• Users Online: 1632
  • Print this page
  • Email this page
ORIGINAL ARTICLE
Year : 2020  |  Volume : 9  |  Issue : 4  |  Page : 189-196

Explaining gender differences in transfer time to a trauma center in Northern Iran


1 Social Determinants of Health Research Center, Guilan University of Medical Sciences, Rasht, Iran
2 School of Health Administration, Faculty of Health, Dalhousie University, Halifax, Canada
3 Research Center for Environmental Determinants of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran
4 Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran

Correspondence Address:
Ms. Leila Kouchakinejad-Eramsadati
Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht
Iran
Dr. Naema Khodadadi-Hassankiadeh
Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht
Iran
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/atr.atr_2_20

Rights and Permissions

Background: The association between gender and time of receiving services (TRS) after traumatic injuries is rarely documented in developing countries. This study aimed to examine gender differences in time between occurring injuries and receiving services in hospital after trauma injuries in northern Iran. Materials and Methods: A total of 7085 injured patients were included in this study. Data on sociodemographic and clinical characteristics were extracted from the Guilan province trauma system registry (GTSR) from July 2017 to July 2018. The Oaxaca–Blinder (OB) method was used to explain the gender differences in the TRS after traumatic injuries. Results: There were significant differences between men and women in marital statues (P < 0.001), education level (P < 0.001), time of injury (P = 0.025), occupation (P < 0.001), type of trauma (P < 0.001), mode of transfer (P < 0.001), mean age (P < 0.001), average distance from hospital (P = 0.052), and average transfer time to the hospital (P < 0.001). We found gender differences in TRS after falling trauma (P = 0.006) when the transfer was performed by emergency medical services (EMSs) and in penetrating trauma (P < 0.001) when the transfer was performed by private vehicles. The difference in the observed characteristics of men and women explained 67% of gender differences in TRS (P = 0.06). Conclusion: The gender difference in the transfer of injured patients was in favor of men, depending on the socio-demographic and clinical factors. In OB analysis, the gender differences in falling trauma and transfer by EMS and the gender differences in penetrating trauma and private transmission to the hospital were also confirmed. Steps need to be taken to ensure that services are equally beneficial to both men and women.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed4374    
    Printed294    
    Emailed0    
    PDF Downloaded264    
    Comments [Add]    

Recommend this journal