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Title: An investigation of the pre-injury risk factors associated with children who experience traumatic brain injury
Contributor(s): McKinlay, A (author); Kyonka, Elizabeth  (author)orcid ; Grace, R C (author); Horwood, L J (author); Fergusson, D M (author); MacFarlane, M R (author)
Publication Date: 2010
DOI: 10.1136/ip.2009.022483
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Abstract: Background and Objective Traumatic brain injury (TBI) is a frequently occurring event in childhood that may have significant ongoing effects. Little is known about the child and family characteristics that predispose children to these injuries. A greater understanding of the risk factors associated with childhood TBI may provide an opportunity to prevent their occurrence. Methods Information provided by a large birth cohort study (n1=1265) was used to determine the child and family risk factors of TBI in children aged 0-15 years (n1=187). All information regarding child, family, and injury events were collected prospectively and unrelated to the injury event itself. Child variables included in the analysis were sex and the level of behavioural problems. Parental variables included were family socioeconomic status, mother's age, education level, depressive symptoms, number of adverse life events experienced by the family, and parenting style. Results The most important risk factors were sex, adverse life events, and parenting style. The results suggest evidence of modest increases in the rate of TBI for those in the highest risk categories (male, ≥4 life events per annum, high maternal punitiveness) compared to the lowest risk categories, with hazard ratios in the region of 1.4-1.6. Conclusions Overall characteristics of both the family and child predicted a TBI event. An increased understanding of risks associated with TBI in childhood will provide an avenue to prevent these injuries by targeting at-risk families and aiding the development of appropriate intervention strategies.
Publication Type: Journal Article
Source of Publication: Injury Prevention, 16(1), p. 31-35
Publisher: BMJ Group
Place of Publication: United Kingdom
ISSN: 1475-5785
Field of Research (FOR): 170101 Biological Psychology (Neuropsychology, Psychopharmacology, Physiological Psychology)
170106 Health, Clinical and Counselling Psychology
110904 Neurology and Neuromuscular Diseases
Socio-Economic Outcome Codes: 920501 Child Health
920111 Nervous System and Disorders
970117 Expanding Knowledge in Psychology and Cognitive Sciences
Peer Reviewed: Yes
HERDC Category Description: C1 Refereed Article in a Scholarly Journal
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Appears in Collections:Journal Article
School of Psychology

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