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Cultural Humility in Hospital-Based Injury and Violence Prevention

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Hospital-based Injury and Violence Prevention Programs

Abstract

Most matrices considering context of trauma fail to recognize the importance of social determinants of health (SDH). Many factors including structural racism, socioeconomics, gender, sexuality, and geography intermingle to exacerbate trauma disparities. When taking all of these into consideration, socioeconomics plays the greatest role. Adverse childhood experiences (ACEs) are potentially traumatic experiences that occur in childhood and play a role in widening socioeconomic disparities. Redlining was a discriminatory practice that created disparate socioeconomic communities and has perpetuated health inequalities that still exist today. Understanding the historic and cultural contexts of violence is essential for designing effective injury and violence prevention strategies. Racial and cultural concordance helps increase trust which is needed for program recruitment and enrollment. Listening and engaging with patients and families help to understand what matters to them. If intentionality is applied, outcomes throughout all sectors can improve.

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References

  1. World Health Organization. Road traffic injuries 2020 [Internet]. (Updated 7 Feb). Available from https://www.who.int/news-room/fact-sheets/detail/road-traffic-injuries

  2. Haddon W Jr. Advances in the epidemiology of injuries as a basis for public policy. Public Health Rep. 1980;95(5):411–21.

    Google Scholar 

  3. Saeednejad M, Sadeghian F, Fayaz M, et al. Association of social determinants of health and road traffic deaths: a systematic review. Bull Emerg Trauma. 2020;8(4):211–7. https://doi.org/10.30476/beat.2020.86574.

    Article  Google Scholar 

  4. Hoofnagle MH, Mubang RN, Joseph DK, et al. Eastern association for the surgery of trauma statement on structural racism, and the deaths of George Floyd, Ahmaud Arbery, and Breonna Taylor. Ann Surg. 2020;272(6):911–4. https://doi.org/10.1097/SLA.0000000000004430v.

    Article  Google Scholar 

  5. Edwards F, Lee H, Esposito M. Risk of being killed by police use-of-force in the US by age, race/ethnicity, and sex. Proceedings of the National Academy of Sciences. Academy of Sciences. 2020.

    Google Scholar 

  6. Scott-Jones G, CAADC, Kamara MR, PE. The traumatic impact of structural racism on Blacks. Dela J Public Health. 2020;6(5):80–2. https://doi.org/10.32481/djph.2020.11.019.

    Article  Google Scholar 

  7. Helms JE, Jernigan M, Mascher J. The meaning of race in psychology and how to change it: a methodological perspective. Am Psychol. 2005;60(1):27–36. https://doi.org/10.1037/0003-066X.60.1.27.

    Article  Google Scholar 

  8. Lawrence K, Kelecher T. Chronic disparity: strong and pervasive evidence of racial inequalities poverty outcomes: structural racism. Paper presented at the Race and Public Conference. 2004.

    Google Scholar 

  9. Kalesan B, Vasan S, Mobily ME, et al. State-specific, racial and ethnic heterogeneity in trends of firearm-related fatality rates in the USA from 2000 to 2010. BMJ Open. 2014;4(9):e005628. https://doi.org/10.1136/bmjopen-2014-005628.

    Article  Google Scholar 

  10. Jacoby SF, Dong B, Beard JH, Wiebe DJ, Morrison CN. The enduring impact of historical and structural racism on urban violence in Philadelphia. Soc Sci Med. 2018;199:87–95. https://doi.org/10.1016/j.socscimed.2017.05.038.

    Article  Google Scholar 

  11. Decker MR, Holliday CN, Hameeduddin Z, Shah R, Miller J, Dantzler J, Goodmark L. “You do not think of me as a human being”: race and gender inequities intersect to discourage police reporting of violence against women. J Urban Health. 2019;96(5):772–83. https://doi.org/10.1007/s11524-019-00359-z.

    Article  Google Scholar 

  12. Petrosky E, Blair JM, Betz CJ, Fowler KA, Jack SPD, Lyons BH. Racial and ethnic differences in homicides of adult women and the role of intimate partner violence—United States, 2003-2014. MMWR Morb Mortal Wkly Rep. 2017;66(28):741–6.

    Article  Google Scholar 

  13. Center for Disease Control and Prevention. Leading causes of death in females, 2015 [Internet]. 2018. Accessed 1 Aug 2018.

    Google Scholar 

  14. Black MC, Basile KC, Breiding MJ, et al. The national intimate partner and sexual violence survey (NISVS): 2010 summary report. Atlanta, GA: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention; 2011.

    Google Scholar 

  15. Educational fund to stop gun violence and coalition to stop gun violence [Internet]. A public health crisis decades in the making: a review of 2019 CDC Gun Mortality Data. 2021. Available from http://efsgv.org/2019CDCdata

  16. Centers for Disease Control and Prevention, Injury Center. Preventing adverse childhood experiences: violence prevention [Internet]; 2021 Apr 6. Available from https://www.cdc.gov/violenceprevention/aces/fastfact.html. Accessed 7 Nov 2021.

  17. Gilgoff R, Singh L, Koita K, Gentile B, Marques SS. Adverse childhood experiences, outcomes, and interventions. Pediatr Clin. 2020;67(2):259–73. https://doi.org/10.1016/j.pcl.2019.12.001.

    Article  Google Scholar 

  18. Tabb LP, Rich JA, Waite D, Alberto C, Harris E, Gardner J, Gentile N, Corbin TJ. Examining associations between adverse childhood experiences and posttraumatic stress disorder symptoms among young survivors of urban violence. J Urban Health. 2022;99(4):669–79.

    Article  Google Scholar 

  19. The Arena Group. How a new deal housing program enforced segregation. History stories [Internet]. [cited 2021 June 1]. Available from https://www.history.com/news/housing-segregation-new-deal-program

  20. Aaronson D, Hartley D, Mazumder B. The effects of the 1930s HOLC “redlining” maps. Am Econ J Econ Pol. 2021;13(4):355–92.

    Article  Google Scholar 

  21. Gross T. A ‘forgotten history’ of how the U.S. government segregated America [Internet]. NPR. 2017 May 3. Available from https://www.npr.org/2017/05/03/526655831/a-forgotten-history-of-how-the-u-s-government-segregated-america

  22. Rothstein R. The color of law: a forgotten history of how our government segregated America. Liveright Publishing; 2017 May 7.

    Google Scholar 

  23. Jackson C. What is redlining? The New York Times: Real Estate. 2021 Aug 17. Available from https://www.nytimes.com/2021/08/17/realestate/what-is-redlining.html

  24. McWhorter J. What’s missing from the conversation about systemic racism. The New York Times: Opinion. 2021 Sept 28. Available from https://www.nytimes.com/2021/09/28/opinion/redlining-systemic-racism.html

  25. Galea S. Health inequalities in Boston by T-Stops: a pictorial essay [Internet]. Boston: Boston University School of Public Health; 2015 Mar 29. Available from https://www.bu.edu/sph/news/articles/2015/health-of-a-city-health-inequalities-in-boston-by-t-stops-a-pictorial-essay/

  26. Bailey ZD, Krieger N, Agénor M, Graves J, Linos N, Bassett MT. Structural racism and health inequities in the USA: evidence and interventions. Lancet. 2017;389(10077):1453–63. https://doi.org/10.1016/S0140-6736(17)30569-X.

    Article  Google Scholar 

  27. Houghton A, Jackson-Weaver O, Toraih E, et al. Firearm homicide mortality is influenced by structural racism in US metropolitan areas. J Trauma Acute Care Surg. 2021;91(1):64–71. https://doi.org/10.1097/TA.0000000000003167.

    Article  Google Scholar 

  28. Centers for Disease Control and Prevention. The public health approach to violence prevention [Internet]. 2022 Jan 18. Available from https://www.cdc.gov/violenceprevention/about/publichealthapproach.html

  29. Adler RR, Smith RN, Fowler KJ, Gates J, Jefferson NM, Adler JT, Patzer RE. Community Based Participatory Research (CBPR): an underutilized approach to address surgical disparities. Ann Surg. 2022;275(3):496–9.

    Article  Google Scholar 

  30. Tervalon M, Murray-García J. Cultural humility versus cultural competence: a critical distinction in defining physician training outcomes in multicultural education. J Health Care Poor Underserved. 1998;9(2):117–25.

    Article  CAS  Google Scholar 

  31. Smith R, Dobbins S, Evans A, Balhotra K, Dicker RA. Hospital-based violence intervention: risk reduction resources that are essential for success. J Trauma Acute Care Surg. 2013;74(4):976–80.; discussion 980–2. https://doi.org/10.1097/TA.0b013e31828586c9.

  32. Smith R, Evans A, Adams C, Cocanour C, Dicker R. Passing the torch: evaluating exportability of a violence intervention program. Am J Surg. 2013;206(2):223–8. https://doi.org/10.1016/j.amjsurg.2012.11.025.

    Article  Google Scholar 

  33. Juillard C, Cooperman L, Allen I, Pirracchio R, Henderson T, Marquez R, Orellana J, Texada M, Dicker RA. A decade of hospital-based violence intervention: benefits and shortcomings. J Trauma Acute Care Surg. 2016;81(6):1156–61. https://doi.org/10.1097/TA.0000000000001261.

    Article  Google Scholar 

  34. Fischer KR, Bakes KM, Corbin TJ, Fein JA, Harris EJ, James TL, Melzer-Lange MD. Trauma-informed care for violently injured patients in the emergency department. Ann Emerg Med. 2019;73(2):193–202.

    Article  Google Scholar 

  35. Alang SM. Mental health care among blacks in America: confronting racism and constructing solutions. Health Serv Res. 2019;54(2):346–55.

    Article  Google Scholar 

  36. Neufeld MY, Janeway MG, Lee SY, Miller MI, Smith EA, Kalesan B, Allee L, Dechert T, Sanchez SE. Utilization of mental health services in pediatric patients surviving penetrating trauma resulting from interpersonal violence. Am J Surg. 2021;221(1):233–9.

    Article  Google Scholar 

  37. Nelson A. Unequal treatment: confronting racial and ethnic disparities in health care. J Natl Med Assoc. 2002;94(8):666.

    Google Scholar 

  38. Loberg JA, Hayward RD, Fessler M, Edhayan E. Associations of race, mechanism of injury, and neighborhood poverty with in-hospital mortality from trauma: a population-based study in the Detroit metropolitan area. Medicine. 2018;97(39) https://doi.org/10.1097/MD.0000000000012606.

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Smith, R.N., Castater, C., James, T. (2023). Cultural Humility in Hospital-Based Injury and Violence Prevention. In: Adams, C., Tinkoff, G. (eds) Hospital-based Injury and Violence Prevention Programs. Springer, Cham. https://doi.org/10.1007/978-3-031-20357-2_3

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  • DOI: https://doi.org/10.1007/978-3-031-20357-2_3

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