Is perceived failure in school performance a trigger of physical injury? A case-crossover study of children in Stockholm County.

OBJECTIVES: To investigate whether perceived failure in school performance increases the potential for children to be physically injured. SUBJECTS: Children aged 10-15 years residing in the Stockholm County and hospitalised or called back for a medical check up because of a physical injury during the school years 2000-2001 and 2001-2002 (n = 592). METHODS: A case-crossover design was used and information on potential injury triggers was gathered by interview. Information about family socioeconomic circumstances was gathered by a questionnaire filled in by parents during the child interview (response rate 87%). RESULTS: Perceived failure in school performance has the potential to trigger injury within up to 10 hours subsequent to exposure (relative risk = 2.70; 95% confidence intervals = 1.2 to 5.8). The risk is significantly higher among pre-adolescents and among children from families at a higher education level. CONCLUSIONS: Experiencing feelings of failure may affect children's physical safety, in particular among pre-adolescents. Possible mechanisms are perceptual deficits and response changes occasioned by the stress experienced after exposure.

Engström, KKarolinska Institutet (författare)
Möller, JKarolinska Institutet (författare)
Hallqvist, Johan,1950-Karolinska Institutet,Uppsala universitet,Medicinska och farmaceutiska vetenskapsområdet,Preventivmedicin(Swepub:uu)johha694 (författare)
Karolinska InstitutetMedicinska och farmaceutiska vetenskapsområdet (creator_code:org_t)

Ingår i:Journal of Epidemiology and Community Health: BMJ58:5, s. 407-110143-005X1470-2738

Av författaren/redakt...: Laflamme, L; Engström, K; Möller, J; Hallqvist, Johan ...

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