number. Age-adjusted logistic regression predicted injury hospitalization. Mantel–Haenszel X2 was used for linear trends. NSEL was divided into 20 clusters. Results: The population comprised 7,412,592 residents, of which 125,829 (1.7%) were hospitalized due to injury. The injury hospitalization rate was at least 42 per 10,000 per year. Except for the very low SEL, an inverse relationship between NSEL and all-cause injury was found: 46.1/10,000 in cluster 3 compared to 22.9/10,000 in cluster 20. Hip fracture-related hospitalizations among ages 65 + decreased as SEL increased (2.19% o in cluster 2 compared to 0.95% in cluster 19). In comparison with Jews, non-Jews were 1.5 times more likely to have an injury-related hospitalization [OR 1.5 (95% CI 1.50–1.55)]. Conclusions: The INTR and the NPC were successfully linked providing individual and injury hospitalization data. The outcomes confirm the strong relationship between injury mechanism and NSEL.

    Original languageEnglish
    Pages (from-to)855-863
    Number of pages9
    JournalInternational Journal of Public Health
    Volume63
    Issue number7
    DOIs
    StatePublished - 1 Sep 2018

    Keywords

    • Injury
    • National population census
    • Neighborhood statistical area
    • Socioeconomic position
    • Trauma registry

    ASJC Scopus subject areas

    • Public Health, Environmental and Occupational Health

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