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International Journal of Epidemiology 2002;31:593-599
© International Epidemiological Association 2002

Special Theme: Injuries and Violence

Injury inequalities: morbidity and mortality of 0–17 year olds in Israel

Rosa Gofina, Malka Avitzoura, Ziona Haklaib and Navah Jellinc

a Department of Social Medicine. Hadassah Medical Organization and the Braun School of Public Health and Community Medicine of the Hebrew University and Hadassah, Israel.
b Information and Computer Services. Ministry of Health, Israel.
c Clalit Health Services, Israel.

Rosa Gofin, Department of Social Medicine, Hadassah University Hospital, Ein Karem, Jerusalem 91120, Israel. E-mail: gofin{at}cc.huji.ac.il

Background To determine whether there are inequalities in the incidence of fatal and non-fatal unintentional injuries among Jewish and Arab children in Israel.

Methods A nationwide random sample of injured children aged 0–17 attending emergency rooms (ER) during one year was selected (n = 11 058). The number of cases was weighted to 365 days and rates and odds ratios (OR) were calculated. Logistic regression was performed to study the OR of hospitalization in the total population and among Jews and Arabs controlling for independent variables.

Results The incidence of ER admissions among the Jews was 752.6/10 000 (95% CI: 738.1–767.1), 1.5 times higher than among the Arabs (492.8/10 000, 95% CI: 472.8–512.8). However, the rate of hospitalization was 1.1 times higher among Arabs than among Jews and the mortality rate was 3.2 times higher among Arabs than among Jews.

Conclusions The differences in injury rates for fatal and non-fatal injuries may be due to differences in the severity of injuries or in the use of services by the two populations. A study is underway to elucidate this point.

Keywords Unintentional injuries, causes, nature, outcome, inequalities, child, adolescence, wounds and injuries, emergency services, hospitalization/statistical and numerical data, causes of death, incidence, socioeconomic factors, ethnic groups, Israel/epidemiology

Accepted 10 January 2002


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