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Published on: December 14, 2014
Risky drinking among parents of pediatric trauma patients
Amanda N Barczyk1, Paula Yuma-Guerrero, Kirk von Sternberg
1From the Trauma Services (A.N.B., J.B., K.A.L.), Dell Children's Medical Center of Central Texas; and School of Social Work (P.Y.-G., K.V.S., M.M.V.), University of Texas at Austin, Austin, Texas; and Trauma Services (T.M.), Arkansas Children's Hospital, Little Rock, Arkansas.
Insights
Parental risky drinking is linked to inconsistent helmet use in children treated for unintentional injuries. Early screening and intervention programs are crucial for preventing recurrent injuries in at-risk families.
Area of Science:
- Pediatric trauma
- Injury prevention
- Public health
Background:
- Unintentional injury is a leading cause of death in US children.
- Limited research exists on the association between parental alcohol use and childhood injuries.
- This study addresses the gap by examining parental risky behaviors and child safety in a pediatric trauma population.
Purpose of the Study:
- Describe demographics, child safety behaviors, and parental risky behaviors in pediatric trauma patients.
- Assess the relationship between parental risky drinking and child safety behaviors.
Main Methods:
- Data collected from parents of children under 15 admitted for unintentional injury.
- Analysis included descriptive statistics, bivariate analyses, and logistic regression.
- Study design: Prognostic study, level III.
Main Results:
- 37.1% of parents screened positive for risky alcohol use.
- Inconsistent bicycle helmet use was reported in 44.9% of patients.
- Inconsistent helmet use was associated with a higher likelihood of parental risky drinking (OR, 1.58).
Conclusions:
- Helmet use is vital for preventing head injuries in bicycle crashes.
- Improved strategies are needed to reach parents of at-risk children.
- Screening and brief intervention programs can help identify and support families with risky drinking behaviors to prevent injury recidivism.
Background:
Unintentional injury is the leading cause of death for children in the United States. An association between parental alcohol use and the frequency and severity of childhood injuries has been found; however, research is limited. The purpose of this study was to (1) describe demographics, child safety behaviors, and parental risky behaviors for a pediatric trauma patient population and (2) assess the relationship between positive screen results for risky drinking in parents and demographic and child safety behaviors.
Methods:
Data were collected from a sample of parents of a child younger than 15 years who was admitted to an urban children's hospital for treatment for an unintentional injury. Data were analyzed using descriptive statistics, bivariate analyses, and logistic regression.
Results:
A total of 926 parents of 693 patients were included in this study. Of the families who completed the survey, 37.1% (n = 257) had at least one parent screening positive for risky alcohol use. When looking at patients who ride bicycles, a little more than half (55.1%) were reported as consistently using a helmet. Results showed that inconsistent helmet use was associated with a higher likelihood of at least one parent screening positive for risky drinking (odds ratio, 1.58; 95% confidence interval, 1.06-2.36; p ≤ 0.05).
Conclusion:
Helmet use is a known prevention method of head injuries resulting from bicycle crashes. However, improvements need to be made on how to disseminate this information to parents and how to locate and intervene with the parents who have children that are at an increased risk of injury and injury recidivism. Using screening and brief intervention programs may assist in locating and reducing the potential of recurring visits by at-risk patients such as those in this sample who had at least one parent screening positive for risky drinking.
Level Of Evidence:
Prognostic study, level III.
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