{"title":"社会经济因素与儿童伤害。","authors":"Stephen Trinidad, Meera Kotagal","doi":"10.1007/s40719-023-00251-x","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose of review: </strong>The goal of this review is to describe how socioeconomic status (SES) is evaluated in the pediatric trauma literature and further consider how differences in SES can lead to inequities in pediatric injury.</p><p><strong>Recent findings: </strong>Insurance status, area-level income, and indices of socioeconomic deprivation are the most common assessments of socioeconomic status. Children from socioeconomically disadvantaged backgrounds experience higher rates of firearm-related injuries, motor vehicle-related injuries, and violence-related injuries, contributing to inequities in morbidity and mortality after pediatric injury. Differences in SES may also lead to inequities in post-injury care and recovery, with higher rates of readmission, recidivism, and PTSD for children from socioeconomically disadvantaged backgrounds.</p><p><strong>Summary: </strong>Additional research looking at family-level measures of SES and more granular measures of neighborhood deprivation are needed. SES can serve as an upstream target for interventions to reduce pediatric injury and narrow the equity gap.</p>","PeriodicalId":43614,"journal":{"name":"Current Trauma Reports","volume":null,"pages":null},"PeriodicalIF":1.5000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9868497/pdf/","citationCount":"5","resultStr":"{\"title\":\"Socioeconomic Factors and Pediatric Injury.\",\"authors\":\"Stephen Trinidad, Meera Kotagal\",\"doi\":\"10.1007/s40719-023-00251-x\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose of review: </strong>The goal of this review is to describe how socioeconomic status (SES) is evaluated in the pediatric trauma literature and further consider how differences in SES can lead to inequities in pediatric injury.</p><p><strong>Recent findings: </strong>Insurance status, area-level income, and indices of socioeconomic deprivation are the most common assessments of socioeconomic status. Children from socioeconomically disadvantaged backgrounds experience higher rates of firearm-related injuries, motor vehicle-related injuries, and violence-related injuries, contributing to inequities in morbidity and mortality after pediatric injury. Differences in SES may also lead to inequities in post-injury care and recovery, with higher rates of readmission, recidivism, and PTSD for children from socioeconomically disadvantaged backgrounds.</p><p><strong>Summary: </strong>Additional research looking at family-level measures of SES and more granular measures of neighborhood deprivation are needed. SES can serve as an upstream target for interventions to reduce pediatric injury and narrow the equity gap.</p>\",\"PeriodicalId\":43614,\"journal\":{\"name\":\"Current Trauma Reports\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2023-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9868497/pdf/\",\"citationCount\":\"5\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Current Trauma Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1007/s40719-023-00251-x\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/1/23 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"CRITICAL CARE MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Current Trauma Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s40719-023-00251-x","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/1/23 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"CRITICAL CARE MEDICINE","Score":null,"Total":0}
Purpose of review: The goal of this review is to describe how socioeconomic status (SES) is evaluated in the pediatric trauma literature and further consider how differences in SES can lead to inequities in pediatric injury.
Recent findings: Insurance status, area-level income, and indices of socioeconomic deprivation are the most common assessments of socioeconomic status. Children from socioeconomically disadvantaged backgrounds experience higher rates of firearm-related injuries, motor vehicle-related injuries, and violence-related injuries, contributing to inequities in morbidity and mortality after pediatric injury. Differences in SES may also lead to inequities in post-injury care and recovery, with higher rates of readmission, recidivism, and PTSD for children from socioeconomically disadvantaged backgrounds.
Summary: Additional research looking at family-level measures of SES and more granular measures of neighborhood deprivation are needed. SES can serve as an upstream target for interventions to reduce pediatric injury and narrow the equity gap.
期刊介绍：
Aims: The goal of this journal is to provide concentrated, evidence-based information in the field of trauma through authoritative reviews. It has become almost impossible for the average physician to keep up with the flood of information that is published in numerous medical journals or the internet. Original articles, although often important or even ground-breaking, have typically a narrow focus and on occasions lack scientific rigor. Whereas physicians are encouraged to spend the necessary time reviewing critically the methodology and results of an original article, their fast-paced professional lives allow limited opportunities to do so. Therefore, the need for thoughtful, well-constructed, and comprehensive reviews has increased in our times more than ever before. Our new journal intends to do what the average reader cannot afford doing. It intends to summarize the pertinent information, exclude the irrelevant details, and offer thorough, clinically-focused reviews. We have summoned true experts from around the world to contribute these reviews, based on their detailed analysis of the literature and rich personal experience. We hope that this information will be readily useable and help shape the practice of those who read it.
Scope: Our journal is about trauma. It will include every possible blunt or penetrating traumatic injury in any part of the body. It will describe diagnostic and therapeutic strategies, operative and non-operative alike. It will present treatment algorithms and caution about pitfalls and complications. It will compare outcomes, as shown in the literature, and make evidence-based recommendations about preferred pathways. Besides the strict focus on traumatic diseases and their treatment, it will also expand on broader issues related to injury prevention and rehabilitation. All in all, we expect that the scope of the journal will cover everything that has to do with trauma.
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