Race and ethnicity, neighborhood poverty and pediatric firearm hospitalizations in the United States

• Published in: Annals of epidemiology 2016, Vol.26 (1), p.1-6.e2
• Main Authors: Kalesan, Bindu, PhD, MPH, Vyliparambil, Mrithyunjay A, Bogue, Erin, MPH, Villarreal, Marcos D., MPH, CPH, Vasan, Sowmya, MS, Fagan, Jeffrey, PhD, DiMaggio, Charles J., PhD, MPH, Stylianos, Steven, MD, Galea, Sandro, MD, DrPH
• Format: Article
• Language: English
• Subjects: Accidents, Traffic - statistics & numerical data; Adolescent; Child; Child, Preschool; Databases, Factual; Ethnic Groups; European Continental Ancestry Group; Female; Firearm; Hospitalization - statistics & numerical data; Humans; In-hospital mortality; Infant; Infant, Newborn; Injury; Internal Medicine; Logistic Models; Male; Motor vehicle accidents; Odds Ratio; Pediatric; Poverty Areas; Risk Factors; Trends; United States - epidemiology; Wounds, Gunshot - economics; Wounds, Gunshot - ethnology
• ISSN: 1047-2797; 1873-2585
• DOI: 10.1016/j.annepidem.2015.10.009

Abstract Purpose To better understand the effects of race and/or ethnicity and neighborhood poverty on pediatric firearm injuries in the United States, we compared overall and intent-specific firearm hospitalizations (FH) with those of pedestrian motor vehicle crash hospitalizations (PMVH). Methods We used Nationwide Inpatient Sample data (1998–2011) among 0–15 year-olds in a 1:1 case-case study; 4725 FH and 4725 PMVH matched by age, year, and region. Results Risk of FH versus PMVH was 64% higher among black children, Odds ratio (OR) = 1.64, 95% confidence interval (95% CI) = 1.44–1.87, as compared to white children ( P