title: Lower rates of emergency department injury visits among Latino children in the USA: no association with health insurance.
abstract: OBJECTIVE
  Latino children have lower rates of injury visits to emergency departments (EDs) than non-Latino white and African American children. This study tests the hypothesis that this difference reflects health insurance status.
  
  
  METHODS
  Secondary analysis. Patients/
  
  
  METHODS
  Children under 19 years of age visiting EDs in the USA, sampled in the National Hospital Ambulatory Medical Care Survey of EDs (NHAMCS-ED) from 1997 to 2001.
  
  
  METHODS
  Rates of ED injury visits; ED injury visit rates by race/ethnicity stratified by health insurance and adjusted for other covariates; subtypes of injury visits; and procedures and hospital admissions by race/ethnicity.
  
  
  RESULTS
  Injuries accounted for >56 million, or 40.5%, of total ED visits among pediatric patients. Injury visits occurred at lower rates for Latino children (9.9 per 100 person years) than non-Latino white and African American children (16.2 and 18.3, respectively), although total ED visit rates were similar. Regardless of health insurance status, Latino children had lower rates of injury visits than non-Latino white and African American children. Latino children had lower rates of the three major subtypes of injury visits (sports, accidental falls, struck by/between objects). Latino children had similar rates of procedures and hospital admissions to non-Latino white children.
  
  
  CONCLUSIONS
  Irrespective of their insurance status, Latino children have lower rates of ED injury visits in the USA than non-Latino white children. Possible reasons for this difference include different healthcare seeking behavior or different injury patterns by race/ethnicity, but not differences in health insurance status or barriers to accessing ED care.
authors.affiliation: Division of Pediatric Inpatient Medicine, University of Utah School of Medicine, 100N Medical Drive, Salt Lake City, Utah 84113, USA. tamara.simon@hsc.utah.edu
authors.forename: T D
authors.initials: TD
authors.lastname: Simon
authors.forename: C
authors.initials: C
authors.lastname: Bublitz Emsermann
authors.forename: L M
authors.initials: LM
authors.lastname: Dickinson
authors.forename: S J
authors.initials: SJ
authors.lastname: Hambidge
mesh_terms: D000293:Adolescent; D002648:Child; D002662:Child Health Services / Q000706:statistics & numerical data; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005006:Ethnicity / Q000706:statistics & numerical data; D005260:Female; D006306:Health Surveys; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D019458:Insurance Coverage / Q000706:statistics & numerical data*; D007348:Insurance, Health / Q000706:statistics & numerical data*; D008297:Male; D014481:United States / Q000453:epidemiology