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. 2022 Jan;17(1):19-27.
doi: 10.1002/jhm.2735. Epub 2022 Jan 19.

Racial and ethnic differences in pediatric unintentional injuries requiring hospitalization

Kristyn Jeffries  1 , Henry T Puls  1 , Matthew Hall  1   2 , Jessica L Bettenhausen  1 , Jessica L Markham  1 , David C Synhorst  1 , M D Dowd  3   4
Affiliations

Racial and ethnic differences in pediatric unintentional injuries requiring hospitalization

Kristyn Jeffries et al. J Hosp Med. 2022 Jan.

Abstract

Background/objective: This study aims to comprehensively examine racial and ethnic differences in pediatric unintentional injuries requiring hospitalization by age across injury mechanisms.

Study design: This was a retrospective, nationally representative cross-sectional analysis of discharge data within the 2016 Kids' Inpatient Database for 98,611 children ≤19 years with unintentional injuries resulting in hospitalization. Injury categories included passengers and pedestrians injured in a motor vehicle crash, falls, drownings, burns, firearms, drug and nondrug poisonings, suffocations, and other injuries. Relative risk (RR) for injuries requiring hospitalization were calculated for children of Black, Hispanic, and Other races and ethnicities compared with White children, and then RR were further stratified by age. Excessive hospitalizations were calculated as the absolute number of hospitalizations for each race and ethnicity group that would have been avoided if each group had the same rate as White children.

Results: Black children were significantly more likely to be hospitalized compared with White children for all injury mechanisms except falls, and in nearly all age groups with the greatest RR for firearm injuries (RR 9.8 [95% confidence interval: 9.5-10.2]). Differences were associated with 6263 excessive hospitalizations among all racial and ethnic minority children compared with White children.

Conclusions: Racial and ethnic minority children represent populations at persistent disproportionate risk for injuries resulting in hospitalization; risk that varies in important ways by injury mechanism and children's age. These findings suggest the importance of the environmental and societal exposures that may drive these differences, but other factors, such as provider bias, may also contribute.

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References

REFERENCES

    1. WISQARS Injury Center CDC. Fatal data. Accessed July 16, 2021. https://www.cdc.gov/injury/wisqars/fatal.html
    1. Cunningham RM, Walton MA, Carter PM. The major causes of death in children and adolescents in the United States. N Engl J Med. 2018;379(25):2468‐2475. doi:10.1056/NEJMsr1804754
    1. Mytton JA, Towner EML, Powell J, Pilkington PA, Gray S. Taking the long view: a systematic review reporting long‐term perspectives on child unintentional injury. Inj Prev. 2012;18(5):334‐342. doi:10.1136/injuryprev-2012-040343
    1. Ballesteros MF, Williams DD, Mack KA, Simon TR, Sleet DA. The epidemiology of unintentional and violence‐related injury morbidity and mortality among children and adolescents in the United States. Int J Environ Res Public Health. 2018;15(4). doi:10.3390/ijerph15040616
    1. Baker SP, Braver ER, Chen L‐H, Pantula JF, Massie D. Motor vehicle occupant deaths among Hispanic and Black children and teenagers. Arch Pediatr Adolesc Med. 1998;152(12):1209‐1212. doi:10.1001/archpedi.152.12.1209

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