Document Detail

Childhood behavior problems and unintentional injury: a longitudinal, population-based study.
MedLine Citation:
PMID:  20431401     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Although an association between behavior problems and childhood injuries has been established, the majority of studies have been cross-sectional and comorbidity has not been taken into account. The purpose of this study was to prospectively assess the relationship between behavior problems and the risk of unintentional injury in a population-based sample of Canadian children aged 4 to 11 years. METHOD: This prospective cohort study considered data from Cycles 1 and 2 of the Canadian National Longitudinal Survey of Children and Youth. The outcome was injury in Cycle 2 (2 years later). The exposure was the presence of behavior problems in Cycle 1, defined as children with hyperactivity only, aggression only, anxiety only, hyperactivity with aggression, hyperactivity with anxiety, aggression with anxiety, and hyperactivity with aggression and anxiety. All groups were compared to children with no behavior problems. Covariates included child-related, parental, and social-environmental factors. RESULTS: The final weighted longitudinal sample included 2,209,886 children, of which 11.4% were injured in Cycle 2. None of the behavior groups were at significant risk of injury 2 years later. However, children who lived with a single/no parent and children who did not live with a biological parent had a significantly greater risk of injury. After controlling for confounders, children who lived with a single/no parent had more than twice the risk of having an injury. CONCLUSION: We need to look beyond behavior problems, and possibly at family and environmental factors, to reduce the burden of injuries in the Canadian population.
Ameeta Dudani; Alison Macpherson; Hala Tamim
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of developmental and behavioral pediatrics : JDBP     Volume:  31     ISSN:  1536-7312     ISO Abbreviation:  J Dev Behav Pediatr     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-05-10     Completed Date:  2010-08-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8006933     Medline TA:  J Dev Behav Pediatr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  276-85     Citation Subset:  IM    
Department of Psychology, York University, Toronto, Ontario, M3J 1P3, Canada.
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MeSH Terms
Age Factors
Child Behavior Disorders / complications*
Child, Preschool
Longitudinal Studies
Odds Ratio
Parents / psychology
Prospective Studies
Risk Factors
Wounds and Injuries / complications*
Grant Support
//Canadian Institutes of Health Research

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