Next Article in Journal
Surveillance of Environmental and Procedural Measures of Infection Control in the Operating Theatre Setting
Next Article in Special Issue
The Epidemiology of Unintentional and Violence-Related Injury Morbidity and Mortality among Children and Adolescents in the United States
Previous Article in Journal
Estimating the Causal Impact of Proximity to Gold and Copper Mines on Respiratory Diseases in Chilean Children: An Application of Targeted Maximum Likelihood Estimation
Previous Article in Special Issue
A Comprehensive Approach to Motorcycle-Related Head Injury Prevention: Experiences from the Field in Vietnam, Cambodia, and Uganda
Article Menu
Issue 1 (January) cover image

Export Article

Open AccessReview
Int. J. Environ. Res. Public Health 2018, 15(1), 43;

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

Epidemiology and Biostatistics, School of Population Health, The University of Auckland, Private Bag 92019, Auckland 1142, New Zealand
Alcohol Healthwatch, Office Park Building Level 1, 27 Gillies Ave, Auckland 1023, New Zealand
Department of Epidemiology and Preventive Medicine, Monash University, School of Public Health and Preventive Medicine, Level 3, 553 St Kilda Road, Melbourne 3004, Australia
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)
Full-Text   |   PDF [549 KB, uploaded 27 December 2017]   |  


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

Figure 1

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).

Supplementary material


Share & Cite This Article

MDPI and ACS Style

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.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Related Articles

Article Metrics

Article Access Statistics



[Return to top]
Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top