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Published on: January 30, 2017
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.
Abstract:
Influenza is one of the most common causes of acute respiratory infections in children; its complications are a leading cause of morbidity and mortality. There is a paucity of pediatric data on influenza disparities among racial/ethnic minorities. Our study assesses if there are racial/ethnic differences in hospitalizations and mortality in children infected with influenza. This was a retrospective cohort study using the National Inpatient Sample (NIS) from January 1, 2008 to December 31, 2017. We included children 18 years and younger hospitalized with a primary or secondary diagnosis of influenza or its subtypes. We generated adjusted odds ratios (aORs) and 95% confidence intervals (CIs) to evaluate the associations between patient characteristics and influenza hospitalizations and influenza-related mortality. There were 226,535 (0.04%) influenza-associated hospitalizations. When compared with non-Hispanic (NH) White children, minority children were more likely to be hospitalized with an influenza diagnosis [Hispanics (aOR = 1.25; 95% CI, 1.17 to 1.33), NH-Blacks (aOR = 1.21, 95% CI, 1.17 to 1.33) and NH-Others group (aOR = 1.11; 95% CI, 1.04 to 1.19)]. There was no racial/ethnic difference in mortality. Minority children experienced a higher likelihood of influenza-associated hospitalizations but not mortality. Further research is needed to reduce the racial/ethnic disparities of influenza's impact.
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