Archives of pediatrics & adolescent medicine · 2006
The association between parents' past agricultural injuries and their children's risk of injury: analyses from the Regional Rural Injury Study-II.
СтатьяПоддержка исследования: вне правительства СШАПоддержка службы здравоохранения СШАНазвание и аннотация: Перевод в очереди
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Carlson Kathleen Ferguson, Langner Deborah, Alexander Bruce H, Gurney James G, Gerberich Susan G, Ryan Andrew D, Renier Colleen M, Mongin Steven J
Аннотация
OBJECTIVE: To examine associations between parents' and children's agricultural injuries in a cohort of farming and ranching households.
DESIGN: Analyses from a population-based, nested case-control study.
SETTING: The 1999 Regional Rural Injury Study-II, involving a cohort of 3765 agricultural households. Demographic, injury, and exposure data were collected for household members for 1 year.
PARTICIPANTS: A total of 203 injured children (cases) and 755 randomly selected control children were identified for the study.
MAIN EXPOSURE: Children's risk of injury was estimated in reference to individual and combined parental injury experience. Two periods were evaluated, separately and in combination.
MAIN OUTCOME MEASURES: Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated by using logistic regression; directed acyclic graphs guided selection of potential confounders.
RESULTS: When controlling for potential confounders, children whose fathers were injured before the study year had twice the risk of injury of those whose fathers were not injured (OR, 2.1; 95% CI, 1.5-3.0). Children had increased risk of injury if their mothers were injured before the study (OR, 2.5; 95% CI, 1.7-3.8) or during the study (OR, 2.0; 95% CI, 0.9-4.2). Children whose parents both reported agricultural injuries before the study had a 4-fold increase in injury risk over those with neither parent injured (OR, 4.2; 95% CI, 2.6-6.9).
CONCLUSIONS: Positive associations between parents' and children's injuries were observed, with a potential additive effect if both parents were injured. These results indicate a need for further research into the social and/or physical environments driving these associations so that appropriate interventions for pediatric injury can be determined.
DESIGN: Analyses from a population-based, nested case-control study.
SETTING: The 1999 Regional Rural Injury Study-II, involving a cohort of 3765 agricultural households. Demographic, injury, and exposure data were collected for household members for 1 year.
PARTICIPANTS: A total of 203 injured children (cases) and 755 randomly selected control children were identified for the study.
MAIN EXPOSURE: Children's risk of injury was estimated in reference to individual and combined parental injury experience. Two periods were evaluated, separately and in combination.
MAIN OUTCOME MEASURES: Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated by using logistic regression; directed acyclic graphs guided selection of potential confounders.
RESULTS: When controlling for potential confounders, children whose fathers were injured before the study year had twice the risk of injury of those whose fathers were not injured (OR, 2.1; 95% CI, 1.5-3.0). Children had increased risk of injury if their mothers were injured before the study (OR, 2.5; 95% CI, 1.7-3.8) or during the study (OR, 2.0; 95% CI, 0.9-4.2). Children whose parents both reported agricultural injuries before the study had a 4-fold increase in injury risk over those with neither parent injured (OR, 4.2; 95% CI, 2.6-6.9).
CONCLUSIONS: Positive associations between parents' and children's injuries were observed, with a potential additive effect if both parents were injured. These results indicate a need for further research into the social and/or physical environments driving these associations so that appropriate interventions for pediatric injury can be determined.