NIH Portfolio of Unintentional Injury Research Among Racial and Ethnic Minority Children: Current Landscape and

Maria Isabel Roldos1, Tilda Farhat2, Thomas Moehlman2

  • 1National Institute On Minority Health and Health Disparities, Bethesda, MD, USA. isabrld@aol.com.

Insights

Research on child unintentional injuries (UIs) shows significant racial disparities. More funding is needed for prevention among minority children, particularly for suffocation and motor vehicle injuries.

Area of Science:

  • Public Health
  • Injury Prevention
  • Health Disparities

Background:

  • Unintentional injuries (UIs) are a leading cause of child morbidity and mortality.
  • Racial and ethnic disparities exist in specific UI types, including infant suffocation and youth motor vehicle injuries (MVI).

Purpose of the Study:

  • To examine National Institutes of Health-funded research on UIs.
  • To assess alignment of funded research with priorities for minority child populations.
  • To identify research gaps in UI prevention for racial and ethnic minorities.

Main Methods:

  • A review of NIH grants awarded between 2011 and 2018.
  • Analysis focused on grants addressing UIs in children, with a specific subset examining minority children.
  • Utilized a socioecological framework to analyze research focus and identify gaps.

Main Results:

  • 130 UI grants were identified; 34 focused on children, and only 8 on racial and ethnic minority children.
  • Identified four key areas for increased research: suffocation prevention in American Indian/Alaska Native children, strengthening healthcare's role in UI prevention, promoting multilevel socioecological approaches, and improving local injury data collection.

Conclusions:

  • Current NIH-funded research on UIs among children does not adequately address racial and ethnic minority populations.
  • Significant research gaps exist, particularly in preventing suffocation among American Indian and Alaska Native children and utilizing comprehensive socioecological models.
  • Further research is crucial to inform targeted interventions and reduce the burden of UIs in minority communities.

Related Concept Videos

Stereotypes, Prejudice, and Discrimination02:55

Stereotypes, Prejudice, and Discrimination

Humans are very diverse and although we share many similarities, we also have many differences. The social groups we belong to help form our identities (Tajfel, 1974). These differences may be difficult for some people to reconcile, which may lead to prejudice toward people who are different. Prejudice is a negative attitude and feeling toward an individual based solely on one’s membership in a particular social group (Allport, 1954; Brown, 2010). Prejudice is common against people who are...
Models of Health Promotion and Illness Prevention I01:25

Models of Health Promotion and Illness Prevention I

A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
Models of Health Promotion and Illness Prevention II01:18

Models of Health Promotion and Illness Prevention II

The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results from...
Strategies for Assessing and Addressing Confounding01:25

Strategies for Assessing and Addressing Confounding

Confounding is a critical issue in epidemiological studies, often leading to misleading conclusions about associations between exposures and outcomes. It occurs when the relationship between the exposure and the outcome is mixed with the effects of other factors that influence the outcome. Given that, addressing confounding is of high importance for drawing accurate inferences in research.
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
Bias in Epidemiological Studies01:29

Bias in Epidemiological Studies

Biases can arise at various stages of research, from study design and data collection to analysis and interpretation. Recognizing and addressing these biases is essential to ensure the validity and reliability of epidemiological findings.Broadly speaking, biases in epidemiology fall into three main categories: selection bias, information bias, and confounding. A more detailed description of possible biases is:
Ethnic Identity within a Larger Culture01:27

Ethnic Identity within a Larger Culture

Adolescents from ethnic minority backgrounds face a multifaceted journey in forming their identities, shaped by the intersections of cultural expectations and personal exploration. For these adolescents, identity formation involves not only typical developmental challenges but also navigating the perceptions and attitudes of the majority culture. As they grow, adolescents in ethnic minority groups often become increasingly aware of stereotypes, social biases, and discrimination, all of which...