Department of Women's and Children's Health, Uppsala University, 751 85 Uppsala, Sweden.
Centre for Clinical Research Sörmland, Uppsala University, 631 88 Eskilstuna, Sweden.
Int J Environ Res Public Health. 2023 Mar 25;20(7):5263. doi: 10.3390/ijerph20075263.
Injuries constitute a large share of childhood morbidity and mortality. This study examines whether adolescents with self-reported experiences of different types of child maltreatment more frequently reported unintentional injury events requiring health- or dental care during the last year and/or hospitalization at any time during childhood. Cross-sectional data from a Swedish national representative school survey (2016) including 4741 adolescents were used (78.5% response rate). Data were analyzed with univariate tests and multiple logistic regression. Statistically significant associations between reported experiences of physical, psychological and sexual abuse, neglect, and witnessing partner violence during childhood and reported unintentional injuries requiring health- or dental care during the last year were found (aOR:s between 1.39-1.77). The corresponding association for poly-victimization was aOR 1.91 (95% CI 1.39-2.62). Furthermore, a linear-by-linear association was seen for degree of victimization and number of episodes of unintentional injuries that required care in the last year ( = 0.000), as well as lifetime hospitalizations ( = 0.000). This study shows significant associations between child maltreatment and unintentional injuries requiring health- and/or dental care and hospitalization. To improve both injury and child maltreatment prevention, healthcare professionals need to pay particular attention to children and adolescents who repeatedly seek healthcare services due to injurious events.
伤害是儿童发病率和死亡率的主要原因之一。本研究旨在探讨报告有不同类型儿童虐待经历的青少年在过去一年中是否更频繁地报告需要医疗或牙科保健的意外伤害事件，以及在儿童时期是否有任何时间需要住院治疗。本研究使用了瑞典全国代表性学校调查（2016 年）的横断面数据，其中包括 4741 名青少年（响应率为 78.5%）。采用单变量检验和多因素逻辑回归分析数据。研究发现，报告有身体、心理和性虐待、忽视以及目睹伴侣暴力的经历与报告在过去一年中需要医疗或牙科保健的意外伤害之间存在统计学显著关联（比值比[aOR]在 1.39-1.77 之间）。多受害者经历的相应关联为 aOR 1.91（95%CI 1.39-2.62）。此外，还观察到受害程度和过去一年需要护理的意外伤害事件次数之间呈线性关联（ = 0.000），以及终生住院治疗之间也呈线性关联（ = 0.000）。本研究表明，儿童虐待与需要医疗和/或牙科保健和住院治疗的意外伤害之间存在显著关联。为了改善伤害和儿童虐待的预防，医疗保健专业人员需要特别关注因伤害事件而反复寻求医疗服务的儿童和青少年。
