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Racial and Gender Disparities in Nasal Foreign Bodies in Pediatric Patients: A Decade-Long Analysis of U.S. Emergency

Abdurrahman Al-Awady1, Avanish Yendluri1, Krisna Maddy2

  • 1Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Clinical Pediatrics
|June 13, 2025
PubMed

Insights

Pediatric nasal foreign bodies (NFBs) disproportionately affect African American children and females. These groups experience higher incidence and are less likely to be admitted, highlighting potential healthcare disparities.

Area of Science:

  • Pediatric Emergency Medicine
  • Epidemiology
  • Health Disparities Research

Background:

  • Nasal foreign bodies (NFBs) are common in children.
  • Existing research lacks comprehensive data on racial and gender disparities in NFB incidence and outcomes.

Purpose of the Study:

  • To conduct a comprehensive epidemiological assessment of pediatric nasal foreign bodies.
  • To identify and analyze racial and gender disparities in NFB incidence and emergency department disposition.

Main Methods:

  • Utilized data from The National Electronic Injury Surveillance System (NEISS) from 2012-2021.
  • Included pediatric patients aged 0-12 with diagnosed nasal foreign bodies.
  • Employed chi-square analysis to assess variations in incidence and disposition.

Main Results:

  • Nasal foreign body incidence was significantly higher in African American children (P < .05).
  • Female patients had higher NFB incidence and were less likely to be admitted (P < .05).
  • African American and Asian American children were less likely to be admitted and more likely to leave against medical advice (P < .05).

Conclusions:

  • Significant racial and gender disparities exist in pediatric nasal foreign body cases.
  • These disparities suggest potential systemic biases in healthcare delivery requiring further investigation.
  • Community-specific interventions are crucial to address identified health inequities.

Keywords:
disparitiesemergencyepidemiologyforeign bodiesnasal obstruction

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