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Risk factors for unintentional injuries in children: are grandparents protective?

David Bishai1, Jamie L Trevitt, Yiduo Zhang

  • 1Department of Population Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland 21205, USA. dbishai@jhsph.edu

Pediatrics
|November 4, 2008
PubMed

Insights

Children with unmarried parents face higher injury risks. Grandparental care appears protective, highlighting the role of household composition in child injury prevention.

Area of Science:

  • Pediatric Health
  • Injury Prevention
  • Sociodemographic Factors

Background:

  • Childhood injuries are a significant public health concern.
  • Understanding risk factors associated with sociodemographic and familial characteristics is crucial for targeted interventions.
  • Previous research has identified various influences on child injury, but specific familial structures require further investigation.

Purpose of the Study:

  • To identify sociodemographic and familial correlates of medically attended injuries in children aged 2 to 3 years.
  • To investigate the association between household composition and injury risk in early childhood.
  • To determine protective factors against childhood injuries within the family unit.

Main Methods:

  • Utilized the Healthy Steps dataset, following 5565 infants enrolled at birth in 15 US cities.
  • Linked birth records to medical claims for office visits up to 30-33 months of age, analyzing 3449 children.
  • Employed multivariate logistic regression to calculate odds ratios for injury events, controlling for covariates.

Main Results:

  • Medically attended injury odds were reduced in children receiving care from grandparents.
  • Increased odds of injury were observed in children living in father-absent households or where parents were unmarried.
  • These associations remained robust across various covariates including income, education, age, gender, and race.

Conclusions:

  • Children of unmarried parents are at a higher risk for medically attended injuries.
  • Grandparental caregiving demonstrates a protective effect against childhood injuries.
  • Household composition is a significant factor influencing children's risk of medically attended injuries.
Abstract

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