Unintentional Injuries in Children with Disabilities: A Systematic Review and Meta-Analysis

Details

• Personal Author:
  Ameratunga S ; Shakespeare T ; Shi J ; Shi X ; Smith GA ; Stallones L ; Wheeler KK ; Xiang H
• Description:
  Children with disabilities are thought to have an increased risk of unintentional injuries, but quantitative syntheses of findings from previous studies have not been done. We conducted a systematic review and meta-analysis to assess whether pre-existing disability can increase the risk of unintentional injuries among children when they are compared to children without disability. We searched 13 electronic databases to identify original research published between 1 January 1990 and 28 February 2013. We included those studies that reported on unintentional injuries among children with pre-existing disabilities compared with children without disabilities. We conducted quality assessments and then calculated pooled odds ratios of injury using random-effects models. Fifteen eligible studies were included from 24,898 references initially identified, and there was a total sample of 83,286 children with disabilities drawn from the eligible studies. When compared with children without disabilities, the pooled OR of injury was 1.86 (95 % CI 1.65-2.10) in children with disabilities. The pooled ORs of injury were 1.28, 1.75, and 1.86 in the 0-4 years, 5-9 years, and >/=10 years of age subgroups, respectively. Compared with children without disabilities, the pooled OR was 1.75 (95 % CI 1.26-2.43) among those with International Classification of Functioning (ICF) limitations. When disability was defined as physical disabilities, the pooled OR was 2.39 (95 % CI 1.43-4.00), and among those with cognitive disabilities, the pooled OR was 1.77 (95 % CI 1.49-2.11). There was significant heterogeneity in the included studies. Compared with peers without disabilities, children with disabilities are at a significantly higher risk of injury. Teens with disabilities may be an important subgroup for future injury prevention efforts. More data are needed from low- and middle-income countries. [Description provided by NIOSH]
• Subjects:
  Nervous System Occupational Health Risk Assessment Risk Factors Safety
• Keywords:
  Author Keywords: Disability Children Cognitive Function Injuries Injury Injury Prevention Meta-analysis Physical Capacity Risk Factors Teenagers
• ISSN:
  2197-1714
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Colorado ; Ohio ; OSHA Region 5 ; OSHA Region 8
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  21
• Volume:
  2
• NIOSHTIC Number:
  nn:20053774
• Citation:
  Inj Epidemiol 2015 Sep; 2:21
• Contact Point Address:
  Huiyun Xiang, Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, The Ohio State University College of Medicine, 700 Children's Drive, Columbus, OH 43205, USA
• Email:
  Huiyun.Xiang@nationwidechildrens.org
• Federal Fiscal Year:
  2015
• Performing Organization:
  Research Institute Nationwide Children's Hospital, Columbus, Ohio
• Peer Reviewed:
  True
• Start Date:
  20100901
• Source Full Name:
  Injury Epidemiology
• End Date:
  20140831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:30223e2a6b6eeab7aa195311043e28630349cd22a21e09eba86575f553214ec46110103c6d24a3ab0c090b475884bc57111cadb4169d29e7755542245f7b4241
• Download URL:
  https://stacks.cdc.gov/view/cdc/216478/cdc_216478_DS1.pdf
• File Type:
  [PDF - 766.93 KB ]