The Social Determinants of Trauma: A Trauma Disparities Scoping Review and Framework

Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses
Judy N MikhailElizabeth G NeSmith

Abstract

The drivers of trauma disparities are multiple and complex; yet, understanding the causes will direct needed interventions. The aims of this article are to (1) explore how the injured patient, his or her social environment, and the health care system interact to contribute to trauma disparities and examine the evidence in support of interventions and (2) develop a conceptual framework that captures the socioecological context of trauma disparities. Using a scoping review methodology, articles were identified through PubMed and CINAHL between 2000 and 2015. Data were extracted on the patient population, social determinants of health, and interventions targeting trauma disparities and violence. Based on the scoping review of 663 relevant articles, we inductively developed a conceptual model, The Social Determinants of Trauma: A Trauma Disparities Framework, based on the categorization of articles by: institutional power (n = 9), social context-place (n = 117), discrimination experiences (n = 59), behaviors and comorbidities (n = 57), disparities research (n = 18), and trauma outcomes (n = 85). Intervention groupings included social services investment (n = 54), patient factors (n = 88), hospital factors (n = 27), workforce factor...Continue Reading

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Citations

Jul 16, 2020·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Cindy L Munro, Aluko A Hope
Apr 30, 2019·The Journal of Trauma and Acute Care Surgery·Adam AckermanJames Whiting
Jun 7, 2020·Community Mental Health Journal·Ana Maria Meléndez GuevaraKamryn Morris
Sep 30, 2021·JAMA Surgery·Jaclyn N Portelli TremontPascal Osita Udekwu

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