Department of Surgery, St. John Hospital and Medical Center, 22101 Moross Rd, Professional Building 1, Suite 212, Detroit, MI, 48236, USA.
Int J Public Health. 2018 Sep;63(7):847-854. doi: 10.1007/s00038-018-1087-5. Epub 2018 Mar 15.
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.
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.
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.
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.
尽管个体社会经济地位与创伤风险相关，但对于经济变化如何影响具有不同社会经济背景的社区的创伤入院率，相关研究相对较少。
本研究将创伤入院的邮政编码数据与县一级的失业率数据相匹配，以评估 2006 年至 2014 年底特律大都市区贫富社区经历的变化类型的差异。
条件线性增长曲线建模结果表明，在失业率最高的社区，2008-2010 年“大衰退”期间创伤入院率下降，但在失业率较低的社区，同期创伤入院率上升。因此，随着经济开始好转，全市范围内的创伤发生率差距在衰退期间缩小，之后又再次扩大。
与更广泛的经济变化相比，创伤风险和创伤护理需求可能在地理上发生转移。在预测不断变化的需求和预防工作的需求时，医疗政策和规划应考虑这些动态。
