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Unintentional Injuries Are Associated with Self-Reported Child Maltreatment among Swedish Adolescents
Ylva Tindberg1,2, Staffan Janson3, Carolina Jernbro3
1Department of Women's and Children's Health, Uppsala University, 751 85 Uppsala, Sweden.
Summary
Child maltreatment, including abuse and neglect, is linked to a higher risk of unintentional injuries in adolescents. Healthcare providers should identify children with repeated injuries for maltreatment prevention.
Area of Science:
- Public Health
- Child Psychology
- Injury Prevention
Background:
- Injuries are a significant cause of child morbidity and mortality.
- Child maltreatment encompasses various forms of abuse and neglect.
- Understanding the link between maltreatment and injury is crucial for prevention.
Purpose of the Study:
- To investigate the association between self-reported child maltreatment and unintentional injuries in adolescents.
- To determine if different types of maltreatment correlate with injury events requiring healthcare or hospitalization.
Main Methods:
- Cross-sectional study using Swedish national school survey data (2016).
- Included 4741 adolescents with a response rate of 78.5%.
- Analyzed data using univariate tests and multiple logistic regression.
Main Results:
- Significant associations found between physical, psychological, sexual abuse, neglect, witnessing partner violence, and injuries requiring care (aORs 1.39-1.77).
- Poly-victimization showed a stronger association (aOR 1.91).
- A dose-response relationship observed between victimization severity and injury frequency/hospitalization (p=0.000).
Conclusions:
- Child maltreatment is significantly associated with unintentional injuries requiring healthcare and hospitalization.
- Healthcare professionals should focus on children with recurrent injuries to address potential maltreatment.
- Integrated injury and child maltreatment prevention strategies are recommended.
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