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Journal of Pediatric Psychology Advance Access originally published online on September 10, 2008
Journal of Pediatric Psychology 2009 34(4):344-353; doi:10.1093/jpepsy/jsn097
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© The Author 2008. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Relation of Caregiver Alcohol Use to Unintentional Childhood Injury

Amy Damashek, PhD1, Natalie A. Williams, PhD2, Kenneth Sher, PhD3 and Lizette Peterson, PhD3

1University of Oklahoma Health Sciences Center, 2St Jude Children's Research Hospital, and 3University of Missouri

All correspondence concerning this article should be addressed to Amy Damashek, Center on Child Abuse & Neglect, University of Oklahoma Health Sciences Center, 940 NE 13th St., Oklahoma City, OK 73126-0901. E-mail: amy-damashek{at}ouhsc.edu


  Abstract

Objective The present study used a case-crossover design to investigate the association of caregiver alcohol consumption and supervision to children's injury occurrence and severity. Method A community sample of 170 mothers of toddlers was interviewed biweekly about their children's daily injuries for a period of 6 months. Results Proximal caregiver-reported alcohol use predicted higher likelihood of injury occurrence and higher injury severity, whereas caregiver-reported supervision predicted lower likelihood of injury occurrence and lower injury severity. Conclusion Even at low levels, proximal caregiver alcohol use may contribute to higher risk for childhood injuries and more severe injuries. The combined effect of supervision and drinking on injury likelihood warrants further exploration.

Key words: caregiver alcohol use; caregiver supervision; child injuries; unintentional injury.

Received August 14, 2007; revision received August 22, 2008; accepted August 23, 2008


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