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Racial, Gender, and Neighborhood-Level Disparities in Pediatric Trauma Care

Harrison Dickens1, Uma Rao2,3, Dustin Sarver1

  • 1Department of Psychiatry and Human Behavior, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS, 39216, USA.

Journal of Racial and Ethnic Health Disparities
|March 29, 2022
PubMed

Insights

Social determinants like race and gender impact pediatric trauma care. Black children received fewer opioids, and girls were less likely to get rehabilitation referrals, indicating significant disparities.

Area of Science:

  • Trauma Care and Outcomes
  • Health Disparities Research
  • Pediatric Health

Background:

  • Established adult trauma care disparities necessitate pediatric investigation.
  • Social determinants' role in pediatric trauma outcomes is under-examined.
  • Understanding these disparities is crucial for equitable care.

Purpose of the Study:

  • To evaluate social determinants' unique contributions to pediatric trauma outcomes.
  • To assess race, gender, insurance, community distress, and rurality's impact.
  • To control for injury-specific risk factors in the analysis.

Main Methods:

  • Retrospective review of 14,398 pediatric trauma patients (age <18) at a level 1 trauma center.
  • Analysis of emergency department opioid receipt, rehabilitation referrals, and mortality.
  • Multivariate and multilevel logistic regressions incorporating demographic, socioeconomic, and area-level data.

Main Results:

  • Black children had lower odds of receiving emergency department opioids compared to White children.
  • Children in distressed and rural areas had higher odds of opioid receipt.
  • Girls had significantly lower odds of rehabilitation referrals; Black girls had the lowest odds.

Conclusions:

  • Social determinants significantly influence pediatric trauma care and outcomes.
  • Findings confirm and extend the understanding of trauma care disparities to children.
  • Addressing these disparities is essential for equitable pediatric trauma management.
Abstract

Keywords:
DisparityGenderInjuryPediatricRaceSocial determinantsTrauma care

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