Racial disparities in motorcycle-related mortality: an analysis of the National Trauma Data Bank.
BACKGROUND
Studies have shown racial disparities in outcomes after motor vehicle crashes; however, it is currently unknown if race impacts the likelihood of mortality after a motorcycle crash (MCC). The primary objective of this study was to determine if race is associated with MCC mortality.


METHODS
We performed a retrospective cross-sectional analysis of MCCs included in the National Trauma Data Bank between 2002 and 2006. Multiple logistic regression was used to adjust for age, sex, insurance status, year, helmet use, and injury severity characteristics.


RESULTS
Black patients had a 1.58 (95% confidence interval, 1.28-1.97) increased odds of mortality after a MCC, but were more likely to use a helmet (1.30; 95% confidence interval, 1.19-1.43) compared with their white counterparts (n = 62,840).


CONCLUSIONS
Black motorcyclists appear more likely to die after a MCC compared with whites. Although the reasons for this disparity are unclear, these data suggest that resources beyond encouraging helmet use are necessary to reduce fatalities among black motorcyclists.
Crompton
Joseph G
JG
Department of Surgery, The Johns Hopkins University, Baltimore, MD 21287, USA. jgcrompton@jhmi.edu
Pollack
Keshia M
KM
Oyetunji
Tolulope
T
Chang
David C
DC
Efron
David T
DT
Haut
Elliott R
ER
Cornwell
Edward E
EE
Haider
Adil H
AH
D000063:Accidents, Traffic / Q000401:mortality* / Q000706:statistics & numerical data; D000293:Adolescent; D000328:Adult; D001741:Black or African American; D000368:Aged; D006259:Craniocerebral Trauma / Q000453:epidemiology / Q000401:mortality*; D003430:Cross-Sectional Studies; D016208:Databases, Factual; D005260:Female; D006260:Head Protective Devices / Q000706:statistics & numerical data; D054624:Health Status Disparities; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009049:Motorcycles; D012189:Retrospective Studies; D044465:White People; D055815:Young Adult