Bijur P E, Golding J, Kurzon M
Department of Pediatrics, Albert Einstein College of Medicine.
Soc Sci Med. 1988;26(8):839-43. doi: 10.1016/0277-9536(88)90176-1.
The relationship between accidents and number of children in the household was assessed in 10,394 children surveyed at ages 5 and 10 years. The analyses suggest that living in a household with 3 or more children during the preschool period increases a child's risk of experiencing accidents that result in hospitalization; and that living in a household with 4 or more children increases the risk of such accidents to school-age children. The number of older rather than younger children had the greatest impact on accident risk. The observed odds ratios suggest that children with 4 or more siblings have 80% to 90% more injuries resulting in hospitalization than only children. The proportions of children with one or more accidents (regardless of the place of treatment) and with repeat accidents were unrelated to family size. Environmental differences between families of varying size accounted for the association with hospitalized accidents.
在对10394名5岁和10岁儿童进行调查时，评估了家庭事故与儿童数量之间的关系。分析表明，学龄前生活在有3个或更多孩子的家庭中会增加儿童因事故住院的风险；而生活在有4个或更多孩子的家庭中会增加学龄儿童发生此类事故的风险。年龄较大而非较小的孩子数量对事故风险影响最大。观察到的优势比表明，有4个或更多兄弟姐妹的儿童因伤住院的几率比独生子女高80%至90%。发生一次或多次事故（无论治疗地点）的儿童比例以及再次发生事故的儿童比例与家庭规模无关。不同规模家庭之间的环境差异导致了与住院事故的关联。
