Race/Ethnicity and Geographic Access to Urban Trauma Care | Zendy

Elizabeth L. Tung | Zendy; David Hampton | Zendy; Marynia Kolak | Zendy; Selwyn O. Rogers | Zendy; Joyce P. Yang | Zendy; Monica E. Peek | Zendy

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Race/Ethnicity and Geographic Access to Urban Trauma Care

Author(s) -

Elizabeth L. Tung,

David Hampton,

Marynia Kolak,

Selwyn O. Rogers,

Joyce P. Yang,

Monica E. Peek

Publication year - 2019

Publication title -

jama network open

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.278

H-Index - 39

ISSN - 2574-3805

DOI - 10.1001/jamanetworkopen.2019.0138

Subject(s) - ethnic group , geography , census , demography , poverty , geospatial analysis , gerontology , medicine , cartography , population , sociology , political science , anthropology , law

Key Points Question Is there an association between race/ethnicity and access to trauma care in US cities? Findings In this cross-sectional, multiple-methods study of 3932 census tracts, black majority census tracts were more likely than white majority census tracts to be located in a trauma desert in Chicago, Illinois (odds ratio, 8.48), and Los Angeles, California (odds ratio, 5.11). A residual direct effect was detected in New York City, New York (adjusted odds ratio, 1.87), after adjusting for poverty and race-poverty interaction effects. Meaning This study suggests that black majority census tracts may be the only racial/ethnic group with consistent disparities in geographic access to trauma centers.

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