干旱区生态环境知识资源中心(Arid): Racial disparities in pedestrian-related injury hospitalizations in the United States

Arid

DOI	10.1186/s12889-020-09513-8
	Racial disparities in pedestrian-related injury hospitalizations in the United States
	Hamann, Cara; Peek-Asa, Corinne; Butcher, Brandon
通讯作者	Peek-Asa, C
来源期刊	BMC PUBLIC HEALTH
EISSN	1471-2458
出版年	2020
卷号	20 期号:1
英文摘要	Background Racial/ethnic disparity has been documented in a wide variety of health outcomes, and environmental components are contributors. For example, food deserts have been tied to obesity rates. Pedestrian injuries are strongly tied to environmental factors, yet no studies have examined racial disparity in pedestrian injury rates. We examine a nationally-representative sample of pedestrian-related hospitalizations in the United States to identify differences in incidence, severity, and cost by race/ethnicity. Methods Patients with ICD diagnosis E-codes for pedestrian injuries were drawn from the United States Nationwide Inpatient Sample (2009-2016). Rates were calculated using the United States Census. Descriptive statistics and generalized linear regression were used to examine characteristics (age, sex, severity of illness, mortality rates, hospital admissions, length of stay, total costs) associated with hospitalizations for pedestrian injuries. Results The annual average of pedestrian-related deaths exceeded 5000 per year and hospitalizations exceeded 47,000 admissions per year. The burden of injury from pedestrian-related hospitalizations was higher among Black, Hispanic, and Multiracial/Other groups in terms of admission rates, costs per capita, proportion of children injured, and length of stay compared to Whites and Asian or Pacific Islander race/ethnicities. Compared to Whites, hospital admission rates were 1.92 (95% CI: 1.89-1.94) and 1.20 (95% CI: 1.19-1.21) times higher for Multiracial/Other and Blacks, respectively. Costs per capita ($USD) were $6.30, $4.14, and $3.22 for Multiracial/Others, Blacks, and Hispanics, compared to $2.88 and $2.32 for Whites and Asian or Pacific Islanders. Proportion of lengths of stay exceeding one week were larger for Blacks (26.4%), Hispanics (22.6%), Asian or Pacific Islanders (23.1%), and Multiracial/Other (24.1%), compared to Whites (18.6%). Extreme and major loss of function proportions were also highest among Black (34.5%) and lowest among Whites (30.2%). Conclusions Results from this study show racial disparities in pedestrian injury hospitalization rates and outcomes, particularly among Black, Hispanic, and Multiracial/Other race/ethnicity groups and support population and system-level approaches to prevention. Access to transportation is an indicator for health disparity, and these results indicate that access to safe transportation also shows inequity by race/ethnicity.
英文关键词	Walking Race Mortality Health status disparities Epidemiology
类型	Article
语种	英语
开放获取类型	Green Submitted, gold, Green Published
收录类别	SCI-E ; SSCI
WOS记录号	WOS:000576314400002
WOS关键词	SOCIAL DETERMINANTS ; HEALTH ; POLICIES
WOS类目	Public, Environmental & Occupational Health
WOS研究方向	Public, Environmental & Occupational Health
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/326684
作者单位	[Hamann, Cara; Peek-Asa, Corinne; Butcher, Brandon] Univ Iowa, Injury Prevent Res Ctr, Iowa City, IA 52242 USA; [Hamann, Cara] Univ Iowa, Coll Publ Hlth, Dept Epidemiol, Iowa City, IA USA; [Peek-Asa, Corinne] Univ Iowa, Coll Publ Hlth, Dept Occupat & Environm Hlth, 145 N Riverside Dr,S143 CPHB, Iowa City, IA 52242 USA; [Butcher, Brandon] Univ Iowa, Coll Publ Hlth, Dept Biostat, Iowa City, IA USA
推荐引用方式 GB/T 7714	Hamann, Cara,Peek-Asa, Corinne,Butcher, Brandon. Racial disparities in pedestrian-related injury hospitalizations in the United States[J],2020,20(1).
APA	Hamann, Cara,Peek-Asa, Corinne,&Butcher, Brandon.(2020).Racial disparities in pedestrian-related injury hospitalizations in the United States.BMC PUBLIC HEALTH,20(1).
MLA	Hamann, Cara,et al."Racial disparities in pedestrian-related injury hospitalizations in the United States".BMC PUBLIC HEALTH 20.1(2020).