Injury Hospitalization

Injury Hospitalization measures individual medical events resulting in inpatient hospitalization, according to the Centers for Disease Control and Prevention diagnostic criteria. These events include injury by motor vehicle, machinery, firearm, cut/pierce, and poison/overdose, among others. In 2015, over 156,000 hospitalizations in the region occurred due to one of these forms of injury, a rate of about 80 visits per 1,000 residents.

Injury Hospitalization Indicator Scores

City of
St. Louis

37

St. Louis
County

39

St. Charles
County

71

St. Clair
County

54

Data Source: Missouri Department of Health and Senior Services, MOPHIMS, 2015; Illinois Department of Public Health, IQuery, 2015

What does this score mean?

A score of 100 represents racial equity, meaning there are no racial disparities in the outcomes between black and white populations. The lower the Equity Score, the greater the disparity.

For Injury Hospitalization, a score of 100 – a score reflecting racial equity – would mean black and white residents are equally likely to be hospitalized as a result of bodily injury. It is important to note that for this indicator, equity is not our only goal; we also want to improve outcomes for all.

WHAT DOES THIS ANALYSIS MEAN?

Black residents of the region are twice as likely as white residents to be hospitalized due to injury. In the City of St. Louis, the likelihood of experiencing injury is nearly three times higher for black residents than for white residents, and 2.3 times higher for St. Louis County. In St. Clair County, black residents are 0.67 times more likely than white residents to experience hospitalization from injury, and in St. Charles County, black residents are about 1.3 times as likely to experience this outcome.

If injury rates were equitable, the number of injury hospital visits by black residents would have decreased by:

  • 12,412 in the City of St. Louis,
  • 382 in St. Charles County,
  • 4,789 in St. Clair County, and
  • 16,325 in St. Louis County.

Why Does Injury Hospitalization Matter?

Injury hospitalization is a broad category that includes medical events that could be the result of violent crime, pedestrian safety, work accidents, and drug abuse. They can signal a lack of investment in pedestrian infrastructure and public safety for minority neighborhoods. For black residents in St. Louis, the data suggests that simple activities like walking down the street are more dangerous than they are for white residents. Increasing access to quality resources and amenities, including safe jobs, schools, and parks, would reduce the threat of injury for all residents.

Which Calls to Action from the Ferguson Commission’s report are linked with this indicator?

While the Ferguson Commission’s report did not explicitly call out inpatient hospitalizations from injuries, this indicator is related to their call to action to:

Questions for Further Investigation:

  • Why is there a racial disparity in Injury Hospitalization?
  • What can St. Louis do to reduce racial disparities in Injury Hospitalization?
  • What initiatives are currently underway to reduce racial disparities in Injury Hospitalization?

How can I learn more about this issue?

In regards to injuries from violent crime, the St. Louis Area Violence Prevention Collaborative (STLVPC) works to reduce violent crime in the region by promoting a coordinated, well-resourced support system and interventions among area governments, institutions, and agencies that serve individuals and families most at risk of violent crime. It is a joint partnership between Washington University in St. Louis and the United Way of Greater St. Louis. In addition, the City of St. Louis’ Youth Violence Prevention Partnership is focused on lowering rates of youth violence.

Specifically related to pedestrian safety, Smart Growth America has found in its 2016 report Dangerous by Design that people of color and older adults are overrepresented among pedestrian deaths. The St. Louis metro area ranked 52nd most dangerous out of 104 cities in their Pedestrian Danger Index. The City of St. Louis has updated its 2015-2016 Pedestrian Safety Action Plan, and OneSTL has compiled bicycle and pedestrian planning reports for the region.

Injury Hospitalization Data

Emergency room visits resulting from injury (firearms, falls, burns, motor vehicle, poison, etc.), 2015

 AllBlackWhiteDisparity RatioEquity Score
ER Visits for Injuries
29,42320,1937,763
2015 Population
315,685151,479151,136
ER Visits per 1,000 Residents
93.20133.3051.402.595 to 137

Data Source: Missouri Department of Health and Senior Services, MOPHIMS, 2015

Emergency room visits resulting from injury (firearms, falls, burns, motor vehicle, poison, etc.), 2015

 AllBlackWhiteDisparity RatioEquity Score
ER Visits for Injuries
72,84830,13039,315
2015 Population
1,003,362248,124706,651
ER Visits per 1,000 Residents
72.60121.4055.602.183 to 139

Data Source: Missouri Department of Health and Senior Services, MOPHIMS, 2015

Emergency room visits resulting from injury (firearms, falls, burns, motor vehicle, poison, etc.), 2015

 AllBlackWhiteDisparity RatioEquity Score
ER Visits for Injuries
25,1651,68822,486
2015 Population
385,59020,477352,665
ER Visits per 1,000 Residents
65.3082.4063.701.292 to 171

Data Source: Missouri Department of Health and Senior Services, MOPHIMS, 2015

Emergency room visits resulting from injury (firearms, falls, burns, motor vehicle, poison, etc.), 2015

 AllBlackWhiteDisparity RatioEquity Score
ER Visits for Injuries
29,01012,13515,681
2015 Population
264,05282,278175,627
ER Visits per 1,000 Residents
109.865147.48889.2861.65254

Data Source: Illinois Department of Public Health IQuery, 2015