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Unintentional Injuries Are Associated with Self-Reported Child Maltreatment among Swedish Adolescents.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Disciplinary Domain of Medicine and Pharmacy, research centers etc., Centre for Clinical Research Sörmland.
2023 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 20, no 7, article id 5263Article in journal (Refereed) Published
Abstract [en]

Injuries constitute a large share of childhood morbidity and mortality. This study examines whether adolescents with self-reported experiences of different types of child maltreatment more frequently reported unintentional injury events requiring health- or dental care during the last year and/or hospitalization at any time during childhood. Cross-sectional data from a Swedish national representative school survey (2016) including 4741 adolescents were used (78.5% response rate). Data were analyzed with univariate tests and multiple logistic regression. Statistically significant associations between reported experiences of physical, psychological and sexual abuse, neglect, and witnessing partner violence during childhood and reported unintentional injuries requiring health- or dental care during the last year were found (aOR:s between 1.39-1.77). The corresponding association for poly-victimization was aOR 1.91 (95% CI 1.39-2.62). Furthermore, a linear-by-linear association was seen for degree of victimization and number of episodes of unintentional injuries that required care in the last year (p = 0.000), as well as lifetime hospitalizations (p = 0.000). This study shows significant associations between child maltreatment and unintentional injuries requiring health- and/or dental care and hospitalization. To improve both injury and child maltreatment prevention, healthcare professionals need to pay particular attention to children and adolescents who repeatedly seek healthcare services due to injurious events.

Place, publisher, year, edition, pages
2023. Vol. 20, no 7, article id 5263
Keywords [en]
adolescents, child abuse, child maltreatment, dental care, healthcare, poly-victimization, unintentional injuries
Identifiers
URN: urn:nbn:se:uu:diva-500318DOI: 10.3390/ijerph20075263PubMedID: 37047879OAI: oai:DiVA.org:uu-500318DiVA, id: diva2:1750757
Available from: 2023-04-14 Created: 2023-04-14 Last updated: 2023-04-14

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