Families of Children with Repeated Accidents

Husband, Peter; Hinton, Pate E.

doi:10.1136/adc.47.253.396

Cited by 51 publications

(12 citation statements)

References 9 publications

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“…This is consistent with US linkage studies 5-10 and with reports based on grouped data in Western countries. [1][2][3][4] The steep gradient by maternal education is consistent with other studies [5][6][7][8][9][10] and is also in agreement with previous studies of birth weight, 13 infant mortality, 14 or child growth 15 in the Czech Republic. Maternal marital status, maternal age, and the number of previous live births (as a proxy for the number of children in a family) have all been previously found to strongly influence mortality from injuries in infants 5-8 10 and in young children.…”

Section: Consistency With Other Studiessupporting

confidence: 89%

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Maternal socioeconomic characteristics and infant mortality from injuries in the Czech Republic 1989–92

Bobák

Pikhart²,

Koupilová³

2000

Inj Prev

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Objectives-Infant and childhood mortality from injuries in Central and Eastern Europe is high but little is known about its determinants. This study examined whether maternal socioeconomic characteristics predict infant mortality from injuries in the Czech Republic. Methods-Data on all live births registered in the Czech Republic 1989-91 (n=387 496) were linked with the national death register, 1989-92, using the unique national identification number. EVects of maternal socioeconomic characteristics, birth weight and gestational age, recorded in the birth register, on the risk of death from external causes (ICD-9 800-999) were estimated using logistic regression. Results-Of the 195 linked infant deaths from external causes (rate 50/100 000 live births), 73% were from suVocation. After controlling for other factors, the risk of death was higher in boys, declined with increasing maternal education (odds ratio for primary v university education 3.5, 95% confidence interval 1.5 to 8.6), maternal age, birth weight and gestational age, and was increased in infants of unmarried mothers and of mothers with higher parity. The eVect of education appeared stronger in married mothers and in mothers of low parity. Conclusion-The risk of infant death from external causes in this population was strongly associated with maternal and family characteristics.

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Section: Consistency With Other Studiessupporting

confidence: 89%

“…There is evidence that in Western countries the rates of childhood injuries and accidents are more frequent in lower socioeconomic groups, 1 2 in families with marital discord, 3 and in areas with a higher level of deprivation. 4 Few studies have addressed this question in detail, and little research has focused on deaths in infancy.…”

mentioning

confidence: 99%

Maternal socioeconomic characteristics and infant mortality from injuries in the Czech Republic 1989–92

Bobák

Pikhart²,

Koupilová³

2000

Inj Prev

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“…Others have also pointed to a correlation of family dysfunction with early childhood poisoning (Eriksson et al 1979;Husband & Hinton 1972 ;11-Iingworth 1974;Jones 1980;Rogers 1981;Sobel 1970;Sobel & Margolis 1965). Margolis (1971) performed a prospective follow-up study of 52 families of poisoned children 5 years later and found significant differences in their level of stress compared with that of control families.…”

Section: Social Isolation and Parenting Skillsmentioning

confidence: 94%

“…While it was previously assumed that drug overdoses were simply unavoidable accidents due to a lapse of parental supervision, previous research (Sobel & Margolis 1965) has discounted such randomness in favour of specific risk factors attributable to the host and their physical and social environment. Husband and Hinton (1972) suggested that children likely to experience a poisoning are more active than their peers and have negativistic personalities; they were more likely to be caught in power struggles with their parents.…”

Section: Repetitive Poisoning In Childrenmentioning

confidence: 97%

Epidemiology of Drug Overdose in Children

Woolf

Lovejoy

1993

Drug Safety

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Childhood drug overdoses are a continuing important public health problem. Although drug overdoses are no longer the important cause of childhood mortality they once were, such poisonings account for highly frequent and unacceptable instances of childhood injuries. These poisonings exact a high cost from society. They result in many emergency department visits and hospitalisations, with the attendant indirect costs of suffering, parental anxiety, and lost days of work or school. Childhood drug overdoses are preventable; those children and families at highest risk show identifiable characteristics, and the medications which pose the greatest hazard to children have already been identified. These injuries divert expensive and scarce medical resources from society's other health problems. Thus, clinicians must do more to prevent childhood drug overdoses whenever possible.

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“…Again no consensus emerged. Previous studies (Husband and Hinton, ; Burn et al, ) have found that children who come from larger families are more likely to have an accident, whereas others found mixed (Manheimer et al ., ) or no effect. (Beautrais et al ., ).…”

Section: Introductionmentioning

confidence: 95%

Unplanned Pregnancy and the Impact on Sibling Health Outcomes

Lordan¹,

Frijters

2012

Health Economics

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This work considers whether planning matters with respect to the effect of a new sibling on another siblings' health. Objective health outcomes are observed before and after a new addition to the family. To date, the literature on family size has focused on a quality-quantity trade-off; the more children in a family, the less resources devoted to each child. We present a theoretical framework which highlights that the quantity-quality trade-off may only be relevant in the case of an unplanned sibling. We also suggest that a planned sibling may result in health gains for the other children. We use two waves of data for more than 1800 children from Peru from the Young Lives Project to test our hypothesis. The data relate to the children at 1 and 5 years. For health outcomes, height for age and weight for age Z are considered. The results highlight significant negative independent effects on height for age when an unplanned sibling is added to the household. In addition, we find positive sibling effects on height for age when a planned sibling arrives. We find only small planning effects for weight for age. We view our hypothesis as a pathway that can further explain the quantity-quality trade-off.

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Families of Children with Repeated Accidents

Cited by 51 publications

References 9 publications

Maternal socioeconomic characteristics and infant mortality from injuries in the Czech Republic 1989–92

Maternal socioeconomic characteristics and infant mortality from injuries in the Czech Republic 1989–92

Epidemiology of Drug Overdose in Children

Unplanned Pregnancy and the Impact on Sibling Health Outcomes

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