Journal of Pediatric Psychology Advance Access originally published online on June 14, 2007
Journal of Pediatric Psychology 2008 33(2):185-194; doi:10.1093/jpepsy/jsm041
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Unintentional Injuries in a Twin Study of Preschool Children: Environmental, Not Genetic, Risk Factors
1University of Murcia (Spain), 2Institute of Psychiatry, King's College, London and 3Duke University, Durham, North Carolina, USA
All correspondence concerning this article should be addressed to Juan R. Ordoñana, Area of Psychobiology, Department of Human Anatomy and Psychobiology, Murcia University, 30100 Espinardo-Murcia, Spain. E-mail: ordonana{at}um.es.
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Objective To analyze the relative contribution of latent genetic and environmental factors to differences in the injury liability of children, and to examine the association between measured socio-economic, family, and child-behavior variables and unintentional injury risk. Methods Unintentional injuries from birth to age 5, together with information regarding measured risk variables, were reported by mothers in a sample of 1027 same-sex twin pairs from a nationally representative 1994–1995 birth cohort. Results Child-specific environmental factors accounted for most of the variance (86.4%) in the likelihood of ever having an injury. When considering the risk of two or more injuries child-specific environmental factors explained 60.2% of the variance and family-wide environmental influence 39.8%. Measured socio-economic, family, and child-behavior factors predicted frequent injury. Conclusions Results give little support to the concept of a heritable injury-prone trait in preschool children; environmental influences accounted for most of the injury variance in this sample. However, behavioral variables, especially the child's externalizing problem behaviors, are also important in explaining unintentional injuries.
Key words: environmental factors; genetic predisposition; injury-prone; twins; unintentional injuries.
Received January 17, 2007; revision received April 27, 2007; accepted April 28, 2007