Welcome to CDC Stacks | Disparities in Access to Trauma Care in the United States: A Population-Based Analysis - 44079 | CDC Public Access
Stacks Logo
Advanced Search
Select up to three search categories and corresponding keywords using the fields to the right. Refer to the Help section for more detailed instructions.
 
 
Help
Clear All Simple Search
Advanced Search
Disparities in Access to Trauma Care in the United States: A Population-Based Analysis
  • Published Date:
    Jan 03 2017
  • Source:
    Injury. 48(2):332-338.


Public Access Version Available on: February 01, 2018 information icon
Please check back on the date listed above.
Details:
  • Pubmed ID:
    28069138
  • Pubmed Central ID:
    PMC5292279
  • Description:
    Background

    Injury is a major contributor to morbidity and mortality in the United States. Accordingly, expanding access to trauma care is a Healthy People priority. The extent to which disparities in access to trauma care exist in the US is unknown. Our objective was to describe geographic, demographic, and socioeconomic disparities in access to trauma care in the United States.

    Methods

    Cross-sectional study of the US population in 2010 using small units of geographic analysis and validated estimates of population access to a Level I or II trauma center within 60 minutes via ambulance or helicopter. We examined the association between geographic, demographic, and socioeconomic factors and trauma center access, with subgroup analyses of urban-rural disparities.

    Results

    Of the 309 million people in the US in 2010, 29.7 million lacked access to trauma care. Across the country, areas with higher income were significantly more likely to have access (OR 1.30, 95% CI 1.12–1.50), as were major cities (OR 2.13, 95% CI 1.25–3.62) and suburbs (OR 1.27, 95% CI 1.02–1.57). Areas with higher rates of uninsured (OR 0.09, 95% CI 0.07–0.11) and Medicaid or Medicare eligible patients (OR 0.69, 95% CI 0.59–0.82) were less likely to have access. Areas with higher proportions of blacks and non-whites were more likely to have access (OR 1.37, 95% CI 1.19–1.58), as were areas with higher proportions of Hispanics and foreign-born persons (OR 1.51, 95% CI 1.13–2.01). Overall, rurality was associated with significantly lower access to trauma care (OR 0.20, 95% CI 0.18–0.23).

    Conclusion

    While the majority of the United States has access to trauma care within an hour, almost 30 million US residents do not. Significant disparities in access were evident for vulnerable populations defined by insurance status, income, and rurality.

  • Document Type:
  • Collection(s):
  • Funding:
    K02 AA017974/AA/NIAAA NIH HHS/United States
    K08 HS017960/HS/AHRQ HHS/United States
    R01 CE001615/CE/NCIPC CDC HHS/United States
  • Supporting Files:
    No Additional Files
No Related Documents.
You May Also Like: