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Racial Disparity and Disproportionality Among Emergency Department Visits for Child Maltreatment

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Randomized trial evaluates racial disparity in child maltreatment diagnoses at emergency departments, suggesting significant differences exist.

This research aims to evaluate racial disparity and disproportionality among emergency department visits related to child maltreatment.
Used ICD-10-CM codes to identify ED visits for child maltreatment from 1/1/2019 to 12/31/2020.
Applied NEDS sampling weights to produce national estimates of ED visits.
Calculated racial disparity and disproportionality using the Disparity Index (DI) and the Disproportionality Representation Index (DRI).
Identified 29,667 ED visits (130,981 weighted) involving child maltreatment concerns.
DRI showed non-Hispanic Black children had maltreatment codes applied at a rate 1.8 times their expected proportion.
DI indicated non-Hispanic Black children were twice as likely to receive maltreatment-related diagnoses compared to non-Hispanic White children.

Wanner et al. (2026) studied this question.

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Randomized trial evaluates racial disparity in child maltreatment diagnoses at emergency departments, suggesting significant differences exist.