Naslov
Childhood aggression as a risk factor for injury repetition

Autori
Škrinjarić, Tomislav ; Goršeta, Kristina ; Škrinjarić, Ilija ; Verzak, Željko ; Glavina, Domagoj

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
18th World Congress on Dental Traumatology in Istanbul Turkey starting June 19, 2014 / - : International Association of Dental Traumatology, 2014, 63-64

Skup
18th World Congress on Dental Traumatology

Mjesto i datum
Istanbul, Turska, 19.06.2014. - 21.06.2014

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
childhood aggression ; risk factor ; injury repetition

Sažetak
Purpose: Child or host factors play an important role in occurrence of traumatic dental injuries (TDI) and can be associated with increased risk for injury repetition. Previous studies have revealed that increased risk for injuries might be associated with child’s hyperactivity and aggressive behaviour but very few studies have analysed association of injury repetition and child’s aggressive behaviour. The aim of this study was to examine the association of some host characteristics and repetition of injuries among a cohort of children with TDI. We hypothesized that children with repeated injuries would be more aggressive than those with single injury. Material and Methods: The host characteristics were analysed in the sample of 157 patients (103 males and 54 females) with TDI. Patients ranged in age from 3-17 years and were divided in three groups: 3-8 years, 9-11 years, and 12-17 years. The sample comprised children with single injury (SI) and with repeated injuries (RI). Child characteristics that have been analysed include behaviour, gender, and age. The Overt Aggression Scale (OAS) was used to assess and quantify the severity of aggression in children. The OAS defines four categories of aggressive behaviours: 1) verbal aggression, 2) physical aggression against objects, 3) physical aggression against self (self-injurious behaviour, and 4) physical aggression against others. Results: Males in all age groups displayed higher level of physical aggression and have 2.7 times higher risk for injury repetition than females (OR = 2.721 ; 95% CI = 1.350 – 5.484). Aggressive behaviour in males with RI and aggression against others were significantly higher in age groups 9 – 11, and 12 - 17 years. Males with RI displayed significantly higher aggressive behaviour than males with SI (x2 = 6.36 ; P = 0.012). Females with RI in all age groups showed similar level of physical aggression. Males aged 12-17 years with high aggression score (AS) have 7 times higher risk for injury repetition than males with lower AS (OR = 7.00 ; 95% CI = 1.185 - 41.360). Conclusion. The host characteristics as high level of physical aggression, age, and gender have significant influence on injury repetition. Our results provide evidence that higher level of total physical aggression and aggression against others play significant role in etiology of dental injuries and injury repetition in children. The use of OAS in children with TDI could be of help to identify individuals at risk for injury repetition and to select children for preventive counselling.

Izvorni jezik
Engleski

Znanstvena područja
Dentalna medicina

POVEZANOST RADA