Trinidad Stephen, Kotagal Meera
Division of Pediatric General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH MLC 2023 USA.
Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, OH USA.
Curr Trauma Rep. 2023;9(2):47-55. doi: 10.1007/s40719-023-00251-x. Epub 2023 Jan 23.
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.
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.
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.
本综述的目的是描述在儿科创伤文献中社会经济地位（SES）是如何评估的，并进一步探讨SES差异如何导致儿科损伤方面的不公平现象。
保险状况、地区层面收入以及社会经济剥夺指数是社会经济地位最常见的评估指标。来自社会经济弱势背景的儿童遭受与枪支相关伤害、与机动车相关伤害以及与暴力相关伤害的发生率更高，这导致了儿科损伤后发病率和死亡率方面的不公平现象。SES差异还可能导致损伤后护理和康复方面的不公平，社会经济弱势背景的儿童再入院率、累犯率和创伤后应激障碍发生率更高。
需要开展更多研究，关注家庭层面的SES测量以及邻里剥夺的更细化测量。SES可作为减少儿科损伤和缩小公平差距干预措施的上游目标。
