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Title: Family and Household Predictors of Injury Repetition Among Children in the United States
Resulting in 1 citation.
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Mott, Joshua Adam |
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Family and Household Predictors of Injury Repetition Among Children in the United States Working Paper, Health Policy and Research Center, The University of Illinois at Chicago, March 1998 Cohort(s): Children of the NLSY79, NLSY79 Publisher: Institute for Health Research and Policy, University of Illinois at Chicago Keyword(s): Accidents; Behavioral Problems; Child Health; Children, Home Environment; Children, Well-Being; Family Structure; Family Studies; Health Factors; Home Observation for Measurement of Environment (HOME); Household Structure; Injuries Permission to reprint the abstract has not been received from the publisher. OBJECTIVES. This study examined whether the repetition of reported medically attended injuries among children in the United States is related to the children's access to formal medical care. This study also examined the degree to which socioeconomic indicators and physical household risk factors of children defined as "injury repeaters" are different from those of other children. SETTING. A sample of children was taken from a national longitudinal survey in the United States for whom detailed child injury data were available in 1988 and 1990. Two-thousand and thirty-six children aged 4 to 12 in 1988 were drawn from the National Longitudinal Survey of Youth (NLSY). Since initiated in 1979, the NLSY has retained 91% of its respondents and is representative of a broader national sample of children. METHODS. Using multiple logistic regression techniques, fully controlled, stratified analyses examined whether injury repetition (defined as having reported injuries at both the 1988 and 1990 survey points) was related to the children's level of insurance coverage, family socioeconomic indicators, and household risk characteristics. RESULTS. The odds ratio reflecting the likelihood of injury in 1990 that was associated with having been injured in 1988 was significantly larger among the non-privately insured (OR = 4.55, 95% confidence interval = 2.22, 9.36) than among the privately insured (OR= 1.33, 95% CI =.83, 2.12). Injury repeaters were also more likely than other children to live in cluttered (p = .009) or dark (p = .017) home environments. CONCLUSIONS. Injury repetition cannot be "explained away" by the increased financial access to health care of some children. On the contrary, children with less financial access to care remained at greatest risk of injury repetition after multivariate control for differences in family background. These results also suggest that injury repeaters may share high risk home physical environments which set them apart from other children, and which potentially can be targeted among children who present to medical facilities with injuries. |
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Bibliography Citation
Mott, Joshua Adam. "Family and Household Predictors of Injury Repetition Among Children in the United States." Working Paper, Health Policy and Research Center, The University of Illinois at Chicago, March 1998. |