Journal article
Association of Externalizing Behavior Disorder Symptoms and Injury Among Fifth Graders
Academic pediatrics, Vol.11(5), pp.427-431
09/01/2011
DOI: 10.1016/j.acap.2011.03.003
PMID: 21640681
Abstract
OBJECTIVE: Injury is the leading cause of death among American youth, killing more 11-year-olds than all other causes combined. Children with symptoms of externalizing behavior disorders such as attention-deficit/hyperactivity disorder (ADHD) and conduct disorder (CD) may have increased risk. Our aims were to determine: (1) whether increasing symptoms of ADHD and CD associate positively with injuries among a community sample of fifth graders; and (2) whether symptoms of ADHD and CD have a multiplicative rather than additive association with injuries among the sample.
METHODS: Data were collected from 474.5 fifth graders and their primary caregivers participating in Healthy Passages, a multisite, community-based study of pediatric health risk behaviors and health outcomes. The primary outcome was injury frequency. Primary independent variables were ADHD and CD symptoms. Additional covariates included gender, race/ethnicity, and household income. Ordinal logistic regression examined correlates of injury frequency. The interaction between ADHD and CD symptoms also was examined.
RESULTS: In bivariate analyses, the odds of injury increased as ADHD symptoms (odds ratio [OR] 1.29; 95% confidence interval [95% CI] 1.18-1.41) and CD symptoms (OR 1.18; 95% CI 1.07-1.31) increased. However, in multivariate analysis, only ADHD symptoms were significantly associated with injury (OR 1.22; 95% CI 1.10-1.35). There was no statistically significant interaction between ADHD and CD symptoms.
CONCLUSIONS: ADHD symptoms are associated with increased odds of injury in fifth graders. Findings have implications for potential injury prevention strategies for mental health practitioners (for example, cognitive training with at-risk youth), pediatricians (ADHD screening), and parents (improved supervision).
Details
- Title: Subtitle
- Association of Externalizing Behavior Disorder Symptoms and Injury Among Fifth Graders
- Creators
- David C. Schwebel - Harvard UniversityDavid L. Roth - University of Alabama at BirminghamMarc N. Elliott - RAND CorporationSusanna N. Visser - RAND CorporationSara L. Toomey - Boston Children's HospitalEva M Shipp - Boston Children's HospitalJo Anne Grunbaum - RAND CorporationMark A. Schuster - Harvard University
- Resource Type
- Journal article
- Publication Details
- Academic pediatrics, Vol.11(5), pp.427-431
- DOI
- 10.1016/j.acap.2011.03.003
- PMID
- 21640681
- NLM abbreviation
- Acad Pediatr
- ISSN
- 1876-2859
- eISSN
- 1876-2867
- Publisher
- Elsevier
- Number of pages
- 5
- Grant note
- U48DP000046 / NATIONAL CENTER FOR CHRONIC DISEASE PREV AND HEALTH PROMO; United States Department of Health & Human Services; Centers for Disease Control & Prevention - USA U48DP000046; U48DP000057; U48DP000056 / Centers for Disease Control and Prevention, Prevention Research Centers; United States Department of Health & Human Services; Centers for Disease Control & Prevention - USA
- Language
- English
- Date published
- 09/01/2011
- Academic Unit
- Research Administration
- Record Identifier
- 9984949190302771
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