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Health Inequities in Pediatric Trauma
Mark L Kayton1,2, Victoriya Staab1,2, Brandon Stahl2
1K. Hovnanian Children's Hospital, Jersey Shore University Medical Center, Neptune, NJ 07753, USA.
Insights
Social determinants of health create significant disparities in pediatric trauma care across the United States. Ensuring equitable access and outcomes for all children requires a focus on these social factors in trauma treatment.
Area of Science:
- Pediatric Trauma Care
- Public Health
- Health Equity
Background:
- Pediatric trauma care in the U.S. exhibits significant disparities.
- Social determinants of health (SDOH) are increasingly recognized as major contributors to these inequities.
Purpose of the Study:
- To review recent literature on disparities in pediatric trauma care.
- To examine the impact of SDOH on various aspects of pediatric trauma.
Main Methods:
- Literature review of recent studies on pediatric trauma.
- Analysis of the role of social determinants in access to care, gun violence, child abuse, head trauma, burn injuries, and orthopedic trauma.
Main Results:
- SDOH significantly influence access to care for pediatric trauma patients.
- Social factors are linked to disparities in outcomes related to gun violence, child abuse, head trauma, burns, and orthopedic injuries.
- Evidence highlights systemic inequities within the current pediatric trauma care system.
Conclusions:
- Pediatric trauma care must address social determinants of health to reduce disparities.
- A focus on equity is essential for designing effective and just trauma care systems for all children.
- Future strategies should integrate SDOH considerations into pediatric trauma protocols and interventions.
Abstract:
This review article highlights the disparities evident in pediatric trauma care in the United States. Social determinants of health play a significant role in key aspects of trauma care including access to care, gun violence, child abuse, head trauma, burn injuries, and orthopedic trauma. We review the recent literature as it relates to these topics. The findings from these recent studies emphasize the important principle that trauma care for children should be designed with a focus on equity for all children.
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