A comparison of school injuries between children with and without disabilities.
OBJECTIVE: The aim of this study was to compare rates, nature, and mechanisms of school injuries in children with and without disabilities. METHODS: We conducted a retrospective cohort study with repeated measures of 269919 children with and without disabilities who were enrolled in 35 adapted schoo...
| Publicado en: | Academic Pediatrics Vol. 10; no. 5; pp. 317 - 323 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
Sep/Oct2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105111624&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105111624 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18762859 8NBK jtl: Academic Pediatrics issn: 18762859 maglogo: N pubinfo: dt: Sep/Oct2010 vid: 10 iid: 5 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 105111624 54052528 2010806769 10.1016/j.acap.2010.06.003 NLM20674529 105111624 ppf: 317 ppct: 6 formats: fmt: @attributes: type: P tig: atl: A comparison of school injuries between children with and without disabilities. aug: au: Ramirez M Fillmore E Chen A Peek-Asa C affil: University of Iowa Injury Prevention Research Center, Department of Occupational and Environmental Health, College of Public Health, University of Iowa, Iowa City, Iowa 52242-5000, USA. marizen-ramirez@uiowa.edu sug: subj: Children with Disabilities Children with Disabilities Classification Schools Wounds and Injuries Wounds and Injuries Classification Age Factors California Case Control Studies Confidence Intervals Funding Source Human Preventive Health Care Education Retrospective Design Sex Factors ab: OBJECTIVE: The aim of this study was to compare rates, nature, and mechanisms of school injuries in children with and without disabilities. METHODS: We conducted a retrospective cohort study with repeated measures of 269919 children with and without disabilities who were enrolled in 35 adapted schools from a large urban school district. Reports of injuries sustained from 1994 to 1998 were collected by the district's insurance division, and disability was assessed using special education guidelines determined by the California Department of Education. A generalized estimating equations model was used to estimate rate ratios, accounting for the repeated, nested nature of the data. RESULTS: Children with disabilities had more than double the rate of injury reported than children without disabilities (incidence density ratio [IDR] 2.3, 95% CI, 2.2-2.5). Almost one third of these injuries were due to fights, roughhousing, and assaults. Among all disabled children, those with orthopedic disabilities had the highest risk, with rates over 5 times that of children without disabilities (IDR 5.4, 95% CI, 4.4-6.6). Children with cognitive disabilities had comparatively lower rates of injury than children with physical disabilities. CONCLUSIONS: For children with disabilities, physical impairment may play a greater role than cognitive impairment in managing risk for injury at school. Individual education programs (TEP), developed for children in special education, could be tailored to include injury prevention strategies. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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