Racial and Ethnic Differences of Influenza-Associated Pediatric Hospitalizations and Deaths, 2008-2017

Shelease C O'Bryant1,2, Deepa Dongarwar2, Hamisu M Salihu2

  • 1Section of Emergency Medicine, Department of Pediatrics, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas, USA.

Insights

Minority children face higher hospitalization rates for influenza, but mortality risks are similar across racial groups. This highlights disparities in pediatric influenza care and outcomes.

Area of Science:

  • Pediatric Infectious Diseases
  • Health Disparities Research
  • Epidemiology

Background:

  • Influenza is a significant cause of acute respiratory illness in children, with complications leading to substantial morbidity and mortality.
  • Existing pediatric data on influenza disparities among racial and ethnic minorities is limited.
  • Understanding these disparities is crucial for targeted public health interventions.

Purpose of the Study:

  • To investigate racial and ethnic differences in hospitalizations and mortality among children diagnosed with influenza.
  • To identify potential disparities in the impact of influenza on diverse pediatric populations.

Main Methods:

  • Retrospective cohort study utilizing the National Inpatient Sample (NIS) database from 2008 to 2017.
  • Inclusion criteria: children aged 18 years and younger hospitalized with influenza or its subtypes.
  • Statistical analysis involved generating adjusted odds ratios (aORs) and 95% confidence intervals (CIs) to assess associations between race/ethnicity and outcomes.

Main Results:

  • A total of 226,535 influenza-associated hospitalizations were identified.
  • Compared to non-Hispanic White children, minority children exhibited higher odds of influenza hospitalization: Hispanics (aOR=1.25), non-Hispanic Blacks (aOR=1.21), and non-Hispanic Others (aOR=1.11).
  • No significant racial or ethnic differences were observed in influenza-related mortality.

Conclusions:

  • Minority children are more likely to be hospitalized for influenza, indicating disparities in healthcare access or management.
  • While hospitalization rates differ, influenza-related mortality did not show significant racial or ethnic disparities in this cohort.
  • Further research is essential to address and mitigate the identified racial and ethnic disparities in pediatric influenza outcomes.

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