Differences in Injury Patterns and Delays in Care-Seeking Behaviors in the Anabaptist Population.

J Trauma Nurs

Author Affiliations: National Farm Medicine Center, Marshfield Clinic Research Institute (Dr. Salzwedel); Center for Clinical Epidemiology and Population Health, Marshfield Clinic Research Institute (Dr. Rhodes-Lyons); and Trauma Department, Marshfield Clinic Health System-Marshfield, Marshfield, Wisconsin (Mrs Kracht).

Published: September 2024

AI Article Synopsis

  • - The study explores how the Anabaptists in Wisconsin have unique injury patterns and care-seeking behaviors compared to the general population due to their distinct lifestyle and health beliefs.
  • - Conducted over 23 years, the analysis found that out of 14,431 trauma patients, only 81 were confirmed Anabaptists, who were more likely to require helicopter transportation and had specific injury mechanisms, such as buggy collisions and machinery injuries.
  • - The research highlights significant differences in injury incidence and delayed health care access within the Anabaptist group, indicating the need for tailored injury prevention and health care strategies for this population.

Article Abstract

Background: The lifestyle differences of Anabaptists and their views on health care may yield different injury patterns than standard populations and require a customized approach to injury prevention and health care delivery.

Objective: To identify differences in injury patterns and delays in care-seeking behaviors among the Anabaptists in Wisconsin.

Methods: This single-center retrospective cohort study was conducted from (23 years) January 1, 2000, to December 31, 2023. Local Trauma Registry data collected patient demographics, injury details, morbidity outcomes, in-hospital mortality, and preexisting comorbidity. Anabaptist trauma patients were isolated by confirmed identification in the Trauma Registry. The analysis utilized both descriptive statistics and a logistic regression model with the outcome of Anabaptist.

Results: A total of 14,431 patients were included in the analysis; 81 (0.4%) were confirmed as Anabaptist. The Anabaptist population showed a higher likelihood of helicopter transportation (odds ratio [OR] 4.64, p < .01) and an activation of Pediatric Level I (OR 4.07, p < .01). As the emergency department shock index increased by one unit, the odds of being Anabaptist increased by 9.87 (p < .01). The injury mechanisms that were associated with the Anabaptist population included buggy collisions (OR 312.58, p < .01), caught or crushed (OR 5.21, p = .01), machinery (OR 5.38, p < .01), near drowning (OR 14.09, p < .01), scooter (OR 13.93, p = .04), and woodworking (OR 12.81, p = .01).

Conclusions: This study identified differences in injury patterns and delays in care-seeking behaviors in the Anabaptist population.

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Source
http://dx.doi.org/10.1097/JTN.0000000000000807DOI Listing

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