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

• Published in: Injury epidemiology 2017-12, Vol.4 (1), p.12-12, Article 12
• Main Authors: Irizarry, Carmen Ramos, Hardigan, Patrick C, Kenney, Mark G Mc, Holmes, Gretchen, Flores, Rudy, Benson, Brenda, Torres, Ascension M
• Format: Article
• Language: English
• Subjects: Disparities; Epidemiology; Ethnicity; Injuries; Original Contribution; Pediatric; Pediatrics; Prevalence; Prevention programs; Race; Racial differences; Trauma; Trauma care
• ISSN: 2197-1714; 2197-1714
• DOI: 10.1186/s40621-017-0108-9

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