Incidence of injury in children and adolescents with intellectual and developmental disability |
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| Affiliation: | 1. University of Iowa Injury Prevention Research Center, 2195 Westlawn, Iowa City, IA 52242, USA;2. Department of Epidemiology, College of Public Health, University of Iowa, 145 North Riverside Drive, Iowa City, IA 52242, USA;3. Department of Biostatistics, College of Public Health, University of Iowa, 145 North Riverside Drive, Iowa City, IA 52242, USA;4. Department of Occupational and Environmental Health, College of Public Health, University of Iowa, 145 North Riverside Drive, Iowa City, IA 52242, USA;1. Applied Economics & Management Research Group, Universidad de Sevilla, Spain;2. GIM-IREA, Universidad de Barcelona (Spain), Av. Diagonal, 690, 08034 Barcelona, Spain;1. Institute for Public Health and Nursing Sciences (IPP), Working Group Epidemiology of Demographic Change Grazer Straße 2, 28359 Bremen, Germany;2. Federal Working Group “Safe Kids Germany”, Christian-Lassen-Str. 11a, 53117 Bonn, Germany;1. Laboratório Nacional de Engenharia Civil, Departamento de Transportes, Núcleo de Planeamento, Tráfego e Segurança Av. do Brasil 101, Lisboa 1700-066, Portugal;2. Department of Civil and Environmental Engineering, Rowan University, Glassboro, NJ 08028, United States;1. College of Engineering, Zhejiang Normal University, Zhejiang 321005, China;2. Key Laboratory of Urban Rail Transit Intelligent Operation and Maintenance Technology & Equipment of Zhejiang Province, Zhejiang Normal University, Zhejiang 321005, China;3. School of Transportation and Logistics, Southwest Jiaotong University, Chengdu, Sichuan 611756, China;4. Sichuan Vocational and Technical College of Communications, Chengdu, Sichuan 611130, China |
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| Abstract: | Introduction: Children and adolescents living with intellectual and developmental disability (IDD) have a higher risk of experiencing morbidities and premature death when compared to children and adolescents living without IDD. Childhood injuries are a leading cause of morbidity and death, yet there are limited studies that explore the prevalence of childhood injuries for individuals living with IDD. The purpose of this study was to analyze Ontario health administrative data to identify and compare rates of injury resulting in hospitalization in children and adolescents living with and without IDD. Methods: This is a cross-sectional study of all Ontarians aged 0–19 years with and without IDD. The outcome of interest was the rate of injury resulting in hospitalization. Results: This study found that children and adolescents with IDD had 1.79 (CI 1.66, 1.92) times higher rates of both intentional and unintentional injuries that resulted in hospitalization when compared to children and adolescents without IDD. Hospitalizations for self-harm related injuries were 3.16 (CI 3.09, 3.23) times higher in the IDD group. Conclusion: Children and adolescents with IDD have a higher risk of sustaining serious injuries, particularly injuries resulting from self-harm. Practical Applications: This study provides evidence of increased injury related hospitalizations for children and adolescents with IDD when compared to their peers without IDD. |
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| Keywords: | Hospitalizations Injury Accidents Fractures Wounds Disability |
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