Title |
Unintentional injuries in children with disabilities: a systematic review and meta-analysis
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Published in |
Injury Epidemiology, September 2015
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DOI | 10.1186/s40621-015-0053-4 |
Pubmed ID | |
Authors |
Xiuquan Shi, Junxin Shi, Krista K. Wheeler, Lorann Stallones, Shanthi Ameratunga, Tom Shakespeare, Gary A. Smith, Huiyun Xiang |
Abstract |
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. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 50 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Researcher | 8 | 16% |
Student > Master | 8 | 16% |
Student > Bachelor | 7 | 14% |
Student > Ph. D. Student | 6 | 12% |
Student > Postgraduate | 3 | 6% |
Other | 8 | 16% |
Unknown | 10 | 20% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 9 | 18% |
Social Sciences | 8 | 16% |
Nursing and Health Professions | 6 | 12% |
Psychology | 5 | 10% |
Agricultural and Biological Sciences | 4 | 8% |
Other | 4 | 8% |
Unknown | 14 | 28% |