Abstract
Objective: To compare the differential implications of sociodemographic and situational factors on the risk of injury among disabled and non-disabled children.
Design: Data from the Emergency Department Injury Surveillance System (EDISS) were used to compare, in a quasi case-control approach, injured children with or without disability with respect to sociodemographic, event and injury variables, and to estimate adjusted odds ratios for the injury in a disabled rather than a non-disabled child.
Setting: Two teaching hospitals in Athens and two district hospitals in the countryside that participate in the EDISS.
Patients: In the five year period 1996–2000, 110 066 children were recorded with injuries; 251 among them were identified as having a motor/psychomotor or sensory disability before the injury event.
Interventions: None.
Main outcome measures: Mechanism of injury, type of injury, risk-predisposing socioeconomic and environmental variables, odds ratio for injury occurrence.
Results: Falls and brain concussion are proportionally more common among disabled children, whereas upper limb and overexertion injuries are less common among them. Urban environment, migrant status, and cold months are also associated with increased odds for injuries to occur among disabled rather than non-disabled children. The odds ratio for the occurrence of an injury among disabled children increases with increasing age.
Conclusions: The results of the study provide the information for the targeting of trials of preventive measure in disabled children at increased risk of severe injuries.
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Selected References
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- Angle C. R. Locomotor skills and school accidents. Pediatrics. 1975 Nov;56(5):819–822. [PubMed] [Google Scholar]
- Bergeron J. W. Athletes with disabilities. Phys Med Rehabil Clin N Am. 1999 Feb;10(1):213-28, viii. [PubMed] [Google Scholar]
- Coppens N. M. Cognitive characteristics as predictors of children's understanding of safety and prevention. J Pediatr Psychol. 1986 Jun;11(2):189–202. doi: 10.1093/jpepsy/11.2.189. [DOI] [PubMed] [Google Scholar]
- Dessypris N., Petridou E., Skalkidis Y., Moustaki M., Koutselinis A., Trichopoulos D. Countrywide estimation of the burden of injuries in Greece: a limited resources approach. J Cancer Epidemiol Prev. 2002;7(3):123–129. [PubMed] [Google Scholar]
- Dunne R. G., Asher K. N., Rivara F. P. Injuries in young people with developmental disabilities: comparative investigation from the 1988 National Health Interview Survey. Ment Retard. 1993 Apr;31(2):83–88. [PubMed] [Google Scholar]
- Forjuoh S. N., Guyer B. Injury prevention in people with disabilities. BMJ. 2001 Apr 21;322(7292):940–941. doi: 10.1136/bmj.322.7292.940. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Leland N. L., Garrard J., Smith D. K. Comparison of injuries to children with and without disabilities in a day-care center. J Dev Behav Pediatr. 1994 Dec;15(6):402–408. [PubMed] [Google Scholar]
- Mellinger G. D., Manheimer D. I. An exposure-coping model of accident liability among children. J Health Soc Behav. 1967 Jun;8(2):96–106. [PubMed] [Google Scholar]
- Rivara F. P. Developmental and behavioral issues in childhood injury prevention. J Dev Behav Pediatr. 1995 Oct;16(5):362–370. [PubMed] [Google Scholar]
- Roberts I., Norton R. Sensory deficit and the risk of pedestrian injury. Inj Prev. 1995 Mar;1(1):12–14. doi: 10.1136/ip.1.1.12. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sherrard J., Tonge B. J., Ozanne-Smith J. Injury in young people with intellectual disability: descriptive epidemiology. Inj Prev. 2001 Mar;7(1):56–61. doi: 10.1136/ip.7.1.56. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Strauss D., Shavelle R., Anderson T. W., Baumeister A. External causes of death among persons with developmental disability: the effect of residential placement. Am J Epidemiol. 1998 May 1;147(9):855–862. doi: 10.1093/oxfordjournals.aje.a009539. [DOI] [PubMed] [Google Scholar]