Racial equity in trauma injury: An unresolved enigma

Racial disparities in healthcare have been attributed to socioeconomic inequalities while the relative risk (RR) of traumatic injury in people of color has yet to be described. Demographics of our patient population were compared to the population of our service area. The racial and ethnic identitie...

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Bibliographic Details
Published in:The American journal of surgery 2023-10, Vol.226 (4), p.502-507
Main Authors: Krzeczowski, Rachel M., Villalta, Cynthia I., Grossman Verner, Heather M., Bradley, Sarah M., Subramanian, Sindhu, Amos, Joseph Darryl
Format: Article
Language:English
Subjects:
Black people
Demographics
Demography
Geography
Gun violence
Health risks
Healthcare equity
Hispanic people
Injuries
Injury prevention
Local population
Mortality
Motor vehicles
Race factors
Racial disparity
Racial identity
Relative risk
Risk
Service areas
Socioeconomic factors
Socioeconomics
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Summary:Racial disparities in healthcare have been attributed to socioeconomic inequalities while the relative risk (RR) of traumatic injury in people of color has yet to be described. Demographics of our patient population were compared to the population of our service area. The racial and ethnic identities of gunshot wound (GSW) and motor vehicle collision (MVC) patients were used to establish RR of traumatic injury adjusting for socioeconomic status defined by payor mix and geography. GSW assaults were more common in Blacks (59.1%) while self-inflicted GSWs were more common in Whites (46.2%). RR of having a GSW was 4.65 times greater (95% CI 4.03–5.37; p 
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2023.05.022