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International Journal of Public Health

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15.03.2018 | Original Article

Changes in trauma admission rates and mechanisms during recession and recovery: evidence from the Detroit metropolitan area

verfasst von: Kimberly Coughlin, R. David Hayward, Mary Fessler, Elango Edhayan

Erschienen in: International Journal of Public Health | Ausgabe 7/2018

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Abstract

Objectives

Although individual socioeconomic status has been linked with risk of traumatic injury, there has been relatively little research into the question of how economic changes may impact trauma admission rates in neighborhoods with different socioeconomic backgrounds.

Methods

This study pairs ZIP code-level data on trauma admissions with county-level data on unemployment to assess differences in the type of changes experienced in more and less affluent neighborhoods of the Detroit metropolitan area between 2006 and 2014.

Results

Conditional linear growth curve modeling results indicate that trauma admission rates decreased during the “great recession” of 2008–2010 in neighborhoods with the highest unemployment levels, but increased during the same period of time in neighborhoods with lower unemployment. Consequently, citywide disparities in trauma incidence decreased during the recession and widened again as the economy began to improve.

Conclusion

Trauma risks and demand for trauma care may shift geographically in relation to broader economic changes. Health care policy and planning should consider these dynamics when anticipating changing demands and needs for efforts at prevention.

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Titel: Changes in trauma admission rates and mechanisms during recession and recovery: evidence from the Detroit metropolitan area
verfasst von: Kimberly Coughlin
R. David Hayward
Mary Fessler
Elango Edhayan
Publikationsdatum: 15.03.2018
Verlag: Springer International Publishing
Erschienen in: International Journal of Public Health / Ausgabe 7/2018
Print ISSN: 1661-8556
Elektronische ISSN: 1661-8564
DOI: https://doi.org/10.1007/s00038-018-1087-5

Springer Medizin

Abstract

Objectives

Methods

Results

Conclusion

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