作者
Elizabeth L Tung, David A Hampton, Marynia Kolak, Selwyn O Rogers, Joyce P Yang, Monica E Peek
发表日期
2019/3/1
期刊
JAMA network open
卷号
2
期号
3
页码范围
e190138-e190138
出版商
American Medical Association
简介
Importance
Little is known about the distribution of life-saving trauma resources by racial/ethnic composition in US cities, and if racial/ethnic minority populations disproportionately live in US urban trauma deserts.
Objective
To examine racial/ethnic differences in geographic access to trauma care in the 3 largest US cities, considering the role of residential segregation and neighborhood poverty.
Design, Setting, and Participants
A cross-sectional, multiple-methods study evaluated census tract data from the 2015 American Community Survey in Chicago, Illinois; Los Angeles (LA), California; and New York City (NYC), New York (N = 3932). These data were paired to geographic coordinates of all adult level I and II trauma centers within an 8.0-km buffer of each city. Between February and September 2018, small-area analyses were conducted to assess trauma desert status as a function of neighborhood racial/ethnic …
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EL Tung, DA Hampton, M Kolak, SO Rogers, JP Yang… - JAMA network open, 2019