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A Population-Based Study on Injury Risk and Disparities Among Children With ADHD
Jiabin Shen1, Junxin Shi2, Lynne Gauthier1
1University of Massachusetts Lowell, Lowell, MA, USA.
Insights
Children with Attention-Deficit/Hyperactivity Disorder (ADHD) face a higher risk of injuries. This study highlights the increased injury prevalence in children with ADHD compared to their peers.
Area of Science:
- Pediatric Health
- Neurodevelopmental Disorders
- Injury Prevention
Background:
- Attention-Deficit/Hyperactivity Disorder (ADHD) is associated with impaired attention and inhibitory control, increasing injury risk in children.
- Existing research lacks data from nationally representative samples on ADHD and injury risk.
- This study addresses the gap by examining injury occurrences in a large, population-based cohort.
Purpose of the Study:
- To determine the injury prevalence in children with ADHD using national data.
- To investigate the association between ADHD and injury risk across various injury types and demographic groups.
Main Methods:
- Utilized data from 66,236 children from the Medical Expenditures Panel Survey (2010-2019).
- Employed multiple logistic regression models to analyze injury occurrences.
- Examined the influence of injury type, age, race/ethnicity, sex, parental education, income, marital status, and insurance status.
Main Results:
- Children with ADHD exhibited significantly higher injury prevalence (OR = 1.20, 95% CI [1.07, 1.33]) compared to children without ADHD.
- This increased risk was observed across different injury types and most sociodemographic subgroups.
- The findings underscore a significant link between ADHD and heightened injury occurrences.
Conclusions:
- Children diagnosed with ADHD are demonstrably more prone to experiencing injuries.
- Further research is crucial to understand the mechanisms behind these injury disparities.
- Identifying these mechanisms will inform the development of targeted preventive strategies for children with ADHD.
Objective:
Impaired attention and inhibitory control put children with ADHD at potentially high risk of injury-one of the leading causes of disability in the general pediatric population. Existing research has yet to examine this important health risk using nationally representative samples. This population-based study aimed to address this gap.
Methods:
National estimates of injury occurrences were generated from 66,236 children in the Medical Expenditures Panel Survey 2010-2019 datasets. Multiple logistic regression models further examined the impact of injury type, age, race/ethnicity, sex, parental education, income, marital and insurance status on injury prevalence.
Results:
Compared to children without ADHD, those with ADHD have significantly higher injury prevalence (OR = 1.20, 95% CI [1.07, 1.33]) across injury types and most sociodemographic subgroups.
Conclusions:
Children with ADHD are more likely to experience injury. Future research should investigate mechanisms of injury disparities to inform future preventive efforts.
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