权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

Identifying contributors to racial and ethnic disparities in child occupant safety

确定儿童乘员安全方面种族和民族差异的影响因素

基本信息

批准号：
10448847
负责人：
Emma Sartin
金额：
$ 13.07万
依托单位：
CHILDREN'S HOSP OF PHILADELPHIA
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-09-01 至 2024-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10448847
关键词：
Accident and Emergency department Accidental Injury Address Air Bags Award Big Data Black race Caregivers Centers for Disease Control and Prevention (U.S.)Cessation of life Characteristics Child Childhood Childhood Injury Clinical assessments Code Cohort Studies Complex Continuity of Patient Care Coupled Critical Illness Data Data Collection Databases Development Diagnostic Doctor of Philosophy Economics Epidemiologic Methods Epidemiology Ethics Ethnic Origin Ethnic group Family Fatality rate Frequencies Funding Future Goals Health Health Disparities Research Health behavior Hispanic Hospitals Individual Injury Intervention Interview Joints Knowledge Mediation Mental Health Mentors Methodology Methods Minority Minority Groups Mission Modeling Mothers National Institute of Child Health and Human Development Outcome Pathway interactions Phase Policies Population Population Study Predictive Factor Prevalence Prevention Public Health Race Research Research Activity Research Personnel Safety Severities Side Societies Source Strategic Planning Structure Surveys System Techniques Technology Time Training Training Activity Transportation Traumatic injury Treatment Factor Vehicle crash Visualization Work behavior change career cost data management developmental psychology disability disparity elimination disparity reduction effective intervention ethnic disparity ethnic minority experience health disparity improved innovation novel pediatric trauma physical conditioning prevent racial and ethnic racial and ethnic disparities racial minority recruit restraint skills social stress disorder therapy development

项目摘要

Project Abstract The purpose of this K99/R00 Pathway to Independence award is to enable Dr. Sartin to gain the experience and skills necessary to become an independent investigator focused on identifying, understanding, and eliminating disparities in transportation and pediatric unintentional injuries. Dr. Sartin’s primary objective is to utilize a breadth-to-depth approach that integrates knowledge obtained from population- (breadth) and individual-level (depth) analyses to understand where and why racial and ethnic disparities in child occupant safety arise across the crash injury continuum. In the K99 phase of this project, Dr. Sartin will complete multiple research and training activities to develop knowledge and skills in: (1) advanced epidemiologic/statistical and injury methodologies; (2) management, analysis, and visualization of large databases; (3) advanced R programming; and (4) effective and ethical approaches to researching health disparities. Specifically, Dr. Sartin will complete structured coursework and guided independent study, as well as mentored research with her experienced, interdisciplinary team of mentors and advisors to successfully achieve three aims. In the K99 phase, Dr. Sartin will utilize innovative methods to: analyze a large, unique source of state-level data to determine population-level frequency of child restraint system use across racial/ethnic populations (Aim 1a); identify factors that contribute to lower rates of child restraint system use in minority groups (Aim 1b); and assess how child, driver, and vehicle characteristics impact racial and ethnic disparities observed in child occupants’ crash injury severity (Aim 2). In the R00 phase, Dr. Sartin will recruit recently crash-injured children and a caregiver to participate in a mixed-methods, pilot cohort study—involving surveys, clinical assessments, and semi-structured interviews—to assess short- and long-term mental and physical health outcomes (Aim 3). Findings of the R00 study will serve as preliminary data to support Dr. Sartin’s first R01 proposal. In addition to preparing Dr. Sartin for an independent research career, this work is significant in that it will directly address several critical gaps in child occupant safety. While overall child occupant fatality rates have decreased since 1975, ~3 children die in crashes each day and ~100k more are treated each year in emergency departments for injuries. Further, while overall fatalities have declined, racial and ethnic disparities have widened such that Black children are twice as likely as White children to die in a crash. The high burden and costs of crashes on children ($530M annually) coupled with clear disparities underscore the critical need to enhance child occupant safety, in particular among racial and ethnic minorities. The knowledge gained by this project will ultimately reduce overall rates of pediatric crash injury and death by bolstering protective efforts for the most vulnerable children. This K99/R00 is directly aligned with the NICHD 2020 Strategic Plan’s emphasis to understand the contribution of social, economic, structural, and regional factors that contribute to health disparities, and the Pediatric Trauma and Critical Illness Branch’s mission to prevent, treat, and reduce all forms of traumatic injury across the continuum of care.

项目摘要