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Int. J. Environ. Res. Public Health 2018, 15(1), 43; doi:10.3390/ijerph15010043

Disparities in Non-Fatal Health Outcomes in Pediatric General Trauma Studies

1
Epidemiology and Biostatistics, School of Population Health, The University of Auckland, Private Bag 92019, Auckland 1142, New Zealand
2
Alcohol Healthwatch, Office Park Building Level 1, 27 Gillies Ave, Auckland 1023, New Zealand
3
Department of Epidemiology and Preventive Medicine, Monash University, School of Public Health and Preventive Medicine, Level 3, 553 St Kilda Road, Melbourne 3004, Australia
4
Farr Institute, Swansea University Medical School, Swansea University, Swansea SA2 8PP, UK
*
Author to whom correspondence should be addressed.
Received: 2 November 2017 / Revised: 21 December 2017 / Accepted: 25 December 2017 / Published: 27 December 2017
(This article belongs to the Special Issue Child Injury Prevention 2017)
View Full-Text   |   Download PDF [549 KB, uploaded 27 December 2017]   |  

Abstract

When prevention efforts fail, injured children require high-quality health services to support their recovery. Disparities in non-fatal injury outcomes, an indicator of health-care quality, have received minimal attention. We evaluated the extent to which general trauma follow-up studies published in the peer-reviewed scientific literature provide evidence of socially patterned inequities in health, functional or disability outcomes ≥4 weeks after childhood injuries. Using a systematic search, we identified 27 eligible cohort studies from 13 high-income countries. We examined the extent to which the reported health outcomes varied across the PROGRESS criteria: place of residence, race/ethnicity, occupation, gender/sex, religion, socio-economic status, and social capital. The available evidence on differential outcomes is limited as many studies were compromised by selection or retention biases that reduced the participation of children from demographic groups at increased risk of adverse outcomes, or the analyses mainly focused on variations in outcomes by sex. Given the limited research evidence, we recommend greater attention to systematic collection and reporting of non-fatal injury outcomes disaggregated by socio-demographic indicators in order to identify disparities where these exist and inform equity-focused interventions promoting the recovery of injured children. View Full-Text
Keywords: injury; children; prognosis; disability; quality of life; functional outcomes; health inequalities; disparities; socio-economic; ethnicity/race injury; children; prognosis; disability; quality of life; functional outcomes; health inequalities; disparities; socio-economic; ethnicity/race
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Ameratunga, S.; Ramke, J.; Jackson, N.; Tin Tin, S.; Gabbe, B. Disparities in Non-Fatal Health Outcomes in Pediatric General Trauma Studies. Int. J. Environ. Res. Public Health 2018, 15, 43.

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