School suspensions, injury-prone behaviors, and injury history.

School suspensions, injury-prone behaviors, and injury history.
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学校停课、容易受伤的行为和受伤史。

DOI:
10.1097/ta.0b013e3181847e7d
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发表时间:
2008
期刊:
The Journal of trauma
影响因子:
--
通讯作者:
Soderstrom,CarlA
Soderstrom,CarlA
中科院分区:
--
文献类型:
--
作者:
Ryb,GabrielE;Dischinger,PatriciaC;Smith,GordonS;Soderstrom,CarlA

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Purpose:To investigate the association of history of school suspension (HSS) to risky behaviors and injury history.Methods:Adult patients admitted to a Level I trauma center (n= 774) were assessed for demographics, socioeconomic status, educational history, risky behaviors (infrequent seat belt use, drinking and driving, binge drinking, and speeding for a thrill), substance abuse disorders, and prior injury history. Student’s t test and χ 2 statistics were used to compare subjects with and without a HSS in relation to risky behaviors and injury history (α= 0.05). Logistic regression models were constructed with each risky behavior and injury history as the outcome adjusting for demographics, socioeconomic status, and substance abuse disorders.Results:Patients with HSS (n= 260) were significantly younger, more likely to be male, not married, low income, Black, unemployed, smokers, and alcohol and drug dependent than patients without such history (n= 514). They had higher rates of binge drinking (66% vs. 33%), infrequent seat belt use (50% vs. 26%), drinking and driving (24% vs. 12%), and driving fast for a thrill (21% vs. 8%). Similarly, they had more frequent previous history of vehicular injuries (44% vs. 31%) and assaults (36% vs. 16%). Multivariate models revealed school suspension to be associated with infrequent seat belt use (Odds ratio [OR]= 2.02 [1.44–2.83]), binge drinking (OR= 1.95 [1.25–3.04]), speeding for a thrill (OR= 1.83 [1.15–2.92]), prior vehicular injuries (OR= 1.46 [1.06–2.02]), and assaults (OR= 1.67 [1.13–2.47]).Conclusion:HSS is associated with risky behaviors, and history of prior vehicular crashes and assaults.Risky behaviors and trauma recidivism are commonly seen among trauma center patients. 1–5 A subgroup of trauma patients that is more likely to exhibit risky behaviors and trauma recidivism, has a higher prevalence of substance use disorders 1, 2, 6, 7 and smoking. 5 Psychiatric disorders are also found more commonly among injured patients, 8–12 and are associated with trauma recidivism. 6, 13 Other factors also commonly associated with injury, risky behaviors, and recidivism are risk-prone personality traits (ie, impulsivity, sensation seeking, and poor risk perception). 1, 3, 14, 15
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发表时间: 2004-01-01
影响因子: 1.5
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