The social determinants of trauma: A trauma disparities scoping review and framework

Judy N. Mikhail, Lynne S. Nemeth, Martina Mueller, Charlene Pope, Elizabeth G. NeSmith

Research output: Contribution to journalArticle

2 Citations (Scopus)

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 factors (n = 31), and performance improvement (n = 118). This scoping review produced a needed taxonomy scheme of the drivers of trauma disparities and known interventions that in turn informed the development of The Social Determinants of Trauma: A Trauma Disparities Framework. This study adds to the trauma disparities literature by establishing social context as a key contributor to disparities in trauma outcomes and provides a road map for future trauma disparities research.

Original languageEnglish (US)
Pages (from-to)266-281
Number of pages16
JournalJournal of Trauma Nursing
Volume25
Issue number5
DOIs
StatePublished - Sep 1 2018

Fingerprint

Wounds and Injuries
Social Determinants of Health
Social Environment
Multiple Trauma
Social Work
Research
PubMed
Violence
Comorbidity
Delivery of Health Care
Population

Keywords

  • Social determinants of health
  • Trauma
  • Trauma disparities
  • Violence

ASJC Scopus subject areas

  • Emergency
  • Critical Care
  • Advanced and Specialized Nursing

Cite this

The social determinants of trauma : A trauma disparities scoping review and framework. / Mikhail, Judy N.; Nemeth, Lynne S.; Mueller, Martina; Pope, Charlene; NeSmith, Elizabeth G.

In: Journal of Trauma Nursing, Vol. 25, No. 5, 01.09.2018, p. 266-281.

Research output: Contribution to journalArticle

Mikhail, Judy N. ; Nemeth, Lynne S. ; Mueller, Martina ; Pope, Charlene ; NeSmith, Elizabeth G. / The social determinants of trauma : A trauma disparities scoping review and framework. In: Journal of Trauma Nursing. 2018 ; Vol. 25, No. 5. pp. 266-281.
@article{1f78964d318742bda749e177ffa0faa2,
title = "The social determinants of trauma: A trauma disparities scoping review and framework",
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 factors (n = 31), and performance improvement (n = 118). This scoping review produced a needed taxonomy scheme of the drivers of trauma disparities and known interventions that in turn informed the development of The Social Determinants of Trauma: A Trauma Disparities Framework. This study adds to the trauma disparities literature by establishing social context as a key contributor to disparities in trauma outcomes and provides a road map for future trauma disparities research.",
keywords = "Social determinants of health, Trauma, Trauma disparities, Violence",
author = "Mikhail, {Judy N.} and Nemeth, {Lynne S.} and Martina Mueller and Charlene Pope and NeSmith, {Elizabeth G.}",
year = "2018",
month = "9",
day = "1",
doi = "10.1097/JTN.0000000000000388",
language = "English (US)",
volume = "25",
pages = "266--281",
journal = "Journal of trauma nursing : the official journal of the Society of Trauma Nurses",
issn = "1078-7496",
publisher = "Lippincott Williams and Wilkins",
number = "5",

}

TY - JOUR

T1 - The social determinants of trauma

T2 - A trauma disparities scoping review and framework

AU - Mikhail, Judy N.

AU - Nemeth, Lynne S.

AU - Mueller, Martina

AU - Pope, Charlene

AU - NeSmith, Elizabeth G.

PY - 2018/9/1

Y1 - 2018/9/1

N2 - 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 factors (n = 31), and performance improvement (n = 118). This scoping review produced a needed taxonomy scheme of the drivers of trauma disparities and known interventions that in turn informed the development of The Social Determinants of Trauma: A Trauma Disparities Framework. This study adds to the trauma disparities literature by establishing social context as a key contributor to disparities in trauma outcomes and provides a road map for future trauma disparities research.

AB - 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 factors (n = 31), and performance improvement (n = 118). This scoping review produced a needed taxonomy scheme of the drivers of trauma disparities and known interventions that in turn informed the development of The Social Determinants of Trauma: A Trauma Disparities Framework. This study adds to the trauma disparities literature by establishing social context as a key contributor to disparities in trauma outcomes and provides a road map for future trauma disparities research.

KW - Social determinants of health

KW - Trauma

KW - Trauma disparities

KW - Violence

UR - http://www.scopus.com/inward/record.url?scp=85057225195&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85057225195&partnerID=8YFLogxK

U2 - 10.1097/JTN.0000000000000388

DO - 10.1097/JTN.0000000000000388

M3 - Article

C2 - 30216255

AN - SCOPUS:85057225195

VL - 25

SP - 266

EP - 281

JO - Journal of trauma nursing : the official journal of the Society of Trauma Nurses

JF - Journal of trauma nursing : the official journal of the Society of Trauma Nurses

SN - 1078-7496

IS - 5

ER -