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Updated: Jul 29, 2025
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Racial equity in trauma injury: An unresolved enigma
Rachel M Krzeczowski1, Cynthia I Villalta2, Heather M Grossman Verner2
1Graduate Medical Education, Methodist Dallas Medical Center, 1441 N Beckley East Elevators 4th Floor, Dallas, TX, 75203, USA.
Background:
Racial disparities in healthcare have been attributed to socioeconomic inequalities while the relative risk (RR) of traumatic injury in people of color has yet to be described.
Methods:
Demographics of our patient population were compared to the population of our service area. The racial and ethnic identities of gunshot wound (GSW) and motor vehicle collision (MVC) patients were used to establish RR of traumatic injury adjusting for socioeconomic status defined by payor mix and geography.
Results:
GSW assaults were more common in Blacks (59.1%) while self-inflicted GSWs were more common in Whites (46.2%). RR of having a GSW was 4.65 times greater (95% CI 4.03-5.37; p < 0.01) among Blacks than other populations. MVC patients were 36.8% Black, 26.6% White, and 32.6% Hispanic. Blacks had an increased risk of MVC compared to other races (RR 2.13; 95% CI 1.96-2.32; p < 0.01). The racial and ethnic identity of the patient was not a predictor of GSW or MVC mortality.
Conclusions:
Increased risk of GSW and MVC was not correlated with local population demographics or socioeconomic status.
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