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Unintentional childhood injury: a controlled comparison of behavioral characteristics
Hui Zhang1, Yang Li1, Yuxia Cui1
1School of Nursing, Harbin Medical University (Daqing), No. 39 Xinyang Road, Gaoxin District, Daqing City, Hei Longjiang Province, 163319, China.
Insights
Children with behavioral disorders face a higher risk of unintentional injuries. Identifying these issues early can help prevent childhood injuries and improve outcomes.
Area of Science:
- Child Psychology
- Pediatric Public Health
- Behavioral Science
Background:
- Childhood unintentional injuries represent a significant global public health concern.
- These injuries have profound negative consequences for children and their families.
Purpose of the Study:
- To compare behavioral characteristics in Chinese school-age children (6-11 years) with and without unintentional injuries.
- To identify behavioral risk factors associated with unintentional injuries in this population.
Main Methods:
- A cross-sectional predictive study involving 725 school-age children from five elementary schools in Daqing, China.
- The Achenbach Child Behavior Checklist (CBCL) was utilized to assess behavioral characteristics.
- 116 children with past-year unintentional injuries formed the study group; 123 uninjured children were controls.
Main Results:
- Children with unintentional injuries exhibited significantly higher total CBCL scores compared to controls.
- For boys, predictors of unintentional injury included schizoid behavior problems, anxiety/depression, and hyperactivity.
- For girls, anxiety/depression and delinquent behavior were significant predictors of unintentional injury.
Conclusions:
- Behavioral disorders are linked to an increased likelihood of suffering unintentional injuries in children.
- Early identification of behavioral disorders by educators and healthcare professionals is crucial.
- Parental support, guided by professional identification, can mitigate injury rates and severity.
Background:
Childhood injury is a major public health problem around the world and those injuries have negative impacts on children and their families. The purpose of this study was to compare the behavioral characteristics between Chinese school-age children (6 to 11 years of age) with and without unintentional injuries and to identify behavioral risk factors for school-age children with unintentional injury.
Methods:
This cross-sectional predictive study was conducted in five elementary schools in Daqing, China. The Achenbach Child Behavior Checklist (CBCL) was used to assess the children's behavioral characteristics. A total of 725 school-age children were screened. Of these, 116 children who had experienced unintentional injury in the past year were recruited as the study group, and 123 children who had not experienced an unintentional injury were randomly selected and assigned to the control group.
Results:
The total scores of CBCL in the study group children were significantly higher than those in the control group. The significant behavior disorder predictors for unintentional injury in boys were schizoid behavior problem (OR = 2.43), anxiety/depression (OR = 2.76) and hyperactive (OR = 2.42). The predictors for unintentional injury in girls were anxiety/depression (OR = 2.12) and delinquent behavior (OR = 2.81).
Conclusions:
Children with behavior disorders are more likely to suffer from unintentional injuries. Teachers and pediatricians should identify the behavior disorders and assist parents to help children, thereby reducing the rate and severity of injuries.
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