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Minorities and foreign born are disproportionately affected by injuries due to violence: an analysis based on a National Trauma Registry 2008–2017
Minorities and foreign born are disproportionately affected by injuries due to violence: an analysis based on a National Trauma Registry 2008–2017
- Source :
- Israel Journal of Health Policy Research, Israel Journal of Health Policy Research, Vol 8, Iss 1, Pp 1-11 (2019)
- Publication Year :
- 2019
- Publisher :
- BioMed Central, 2019.
-
Abstract
- Background Populations of different ethnicity and country of origin living in the same country may possess particular features of violence-related injuries. This study aims to compare violence-related injury characteristics and circumstances, hospital resource utilization and in-hospital mortality among the major ethnic groups in Israel. Methods A study based on the Israeli National Trauma Registry database of patients hospitalized due to violence-related injuries between 2008 and 2017. Data included demographic, injury and hospitalization characteristics and in-hospital mortality. Statistical analysis included χ 2-test and multiple logistic regression. Results During the study period, 16,151 violence related-hospitalizations were reported, of which; 46.1% were Arab Israelis (AI), 3.2% were Israelis born in Ethiopia (IBE), 12.7% were Israelis born in the former Soviet Union (IBFSU) and 38.0% were all other Israelis (AOI). The proportion of violence-related hospitalizations among AI, IBE and IBFSU was greater than their respective proportion in the Israeli population. In comparison to the other groups, stab injuries were significantly greater among IBE (30% vs 39%); unarmed brawl-related injuries were greater among IBFSU (22–41% vs 49%) and firearm injuries were greatest among AI (2–8% vs 23%). These differences in violence mechanism persisted even after accounting for age, gender, injury place and time differences. The foreign born groups had higher rates for injuries sustained on the street/road (58% for IBE, 54% for IBFSU vs 46% for AI and AOI, each), with IBE also showing higher rates for weekend and weeknight injuries compared to the other groups (83% vs 71–75%). IBE were more likely to suffer from severe and critical injuries (19% vs 12–16%), to be admitted to the intensive care unit (17% vs 9–11%) and to have prolonged hospital stays of seven days or more (20% vs 16–17%), with no significant difference in in-hospital mortality between the comparison groups. Conclusions Characteristics of violence-related casualties differed significantly among diverse ethnic populations living in the same country. Each population group showed specific attributes regarding injury mechanism, circumstances, severity and hospital utilization. Violence prevention programs should be culturally adapted and take into account ethnicity and country of origin of the target population.
- Subjects :
- Adult
Male
Adolescent
Population
Ethnic group
Poison control
Emigrants and Immigrants
Injury
Violence
Suicide prevention
Occupational safety and health
law.invention
03 medical and health sciences
0302 clinical medicine
Foreign born
law
Injury prevention
Ethnicity
Medicine
Humans
030212 general & internal medicine
Original Research Article
Registries
Israel
education
Child
Minority Groups
Aged
lcsh:R5-920
education.field_of_study
business.industry
lcsh:Public aspects of medicine
030503 health policy & services
Health Policy
Public Health, Environmental and Occupational Health
Infant
lcsh:RA1-1270
Middle Aged
Intensive care unit
Hospitalization
Logistic Models
Child, Preschool
Wounds and Injuries
Female
lcsh:Medicine (General)
0305 other medical science
business
Demography
Subjects
Details
- Language :
- English
- ISSN :
- 20454015
- Volume :
- 8
- Database :
- OpenAIRE
- Journal :
- Israel Journal of Health Policy Research
- Accession number :
- edsair.doi.dedup.....045a6ae32e31b955d5ff2522765e363a