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Determinants of pediatric injuries
S M Horwitz1, H Morgenstern, L DiPietro
1Department of Epidemiology, Yale University School of Medicine, New Haven, CT 06510.
American Journal of Diseases of Children (1960)
|June 1, 1988
Summary
Childhood injuries are linked to high activity, prior injuries, and maternal factors like stress and attitudes toward healthcare. Targeting families with these risk factors can improve injury prevention strategies for children.
Area of Science:
- Pediatrics
- Public Health
- Child Injury Prevention
Background:
- Childhood injuries pose a significant health concern.
- Previous research on injury determinants, especially psychosocial factors, is inconsistent due to methodological limitations.
Purpose of the Study:
- To identify factors associated with childhood injuries treated in a prepaid group practice.
- To distinguish predictors for any treated injury versus severe injuries requiring medical attention.
Main Methods:
- Prospective follow-up study involving 532 children over 12 months.
- Logistic regression analysis to determine independent risk factors.
Main Results:
- Factors associated with any treated injury: high activity, frequent non-injury healthcare visits, previous injury, and maternal negative attitude towards providers.
- Predictors for severe injuries: previous injury, frequent non-injury visits, mother working >15 hours/week, and maternal life events.
Conclusions:
- Family stressors are linked to severe injuries, suggesting relevance to common childhood injuries.
- Children from families with identified risk factors should be prioritized for injury prevention programs.