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Early-Life Temperamental Differences as Longitudinal Predictors of Unintentional Injuries

Ksinan, AJ; Dalecká, A; Kukla, L; Pikhart, H; Bobák, M; (2024) Early-Life Temperamental Differences as Longitudinal Predictors of Unintentional Injuries. Journal of Pediatric Psychology , 49 (1) pp. 35-44. 10.1093/jpepsy/jsad072. Green open access

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Abstract

Objective: Unintentional injuries are the leading cause of hospitalization and death among children. Compared to environmental factors, less attention in injury preventive efforts has been paid to how individual characteristics relate to the risk of injury. Using a large prospective cohort, the current study assessed the longitudinal impact of early-life temperament on the cumulative number of injuries until mid-Adolescence. Methods: The data came from the European Longitudinal Study of Pregnancy and Childhood (ELSPAC-CZ). Temperament was evaluated by mothers when children were 3 years old (N = 3,545). The main outcome was the pediatrician-reported sum of child's injuries from age 3 to 15 (seven timepoints). Latent profile analysis (LPA) was used to determine classes based on temperamental dimensions and then extended to a mixture model with a distal count outcome. The covariates included maternal conflict and attachment, sex, family structure, and maternal education. Results: The LPA determined the existence of three classes: shy children (8.1% of the sample; lowest activity/highest shyness), outgoing children (50.8%; highest activity/lowest shyness), and average: children (41.1%; middle values). Results from a mixture model showed that the outgoing temperament was associated with the highest longitudinal risk for injuries, as both average children (IRR = 0.89 [0.80, 0.99]), and the shy children (IRR = 0.80 [0.68, 0.95]) had lower risk. Conclusions: Early childhood temperamental differences can have long-Term effects on injury risk. Highly active children showed the highest risk for future injuries, suggesting that these characteristics make them more likely to be involved in novel and potentially dangerous situations.

Type: Article
Title: Early-Life Temperamental Differences as Longitudinal Predictors of Unintentional Injuries
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1093/jpepsy/jsad072
Publisher version: http://dx.doi.org/10.1093/jpepsy/jsad072
Language: English
Additional information: © The Author(s) 2023. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: injury, latent profile analysis, longitudinal, personality, prevention, temperament, Child, Female, Pregnancy, Adolescent, Humans, Child, Preschool, Longitudinal Studies, Prospective Studies, Temperament, Mothers, Risk Factors
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10186698
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