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

Author

Listed:
  • Kimberly Coughlin

    (St. John Hospital and Medical Center)

  • R. David Hayward

    (St. John Hospital and Medical Center)

  • Mary Fessler

    (St. John Hospital and Medical Center)

  • Elango Edhayan

    (St. John Hospital and Medical Center)

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.

Suggested Citation

  • Kimberly Coughlin & R. David Hayward & Mary Fessler & Elango Edhayan, 2018. "Changes in trauma admission rates and mechanisms during recession and recovery: evidence from the Detroit metropolitan area," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(7), pages 847-854, September.
    • Handle: RePEc:spr:ijphth:v:63:y:2018:i:7:d:10.1007_s00038-018-1087-5
    DOI: 10.1007/s00038-018-1087-5
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    1. repec:cup:judgdm:v:1:y:2006:i::p:48-63 is not listed on IDEAS
    2. Laura A. Reese & Gary Sands & Mark Skidmore, 2014. "Memo from Motown: is austerity here to stay?," Cambridge Journal of Regions, Economy and Society, Cambridge Political Economy Society, vol. 7(1), pages 99-118.
    3. repec:rre:publsh:v:40:y:2010:i:1:p:1-4 is not listed on IDEAS
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