Child Behavior and Accidental Injury in 11,966 Preschool Children

Bijur, Polly E.; Stewart‐Brown, Sarah; Butler, N. R.

doi:10.1001/archpedi.1986.02140190097036

Cited by 66 publications

(60 citation statements)

References 33 publications

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“…10 Following this approach, several studies have now identified specific environmental and child factors associated with an increased likelihood of injury in young children 21 (but see reference 22). Several of the most commonly identified risk factors in previous research were identified in this study, including being male, membership in a singleparent or stepfamily, 5 high levels of parent-reported childhood activity, 23,24 maternal mental health problems, 25 and a history of teenage parenthood. 26 What is relatively novel about this report is the consideration of the joint effects of psychosocial risk factors, while controlling for multiple indicators of social class and the assessment of both accidents and illnesses in a large community sample followed prospectively since pregnancy.…”

Section: Discussionmentioning

confidence: 74%

Distribution of Accidents, Injuries, and Illnesses by Family Type

O’Connor

Davies²,

Dunn³

et al. 2000

Pediatrics

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ABSTRACT. Objective. To investigate whether family type and psychosocial risks indexed by family type were systematically associated with differences in health outcomes in children.Design and Subjects. The study is based on a longitudinal, prospective study of a large (n ‫؍‬ ϳ10 000) community sample of families, the Avon Longitudinal Study of Pregnancy and Childhood.Main Outcome Measures. Frequency of accidents, illnesses, and medical interventions.Results. At 2 years of age, children in single-parent and stepfamilies were disproportionately likely to experience accidents and receive medical treatment for physical illnesses. In addition, children in single-parent families and stepfamilies were more likely to be hospitalized or receive attention from a hospital doctor for an injury or illness. Exposure to psychosocial risks also were elevated in single-parent families and stepfamilies, compared with intact or nonstepfamilies, and these factors primarily accounted for the connection between family type and children's physical health.Conclusions. The consequences of family transitions on children's health extend beyond traditional mental health and behavioral outcomes and include accident proneness, illness, and receipt of medical attention. The mediating processes are not entirely attributable to social class differences connected to family type and may instead be associated with a range of psychosocial risks that are more frequently found in single-parent families and stepfamilies, compared with intact or nonstepfamilies. Prevention and intervention efforts directed toward children at risk for poor behavioral and mental health adjustment secondary to family disruption should consider children's physical health and health-related behaviors. Pediatrics 2000;106(5). URL: http://www. pediatrics.org/cgi/content/full/106/5/e68; family type, childhood, accidents, injuries, illnesses.ABBREVIATIONS. ALSPAC, Avon Longitudinal Study of Pregnancy and Childhood; OR, odds ratio. M embership in a single-parent family or stepfamily is associated with increased levels of significant behavioral, emotional, and academic problems in children. 1,2 The mechanisms underlying this connection are likely to involve, among other factors, financial adversity, increased stress directly related to family transitions, and increased exposure to additional psychosocial risks. 3,4 Compared with the extensive research base connecting family type (ie, membership in a 2-parent biological family, stepfamily, or single-parent family) and children's psychological adjustment, little is known about the physical health consequences of membership in diverse family types. One study 5 found that children in both single-parent families and stepfamilies were more likely to experience hospitalization or an injury attributable to accident than were children living with both biological parents. A smaller study found that children in single-parent families visited the general practitioner more and experienced more psychosomatic health problems. 6 A further study ...

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Section: Discussionmentioning

confidence: 74%

Distribution of Accidents, Injuries, and Illnesses by Family Type

O’Connor

Davies²,

Dunn³

et al. 2000

Pediatrics

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“…100 Parents who reported that their children had high oppositional behaviour and aggression also had increased injury risk. 11 Children with early disruptive behaviour have been found to be at increased risk of unintentional injuries, 16,143,190 but other studies have failed to demonstrate a relationship between hyperactivity in school-aged boys and risk of injury. 36 An injury behaviour checklist has been developed with a 24-item measure of toddlers and preschoolers risky behaviour.…”

Section: Behaviourmentioning

confidence: 99%

Child injuries in Bergen, Norway

Brudvik

2000

Injury

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“…The fact that the four individual items were not associated with injury seems to be consistent with most recent findings. While prior studies have shown activity-related measures to be associated with children's injury (Bijur et al, 1986;Langley, McGee, Silva, & Williams, 1983;Manheimer & Mellinger, 1967), findings from a more recent, prospective cohort study found no association between injury and hyperactivity (Davidson, 1992).…”

Section: Discussionmentioning

confidence: 94%

“…Across past studies, aggression has been shown to be positively associated with risk of injury, particularly among children (Bijur et al, 1986;Manheimer & Mellinger, 1967). For example, a study of medicallytreated, unintentional injuries among nearly 12,000 preschool children showed those in the 90th percentile of aggression scores to have elevated risks for hospitalized and non-hospitalized injuries (Bijur et al, 1986). In the current study, children who exhibited high levels of aggression had increased risk for agricultural injury, compared to children with low aggression levels.…”

Section: Discussionmentioning

confidence: 99%

“…Prior research has shown behavioral traits, such as distractibility or impulsivity, to be positively associated with risk of injury among children (Bijur, Stewart-Brown, & Butler, 1986;Jaquess & Finney, 1994;Schwebel & Plumert, 1999). Traits such as overactivity, inattentiveness, aggression, and impulsivity have been found to be independent risk factors for injury among people of all ages (Bijur et al, 1986;Davidson, 1987;Jaquess & Finney, 1994;Wazana, 1997). How such behaviors might influence risk of agricultural injury among members of farm and ranch families is unknown.…”

Section: Problemmentioning

confidence: 99%

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Children's behavioral traits and risk of injury: Analyses from a case-control study of agricultural households

Carlson

Gerberich

Alexander

et al. 2009

Journal of Safety Research

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a b s t r a c t a r t i c l e i n f oProblem: Children on family agricultural operations have high risk of injury. The association between children's behavioral traits and their risk of injury is not well understood. Method: Data from the Regional Rural Injury Study-II were used to assess behavioral risk factors for injury to children ages six to b 20 years. A total of 379 injury events (cases) and 1,562 randomly selected controls were identified. Adjusted odds ratios (OR) and 95% confidence intervals (CI), calculated using logistic regression, were used to estimate injury risk in reference to behavioral traits. Results: Injury risks were greater for children with high levels of depressive symptoms (OR = 1.9, CI = 1.0-3.7) and aggression (OR = 1.6, CI = 0.9-2.7), and low levels of careful/cautious behavior (OR = 1.8, CI = 1.1-2.9). Children with low levels of self-regulation had reduced risks (OR = 0.4, CI = 0.2-0.8). Discussion: Results suggest that children's behaviors affect their risk of agricultural injury. Additional research could elucidate mechanisms and inform interventions. Impact on industry: The development of multifaceted, sustainable approaches for prevention is necessary for this unique population. These findings suggest a need for interventions that incorporate specific behavior-related risk factors in the context of family farms and ranches. National

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Child Behavior and Accidental Injury in 11,966 Preschool Children

Cited by 66 publications

References 33 publications

Distribution of Accidents, Injuries, and Illnesses by Family Type

Distribution of Accidents, Injuries, and Illnesses by Family Type

Child injuries in Bergen, Norway

Children's behavioral traits and risk of injury: Analyses from a case-control study of agricultural households

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