NIH Portfolio of Unintentional Injury Research Among Racial and Ethnic Minority Children: Current Landscape and Future Opportunities

Roldós, María Isabel; Farhat, Tilda; Moehlman, Thomas

doi:10.1007/s40615-020-00818-3

Cited by 3 publications

(4 citation statements)

References 19 publications

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“…Surprisingly, Hispanic children were disproportionately hospitalized for unintentional injuries more often than White children for only three injury mechanisms. These results contrast to prior studies that have shown Hispanic children to be disproportionately injured in falls, 15 MVCs as unrestrained occupants, 16,17 and drownings 7,18 . It is not immediately evident why these discrepancies were observed with this analysis.…”

Section: Discussioncontrasting

confidence: 99%

“…This study demonstrates that differences in unintentional injuries differ in important ways between injury mechanism, between populations, and by age. Although racial and ethnic disparities have been previously demonstrated for individual injury mechanisms, our study allows for concurrent assessment of differences across injury mechanisms 4,5,8,17,21–23 . Such a finding provides important hypothesis‐generating information to inform future targeted prevention efforts and the promotion of health equity more broadly.…”

Section: Discussionmentioning

confidence: 81%

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Racial and ethnic differences in pediatric unintentional injuries requiring hospitalization

Jeffries

Puls

Hall

et al. 2022

Journal of Hospital Medicine

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Background/Objective This study aims to comprehensively examine racial and ethnic differences in pediatric unintentional injuries requiring hospitalization by age across injury mechanisms. Study Design This was a retrospective, nationally representative cross‐sectional analysis of discharge data within the 2016 Kids' Inpatient Database for 98,611 children ≤19 years with unintentional injuries resulting in hospitalization. Injury categories included passengers and pedestrians injured in a motor vehicle crash, falls, drownings, burns, firearms, drug and nondrug poisonings, suffocations, and other injuries. Relative risk (RR) for injuries requiring hospitalization were calculated for children of Black, Hispanic, and Other races and ethnicities compared with White children, and then RR were further stratified by age. Excessive hospitalizations were calculated as the absolute number of hospitalizations for each race and ethnicity group that would have been avoided if each group had the same rate as White children. Results Black children were significantly more likely to be hospitalized compared with White children for all injury mechanisms except falls, and in nearly all age groups with the greatest RR for firearm injuries (RR 9.8 [95% confidence interval: 9.5–10.2]). Differences were associated with 6263 excessive hospitalizations among all racial and ethnic minority children compared with White children. Conclusions Racial and ethnic minority children represent populations at persistent disproportionate risk for injuries resulting in hospitalization; risk that varies in important ways by injury mechanism and children's age. These findings suggest the importance of the environmental and societal exposures that may drive these differences, but other factors, such as provider bias, may also contribute.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 81%

Racial and ethnic differences in pediatric unintentional injuries requiring hospitalization

Jeffries

Puls

Hall

et al. 2022

Journal of Hospital Medicine

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“…Current interventions related to UI prevention are insufficient in communities of color. 2,4 Utilization of equity-focused frameworks, such as the Health Equity Implementation Framework, 5 is needed to explore how differences in UI hospitalizations are mediated. This type of framework considers societal influences, local, organizational, and healthcare system contexts, as well as individual-level factors contributing to clinical encounters.…”

mentioning

confidence: 99%

“…To effect real change towards a more equitable system, interventions must be grounded in models that holistically embrace the intersecting complexities of our patients' lives. Current interventions related to UI prevention are insufficient in communities of color 2,4 . Utilization of equity‐focused frameworks, such as the Health Equity Implementation Framework, 5 is needed to explore how differences in UI hospitalizations are mediated.…”

mentioning

confidence: 99%

Cultivating intentional action out of unintentional injury disparities: A call to action for hospitalists

Congdon

Kern-Goldberger

Dalembert

2022

Journal of Hospital Medicine

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Assessing National Institutes of Health Prevention Research on Leading Causes of Death Focused on Racial or Ethnic Minority Populations, Fiscal Years 2016-2020

Ganoza

Alvidrez

Liggins

2023

Ethnicity and Disease

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Objective To characterize the National Institutes of Health (NIH) prevention research portfolio on leading causes of death focused on racial or ethnic minority populations. Research Design Longitudinal analysis of NIH-funded prevention research projects from FY2016-FY2020. Measures Project characteristics including type of prevention, study design, budget, minority health focus, and causes of death addressed. Results Minority health projects comprised 27.0% of prevention projects and 33.1% of funding across all leading causes of death. Homicide (42.9%), diabetes (36.3%), and stroke (35.5%) had the highest proportion of minority health projects and suicide (20.2%), Alzheimer disease (18.8%), and pneumonia or influenza (8.3%) the lowest. Most minority health projects focused on identifying risk factors or on primary prevention efforts (80.3%). Most projects had an observational design (80.0%), and this predominance was observed for each cause of death. There was a significant correlation between the proportion of minority health projects for cause of death and the ratio of minorities versus non-minorities mortality rate. Conclusions Only about one-fourth of NIH-funded prevention research on leading causes of death focused on racial or ethnic minorities, who currently comprise about 40% of the US population. Only a small fraction of minority health prevention projects included an intervention design, suggesting a limited contribution to the evidence base on effective interventions to address racial or ethnic mortality disparities. Also, we identified that the number of projects increase where mortality rate disparities are higher. This portfolio analysis provides a useful baseline to assess future progress in building the minority health prevention research portfolio, a critical component to promoting health equity in population health.

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NIH Portfolio of Unintentional Injury Research Among Racial and Ethnic Minority Children: Current Landscape and Future Opportunities

Cited by 3 publications

References 19 publications

Racial and ethnic differences in pediatric unintentional injuries requiring hospitalization

Racial and ethnic differences in pediatric unintentional injuries requiring hospitalization

Cultivating intentional action out of unintentional injury disparities: A call to action for hospitalists

Assessing National Institutes of Health Prevention Research on Leading Causes of Death Focused on Racial or Ethnic Minority Populations, Fiscal Years 2016-2020

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