Document Detail


Injury-related hospital admissions of military dependents compared with similarly aged nonmilitary insured infants, children, and adolescents.
MedLine Citation:
PMID:  23026960     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Military deployment of one or both parents is associated with declines in school performance, behavioral difficulties, and increases in reported mental health conditions, but less is known regarding injury risks in pediatric military dependents.
METHODS: Kid Health Care Cost and Utilization Project 2006 (KID) was used to identify military dependents aged 0.1 year to 17 years through expected insurance payer being CHAMPUS, Tricare, or CHAMPVA (n = 12,310) and similarly aged privately insured nonmilitary in CHAMPUS, Tricare, or CHAMPVA states (n = 730,065). Mental health diagnoses per 1,000 hospitalizations and mechanisms of injury per 1,000 injury-related hospitalizations are reported. Unweighted univariate analyses used Fisher's exact, χ(2), and analysis of variance tests for significance. Odds ratios are age and sex adjusted with 95% confidence intervals.
RESULTS: Injury-related admissions were higher in military than in nonmilitary dependents (15.5% vs. 13.2%, p < 0.0001). Age- and sex-adjusted motor vehicle occupant and pedestrian injuries were significantly lower in all-age military dependents but not in age-stratified categories. Very young military dependents had higher all-cause injury admissions (p < 0.0001), drowning/near drowning (p < 0.0001), and intracranial injury (p < 0.0001) and showed a tendency toward higher suffocation (p = 0.055) and crushing injury (p = 0.065). Military adolescents and teenagers had higher suicide/suicide attempts (p = 0.0001) and poisonings from medicinal substances (p = 0.0001). Mental health diagnoses were significantly higher in every age category of military dependents. All-cause in-hospital mortality tended to be greater in military than in nonmilitary dependents (p = 0.052).
CONCLUSION: This study suggests that military dependents are a vulnerable population with special needs and provides clues to areas where injury prevention professionals might begin to address their needs.
LEVEL OF EVIDENCE: Prognostic/epidemiologic study, level II.
Authors:
Joyce C Pressley; Patrick Dawson; Dustin J Carpenter
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The journal of trauma and acute care surgery     Volume:  73     ISSN:  2163-0763     ISO Abbreviation:  J Trauma Acute Care Surg     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-02     Completed Date:  2013-01-02     Revised Date:  2013-09-25    
Medline Journal Info:
Nlm Unique ID:  101570622     Medline TA:  J Trauma Acute Care Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S236-42     Citation Subset:  AIM; IM    
Affiliation:
Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York 10032, USA. JP376@columbia.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Age Factors
Analysis of Variance
Child
Child, Preschool
Cohort Studies
Confidence Intervals
Databases, Factual
Dependency (Psychology)
Female
Hospitalization / economics,  statistics & numerical data*
Humans
Infant
Insurance, Health / economics
Length of Stay
Male
Mental Health
Military Personnel / psychology,  statistics & numerical data*
Odds Ratio
Parent-Child Relations*
Poisoning / epidemiology
Reference Values
Risk Assessment
Sex Factors
Socioeconomic Factors
Stress, Psychological
Suicide, Attempted / statistics & numerical data
United States
Vulnerable Populations
Wounds and Injuries / diagnosis,  epidemiology*,  psychology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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