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Unintentional injuries among Chinese children with different types and severity of disability
Huiping Zhu1, Huiyun Xiang2, Xin Xia3
1Department of Maternal and Child Health, Center for Injury Research, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China; Department of Epidemiology and Statistics, School of Public Health, Capital Medical University, Beijing, China.
Insights
Children with disabilities in China face a significantly higher risk of injury. Multiple disabilities pose the greatest risk, highlighting the need for targeted safety interventions for this vulnerable population.
Area of Science:
- Public Health
- Pediatrics
- Disability Studies
Background:
- Limited research exists on injury risks for children with disabilities in China.
- Understanding these risks is crucial for developing targeted prevention strategies.
Purpose of the Study:
- To investigate the impact of disability type and severity on injury rates among children in Hubei Province, China.
- To compare injury incidence between children with and without disabilities.
Main Methods:
- A matched case-control study involving 1201 children with disabilities and 1201 healthy controls.
- Face-to-face interviews with caregivers regarding nonfatal unintentional injuries in the past 12 months.
- Statistical analysis using chi-squared tests and logistic regression to assess associations.
Main Results:
- Children with disabilities had a significantly higher injury rate (10.2%) compared to controls (4.4%).
- Children with multiple disabilities exhibited the highest injury risk (OR=4.54).
- The association between disability and injury varied by disability type and severity.
Conclusions:
- Disability status is a significant independent risk factor for injury in children.
- The findings underscore the heightened vulnerability of children with disabilities to injuries, irrespective of disability type or severity.
Purpose:
Little research has been done in China to study injury in individuals with disability. We investigated the impact of type and severity of disability on injury among children with disability in Hubei Province of China.
Methods:
A sample of 1201 children with disability were matched with 1201 healthy children on gender, age, and neighborhood. Disability type and severity were determined using the Chinese national standards. Caregivers were interviewed face-to-face about nonfatal unintentional injuries suffered by the child in the past 12 months before the interview. Univariate χ(2) test and logistic regression models were used to investigate association between disability type/severity and nonfatal unintentional injuries.
Results:
Injury rate among children with disability was significantly higher than that among children without disability (10.2% vs. 4.4%; P < .001). Children with multiple disabilities had the highest risk of injury after controlling for confounding variables (odds ratio, 4.54; 95% confidence interval, 2.82-7.30; P < .001). The magnitude of the association between disability and injury varied by type and severity of disability.
Conclusions:
The magnitude of the association between the presence or absence of disability in children and their risk of injury was large and significant, regardless of the type or severity of the children's disabilities.
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