Do attention deficit/hyperactivity disorder and oppositional defiant disorder influence preschool unintentional injury risk?
OBJECTIVE
This study explores the relationship among preschool attention deficit/hyperactivity disorder (ADHD), oppositional defiant disorder (ODD), injury-risk-taking behavior, and unintentional injury.


METHODS
An emergency department (ED) casecontrol study of parent-reported child behavior was conducted.


RESULTS
Children with ODD and ADHD had significantly more injury-risk-taking behaviors (odds ratio [OR] = 7.68, 95% confidence interval [CI] 2.25-26.25; OR = 4.87, 95% CI 1.17--20.28, respectively), and injured children had a 17-fold increase in high-risk-taking behaviors (OR 17.2, 95% CI 2.14--138.0). No significant association existed between ODD or ADHD and ED-treated unintentional injury.


CONCLUSIONS
Disruptive behavior disorders are not major contributors to ED-treated unintentional injury in preschool children.
Garzon
Dawn Lee
DL
Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA. d_garzon@umsl.edu
Huang
Hongyan
H
Todd
Richard D
RD
D000059:Accidents / Q000523:psychology / Q000706:statistics & numerical data*; D000704:Analysis of Variance; D001289:Attention Deficit Disorder with Hyperactivity / Q000150:complications / Q000453:epidemiology / Q000523:psychology*; D019958:Attention Deficit and Disruptive Behavior Disorders / Q000150:complications / Q000453:epidemiology / Q000523:psychology*; D016022:Case-Control Studies; D002652:Child Behavior / Q000523:psychology; D002675:Child, Preschool; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D005260:Female; D006776:Hospitals, Pediatric / Q000706:statistics & numerical data; D006784:Hospitals, Teaching / Q000706:statistics & numerical data; D006786:Hospitals, Urban / Q000706:statistics & numerical data; D006801:Humans; D016015:Logistic Models; D008297:Male; D015146:Midwestern United States / Q000453:epidemiology; D012307:Risk Factors; D012309:Risk-Taking; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014947:Wounds and Injuries / Q000453:epidemiology* / Q000209:etiology