TY - JOUR
T1 - Increased risk of injury in children with developmental disabilities
AU - Lee, Li Ching
AU - Harrington, Rebecca A.
AU - Chang, Jen Jen
AU - Connors, Susan L.
N1 - Funding Information:
Li-Ching Lee's and Rebecca A. Harrington's effort was supported by CDC cooperative agreement U10/CCU320408-05. A preliminary version of this paper was presented in part at the Second North American Congress of Epidemiology, Seattle, Washington, US, June 21–24, 2006. The analyses, interpretations, and conclusion addressed in this publication are the authors’ responsibility and are not a representation of the National Center for Health Statistics’ opinion.
Copyright:
Copyright 2008 Elsevier B.V., All rights reserved.
PY - 2008/5
Y1 - 2008/5
N2 - The objective of this study was to examine injury risk in children with autism, ADD/ADHD, learning disability, psychopathology, or other medical conditions. Children aged 3-5 years who participated in the National Survey of Children's Health were included. Six study groups were analyzed in this report: autism (n = 82), ADD/ADHD (n = 191), learning disability (n = 307), psychopathology (n = 210), other medical conditions (n = 1802), and unaffected controls (n = 13,398). The weighted prevalence of injury in each group was 24.2% (autism), 26.5% (ADD/ADHD), 9.3% (learning disability), 20.5% (psychopathology), 14.6% (other medical conditions), and 11.9% (unaffected controls). Compared to unaffected controls, the risk of injury was 2.15 (95% confidence interval (CI): 1.00-4.60), 2.74 (95% CI: 1.63-4.59), 2.06 (95% CI: 1.24-3.42), and 1.26 (95% CI: 1.00-1.58) in children with autism, ADD/ADHD, psychopathology, and other medical conditions, respectively, after adjusting for child sex, child age, number of children in the household, child race, and family poverty level. Children with autism, ADD/ADHD, and other psychopathology were about 2-3 times more likely to experience an injury that needs medical attention than unaffected controls. Future studies need to clarify the extent to which injuries in young children with autism, ADD/ADHD, and psychopathology are related to core symptoms, comorbid conditions, associated behaviors, or unintentional injuries due to lack of additional supervision from caregivers.
AB - The objective of this study was to examine injury risk in children with autism, ADD/ADHD, learning disability, psychopathology, or other medical conditions. Children aged 3-5 years who participated in the National Survey of Children's Health were included. Six study groups were analyzed in this report: autism (n = 82), ADD/ADHD (n = 191), learning disability (n = 307), psychopathology (n = 210), other medical conditions (n = 1802), and unaffected controls (n = 13,398). The weighted prevalence of injury in each group was 24.2% (autism), 26.5% (ADD/ADHD), 9.3% (learning disability), 20.5% (psychopathology), 14.6% (other medical conditions), and 11.9% (unaffected controls). Compared to unaffected controls, the risk of injury was 2.15 (95% confidence interval (CI): 1.00-4.60), 2.74 (95% CI: 1.63-4.59), 2.06 (95% CI: 1.24-3.42), and 1.26 (95% CI: 1.00-1.58) in children with autism, ADD/ADHD, psychopathology, and other medical conditions, respectively, after adjusting for child sex, child age, number of children in the household, child race, and family poverty level. Children with autism, ADD/ADHD, and other psychopathology were about 2-3 times more likely to experience an injury that needs medical attention than unaffected controls. Future studies need to clarify the extent to which injuries in young children with autism, ADD/ADHD, and psychopathology are related to core symptoms, comorbid conditions, associated behaviors, or unintentional injuries due to lack of additional supervision from caregivers.
KW - ADHD
KW - Autism spectrum disorders
KW - Developmental disabilities
KW - Injury
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U2 - 10.1016/j.ridd.2007.05.002
DO - 10.1016/j.ridd.2007.05.002
M3 - Article
C2 - 17582739
AN - SCOPUS:43849090168
SN - 0891-4222
VL - 29
SP - 247
EP - 255
JO - Research in Developmental Disabilities
JF - Research in Developmental Disabilities
IS - 3
ER -