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This Article Full Text Full Text (PDF) All Versions of this Article: AJPH.2004.057505v1 95/11/1970    most recent Submit a response Purchase Article View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (9) Citing Articles via Google Scholar Google Scholar Articles by Xiang, H. Articles by Kelleher, K. Search for Related Content PubMed PubMed Citation Articles by Xiang, H. Articles by Kelleher, K. Related Collections Adolescent Health Disability Injury/Emergency Care/Violence

Huiyun Xiang, MD, PhD, MPH, Lorann Stallones, PhD, MPH, Guanmin Chen, MD, PhD, Sarah G. Hostetler, BA and Kelly Kelleher, MD, MPH

Huiyun Xiang, Guanmin Chen, and Sarah Hostetler are with the Center for Injury Research and Policy, and Kelly Kelleher is with the Office of Clinical Sciences, Columbus Children’s Hospital and Children’s Research Institute, College of Medicine and Public Health, The Ohio State University, Columbus. Lorann Stallones is with the Colorado Injury Control Research Center and the Department of Psychology, Colorado State University, Fort Collins.

Correspondence: Requests for reprints should be sent to Huiyun Xiang, Assistant Professor, Center for Injury Research and Policy, Columbus Children’s Hospital, 700 Children’s Drive, Columbus, OH 43205 (e-mail: xiangh{at}pediatrics.ohio-state.edu).

Objectives. We investigated the risk of nonfatal injury in US children with disabilities. Disability was defined as a long-term reduction in the ability to conduct social role activities, such as school or play, because of a chronic physical or mental condition.

Methods. Among 57 909 children aged 5–17 years who participated in the 2000–2002 National Health Interview Survey, we identified 312 children with vision/hearing disabilities, 711 with mental retardation, 603 with attention-deficit/hyperactivity disorder (ADD/HD), and 403 with chronic asthma. We compared nonfatal injuries in the past 3 months between children with disabling conditions and those without using injury rates and logistic regression analyses.

Results. Compared with children without a disability, a higher percentage of children with disabilities reported nonfatal injuries (4.2% for vision disability, 3.2% for mental retardation, 4.5% for attention-deficit/hyperactivity disorder, and 5.7% for asthma vs 2.5% for healthy children). After we controlled for confounding effects of sociodemographic variables, children with disabilities, with the exception of mental retardation, had a statistically significantly higher injury risk than those without disabling conditions.

Conclusions. Children with a disabling condition from vision/hearing disability, ADD/HD, or chronic asthma had a significantly higher risk for nonfatal injuries compared with children without a disabling condition. These data underscore the need to promote injury control and prevention programs targeting children with disabilities.

This article has been cited by other articles:

				S. A. Sinclair and H. Xiang Injuries Among US Children With Different Types of Disabilities Am J Public Health, August 1, 2008; 98(8): 1510 - 1516. [Abstract] [Full Text] [PDF]