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May 1989, Vol 143, No. 5 >
Article | May 1989

Unintentional Injuries:  Risk Factors in Preschool Children FREE

Claire C. Bourguet, PhD; Robert E. McArtor, MD, MPH
[+] Author Affiliations

Accepted for publication November 21, 1988.

Reprint requests to the Division of Community Health Sciences, Northeastern Ohio Universities College of Medicine, PO Box 95, Rootstown, OH 44272 (Dr Bourguet).


Am J Dis Child. 1989;143(5):556-559. doi:10.1001/archpedi.1989.02150170054021.
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• Successful strategies for preventing childhood injuries require better understanding of injury epidemiology. A case-control study was designed to identify risk factors for injury among preschool patients of a university-affiliated, community-based family practice center. Thirty-four children who were injured during a 1-year period and 36 age- and sex-matched controls were included. A description of the injury incident and data from each child's medical record and a parent interview were recorded. All injuries were relatively minor. The following were associated with increased injury risk: a history of a chronic medical condition; weight in the lowest 25th percentile of the national distribution; birth order of third or later in the family; maternal education higher than the high school level; and, possibly, a history of previous injury.

(AJDC. 1989;143:556-559)

REFERENCES

1 +
Baker SP, O'Neill B, Karpf RS. The Injury Fact Book . Lexington, Mass: Lexington Books; 1984;.
2 +
Collins JG. Persons Injured and Disability Days Due to Injuries: United States, 1980-81 . Washington, DC: National Center for Health Statistics; 1985;. Vital and Health Statistics, series 10, No. (149) , US Dept of Health and Human Services publication PHS 85-1577.
3 +
Fife D, Barancik JI, Chatterjee BF.  Northeastern Ohio trauma study: II. injury rates by age, sex, and cause . Am J Public Health . 1984;;74:473-478.
4 +
Garrettson LK, Gallagher SS.  Falls in children and youth . Pediatr Clin North Am . 1985;;32:153-162.
5 +
Office of Disease Prevention and Health Promotion. The 1990 Health Objectives for the Nation: A Midcourse Review . Washington, DC: US Dept of Health and Human Services; 1986;.
6 +
Greenspan L, McLellan BA, Greig H.  Abbreviated injury scale and injury severity score: a scoring chart . J Trauma . 1985;;25:60-64.
7 +
Greenland S, Thomas DC.  On the need for the rare disease assumption in case-control studies . Am J Epidemiol . 1982;;116:547-553.
8 +
Kelsey JL, Thompson WD, Evans AS. Methods in Observational Epidemiology . New York, NY: Oxford University Press Inc; 1986;.
9 +
Kleinbaum DG, Kupper LL, Morgenstern H. Epidemiologic Methods . Belmont, Calif: Lifetime Learning Publications; 1982;.
10 +
Gallagher SS, Finison K, Guyer B, Goodenough S.  The incidence of injuries among 87 000 Massachusetts children and adolescents: results of the 1980-81 statewide childhood injury prevention program surveillance system . Am J Public Health . 1984;;74:1340-1347.
11 +
Rivara FP.  Childhood injuries: III. epidemiology of non—motor vehicle head trauma . Dev Med Child Neurol . 1984;;26:81-87.
12 +
Shaw MTM.  Accidental poisoning in children: a psychosocial study . NZ Med J . 1977;;85:269-272.
13 +
Langley J, Silva PA, Williams S.  A study of the relationship of ninety background, developmental, behavioral and medical factors to childhood accidents . Aust Paediatr J . 1980;;16:244-247.
14 +
Horowitz SM, Morgenstern H, DiPietro L, Morrison CL.  Determinants of pediatric injuries . AJDC . 1988;;142:605-611.
15 +
Libber SM, Stayton DJ.  Childhood burns reconsidered: the child, the family, and the burn injury . J Trauma . 1984;;24:245-252.
16 +
Schor EL.  Unintentional injuries: patterns within families . AJDC . 1987;;141:1280-1284.
17 +
Meyer RJ, Roelofs HA, Bluestone J, Redmond S.  Accidental injury to the preschool child . J Pediatr . 1963;;63:95-105.
18 +
Wilmore DW, Pruitt BA.  Fat boys get burned . Lancet . 1972;;2:631-632.
19 +
Jones JG.  The child accident repeater . Clin Pediatr . 1980;;19:284-288.
20 +
Langley J.  The 'accident prone' child: the perpetration of a myth . Aust Paediatr J . 1982;;18:243-246.
21 +
Manheimer DI, Dewey J, Mellinger GD, Corsa L.  Fifty thousand child-years of accidental injuries . Public Health Rep . 1966;;81:519-533.
22 +
Manheimer DI, Mellinger GD.  Personality characteristics of the child accident repeater . Child Dev . 1967;;38:491-513.
23 +
Beautrais AL, Fergusson DM, Shannon FT.  Accidental poisoning in the first three years of life . Aust Paediatr J . 1981;;17:104-109.
24 +
Beautrais AL, Fergusson DM, Shannon FT.  Childhood accidents in a New Zealand birth cohort . Aust Paediatr J . 1982;;18:238-242.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Baker SP, O'Neill B, Karpf RS. The Injury Fact Book . Lexington, Mass: Lexington Books; 1984;.
2 +
Collins JG. Persons Injured and Disability Days Due to Injuries: United States, 1980-81 . Washington, DC: National Center for Health Statistics; 1985;. Vital and Health Statistics, series 10, No. (149) , US Dept of Health and Human Services publication PHS 85-1577.
3 +
Fife D, Barancik JI, Chatterjee BF.  Northeastern Ohio trauma study: II. injury rates by age, sex, and cause . Am J Public Health . 1984;;74:473-478.
4 +
Garrettson LK, Gallagher SS.  Falls in children and youth . Pediatr Clin North Am . 1985;;32:153-162.
5 +
Office of Disease Prevention and Health Promotion. The 1990 Health Objectives for the Nation: A Midcourse Review . Washington, DC: US Dept of Health and Human Services; 1986;.
6 +
Greenspan L, McLellan BA, Greig H.  Abbreviated injury scale and injury severity score: a scoring chart . J Trauma . 1985;;25:60-64.
7 +
Greenland S, Thomas DC.  On the need for the rare disease assumption in case-control studies . Am J Epidemiol . 1982;;116:547-553.
8 +
Kelsey JL, Thompson WD, Evans AS. Methods in Observational Epidemiology . New York, NY: Oxford University Press Inc; 1986;.
9 +
Kleinbaum DG, Kupper LL, Morgenstern H. Epidemiologic Methods . Belmont, Calif: Lifetime Learning Publications; 1982;.
10 +
Gallagher SS, Finison K, Guyer B, Goodenough S.  The incidence of injuries among 87 000 Massachusetts children and adolescents: results of the 1980-81 statewide childhood injury prevention program surveillance system . Am J Public Health . 1984;;74:1340-1347.
11 +
Rivara FP.  Childhood injuries: III. epidemiology of non—motor vehicle head trauma . Dev Med Child Neurol . 1984;;26:81-87.
12 +
Shaw MTM.  Accidental poisoning in children: a psychosocial study . NZ Med J . 1977;;85:269-272.
13 +
Langley J, Silva PA, Williams S.  A study of the relationship of ninety background, developmental, behavioral and medical factors to childhood accidents . Aust Paediatr J . 1980;;16:244-247.
14 +
Horowitz SM, Morgenstern H, DiPietro L, Morrison CL.  Determinants of pediatric injuries . AJDC . 1988;;142:605-611.
15 +
Libber SM, Stayton DJ.  Childhood burns reconsidered: the child, the family, and the burn injury . J Trauma . 1984;;24:245-252.
16 +
Schor EL.  Unintentional injuries: patterns within families . AJDC . 1987;;141:1280-1284.
17 +
Meyer RJ, Roelofs HA, Bluestone J, Redmond S.  Accidental injury to the preschool child . J Pediatr . 1963;;63:95-105.
18 +
Wilmore DW, Pruitt BA.  Fat boys get burned . Lancet . 1972;;2:631-632.
19 +
Jones JG.  The child accident repeater . Clin Pediatr . 1980;;19:284-288.
20 +
Langley J.  The 'accident prone' child: the perpetration of a myth . Aust Paediatr J . 1982;;18:243-246.
21 +
Manheimer DI, Dewey J, Mellinger GD, Corsa L.  Fifty thousand child-years of accidental injuries . Public Health Rep . 1966;;81:519-533.
22 +
Manheimer DI, Mellinger GD.  Personality characteristics of the child accident repeater . Child Dev . 1967;;38:491-513.
23 +
Beautrais AL, Fergusson DM, Shannon FT.  Accidental poisoning in the first three years of life . Aust Paediatr J . 1981;;17:104-109.
24 +
Beautrais AL, Fergusson DM, Shannon FT.  Childhood accidents in a New Zealand birth cohort . Aust Paediatr J . 1982;;18:238-242.

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