TY - JOUR

T1 - Socio-economic status and major trauma in a Scandinavian urban city

T2 - A population-based case-control study

AU - Bagher, A

AU - Andersson, L

AU - Clinical Sciences, Malmö, Lund University, Department

AU - Ottosson, A

AU - Wangefjord, S

AU - Acosta, S

N1 - © 2015 the Nordic Societies of Public Health.

PY - 2016/3

Y1 - 2016/3

N2 - AIMS: Epidemiological studies of patients with major trauma, including both hospitalized and immediately deceased whom are undergoing medico-legal autopsy, are very rare. We studied the incidence and mortality of major trauma in all 10 districts in the Scandinavian city of Malmö, Sweden, and the association between socio-economic status and major trauma.METHODS: Major trauma was defined as a New Injury Severity Score > 15, or a lethal outcome due to trauma. Cases with a registration address in Malmö between 1 January 2011 and 31 December 2013 were identified from the red trauma alarm list in the hospital and the autopsy register in the Forensic Department. Statistics Sweden matched each case with four randomly selected age-, gender- and district-matched controls. Social assistance within the household, level of education, income and capital income were compared.RESULTS: We identified 117 cases (80 men and 37 women) with a median age of 48.0 years (IQR 28.5-65.0). The incidence of major trauma in Malmö was 12.7 (95% CI 10.4-15.0) per 100,000 person-years; and 69 died due to major trauma, with 8.4 (95% CI 6.4-10.4) per 1000 deaths. Lower income (p = 0.024), no income (OR 1.6; 95% CI 1.0-2.4; p = 0.037) and social assistance (OR 2.3; 95% CI 1.3-4.1; p = 0.003) were associated with major trauma. The level of education was not found to be related to major trauma (p = 0.47).CONCLUSIONS: Low income and social assistance within the household were associated with major trauma in the city of Malmö, but not the level of education; in this age-, gender- and district-matched case-control study of major trauma.

AB - AIMS: Epidemiological studies of patients with major trauma, including both hospitalized and immediately deceased whom are undergoing medico-legal autopsy, are very rare. We studied the incidence and mortality of major trauma in all 10 districts in the Scandinavian city of Malmö, Sweden, and the association between socio-economic status and major trauma.METHODS: Major trauma was defined as a New Injury Severity Score > 15, or a lethal outcome due to trauma. Cases with a registration address in Malmö between 1 January 2011 and 31 December 2013 were identified from the red trauma alarm list in the hospital and the autopsy register in the Forensic Department. Statistics Sweden matched each case with four randomly selected age-, gender- and district-matched controls. Social assistance within the household, level of education, income and capital income were compared.RESULTS: We identified 117 cases (80 men and 37 women) with a median age of 48.0 years (IQR 28.5-65.0). The incidence of major trauma in Malmö was 12.7 (95% CI 10.4-15.0) per 100,000 person-years; and 69 died due to major trauma, with 8.4 (95% CI 6.4-10.4) per 1000 deaths. Lower income (p = 0.024), no income (OR 1.6; 95% CI 1.0-2.4; p = 0.037) and social assistance (OR 2.3; 95% CI 1.3-4.1; p = 0.003) were associated with major trauma. The level of education was not found to be related to major trauma (p = 0.47).CONCLUSIONS: Low income and social assistance within the household were associated with major trauma in the city of Malmö, but not the level of education; in this age-, gender- and district-matched case-control study of major trauma.

KW - Adult

KW - Aged

KW - Case-Control Studies

KW - Child

KW - Cities

KW - Female

KW - Health Status Disparities

KW - Humans

KW - Incidence

KW - Male

KW - Middle Aged

KW - Poverty/statistics & numerical data

KW - Risk Factors

KW - Social Welfare/statistics & numerical data

KW - Socioeconomic Factors

KW - Sweden/epidemiology

KW - Urban Health/statistics & numerical data

KW - Wounds and Injuries/epidemiology

U2 - 10.1177/1403494815616302

DO - 10.1177/1403494815616302

M3 - Journal article

C2 - 26614635

VL - 44

SP - 217

EP - 223

JO - Scandinavian Journal of Public Health, Supplement

JF - Scandinavian Journal of Public Health, Supplement

SN - 1403-4956

IS - 2

ER -