Marital conflict and fifth-graders' risk for injury.

Marital conflict and fifth-graders' risk for injury.
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婚姻冲突和五年级学生受伤的风险。

DOI:
10.1016/j.aap.2012.01.005
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发表时间:
2012
期刊:
Accident; analysis and prevention
影响因子:
--
通讯作者:
Schuster,MarkA
Schuster,MarkA
中科院分区:
--
文献类型:
--
作者:
Schwebel,DavidC;Roth,DavidL;Elliott,MarcN;Chien,AlynaT;Mrug,Sylvie;Shipp,Eva;Dittus,Patricia;Zlomke,Kimberly;Schuster,MarkA

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背景伤害是美国儿童发病和死亡的主要原因。婚姻冲突与一系列负面健康结果有关,但人们对婚姻冲突如何影响儿童受伤风险知之甚少。我们假设在控制相关人口统计和养育协变量后,婚姻冲突将与青少年受伤风险增加有关。方法采用了从美国三个地区招募的 3218 名五年级学生的社区样本。使用序数逻辑回归模型来预测婚姻冲突造成的意外伤害的频率,同时调整人口统计、养育因素(养育、沟通、与青少年的参与)和家庭凝聚力。 结果婚姻冲突程度越高,需要专业医疗护理的伤害发生率越高(OR=1.20,95% CI 1.06,每个标准差 1.35)。将所有协变量纳入多变量序数逻辑回归模型后,仍存在相同的关联。 结论 父母婚姻冲突与青春期前儿童需要专业医疗护理的较高受伤率相关。
BACKGROUNDInjuries are the leading cause of morbidity and mortality for American children. Marital conflict has been associated with a range of negative health outcomes, but little is known about how marital conflict may influence risk of injury among children. We hypothesized marital conflict would be related to increased youth injury risk after controlling for relevant demographic and parenting covariates.METHODSA community sample of 3218 fifth-graders recruited from three US locales was utilized. Ordinal logistic regression models were used to predict the frequency of unintentional injuries from marital conflict while adjusting for demographics, parenting factors (nurturance, communication, involvement with youth), and family cohesion.RESULTSHigher levels of marital conflict were associated with higher rates of injury that required professional medical attention (OR=1.20, 95% CI 1.06, 1.35 per standard deviation). The same association held after inclusion of all covariates in a multivariate ordinal logistic regression model.CONCLUSIONSParental marital conflict is associated with higher rates of injuries requiring professional medical attention in preadolescent children.
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