Tian Emma, O'Guinn MaKayla L, Chen Stephanie Y, Ourshalimian Shadassa, Chaudhari Pradip P, Spurrier Ryan G
Children's Hospital Los Angeles, Los Angeles, California, USA.
USC Keck School of Medicine, Los Angeles, California, USA.
Inj Prev. 2024 Jul 23. doi: 10.1136/ip-2023-045151.
Traumatic brain injury (TBI) is a common injury in children. Previous literature has demonstrated that TBI may be associated with supervision level. We hypothesised that primary caregiver employment would be associated with child TBI.
A retrospective cross-sectional study was performed for children aged 0-17 using the National Survey of Children's Health (NSCH) 2018-2019. The NSCH contains survey data on children's health completed by adult caregivers from randomly selected households across the USA. We compared current TBI prevalence between children from households of different employment statuses. Current TBI was defined by survey responses indicating a healthcare provider diagnosed TBI or concussion for the child and the condition was present at the time of survey completion. Household employment status was categorised as two caregivers employed, two caregivers unemployed, one of two caregivers unemployed, single caregiver employed and single caregiver unemployed. Multivariable logistic regression was performed, controlling for sociodemographic factors.
Of 56 865 children, median age was 10 years (IQR: 5-14), and 0.6% (n=332) had a current TBI. Children with TBI were older than children without TBI (median 12 years vs 10 years, p<0.001). On multivariable regression, children with at least one caregiver unemployed had increased odds of current TBI compared with children with both caregivers employed.
Children with at least one caregiver unemployed had increased TBI odds compared with children with both caregivers employed. These findings highlight a population of families that may benefit from injury prevention education and intervention.
创伤性脑损伤（TBI）是儿童常见的损伤。以往文献表明，TBI可能与监护水平有关。我们假设主要照顾者的就业情况与儿童TBI有关。
利用2018 - 2019年全国儿童健康调查（NSCH）对0 - 17岁儿童进行回顾性横断面研究。NSCH包含了美国随机抽取家庭中的成年照顾者填写的关于儿童健康的调查数据。我们比较了不同就业状况家庭中儿童当前TBI的患病率。当前TBI通过调查回复定义，即表明医疗保健提供者诊断该儿童患有TBI或脑震荡，且在调查完成时该状况存在。家庭就业状况分为两名照顾者就业、两名照顾者失业、两名照顾者中的一名失业、单亲照顾者就业和单亲照顾者失业。进行多变量逻辑回归分析，并对社会人口学因素进行控制。
在56865名儿童中，中位年龄为10岁（四分位间距：5 - 14岁），0.6%（n = 332）患有当前TBI。患有TBI的儿童比未患TBI的儿童年龄更大（中位年龄12岁对10岁，p < 0.001）。在多变量回归分析中，与两名照顾者都就业的儿童相比，至少有一名照顾者失业的儿童当前患TBI的几率增加。
与两名照顾者都就业的儿童相比，至少有一名照顾者失业的儿童患TBI的几率增加。这些发现凸显了一类可能从伤害预防教育和干预中受益的家庭群体。
