Penetrating injury rates were more than 20 times higher for persons living in the lowest income neighborhoods compared with those living in the highest income neighborhoods, according to a new study published in the August issue of the Journal of the American College of Surgeons.
Researchers also found that those in the lowest-income neighborhoods experienced nearly six times higher rates of blunt injury than persons in the highest income neighborhoods. Penetrating injuries included those from firearms or cuts; blunt injuries included motor vehicle crashes, falls and assaults.
Geographic variations in health have been a concern for researchers for many years. Previous research indicates that there is a clear association between living in a poor neighborhood and suffering from high rates of injury of various types. Furthermore, numerous reports indicate that there is an association between living in a socioeconomically disadvantaged neighborhood and poor health outcomes.
¡°These findings support the need to focus interventions to reduce injury rates in neighborhoods with the lowest socioeconomic status,¡± said Ben L. Zarzaur, MD, MPH, FACS, assistant professor at the University of Tennessee Health Science Center in Memphis, Tenn. ¡°Besides ensuring that all patients have access to the appropriate level of trauma care, we need to find ways to prevent those injuries in the first place.¡±
Researchers evaluated 17,658 patients ages 18 to 84 who were admitted after injury to the Elvis Presley Memorial Trauma Center (EPMTC) from Jan. 1, 1996 to Dec. 31, 2005. EPMTC is a Level I trauma center at the Regional Medical Center in Memphis, and serves Tennessee, Mississippi and Arkansas. [Level 1 means it has a full range of specialists and equipment available 24-hours a day.] Addresses of adults admitted to EPMTC in the county from 1996 to 2005 were geocoded and matched to one of 214 census tract groups. The researchers divided census tract groups into quintiles based on percent of the population living below the poverty level (lowest to highest income neighborhood socioeconomic status (N-SES)). The five N-SES categories were: lowest (>34.8 percent of the population living below the poverty line); low-middle (20.9 to 34.8 percent of the population living below the poverty line); middle (10.0 to 20.8 percent of the population living below the poverty line); high-middle (4.4 to 9.9 percent of the population living below the poverty line); and highest (¡Ü4.3 percent of the population living below the poverty line).
Crude injury admission rate ratios were calculated by N-SES category in Shelby County from 1996 to 2005 for blunt and penetrating injuries, with the highest N-SES category as the referent. Crude blunt injury rates steadily and significantly increased across N-SES categories to the point that persons living in the lowest N-SES category had nearly six times the crude blunt injury admission rate as those from the highest N-SES category. The results for injury admission rate ratios for penetrating injury were similar. Persons living in the lowest N-SES category in Shelby County had almost 21 times the rate of penetrating injury admission compared with those living in the highest N-SES category in Shelby County.
About the American College of Surgeons
The American College of Surgeons is a scientific and educational organization of surgeons that was founded in 1913 to raise the standards of surgical practice and to improve the care of the surgical patient. The College is dedicated to the ethical and competent practice of surgery. Its achievements have significantly influenced the course of scientific surgery in America and have established it as an important advocate for all surgical patients. The College has more than 77,000 members and is the largest organization of surgeons in the world.
Sally Garneski | EurekAlert!
Multi-year study finds 'hotspots' of ammonia over world's major agricultural areas
17.03.2017 | University of Maryland
Diabetes Drug May Improve Bone Fat-induced Defects of Fracture Healing
17.03.2017 | Deutsches Institut für Ernährungsforschung Potsdam-Rehbrücke
The Institute of Semiconductor Technology and the Institute of Physical and Theoretical Chemistry, both members of the Laboratory for Emerging Nanometrology (LENA), at Technische Universität Braunschweig are partners in a new European research project entitled ChipScope, which aims to develop a completely new and extremely small optical microscope capable of observing the interior of living cells in real time. A consortium of 7 partners from 5 countries will tackle this issue with very ambitious objectives during a four-year research program.
To demonstrate the usefulness of this new scientific tool, at the end of the project the developed chip-sized microscope will be used to observe in real-time...
Astronomers from Bonn and Tautenburg in Thuringia (Germany) used the 100-m radio telescope at Effelsberg to observe several galaxy clusters. At the edges of these large accumulations of dark matter, stellar systems (galaxies), hot gas, and charged particles, they found magnetic fields that are exceptionally ordered over distances of many million light years. This makes them the most extended magnetic fields in the universe known so far.
The results will be published on March 22 in the journal „Astronomy & Astrophysics“.
Galaxy clusters are the largest gravitationally bound structures in the universe. With a typical extent of about 10 million light years, i.e. 100 times the...
Researchers at the Goethe University Frankfurt, together with partners from the University of Tübingen in Germany and Queen Mary University as well as Francis Crick Institute from London (UK) have developed a novel technology to decipher the secret ubiquitin code.
Ubiquitin is a small protein that can be linked to other cellular proteins, thereby controlling and modulating their functions. The attachment occurs in many...
In the eternal search for next generation high-efficiency solar cells and LEDs, scientists at Los Alamos National Laboratory and their partners are creating...
Silicon nanosheets are thin, two-dimensional layers with exceptional optoelectronic properties very similar to those of graphene. Albeit, the nanosheets are less stable. Now researchers at the Technical University of Munich (TUM) have, for the first time ever, produced a composite material combining silicon nanosheets and a polymer that is both UV-resistant and easy to process. This brings the scientists a significant step closer to industrial applications like flexible displays and photosensors.
Silicon nanosheets are thin, two-dimensional layers with exceptional optoelectronic properties very similar to those of graphene. Albeit, the nanosheets are...
20.03.2017 | Event News
14.03.2017 | Event News
07.03.2017 | Event News
29.03.2017 | Materials Sciences
29.03.2017 | Physics and Astronomy
29.03.2017 | Earth Sciences