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Source: Health Policy Center, University of Illinois at Chicago

Resulting in 2 citations.

1.	Mott, Joshua Adam
1.	Family and Household Predictors of Injury Repetition Among Children in the United States Working Paper, Health Policy and Research Center, The University of Illinois at Chicago, March 1998 Cohort(s): Children of the NLSY79, NLSY79 Publisher: Institute for Health Research and Policy, University of Illinois at Chicago Keyword(s): Accidents; Behavioral Problems; Child Health; Children, Home Environment; Children, Well-Being; Family Structure; Family Studies; Health Factors; Home Observation for Measurement of Environment (HOME); Household Structure; Injuries Permission to reprint the abstract has not been received from the publisher. OBJECTIVES. This study examined whether the repetition of reported medically attended injuries among children in the United States is related to the children's access to formal medical care. This study also examined the degree to which socioeconomic indicators and physical household risk factors of children defined as "injury repeaters" are different from those of other children. SETTING. A sample of children was taken from a national longitudinal survey in the United States for whom detailed child injury data were available in 1988 and 1990. Two-thousand and thirty-six children aged 4 to 12 in 1988 were drawn from the National Longitudinal Survey of Youth (NLSY). Since initiated in 1979, the NLSY has retained 91% of its respondents and is representative of a broader national sample of children. METHODS. Using multiple logistic regression techniques, fully controlled, stratified analyses examined whether injury repetition (defined as having reported injuries at both the 1988 and 1990 survey points) was related to the children's level of insurance coverage, family socioeconomic indicators, and household risk characteristics. RESULTS. The odds ratio reflecting the likelihood of injury in 1990 that was associated with having been injured in 1988 was significantly larger among the non-privately insured (OR = 4.55, 95% confidence interval = 2.22, 9.36) than among the privately insured (OR= 1.33, 95% CI =.83, 2.12). Injury repeaters were also more likely than other children to live in cluttered (p = .009) or dark (p = .017) home environments. CONCLUSIONS. Injury repetition cannot be "explained away" by the increased financial access to health care of some children. On the contrary, children with less financial access to care remained at greatest risk of injury repetition after multivariate control for differences in family background. These results also suggest that injury repeaters may share high risk home physical environments which set them apart from other children, and which potentially can be targeted among children who present to medical facilities with injuries.
	Bibliography Citation Mott, Joshua Adam. "Family and Household Predictors of Injury Repetition Among Children in the United States." Working Paper, Health Policy and Research Center, The University of Illinois at Chicago, March 1998.

2.	Mott, Joshua Adam
2.	Personal and Family Predictors of Children's Medically Attended Injuries that Occurred in the Home Working Paper, Health Policy Center, University of Illinois at Chicago, April 1999 Cohort(s): Children of the NLSY79, NLSY79 Publisher: Institute for Health Research and Policy, University of Illinois at Chicago Keyword(s): Child Health; Children, Behavioral Development; Children, Home Environment; Home Environment; Home Observation for Measurement of Environment (HOME); Injuries Permission to reprint the abstract has not been received from the publisher. Objective: This study examined the independent contributions of demographic, behavioral, and environmental antecedents of pediatric medically attended injuries that occurred in the home. Setting: Two thousand and thirty six American children aged 4-12 in 1988 were drawn from the National Longitudinal Survey of Youth. Method: Multiple logistic regression was used to examine whether having a medically attended injury that occurred in the home in 1990 was related to environmental, behavioral, and demographic indicators measured in 1988. To account for individual differences in access to care, results were stratified within samples of children that had, and had not, demonstrated a prior ability to access the medical care system for injury treatment. Results: Among children who did not access the medical care system for injury treatment in 1988, measures of home environmental risk factors did not distinguish those injured at home from those not injured at home in 1990. However, among children who did access the medical care system for injury treatment in 1988, indicators of "dark" (relative risk 4.68, p=0.019) and "cluttered" (relative risk 4.31, p=0.038) home environments became significantly and independently associated with home injuries in 1990. Conclusion: If not accounted for in data collection or analyses, individual differences in non-financial barriers to medical care may lead to an underestimation of the influences of important home environmental risk factors for medically attended injuries.
	Bibliography Citation Mott, Joshua Adam. "Personal and Family Predictors of Children's Medically Attended Injuries that Occurred in the Home." Working Paper, Health Policy Center, University of Illinois at Chicago, April 1999.

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