Examining the relationship between social deprivation index and pedestrian injuries in a suburban setting: Is that the only factor?

IF 1.9 3区 医学 Q2 EMERGENCY MEDICINE
Yesha Maniar, Jasmine Brite, Haarika Chalasani, Sally Tan, Sarah Lee, Rebecca de la O, Shahidul Islam, Patrizio Petrone, D'Andrea K Joseph, Adam Stright
{"title":"Examining the relationship between social deprivation index and pedestrian injuries in a suburban setting: Is that the only factor?","authors":"Yesha Maniar, Jasmine Brite, Haarika Chalasani, Sally Tan, Sarah Lee, Rebecca de la O, Shahidul Islam, Patrizio Petrone, D'Andrea K Joseph, Adam Stright","doi":"10.1007/s00068-025-02877-9","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Increased efforts to understand the reasons for the rise in pedestrian related traffic fatalities have demonstrated that these injuries occur in minority and lower income neighborhoods. The purpose of our study was to characterize the patient population suffering from pedestrian injuries in suburban setting, to determine whether the incidence of pedestrian injuries is associated with the social deprivation index (SDI) and to identify zip codes with a higher incidence of pedestrian injuries.</p><p><strong>Methods: </strong>Single center, descriptive, retrospective cohort study of all patients suffering from pedestrian injuries admitted to our Level I Trauma Center (01/2014-10/2022). Demographic characteristics were summarized by groups and presented using the median (IQR) or frequency (%). Spearman's rank correlation was computed to assess the relationship between incidence of pedestrian injuries and SDI. ArcGIS was utilized to map the number of pedestrians injured, SDI, and percentage of households without a vehicle by zip code.</p><p><strong>Results: </strong>719 patients identified had suffered pedestrian injuries. Median age of injury was 49(IQR 29-64), and median ISS was 8(IQR 4-14). There was a weak, but significant positive correlation between incidence of pedestrian injuries and SDI [r = .16; p-value = 0.02]. The zip code with the most injuries was Hempstead.</p><p><strong>Conclusions: </strong>Hempstead has the highest number of pedestrian injuries, highest SDI and highest percentage of households without a vehicle. However, overall correlation between incidence of pedestrian injuries and SDI was weak, suggesting that SDI may not be the only factor. Future research should focus on investigating other factors such as the presence of multilane arterial roads in these areas.</p>","PeriodicalId":12064,"journal":{"name":"European Journal of Trauma and Emergency Surgery","volume":"51 1","pages":"206"},"PeriodicalIF":1.9000,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Journal of Trauma and Emergency Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00068-025-02877-9","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"EMERGENCY MEDICINE","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Increased efforts to understand the reasons for the rise in pedestrian related traffic fatalities have demonstrated that these injuries occur in minority and lower income neighborhoods. The purpose of our study was to characterize the patient population suffering from pedestrian injuries in suburban setting, to determine whether the incidence of pedestrian injuries is associated with the social deprivation index (SDI) and to identify zip codes with a higher incidence of pedestrian injuries.

Methods: Single center, descriptive, retrospective cohort study of all patients suffering from pedestrian injuries admitted to our Level I Trauma Center (01/2014-10/2022). Demographic characteristics were summarized by groups and presented using the median (IQR) or frequency (%). Spearman's rank correlation was computed to assess the relationship between incidence of pedestrian injuries and SDI. ArcGIS was utilized to map the number of pedestrians injured, SDI, and percentage of households without a vehicle by zip code.

Results: 719 patients identified had suffered pedestrian injuries. Median age of injury was 49(IQR 29-64), and median ISS was 8(IQR 4-14). There was a weak, but significant positive correlation between incidence of pedestrian injuries and SDI [r = .16; p-value = 0.02]. The zip code with the most injuries was Hempstead.

Conclusions: Hempstead has the highest number of pedestrian injuries, highest SDI and highest percentage of households without a vehicle. However, overall correlation between incidence of pedestrian injuries and SDI was weak, suggesting that SDI may not be the only factor. Future research should focus on investigating other factors such as the presence of multilane arterial roads in these areas.

考察郊区社会剥夺指数与行人伤害的关系:这是唯一的因素吗?
背景:越来越多的努力了解行人相关交通事故死亡人数上升的原因,表明这些伤害发生在少数民族和低收入社区。本研究的目的是分析郊区行人伤害患者的特征,确定行人伤害发生率是否与社会剥夺指数(SDI)相关,并确定行人伤害发生率较高的邮政编码。方法:对我院一级创伤中心(2014年1月- 2022年10月)收治的所有行人损伤患者进行单中心、描述性、回顾性队列研究。按组总结人口统计学特征,并使用中位数(IQR)或频率(%)表示。计算Spearman秩相关来评估行人伤害发生率与SDI之间的关系。利用ArcGIS按邮政编码绘制行人受伤人数、SDI和无车家庭百分比。结果:719例患者有行人损伤。中位损伤年龄为49岁(IQR 29-64),中位ISS为8岁(IQR 4-14)。行人伤害发生率与SDI呈微弱但显著的正相关[r = 0.16;p值= 0.02]。受伤最多的邮政编码是亨普斯特德。结论:亨普斯特德的行人受伤人数最多,SDI最高,无车家庭比例最高。然而,行人伤害发生率与SDI之间的总体相关性较弱,这表明SDI可能不是唯一的因素。未来的研究应侧重于调查其他因素,如这些地区是否存在多车道主干道。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
4.50
自引率
14.30%
发文量
311
审稿时长
3 months
期刊介绍: The European Journal of Trauma and Emergency Surgery aims to open an interdisciplinary forum that allows for the scientific exchange between basic and clinical science related to pathophysiology, diagnostics and treatment of traumatized patients. The journal covers all aspects of clinical management, operative treatment and related research of traumatic injuries. Clinical and experimental papers on issues relevant for the improvement of trauma care are published. Reviews, original articles, short communications and letters allow the appropriate presentation of major and minor topics.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信