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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.
Abstract:
Unintentional injuries (UIs) caused by accidental suffocation, burns, drowning, falls, poisoning, and motor vehicle accidents are the leading causes of morbidity and mortality among children (Dellinger and Gilchrist. Am J Lifestyle Med; 2017). Notable racial and ethnic disparities exist in accidental suffocation among infants and in motor vehicle injuries (MVI) among youth. The purpose of this study is to examine the National Institutes of Health's funded research projects addressing UIs, using a socioecological framework, and to determine whether funded projects align with key priorities for unintentional injuries among racial and ethnic minorities as identified by the research community. Between 2011 and 2018, a total of 130 grants that examined UIs were identified, thirty-four of which focused on UI research among children. Of those 34 grants, eight focused on UIs among racial and ethnic minority children. The analyses suggest four areas of opportunities, where more research is needed to (1) prevent accidental suffocation among American Indians and Alaska Natives; (2) strengthen the role of the health care sector to prevent UIs; (3) promote the use of an integrative multilevel social ecological approach to characterize UIs and help shape interventions; and (4) promote the collection and dissemination of local injury-specific data to develop interventions in community settings. Identifying gaps and opportunities for reducing the health burden of UI among racial and ethnic minorities can inform prevention efforts and guide the development of interventions that target these populations.
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