We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Pediatric Injury Hospitalization in Hispanic Children and Non-Hispanic White Children in Southern California

Phyllis F. Agran, MD, MPH; Diane G. Winn, RN, MPH; Craig L. Anderson, DHSc, MPH; Celeste P. Del Valle
Arch Pediatr Adolesc Med. 1996;150(4):400-406. doi:10.1001/archpedi.1996.02170290066011.
Text Size: A A A
Published online


Objective:  To compare the incidence and causes of injury requiring hospitalization or resulting in death or both between Hispanic children and non-Hispanic white children.

Design:  Population-based surveillance of children younger than 15 years residing in eight Orange County cities and communities who were hospitalized or died of injuries sustained during 1991 and 1992.

Setting:  Eight hospitals and the coroner's office in central Orange County, California.

Participants:  Study population was 213 906 children residing in the study area. Forty-nine percent were Hispanic, 37% were non-Hispanic white, 12% were Asian or Pacific Islander, and 3% were of other racial origin.

Results:  A total of 1361 severe injuries were identified (crude annual rate was 318 per 100 000 population). The crude incidence rate ratio comparing Hispanics and nonHispanic whites was 1.82. After adjustment for census block group, Hispanic children had a 60% higher injury rate and incidence rate ratios of more than 2 for pedestrian injuries, asphyxia, aspirations, foreign-body ingestions, and poisonings.

Conclusions:  Hispanic children had higher injury rates than non-Hispanic white children, even when controlling for census block group. These rate differences may be related to differences in exposure to various causes of injury, injury prevention practices, parenting practices, family size, and language. Injury rate differences by ethnicity that address specific injury hazards must be explored to guide prevention efforts. More culturally and linguistically appropriate interventions are needed to provide injury prevention programs to the Hispanic population.(Arch Pediatr Adolesc Med. 1996;150:400-406)


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.