International Journal of Public Health

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

The impact of neighborhood socioeconomic disparities on injury

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



To examine the relationship between neighborhood socioeconomic level (NSEL) and injury-related hospitalization.


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.


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)].


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.


Socioeconomic position Injury Trauma registry Neighborhood statistical area National population census 


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.


  1. Adler NE, Newman K (2002) Socioeconomic disparities in health: pathways and policies. Health Aff 21(2):60–76CrossRefGoogle Scholar
  2. Averbuch E, Kaidar N, Horev T (2010) Coping with health inequalities, Jerusalem: The Department of Health Economics and Insurance, Ministry of Health p 44. (Hebrew). 8 Ibid. p 60Google Scholar
  3. Bell N, Arrington A, Adams SA (2015) Census based socioeconomic indicators for monitoring injury causes in the USA: a review. Inj Prev 21(4):278–284. CrossRefPubMedPubMedCentralGoogle Scholar
  4. Central Bureau of Statistics (2013a) Characterization and classification of geographical units by the socio-economic level of the population 2008. Accessed April 2014
  5. Central Bureau of Statistics (2014) Statistical Abstract of Israel 2013. number 64. table 2.2. Jerusalem IsraelGoogle Scholar
  6. Champion HR, Sacco WJ, Copes WS (1995) Trauma scoring. In: Feliciano DV, Moore EE, Mattox KL (eds) Trauma, 3rd edn. Appleton & Lange, pp 53–67Google Scholar
  7. Cubbin C, Smith GS (2002) Socioeconomic inequalities in injury: critical issues in design and analysis. Annu Rev Public Health 23(1):349–375CrossRefPubMedGoogle Scholar
  8. Cubbin C, LeClere FB, Smith GS (2000) Socioeconomic status and injury mortality: individual and neighborhood determinants. J Epidemiol Community Health 54:517–524CrossRefPubMedPubMedCentralGoogle Scholar
  9. De Looper M, Lafortune G (2009) Measuring disparities in health status and in access and use of health care in OECD countries, OECD Health Working Papers, No. 43, OECD Publishing.
  10. Dougherty G, Pless B, Wilkins R (1990) Social class and the occurrence of traffic injuries and death in urban children. Can J Public Health 81:204–209PubMedGoogle Scholar
  11. Grajda A, Kulaga Z, Gurzkowska B, Gozdz M, Wojylo M, Litwin M (2017) Trends in external causes of child and adolescent mortality in Poland 1999-2012. Int J Public Health 62:117–126. CrossRefPubMedGoogle Scholar
  12. Hasselberg M, Laflamme L (2008) Road traffic injuries among young car drivers by country of origin and socioeconomic position. Int J Public Health 53(1):40–45. CrossRefPubMedGoogle Scholar
  13. Horev T, Averbuch E (2012) Coping with health inequalities: a road map for developing a national plan, the Israeli experience. Publication of the Department of Health Economics and Insurance and the Ministry of Health.
  14. Jaffe DH, Eizenbach Z, Neuwmark Y, Manor O (2005) Does living in a religiously affiliated neighborhood lower mortality? Ann Epidem 15:805–810CrossRefGoogle Scholar
  15. Jaffe DH, Goldman S, Peleg K (2011) The role of community in pediatric injury. J Commun Health 36(2):244–252. CrossRefGoogle Scholar
  16. Kark JD, Carmel S, Sinnreich R, Goldberger N, Friedlander Y (1996) Pyschosocial factors among members of religious and secular kibbutzim. Israel J Med Sci 32:185–194PubMedGoogle Scholar
  17. Khambalia A, Joshi P, Brussoni M, Raina P, Morrongiello B, Macarthur C (2006) Risk factors for unintentional injuries due to falls in children aged 0–6 years: a systematic review. Inj Prev 12:378–381. CrossRefPubMedPubMedCentralGoogle Scholar
  18. Kim MH, Subramanian SV, Kawachi I, Kim CY (2007) Association between childhood fatal injuries and socioeconomic position at individual and area levels: a multilevel study. J Epidemiol Community Health 61(2):135–140CrossRefPubMedPubMedCentralGoogle Scholar
  19. Lawson F, Schuurman N, Amram O, Nathens AB (2015) A geospatial analysis of the relationship between neighborhood socioeconomic status and adult severe injury in Greater Vancouver. Inj Prev 21(4):260–265. CrossRefPubMedPubMedCentralGoogle Scholar
  20. MacKay M, Reid DC, Moher D, Klassen T (1999) Systematic review of the relationship between childhood injury and socio-economic status. Ottawa, ON, Minister of Public Works and Government Services Canada. Accessed Feb 2015
  21. Magid AL, Leibovitch-Zur S, Baron-Epel O (2015) Increased inequality in mortality from road crashes among Arabs and Jews in Israel. Traffic Inj Prev 16(1):42–47. CrossRefPubMedGoogle Scholar
  22. Marcin JP, Schembri MS, He J, Romano PS (2003) A population-based analysis of socioeconomic status and insurance status and their relationship with pediatric trauma hospitalization and mortality rates. Am J Public Health 93:461–466CrossRefPubMedPubMedCentralGoogle Scholar
  23. Potter BK, Speechley KN, Koval J, Gutmanis IA, Campbell MK, Manuel D (2005) Socioeconomic status and non-fatal injuries among Canadian adolescents: variations across SES and injury measure. BMC Public Health 5:132. CrossRefPubMedPubMedCentralGoogle Scholar
  24. Roberts I, Norton R, Jackson R, Dunn R, Hassall I (1995) Effect of environmental factors on risk of injury of child pedestrians by motor vehicles: a case-control study. BMJ 10:91–94CrossRefGoogle Scholar
  25. Rozenfeld M, Radomislensky I, Freedman L, Givon A, Novikov I, Peleg K (2014) ISS groups: are we speaking the same language? Inj Prev 20(5):330–335. CrossRefPubMedGoogle Scholar
  26. Shmueli A (2014) Income-related inequalities in health and health services use in Israel. Israel J Health Policy Res 3:37. CrossRefGoogle Scholar
  27. Vandenbroucke JP, von Elm E, Altman DG et al (2014) Strengthening the reporting of observational studies in epidemiology (STROBE): explanation and elaboration. Int J Surg 12(12):1500–1524. CrossRefPubMedGoogle Scholar
  28. World Health Organization (2011) Rio political declaration on social determinants of health. Rio de JaneiroGoogle Scholar
  29. World Health Organization (2012) Health topics-Injuries. ( Accessed Feb 2015
  30. World Health Organization (2014) Injury and violence the facts. Accessed 16 Feb 2015

Copyright information

© Swiss School of Public Health (SSPH+) 2018

Authors and Affiliations

  • Sharon Goldman
    • 1
    Email author
  • 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

Personalised recommendations