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The association between disability and unintentional injuries among adolescents in a general education setting: Evidence from a Swedish population-based school survey
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Karlstad University, Faculty of Health, Science and Technology (starting 2013), Centre for Public Safety (from 2013).ORCID iD: 0000-0003-4526-2752
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Centre for Public Safety (from 2013). Göteborgs universitet.ORCID iD: 0000-0002-1189-9950
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).ORCID iD: 0000-0002-7872-5808
2019 (English)In: Disability and Health Journal, ISSN 1936-6574, E-ISSN 1876-7583, article id 100841Article in journal (Refereed) Published
Abstract [en]

Background: Unintentional injuries are the leading cause of death among adolescents. Adolescents with disabilities may be particularly vulnerable with an increased risk of unintentional injuries. Objective: To study the association between a set of disabilities and unintentional injury risks among adolescents, accounting for comorbidity, subjective disability severity and sex. Method: Cross-sectional data from a Swedish national school survey including 4,741 students (15 and 17-year olds) conducted in 2016 was analyzed using log-binomial generalized linear models. Results: We found a 33% increased risk of injury the last 12 months and a 53% increased risk of injury leading to hospitalization for adolescents with any disability compared to their peers with no disability. The differences in injury risk were greater for girls than boys. There was a dose-response relationship between disability severity and injury risk. In analyses adjusted for sociodemographic factors and comorbidity, attention-deficit/hyperactivity disorder (ADHD) and epilepsy were associated with an increased risk of injury the last 12 months, risk ratios [RR] were 1.41 (95% Confidence Interval [CI] 1.08–2.97) and 1.79 (95% CI 1.10–1.81) respectively. Autism spectrum disorder was associated with a decreased injury risk the last 12 months (RR = 0.43, CI 0.2–0.92). ADHD, mobility impairment and visual impairment were associated with hospitalization due to injury during lifetime. Conclusions: There was an increased risk of unintentional injuries for adolescents with disabilities compared to their non-disabled peers, specifically for individuals with ADHD, epilepsy, visual impairment and mobility impairment. Injury prevention strategies may include adapting the physical environment and medical treatment.

Place, publisher, year, edition, pages
Elsevier, 2019. article id 100841
Keywords [en]
Cognitive disabilities, Comorbidity, Epilepsy, Injury risk, Physical impairment
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:kau:diva-75718DOI: 10.1016/j.dhjo.2019.100841Scopus ID: 2-s2.0-85072242310OAI: oai:DiVA.org:kau-75718DiVA, id: diva2:1369687
Available from: 2019-11-12 Created: 2019-11-12 Last updated: 2019-11-14Bibliographically approved

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Jernbro, CarolinaBonander, CarlBeckman, Linda

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