ArticleThe Journal of pediatrics2018
Racial and Ethnic Disparities and Bias in the Evaluation and Reporting of Abusive Head Trauma.
Article in The Journal of pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.
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Who cites it
45 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Perpetual Cycle of Racial Bias in Healthcare and Healthcare Education: A Systematic Review.Journal of racial and ethnic health disparities · 2026Pooled it
- Health equity and unintentional pediatric cannabis ingestion.Injury epidemiology · 2026Article
- Medical findings in young patients with head trauma: How strong is the evidence for abuse?International journal of legal medicine · 2026Article
- Sentinel Injuries in Emergency Departments and Subsequent Serious Injury in Children.Annals of emergency medicine · 2026Article
- Injuries in Children Undergoing Subspecialty Abuse Evaluations Because of Intimate Partner Violence.Pediatrics open science · 2026Article
- Outcomes and risk factors of traumatic brain injury in infants under 3 months with minor head trauma: a retrospective study from a tertiary care center in Riyadh, Saudi Arabia.BMC emergency medicine · 2025Article
- Pathophysiological hypotheses of the triad in abusive infant shaking: A systematic review and analysis of corroborated cases.Forensic science international. Synergy · 2025Article
- Changes in child placement after child abuse pediatrics consultation for suspected physical abuse.Child abuse & neglect · 2025Article
- Racial and Socioeconomic Disparities in Autism Providers' ACEs Inquiries.Journal of autism and developmental disorders · 2025Article
- Racial, Ethnic, and Gender Disparities in Substantiated Child Maltreatment: A State-Level Analysis of U.S. Incidence Rates.Children and youth services review · 2025Article
- The Dissectionality of Care in the U.S.: A Scoping Review in Healthcare of Implicit Bias, Perceived Discrimination, and Minority Stress Among Sexual and Gender Minorities.Archives of sexual behavior · 2025Article
- Improving the evaluation of non-accidental trauma across multiple specialties at a single institution.BMJ open quality · 2025Article
- Child Physical Abuse Fundamentals in the Child Abuse Pediatrics Curriculum for Physicians (CAP-CuP).MedEdPORTAL : the journal of teaching and learning resources · 2025Article
- Prevalence of Abuse-Specific Injuries in Infants With Prior Injury Evaluated for Abuse.Pediatrics open science · 2025Article
- A Qualitative Assessment of Interprofessional Knowledge Gaps in the Setting of Child Physical Abuse.WMJ : official publication of the State Medical Society of Wisconsin · 2025Article
- An exploratory study of addressing bias for child abuse teams: the role of narrative medicine.Frontiers in pediatrics · 2025Article
- Screening for Adverse Childhood Experiences: A Critical Appraisal.Pediatrics · 2024Review
- Reframing Child Protection in Emergency Medicine.The western journal of emergency medicine · 2024Article
- Disparities in child protective services involvement in pediatric traumatic brain injury.Pediatric surgery international · 2024Article
- Developing and Testing the Usability of a Novel Child Abuse Clinical Decision Support System: Mixed Methods Study.Journal of medical Internet research · 2024Article
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10 authors.
Funding
Abstract
objectiveTo characterize racial and ethnic disparities in the evaluation and reporting of suspected abusive head trauma (AHT) across the 18 participating sites of the Pediatric Brain Injury Research Network (PediBIRN). We hypothesized that such disparities would be confirmed at multiple sites and occur more frequently in patients with a lower risk for AHT. STUDY
designAggregate and site-specific analysis of the cross-sectional PediBIRN dataset, comparing AHT evaluation and reporting frequencies in subpopulations of white/non-Hispanic and minority race/ethnicity patients with lower vs higher risk for AHT.
resultsIn the PediBIRN study sample of 500 young, acutely head-injured patients hospitalized for intensive care, minority race/ethnicity patients (n = 229) were more frequently evaluated (P < .001; aOR, 2.2) and reported (P = .001; aOR, 1.9) for suspected AHT than white/non-Hispanic patients (n = 271). These disparities occurred almost exclusively in lower risk patients, including those ultimately categorized as non-AHT (P = .001 [aOR, 2.4] and P = .003 [aOR, 2.1]) or with an estimated AHT probability of ≤25% (P <.001 [aOR, 4.1] and P <.001 [aOR, 2.8]). Similar site-specific analyses revealed that these results reflected more extreme disparities at only 2 of 18 sites, and were not explained by local confounders.
conclusionSignificant race/ethnicity-based disparities in AHT evaluation and reporting were observed at only 2 of 18 sites and occurred almost exclusively in lower risk patients. In the absence of local confounders, these disparities likely represent the impact of local physicians' implicit bias.
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