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

doi:10.1186/s13584-019-0297-5

Cited by 11 publications

(8 citation statements)

References 40 publications

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“…Our analyses of the external circumstances in a smaller subset of injuries treated in secondary care reveal yet more heterogeneity in injury risk among immigrants. Consistent with past research, we found that immigrants had lower risk of injuries caused by self-harm than nonimmigrants, but higher risk of injuries caused by assault (Norredam et al 2013;Puzo et al 2017;Tiruneh et al 2019). Our study also adds to an extensive literature showing higher rates of occupational injuries among immigrants (Salvatore et al 2013;Biering et al 2017).…”

Section: Discussionsupporting

confidence: 91%

Health care utilisation for treatment of injuries among immigrants in Norway: a nationwide register linkage study

et al. 2020

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Background Previous research has generally found lower rates of injury incidence in immigrant populations than in native-born populations. Most of this literature relies on mortality statistics or hospital data, and we know less about injuries treated in primary health care. The aim of the present study was to assess use of primary and secondary care for treatment of injuries among immigrants in Norway according to geographic origin and type of injury. Methods We conducted a nationwide register-based cohort study of all individuals aged 25–64 years who resided in Norway as of January 1st 2008. This cohort was followed through 2014 by linking sociodemographic information and injury data from primary and secondary care. We grouped immigrants into six world regions of origin and identified immigrants from the ten most frequently represented countries of origin. Six categories of injury were defined: fractures, superficial injuries, open wounds, dislocations/sprains/strains, burns and poisoning. Poisson regression models were fitted to estimate incidence rate ratios separately for injuries treated in primary and secondary care according to immigrant status, geographic origin and type of injury, with adjustment for sex, age, county of residence, marital status and socioeconomic status. Results Immigrants had a 16% lower incidence of injury in primary care than non-immigrants (adjusted IRR = 0.84, 95% CI 0.83–0.84), and a 10% lower incidence of injury in secondary care (adjusted IRR = 0.90, 95% CI 0.90–0.91). Immigrants from Asia, Africa and European countries outside EU/EEA had lower rates than non-immigrants for injuries treated in both primary and secondary care. Rates were lower in immigrants for most injury types, and in particular for fractures and poisoning. For a subset of injuries treated in secondary care, we found that immigrants had lower rates than non-immigrants for treatment of self-harm, falls, sports injuries and home injuries, but higher rates for treatment of assault, traffic injuries and occupational injuries. Conclusions Health care utilisation for treatment of injuries in primary and secondary care in Norway was lower for immigrants compared to non-immigrants. Incidence rates were especially low for immigrants originating from Asia, Africa and European countries outside EU/EEA, and for treatment of fractures, poisoning, self-harm and sports injuries.

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Section: Discussionsupporting

confidence: 91%

Health care utilisation for treatment of injuries among immigrants in Norway: a nationwide register linkage study

et al. 2020

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“…hospital or health plan) programs. 4 The remaining 2 original articles did not entail original research about the Israeli health system: one was a study of a health care program in Germany and the other was methodological/conceptual in nature.…”

Section: How the Ijhpr's 2019 Original Research Articles Sought To Comentioning

confidence: 99%

“…One of the articles observed ethnic Table 3 The rationale for key analyses undertaken in this editorial disparities between Jewish and Arab hospitalized casualties observed with regard to hospital stay, ICU admission and rehabilitation transfer [3]. The other article found that ethnic differences occur in violence-related injuries and recommended that violence prevention programs should be culturally adapted [4]. An article by investigators from the Ministry of Health (MOH) and elsewhere used an MOH database on hospitalizations and procedures to explore how hysterectomy rates vary across regions and how they changed between 2007 and 2016 [5].…”

Section: Further Information On the 2019 Articles That Relied On Datamentioning

confidence: 99%

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Rosen

Schoenbaum

Israeli

2020

Isr J Health Policy Res

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As 2020 comes to a close, the Israel Journal of Health Policy Research (IJHPR) will soon be starting its tenth year of publication. This editorial compares data from 2012 (the journal’s first year of publication) and 2019 (the journal’s most recent full year of publication), regarding the journal’s mix of article types, topics, data sources and methods, with further drill-downs regarding 2019.The analysis revealed several encouraging findings, including a broad and changing mix of topics covered. However, the analysis also revealed several findings that are less encouraging, including the limited number of articles which assessed national policy changes, examined changes over time, and/or made secondary use of large-scale survey data. These findings apparently reflect, to some extent, the mix of studies being carried out by Israeli health services researchers.As the senior editors of the IJHPR we are interested in working with funders, academic institutions, the owners and principal users of relevant administrative databases, and individual scholars to further understand the factors influencing the mix of research being carried out, and subsequently published, by Israel’s health services research community. This deeper understanding could then be used to develop a joint plan to diversify and enrich health services research and health policy analysis in Israel. The plan should include a policy of ensuring improved access to data, to properly support information-based research.

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“…This ethnic community has experienced many challenges in social integration and absorption into Israeli society [13]. In addition, a high incidence of violence related injuries requiring hospitalization have been reported among Ethiopian immigrants [14,15].…”

Section: Introductionmentioning

confidence: 99%

Socio-economic disparities and returning to work following an injury

Savitsky

Radomislensky

Goldman

et al. 2020

Isr J Health Policy Res

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Background: Traumatic injury is one of the main reasons for temporary and permanent occupational disability. The objective of this study was to define the role of socioeconomic position on post-injury occupational absenteeism. Methods: This was a nationwide retrospective cohort study, based on linking The Israeli National Trauma Registry (INTR) and the National Insurance Institute (NII) databases. The study population included 44,740 injured workers (residents of Israel, aged 21-67, hospitalized between 2008 and 2013 and employed prior to injury as salaried workers). Logistic-regression models tested the probability of not returning to work (RTW). Results: The majority of the study population (61%) RTW within 1 month following the injury event. Income prior to injury was significantly associated with longer out of work stay, explaining 9% variance. A significant interaction (p value < 0.0001) was found between age and income on out of work stay more than 1 month, 1 year and 2 years. Logistic regression models of out of work stay were conducted separately for all age groups. Lower income was associated with greater chance for out of work stay for more than 1 month; and the gap between the lowest and highest income quartiles was greater among older workers (age 55+), where there was an elevenfold increase in probability of not RTW among casualties from the lowest vs. highest income quartile. In comparison to other population groups, Arabs were at greater odds of longer out of work stay following an injury. Among injured persons recognized by the NII as having occupational injuries, the odds for not RTW within a month, a year and 2 years were respectively 3.9, 2.5 and 2.2 times significantly greater in comparison to employees injured outside the workplace. Conclusions: This study identified population groups with a high probability of not RTW following an injury requiring hospitalization. Intervention programs for injured employees should promote early rehabilitation and aim to shorten out of work stay. These programs should be ethnically adapted and focus on underprivileged and disadvantaged populations.

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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

Cited by 11 publications

References 40 publications

Health care utilisation for treatment of injuries among immigrants in Norway: a nationwide register linkage study

Health care utilisation for treatment of injuries among immigrants in Norway: a nationwide register linkage study

Opportunities for diversifying and enriching our article mix

Socio-economic disparities and returning to work following an injury

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