Bijur P E, Stewart-Brown S, Butler N
Am J Dis Child. 1986 May;140(5):487-92. doi: 10.1001/archpedi.1986.02140190097036.
Social and behavioral characteristics of 11,966 British children, aged 5 years, and mothers' reports of accidental injuries between birth and age 5 years were analyzed. Aggressive behavior was associated with all accidental injuries after controlling psychosocial variables including social class; crowding; mother's psychological distress, age, and marital status; and child's sex. Overactivity was associated only with injuries not resulting in hospitalization after control of the covariates. The relative risk of injuries resulting in hospitalization was 1.9 among children with both high activity and high aggression scores compared with children with low scores on both behavioral scales. The findings support the inference that aggression and overactivity are independently associated with accidents. The associations between child behavior and injuries were stronger than the associations between injuries and the social factors including social class and crowding. This finding suggests that interventions aimed at high-risk groups may be effective supplements to environmental interventions.
对11966名5岁英国儿童的社会和行为特征，以及母亲报告的孩子从出生到5岁期间的意外伤害情况进行了分析。在控制了包括社会阶层、拥挤程度、母亲的心理困扰、年龄和婚姻状况以及孩子的性别等社会心理变量后，攻击性行为与所有意外伤害有关。在控制协变量后，多动仅与未导致住院的伤害有关。与行为量表得分均低的儿童相比，活动量和攻击性得分均高的儿童因伤住院的相对风险为1.9。这些发现支持了攻击性行为和多动与事故独立相关的推断。儿童行为与伤害之间的关联比伤害与包括社会阶层和拥挤程度在内的社会因素之间的关联更强。这一发现表明，针对高危群体的干预措施可能是环境干预的有效补充。
