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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
Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper (from 2013). Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Centrum för personsäkerhet (from 2013).ORCID-id: 0000-0003-4526-2752
Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Centrum för personsäkerhet (from 2013). Göteborgs universitet.ORCID-id: 0000-0002-1189-9950
Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper (from 2013).ORCID-id: 0000-0002-7872-5808
2019 (engelsk)Inngår i: Disability and Health Journal, ISSN 1936-6574, E-ISSN 1876-7583, artikkel-id 100841Artikkel i tidsskrift (Fagfellevurdert) 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.

sted, utgiver, år, opplag, sider
Elsevier, 2019. artikkel-id 100841
Emneord [en]
Cognitive disabilities, Comorbidity, Epilepsy, Injury risk, Physical impairment
HSV kategori
Identifikatorer
URN: urn:nbn:se:kau:diva-75718DOI: 10.1016/j.dhjo.2019.100841ISI: 000501560800005Scopus ID: 2-s2.0-85072242310OAI: oai:DiVA.org:kau-75718DiVA, id: diva2:1369687
Tilgjengelig fra: 2019-11-12 Laget: 2019-11-12 Sist oppdatert: 2020-01-09bibliografisk kontrollert

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Jernbro, CarolinaBonander, CarlBeckman, Linda

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