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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

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...

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Autores principales: Tiruneh, Abebe, Radomislensky, Irina, Peleg, Kobi, Siman-Tov, Maya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407275/
https://www.ncbi.nlm.nih.gov/pubmed/30845989
http://dx.doi.org/10.1186/s13584-019-0297-5
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author Tiruneh, Abebe
Radomislensky, Irina
Peleg, Kobi
Siman-Tov, Maya
author_facet Tiruneh, Abebe
Radomislensky, Irina
Peleg, Kobi
Siman-Tov, Maya
author_sort Tiruneh, Abebe
collection PubMed
description 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.
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spelling pubmed-64072752019-03-21 Minorities and foreign born are disproportionately affected by injuries due to violence: an analysis based on a National Trauma Registry 2008–2017 Tiruneh, Abebe Radomislensky, Irina Peleg, Kobi Siman-Tov, Maya Isr J Health Policy Res Original Research Article 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. BioMed Central 2019-03-07 /pmc/articles/PMC6407275/ /pubmed/30845989 http://dx.doi.org/10.1186/s13584-019-0297-5 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Original Research Article
Tiruneh, Abebe
Radomislensky, Irina
Peleg, Kobi
Siman-Tov, Maya
Minorities and foreign born are disproportionately affected by injuries due to violence: an analysis based on a National Trauma Registry 2008–2017
title Minorities and foreign born are disproportionately affected by injuries due to violence: an analysis based on a National Trauma Registry 2008–2017
title_full Minorities and foreign born are disproportionately affected by injuries due to violence: an analysis based on a National Trauma Registry 2008–2017
title_fullStr Minorities and foreign born are disproportionately affected by injuries due to violence: an analysis based on a National Trauma Registry 2008–2017
title_full_unstemmed Minorities and foreign born are disproportionately affected by injuries due to violence: an analysis based on a National Trauma Registry 2008–2017
title_short Minorities and foreign born are disproportionately affected by injuries due to violence: an analysis based on a National Trauma Registry 2008–2017
title_sort minorities and foreign born are disproportionately affected by injuries due to violence: an analysis based on a national trauma registry 2008–2017
topic Original Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407275/
https://www.ncbi.nlm.nih.gov/pubmed/30845989
http://dx.doi.org/10.1186/s13584-019-0297-5
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