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Smoking and medication during pregnancy predict repeated unintentional injuries in early childhood but not single unintentional injuries

机译：怀孕期间吸烟和用药可预测儿童早期的多次意外伤害，但不会造成单一的意外伤害

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This study investigates prospectively the development of single and repeated unintentional injuries from birth to 42 months in a random population sample of new-born children in Quebec (Canada) (N = 1,770). The outcome measures are single unintentional injuries (SUI) and repeated unintentional injuries (RUI). Results showed that the risk factors for SUI differed from the risk factors for RUI. SUI was predicted by mother’s antisocial behavior during high school (OR = 1.72) and mother’s age at first birth (OR = 1.82) with children from older mothers at higher likelihood of SUI. Also, boys (OR = 1.36) and hyperactive children (OR = 1.06) were at increased risk of SUI. RUI was predicted by maternal smoking during pregnancy (OR = 1.68), medication on prescription (OR = 1.53) and medication without prescription (OR = 1.54). Boys (OR = 2.01), children with a difficult temperament (OR = 1.13) and those with single mothers had higher rates of RUI (OR = 2.05). Maternal perception of impact (OR = 1.15) and maternal feelings of self-efficacy (OR = 0.87; marginally significant) were also associated with RUI. These results show that maternal and child risk factors identified during pregnancy and just after birth can predict SUI as well as RUI in early childhood. However, the only common risk factor for SUI and RUI is the child’s sex, with boys being at higher risk than girls. Implications of these findings and suggestions for prevention are discussed.
机译：这项研究对来自魁北克（加拿大）的新生儿随机抽样从出生到42个月的单发和反复无意伤害的发展进行了前瞻性调查（N = 1,770）。结果度量为单次意外伤害（SUI）和反复意外伤害（RUI）。结果表明，SUI的危险因素与RUI的危险因素不同。 SUI是由母亲在高中时的反社会行为（OR = 1.72）和母亲的初生年龄（OR = 1.82）预测的，而年龄较大的母亲的孩子发生SUI的可能性更高。另外，男孩（OR = 1.36）和多动症儿童（OR = 1.06）的SUI风险增加。 RUI是通过孕妇在怀孕期间吸烟（OR = 1.68），处方药（OR = 1.53）和无处方药（OR = 1.54）预测的。男生（OR = 2.01），气质较弱的孩子（OR = 1.13）和单身母亲的孩子的RUI率较高（OR = 2.05）。孕产妇对影响的知觉（OR = 1.15）和孕产妇自我效能感（OR = 0.87；微不足道）也与RUI相关。这些结果表明，在怀孕期间和刚出生后确定的母婴危险因素可以预测SUI以及儿童早期的RUI。但是，SUI和RUI的唯一常见风险因素是孩子的性别，男孩比女孩的风险更高。讨论了这些发现的含义和预防建议。

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