Socio-economic status and major trauma in a Scandinavian urban city: A population-based case-control study
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Socio-economic status and major trauma in a Scandinavian urban city : A population-based case-control study. / Bagher, A; Andersson, L; Clinical Sciences, Malmö, Lund University, Department; Ottosson, A; Wangefjord, S; Acosta, S.
I: Scandinavian Journal of Public Health, Bind 44, Nr. 2, 03.2016, s. 217-23.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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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 -
ID: 364697514