title: Ethnoracial variations in acute PTSD symptoms among hospitalized survivors of traumatic injury.
abstract: Ethnoracial minority status contributes to an increased risk for posttraumatic stress disorder (PTSD) after trauma exposure, beyond other risk factors. A population-based sampling frame was used to examine the associations between ethnoracial groups and early PTSD symptoms while adjusting for relevant clinical and demographic characteristics. Acutely injured trauma center inpatients (N = 623) were screened with the PTSD Checklist. American Indian and African American patients reported the highest levels of posttraumatic stress and preinjury cumulative trauma burden. African American heritage was independently associated with an increased risk of higher acute PTSD symptom levels. Disparities in trauma history, PTSD symptoms, and event related factors emphasize the need for acute care services to incorporate culturally competent approaches for treating these diverse populations.
authors.affiliation: Department of Psychiatry & Behavioral Sciences, University of Washington, Seattle, WA 98195, USA. kstephen@u.washington.edu
authors.forename: Kari A
authors.initials: KA
authors.lastname: Stephens
authors.forename: Stanley
authors.initials: S
authors.lastname: Sue
authors.forename: Peter
authors.initials: P
authors.lastname: Roy-Byrne
authors.forename: Jürgen
authors.initials: J
authors.lastname: Unützer
authors.forename: Jin
authors.initials: J
authors.lastname: Wang
authors.forename: Frederick P
authors.initials: FP
authors.lastname: Rivara
authors.forename: Gregory J
authors.initials: GJ
authors.lastname: Jurkovich
authors.forename: Douglas F
authors.initials: DF
authors.lastname: Zatzick
mesh_terms: D000208:Acute Disease; D000328:Adult; D000368:Aged; D000704:Analysis of Variance; D057189:Checklist; D005260:Female; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D044469:Racial Groups; D013313:Stress Disorders, Post-Traumatic / Q000208:ethnology* / Q000503:physiopathology*; D017741:Survivors / Q000523:psychology*; D014193:Trauma Centers; D014861:Washington; D055815:Young Adult