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Injury in Children with Developmental Disorders: A 1:1 Nested Case–Control Study Using Multiple Datasets in Taiwan

Author

Listed:
  • Shang-Ku Chen

    (Graduate Institute of Injury Prevention and Control, College of Public Health, Taipei Medical University, Taipei 110, Taiwan)

  • Li-Min Hsu

    (Graduate Institute of Injury Prevention and Control, College of Public Health, Taipei Medical University, Taipei 110, Taiwan
    Department of Surgery and Traumatology, National Taiwan University Hospital, Taipei 100, Taiwan)

  • Nan-Chang Chiu

    (Department of Pediatrics, MacKay Memorial Hospital, Taipei 104, Taiwan)

  • Wafaa Saleh

    (Transport Research Institute, Edinburgh Napier University, Edinburgh EH11 4DY, UK)

  • Chih-Wei Pai

    (Graduate Institute of Injury Prevention and Control, College of Public Health, Taipei Medical University, Taipei 110, Taiwan
    These authors contributed equally to this work.)

  • Ping-Ling Chen

    (Graduate Institute of Injury Prevention and Control, College of Public Health, Taipei Medical University, Taipei 110, Taiwan
    These authors contributed equally to this work.)

Abstract

Although past studies have identified predictors related to child injuries with developmental disorders, national-level research in Asia is limited. The objective of this study was to explore the risk factors for child injuries with developmental disorders in Taiwan using a national-level integrated database for the period between 2004–2015 (The Maternal and Child Health Database, National Health Insurance Research Database, Census Registry, and Indigenous Household Registration). Children younger than 12 years old who had records of visiting the ER or being hospitalized due to injury or without injury were included in this study. A 1:1 nested case-control study (injury vs. noninjury) to examine the risk factors for child injury with developmental disorder was performed. A total of 2,167,930 children were enrolled. The risk factors were associated with repeated ER visits or hospitalization: being indigenous (adjusted odds ratio [AOR]: 1.51; CI: 1.45–1.57); having a developmental disorder (AOR: 1.74; CI: 1.70–1.78); and having parents with illicit drug use (AOR: 1.48; CI: 1.32–1.66), alcohol abuse (AOR: 1.21; CI: 1.07–1.37), or a history of mental illness (AOR: 1.43; CI: 1.41–1.46). Being indigenous, having developmental disorders, and having parents with history of illicit drug use, alcohol abuse, or mental illness were predictors related to injuries in children.

Suggested Citation

  • Shang-Ku Chen & Li-Min Hsu & Nan-Chang Chiu & Wafaa Saleh & Chih-Wei Pai & Ping-Ling Chen, 2022. "Injury in Children with Developmental Disorders: A 1:1 Nested Case–Control Study Using Multiple Datasets in Taiwan," IJERPH, MDPI, vol. 19(16), pages 1-11, August.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:16:p:9814-:d:883915
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    References listed on IDEAS

    as
    1. Sinclair, S.A. & Xiang, H., 2008. "Injuries among US children with different types of disabilities," American Journal of Public Health, American Public Health Association, vol. 98(8), pages 1510-1516.
    2. Osborne, Jodie M. & Davey, Tamzyn M. & Spinks, Anneliese B. & McClure, Roderick J. & Sipe, Neil & Cameron, Cate M., 2016. "Child injury: Does home matter?," Social Science & Medicine, Elsevier, vol. 153(C), pages 250-257.
    3. David A. Sleet, 2018. "The Global Challenge of Child Injury Prevention," IJERPH, MDPI, vol. 15(9), pages 1-7, September.
    4. Andrew Sharpe & Jill Hardt, 2006. "Five Deaths a Day: Workplace Fatalities in Canada, 1993-2005," CSLS Research Reports 2006-04, Centre for the Study of Living Standards.
    5. Xiang, H. & Stallones, L. & Chen, G. & Hostetler, S.G. & Kelleher, K., 2005. "Nonfatal injuries among US children with disabling conditions," American Journal of Public Health, American Public Health Association, vol. 95(11), pages 1970-1975.
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