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Differences in Injury Patterns and Delays in Care-Seeking Behaviors in the Anabaptist Population
Marsha Salzwedel1, Heather Xenia Rhodes-Lyons, Elizabeth Kracht
1Author 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).
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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