The impact of neighborhood socioeconomic disparities on injury

Sharon Goldman (), Irina Radomislensky (), Arnona Ziv () and Kobi Peleg ()
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Sharon Goldman: Gertner Institute for Epidemiology and Public Health Policy, Sheba Medical Center
Irina Radomislensky: Gertner Institute for Epidemiology and Public Health Policy, Sheba Medical Center
Arnona Ziv: Sheba Medical Center
Kobi Peleg: Gertner Institute for Epidemiology and Public Health Policy, Sheba Medical Center

International Journal of Public Health, 2018, vol. 63, issue 7, No 9, 855-863

Abstract: 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.

Keywords: Socioeconomic position; Injury; Trauma registry; Neighborhood statistical area; National population census (search for similar items in EconPapers)
Date: 2018
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DOI: 10.1007/s00038-018-1119-1

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