title: Injury-related hospitalizations in 2002 and 2012 in a Mexican rural hospital: differences between indigenous and non-indigenous inpatients.
abstract: Data are lacking on the extent and distribution of injuries in rural areas. This study aimed at comparing injury-related hospitalizations between 2002 and 2012 at a rural hospital of northern Mexico focusing on differences between indigenous (IP) and non-indigenous patients (NIP). A retrospective design based on the review of records of patients hospitalized with injury diagnoses was used. Information extracted included ethnicity, sex, age, hospital duration, surgical procedures, complications and discharge outcome. Injury data comprised of main diagnosis, mechanism and body part affected. Patterns were stratified by year and ethnicity. Logistic regression was used to determine the probability of being hospitalized for >1 day. Injury-related mortality increased from 0.4% in 2002 to 3.1% in 2012. The proportion of non-indigenous patients hospitalized also increased by 4.5%. Men accounted for two-thirds of all inpatients. Weapon involvement doubled from 16.6% to 33.6%. Almost half of the patients in 2012 were victims of interpersonal violence. Indigenous patients had a 2.7 higher adjusted odds ratios of being hospitalized for >1 day in 2002 (95% CI 1.2-5.7), though the gap was reduced to 1.9 (1.1-3.5) in 2012. While indigenous patients continue to be more disadvantaged than the non-indigenous, the gaps closed in 2012; the reasons behind these disparities need to be further investigated.
authors.affiliation: a Master Program in Public Health , San Luis Potosí Autonomous University , San Luis Potosí , Mexico.|b Department of Public Health Sciences , Karolinska Institutet , Stockholm , Sweden.
authors.forename: Joel
authors.initials: J
authors.lastname: Monárrez-Espino
authors.affiliation: a Master Program in Public Health , San Luis Potosí Autonomous University , San Luis Potosí , Mexico.
authors.forename: Adrián de la Maza
authors.initials: AM
authors.lastname: Stahl
authors.affiliation: a Master Program in Public Health , San Luis Potosí Autonomous University , San Luis Potosí , Mexico.
authors.forename: Luz María Tejada
authors.initials: LMT
authors.lastname: Tayabas
authors.affiliation: c Guachochi Rural Hospital No. 26 , Mexican Institute of Social Security , Guachochi , Mexico.
authors.forename: Andrés Balleza
authors.initials: AB
authors.lastname: Carreón
authors.affiliation: b Department of Public Health Sciences , Karolinska Institutet , Stockholm , Sweden.
authors.forename: Lucie
authors.initials: L
authors.lastname: Laflamme
mesh_terms: D000058:Accidental Falls / Q000706:statistics & numerical data; D000063:Accidents, Traffic / Q000706:statistics & numerical data; D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D054624:Health Status Disparities; D017052:Hospital Mortality / Q000639:trends; D006760:Hospitalization / Q000706:statistics & numerical data* / Q000639:trends; D006780:Hospitals, Rural / Q000706:statistics & numerical data*; D006801:Humans; D007198:Indians, North American / Q000706:statistics & numerical data*; D007223:Infant; D007231:Infant, Newborn; D007902:Length of Stay / Q000639:trends; D008297:Male; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D012189:Retrospective Studies; D014754:Violence / Q000208:ethnology / Q000639:trends; D054041:Weapons / Q000706:statistics & numerical data; D014947:Wounds and Injuries / Q000208:ethnology* / Q000209:etiology / Q000401:mortality; D055815:Young Adult
keywords: Mexico; hospitalization; injuries; rural