Behavioral predictors of injury in school-age children
P. Bijur, J. Golding, M. Haslum and M. Kurzon
Departments of Pediatrics, Albert Einstein College of Medicine, Bronx, NY 10461.
The behavior of 10,394 British children was related prospectively to their
injury history between ages 5 and 10 years, obtained from parents.
Aggressive and overactive behaviors at age 5 years were measured by
subscales of the Rutter Child Behavior Questionnaire completed by the
parents. Multivariate techniques were used to assess the association
between behavior and injuries while controlling for social, demographic,
and psychological characteristics. Boys' behavior at age 5 years was more
strongly predictive of injuries in the subsequent five years than was
girls' behavior. The odds of experiencing injuries resulting in
hospitalization in boys with high aggression scores was 2.4 times that of
boys with low aggression scores. The identification of high-risk children
provides the foundation for understanding the behavioral mechanisms that
contribute to injuries and for developing preventive strategies tailored to
the needs of these children.
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