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International Journal of Public Health

, Volume 63, Issue 7, pp 855–863 | Cite as

The impact of neighborhood socioeconomic disparities on injury

  • Sharon Goldman
  • Irina Radomislensky
  • Arnona Ziv
  • Israel Trauma Group - (ITG)
  • Kobi Peleg
Original Article

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 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Copyright information

© Swiss School of Public Health (SSPH+) 2018

Authors and Affiliations

  • Sharon Goldman
    • 1
  • Irina Radomislensky
    • 1
  • Arnona Ziv
    • 2
  • Israel Trauma Group - (ITG)
  • Kobi Peleg
    • 1
    • 3
  1. 1.Israel National Center for Trauma and Emergency MedicineGertner Institute for Epidemiology and Public Health Policy, Sheba Medical CenterTel HashomerIsrael
  2. 2.The Information and Computerization Unit, Gertner Institute for Epidemiology and Public Health PolicySheba Medical CenterTel HashomerIsrael
  3. 3.Department of Disaster Management, School of Public HealthTel Aviv UniversityTel AvivIsrael

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