A Population-Based Analysis of Socioeconomic Status and Insurance Status and Their Relationship With Pediatric Trauma Hospitalization and Mortality Rates

Bibliographic Data

ID11035479
AuthorsJames P Marcin (0000-0001-7281-6947, James P. Marcin is with the Department of Pediatrics and the Center for Health Services Research in Primary Care, University of California, Davis. Jingsong He and Michael S. Schembri are with the Center for Health Services Research in Primary Care. Patrick S. Romano is with the Division of General Internal Medicine, the Department of Pediatrics, and the Center for Health Services Research in Primary Care.), Michael Schembri (0000-0002-0511-853X, Primary Health Care), Michael S Schembri (James P. Marcin is with the Department of Pediatrics and the Center for Health Services Research in Primary Care, University of California, Davis. Jingsong He and Michael S. Schembri are with the Center for Health Services Research in Primary Care. Patrick S. Romano is with the Division of General Internal Medicine, the Department of Pediatrics, and the Center for Health Services Research in Primary Care.), Jingsong He (0000-0002-2068-1849, James P. Marcin is with the Department of Pediatrics and the Center for Health Services Research in Primary Care, University of California, Davis. Jingsong He and Michael S. Schembri are with the Center for Health Services Research in Primary Care. Patrick S. Romano is with the Division of General Internal Medicine, the Department of Pediatrics, and the Center for Health Services Research in Primary Care.), Patrick S Romano (0000-0001-6749-3979, James P. Marcin is with the Department of Pediatrics and the Center for Health Services Research in Primary Care, University of California, Davis. Jingsong He and Michael S. Schembri are with the Center for Health Services Research in Primary Care. Patrick S. Romano is with the Division of General Internal Medicine, the Department of Pediatrics, and the Center for Health Services Research in Primary Care.)
Year2003
Volume93
Issue3
Pages461-466
Publication date2003-03-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.93.3.461
PMID12604496
OpenAlexW2114613500
LanguageEN
Citations received13
References cited25

Objectives. We investigated socioeconomic disparities in injury hospitalization rates and severity-adjusted mortality for pediatric trauma. Methods. We used 10 years of pediatric trauma data from Sacramento County, Calif, to compare trauma hospitalization rates, trauma mechanism and severity, and standardized hospital mortality across socioeconomic strata (median household income, proportion of households in poverty, insurance). Results. Children from lower–socioeconomic status (SES) communities had higher injury hospitalization and mortality rates, and presented more frequently with more lethal mechanisms of injury (pedestrian, firearm), but did not have higher severity-adjusted mortality. Conclusions. Higher injury mortality rates among children of lower SES in Sacramento County are explained by a higher incidence of trauma and more fatal mechanisms of injury, not by greater injury severity or poorer inpatient care

Environmental health · Incidence (geometry) · Injury prevention · Injury Severity Score · Mortality rate · Occupational safety and health · Poison control · Population · Poverty · Socioeconomic status · Suicide prevention · Demography · Emergency Medicine · Gun Ownership and Violence Research · Injury Epidemiology and Prevention · Medicine · Surgery · Trauma and Emergency Care Studies

Tools

Open DOISci-Hub