title: Marital conflict and fifth-graders' risk for injury.
abstract: BACKGROUND
  Injuries are the leading cause of morbidity and mortality for American children. Marital conflict has been associated with a range of negative health outcomes, but little is known about how marital conflict may influence risk of injury among children. We hypothesized marital conflict would be related to increased youth injury risk after controlling for relevant demographic and parenting covariates.
  
  
  METHODS
  A community sample of 3218 fifth-graders recruited from three US locales was utilized. Ordinal logistic regression models were used to predict the frequency of unintentional injuries from marital conflict while adjusting for demographics, parenting factors (nurturance, communication, involvement with youth), and family cohesion.
  
  
  RESULTS
  Higher levels of marital conflict were associated with higher rates of injury that required professional medical attention (OR=1.20, 95% CI 1.06, 1.35 per standard deviation). The same association held after inclusion of all covariates in a multivariate ordinal logistic regression model.
  
  
  CONCLUSIONS
  Parental marital conflict is associated with higher rates of injuries requiring professional medical attention in preadolescent children.
authors.affiliation: Department of Psychology, University of Alabama at Birmingham, USA. schwebel@uab.edu
authors.forename: David C
authors.initials: DC
authors.lastname: Schwebel
authors.forename: David L
authors.initials: DL
authors.lastname: Roth
authors.forename: Marc N
authors.initials: MN
authors.lastname: Elliott
authors.forename: Alyna T
authors.initials: AT
authors.lastname: Chien
authors.forename: Sylvie
authors.initials: S
authors.lastname: Mrug
authors.forename: Eva
authors.initials: E
authors.lastname: Shipp
authors.forename: Patricia
authors.initials: P
authors.lastname: Dittus
authors.forename: Kimberly
authors.initials: K
authors.lastname: Zlomke
authors.forename: Mark A
authors.initials: MA
authors.lastname: Schuster
mesh_terms: D002648:Child; D003142:Communication; D005191:Family Characteristics; D054541:Family Conflict; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D010287:Parent-Child Relations; D012307:Risk Factors; D014481:United States; D014947:Wounds and Injuries / Q000453:epidemiology* / Q000523:psychology