Prevalence and ethnic/racial disparities in the distribution of pediatric injuries in South Florida: implications for the development of community prevention programs

Prevalence and ethnic/racial disparities in the distribution of pediatric injuries in South Florida: implications for the development of community prevention programs

The state of Florida continues to report significant gender, ethnic and racial disparities in trauma incidence, access to care and outcomes in the adult population. Our objective was to assess pediatric injury profiles and ethnic/racial disparities of specific injuries in a Regional Trauma Center (T...

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Bibliographic Details
Published in:Injury epidemiology Vol. 4; no. 1; p. 12
Main Authors: Irizarry, Carmen Ramos, Hardigan, Patrick C, Kenney, Mark G Mc, Holmes, Gretchen, Flores, Rudy, Benson, Brenda, Torres, Ascension M
Format: Journal Article
Language:English
Published: England Springer Nature B.V 01-12-2017
Springer International Publishing
BMC
Subjects:
Disparities
Epidemiology
Ethnicity
Injuries
Original Contribution
Pediatric
Pediatrics
Prevalence
Prevention programs
Race
Racial differences
Trauma
Trauma care
South Florida
Ethnicity
Prevalence
Prevention programs
Geographic mapping
Race
Precede framework
Disparities
Pediatric
Trauma
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Summary:The state of Florida continues to report significant gender, ethnic and racial disparities in trauma incidence, access to care and outcomes in the adult population. Our objective was to assess pediatric injury profiles and ethnic/racial disparities of specific injuries in a Regional Trauma Center (TC) in South Florida. Retrospective data from November 2011 to December 2015 were obtained from the Level 2 TC registry for children ≤21 years old. Demographic, injury pattern, geographic area, injury scores and treatment data were analyzed. One thousand six hundred ten patients, ages 0-21 years were cared for at the TC from 2011 to 2015.73% were males. Mean age = 15.7 years. Mortality was 2.3%. Using zip code data and using geographic mapping, we identified two main clusters where injuries were occurring. A multinomial regression analysis demonstrated that Hispanics had higher risks of falls (RR 10.4, 95% CI 2.7-29), motorcycle accidents (RR 3.7, 95% CI 1.7-8.2) and motor vehicle accidents (RR 6.4, 95% CI 3.6-11.4). Black/African American children had higher risks of gunshot wounds and resultant mortality (p < 0.01). There were racial, ethnic and gender disparities in the patterns of injury and outcomes among the youth attended at our TC. Geographic mapping allowed us the identification of the zones in South Florida where injuries were occurring. Understanding the differences and using geographic mapping to identify regions of higher prevalence will complement planning for prevention programs.
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ISSN:2197-1714
2197-1714
DOI:10.1186/s40621-017-0108-9