Public Health Sciences, Faculty of Health, Science and Technology, Karlstad University, 651 88, Karlstad, Sweden; Centre for Public Safety, Faculty of Health, Science and Technology, Karlstad University, 651 88, Karlstad, Sweden.
Centre for Public Safety, Faculty of Health, Science and Technology, Karlstad University, 651 88, Karlstad, Sweden; Health Metrics Unit, The Sahlgrenska Academy, University of Gothenburg, Box 100, 405 30, Gothenburg, Sweden.
Disabil Health J. 2020 Jan;13(1):100841. doi: 10.1016/j.dhjo.2019.100841. Epub 2019 Sep 12.
Unintentional injuries are the leading cause of death among adolescents. Adolescents with disabilities may be particularly vulnerable with an increased risk of unintentional injuries.
To study the association between a set of disabilities and unintentional injury risks among adolescents, accounting for comorbidity, subjective disability severity and sex.
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.
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.
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.
意外伤害是青少年死亡的主要原因。残疾青少年可能面临更高的意外伤害风险。
研究一组残疾与青少年意外伤害风险之间的关系，同时考虑共病、主观残疾严重程度和性别。
使用对数二项式广义线性模型分析了 2016 年瑞典全国学校调查的 4741 名学生（15 和 17 岁）的横断面数据。
与无残疾的同龄人相比，患有任何残疾的青少年在过去 12 个月中受伤的风险增加了 33%，因伤住院的风险增加了 53%。残疾严重程度与受伤风险之间存在剂量-反应关系。在调整了社会人口因素和共病的分析中，注意力缺陷多动障碍（ADHD）和癫痫与过去 12 个月受伤风险增加相关，风险比（RR）分别为 1.41（95%置信区间 [CI] 1.08-2.97）和 1.79（95% CI 1.10-1.81）。自闭症谱系障碍与过去 12 个月受伤风险降低相关（RR=0.43，CI 0.2-0.92）。ADHD、运动障碍和视力障碍与一生中因伤住院相关。
与非残疾同龄人相比，残疾青少年意外伤害风险增加，特别是患有 ADHD、癫痫、视力障碍和运动障碍的青少年。预防伤害的策略可能包括调整物理环境和医疗治疗。
