Risk Factors for Unintentional Injuries in Children: Are Grandparents Protective?

被引:33
|
作者
Bishai, David [1 ]
Trevitt, Jamie L. [1 ]
Zhang, Yiduo [1 ]
McKenzie, Lara B. [3 ]
Leventhal, Tama [4 ]
Gielen, Andrea Carlson [2 ]
Guyer, Bernard [1 ]
机构
[1] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Populat Family & Reprod Hlth, Baltimore, MD 21205 USA
[2] Johns Hopkins Bloomberg Sch Publ Hlth, Ctr Injury Res & Policy, Baltimore, MD 21205 USA
[3] Nationwide Childrens Hosp, Res Inst, Columbus, OH USA
[4] Tufts Univ, Dept Child Dev, Boston, MA 02111 USA
关键词
child care; family issues; injury; safety;
D O I
10.1542/peds.2007-2995
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
OBJECTIVE. We sought to identify sociodemographic and familial correlates of injury in children aged 2 to 3 years. METHODS. The Healthy Steps data set describes 5565 infants who were enrolled at birth in 15 US cities in 1996-1997 and had follow-up until they were 30 to 33 months of age. Data were linked to medical claims reporting children's medically attended office visits by age 30 to 33 months. Each claim was accompanied by a reason for the visit. An analytical sample of 3449 was derived from the children who could be effectively followed up and linked to medical charts. Missing data were imputed by using multiple imputation with chained equations. The analytical sample showed no systematic evidence of sample selection bias. Multivariate logistic regression was used to determine the odds ratios of injury events. RESULTS. Odds of medically attended injuries were decreased for children who received care from grandparents. Odds were increased for children who lived where fathers did not co-reside or in households where the parents never married. Statistical results were robust to the addition of a variety of covariates such as income, education, age, gender, and race. CONCLUSIONS. Children are at higher risk for medically attended injury when their parents are unmarried. Having grandparents as caregivers seems to be protective. Household composition seems to play a key role in placing children at risk for medically attended injuries. Pediatrics 2008; 122: e980-e987
引用
收藏
页码:E980 / E987
页数:8
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