Characteristics and circumstances of injuries vary with ethnicity of different population groups living in the same country

Tiruneh, Abebe; Siman‐Tov, Maya; Radomislensky, Irina; ITG,; Peleg, Kobi

doi:10.1080/13557858.2016.1196647

Cited by 12 publications

(16 citation statements)

References 29 publications

(39 reference statements)

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“…In addition to changes in the socioeconomic and professional status, the immigration process, which includes obstacles, such as language barrier and cultural differences, may hinder integration of immigrants into the Israeli society and lead to violence-related behaviors, which may contribute to violence injuries among immigrants from Ethiopia and the former Soviet Union [17, 59]. It is challenging for immigrants to adapt between their cultures of the past and fitting into the new culture, the Israeli society.…”

Section: Discussionmentioning

confidence: 99%

Minorities and foreign born are disproportionately affected by injuries due to violence: an analysis based on a National Trauma Registry 2008–2017

Tiruneh

Radomislensky

Peleg

et al. 2019

Isr J Health Policy Res

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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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Section: Discussionmentioning

confidence: 99%

Minorities and foreign born are disproportionately affected by injuries due to violence: an analysis based on a National Trauma Registry 2008–2017

Tiruneh

Radomislensky

Peleg

et al. 2019

Isr J Health Policy Res

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“…In Switzerland, the foreign population is relatively young: for every 100 foreigners of working age (aged 20–65) there are only 11 aged 66 and over (compared with 36 among the Swiss) [ 27 ]. In our study, the mean age of SE immigrant patients was 39.7 (SD = 15.87) years, in contrast to the value for the Swiss group: 51.3 (SD = 21.13) years.…”

Section: Discussionmentioning

confidence: 99%

Increased Urgent Care Center Visits by Southeast European Migrants: A Retrospective, Controlled Trial from Switzerland

Klukowska-Roetzler

Eracleous²,

Mûller

et al. 2018

IJERPH

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We investigated whether immigrants from Southeast Europe (SE) and Swiss patients have different reasons for visiting the emergency department (ED). Our retrospective data analysis for the years 2013–2017 describes the pattern of ED consultations for immigrants from SE living in Switzerland (Canton Bern), in comparison with Swiss nationals, with a focus on type of referral and reason for admission. A total of 153,320 Swiss citizens and 12,852 immigrants from SE were included in the study. The mean age was 51.30 (SD = 21.13) years for the Swiss patients and 39.70 (SD = 15.87) years for the SE patients. For some countries of origin (Albania, Bosnia and Herzegovina, and Turkey), there were highly statistically significant differences in sex distribution, with a predominance of males. SE immigrants had a greater proportion of patients in the lower triage level (level 3: SE: 67.3% vs. Swiss: 56.0%) and a greater proportion of patients in the high triage level than the Swiss population (level 1: SE: 3.4% vs. Swiss: 8.8%). SE patients of working age (16–65 years) were six times more often admitted by ambulance than older (≥65 years) SE patients, whereas this ratio was similar in the Swiss population. In both groups, the fast track service was primarily used for patients of working age (<65) and more than three times more often in the SE than the Swiss group (SE: 39.1%, Swiss: 12.6%). We identified some indications for access to primary care in emergency departments for immigrants and highlighted the need for attention to the role of organizational characteristics of primary health care in Switzerland. We highlighted the need for professional support to improve the quality of healthcare for immigrants. In the future, we will need more primary care services and general practitioners with a migrant background.

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“…Growing evidence, in many countries, consistently showed ethnic differences on the burden of injury. Ethnic minorities seem to be at higher risk of injury and mortality than the country majority of ethnic counterparts [4]. In addition, ethnic diversity has been found to influence employment status among various groups of individuals with disabilities [5].…”

Section: Introductionmentioning

confidence: 99%

“…Israeli society is heterogeneous and is composed of several ethnic groups that differ in terms of religion, culture, ethnicity, and language. Nevertheless, every Israeli resident, regardless of ethnicity, is entitled to comprehensive health care services including rehabilitation under the National Health Insurance law [4]. The two major ethnic groups in the country are Jews (74.8%) and Arabs (20.8%), more than 80% of whom are Muslims [2].…”

Section: Introductionmentioning

confidence: 99%

Returning to work after a hand injury: Does ethnicity matter?

et al. 2020

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Background Hand injuries (HI) are common and may limit participation in work. The objective of this study is to examine the effect of ethnicity and other prognostic variables on return-to-work (RTW) among male manual workers after acute HI. Methods A cohort of 178 subjects (90 Arabs, 88 Jews) aged 22 to 65 was studied. Trained bilingual occupational therapists evaluated and interviewed the subjects, using structured validated questionnaires for evaluating personal and environmental factors, body function and structure, and activity limitation and participation restrictions. Employment status 3 months post injury was assessed by a telephone interview. To establish a predictive model for RTW, ethnicity and certain variables of the four domains mentioned above were analyzed using logistic regression analysis. Results A significant difference in the rate of RTW between Jews and Arabs was found (45.5% for Jews, 28.9% for Arabs, p = 0.03) three months post HI. In the univariate regression analysis, ethnicity was associated with RTW (OR = 2.05; CI: 1.10-3.81) for Jews vs. Arabs. Using a multivariate analysis, only legal counseling, educational attainment, and the severity of disability were significantly associated with RTW. Conclusion RTW three months post HI among manual workers is directly related to variables such as education and legal counseling and only indirectly related to ethnicity. Patients with a lower level of education and those who were engaged in legal counseling need special attention and close guidance in the process of RTW.

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Characteristics and circumstances of injuries vary with ethnicity of different population groups living in the same country

Abstract: Targeted intervention programmes need to be developed for immigrants of different countries of origin in accordance with the identified characteristics.

Cited by 12 publications

References 29 publications

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

Increased Urgent Care Center Visits by Southeast European Migrants: A Retrospective, Controlled Trial from Switzerland

Returning to work after a hand injury: Does ethnicity matter?

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