{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T22:33:06Z","timestamp":1791066786404,"version":"4.1.0"},"reference-count":44,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,8,9]],"date-time":"2023-08-09T00:00:00Z","timestamp":1691539200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001632","name":"Ulster University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001632","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Injuries are the leading cause of death and disability in preschool children who are subject to specific risk factors. We sought to clarify the determinants of unintentional injuries in children aged 5\u2009years and under in high\u2010income countries and report on the methodological quality of the selected studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic review was conducted of observational studies investigating determinants of unintentional injury in children aged 0\u20135. Searches were conducted in Web of Science, Medline, Embase, PsycInfo and CINAHL. All methods of data analysis and reporting followed the Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses (PRISMA 2021) guidelines. Determinants are reported at the child, parental, household and area level.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>An initial search revealed 6179 records. Nineteen studies met the inclusion criteria: 17 cohort studies and 2 case control studies. While studies included longitudinal surveys and administrative healthcare data analysis, the highest quality studies examined were case\u2013control designs. Child factors associated with unintentional injury include male gender, age of the child at the time of injury, advanced gross motor score, sleeping problems, birth order, attention deficit hyperactivity disorder (ADHD) diagnosis and below average score on the standard strengths and difficulties scale. Parental factors associated with unintentional injuries included younger parenthood, poor maternal mental health, hazardous or harmful drinking by an adult within the home, substance misuse, low maternal education, low paternal involvement in childcare and routine and manual socioeconomic classification. Household factors associated with injury were social rented accommodation, single\u2010parent household, White ethnicity in the United Kingdom, number of children in the home and parental perception of a disorganised home environment. Area\u2010level factors associated with injury were area\u2010level deprivation and geographic remoteness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Child factors were the strongest risk factors for injury, whereas parental factors were the most consistent. Further research is needed to examine the role of supervision in the relationships between these risk factors and injury. Injury intent should be considered in studies using administrative healthcare data. Prospective research may consider utilising linked survey and administrative data to counter the inherent weaknesses of these research approaches.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cch.13161","type":"journal-article","created":{"date-parts":[[2023,8,9]],"date-time":"2023-08-09T08:03:21Z","timestamp":1691568201000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Determinants of unintentional injuries in preschool age children in high\u2010income countries: A systematic review"],"prefix":"10.1111","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1997-7773","authenticated-orcid":false,"given":"Laura","family":"Gallagher","sequence":"first","affiliation":[{"name":"Bamford Centre for Mental Health and Wellbeing Ulster University  Coleraine UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gavin","family":"Breslin","sequence":"additional","affiliation":[{"name":"School Of Psychology Queen's University Belfast  Belfast UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerard","family":"Leavey","sequence":"additional","affiliation":[{"name":"Bamford Centre for Mental Health and Wellbeing Ulster University  Coleraine UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Curran","sequence":"additional","affiliation":[{"name":"Bamford Centre for Mental Health and Wellbeing Ulster University  Coleraine UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Rosato","sequence":"additional","affiliation":[{"name":"Bamford Centre for Mental Health and Wellbeing Ulster University  Coleraine UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,8,9]]},"reference":[{"issue":"2","key":"e_1_2_10_2_1","first-page":"95","article-title":"Attention deficit\/hyperactivity disorder and risk of injuries: A systematic review and meta\u2010analysis attention deficit \u2010 hyperactivity \u2010 disorder injuries accidents systematic review","volume":"9","author":"Amiri S.","year":"2017","journal-title":"Journal of Injury and Violence Research"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2021.09.007"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/injuryprev-2016-042294"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2013-305715"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/injuryprev-2019-043386"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-017-4396-6"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-019-1514-7"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0275521"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2016-311644"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyp340"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.4081\/pr.2015.5659"},{"issue":"8","key":"e_1_2_10_13_1","first-page":"12","article-title":"Reducing unintentional injuries in and around the home among children under five years","volume":"87","author":"Godson R.","year":"2014","journal-title":"Community Practitioner: The Journal of the Community Practitioners & Health Visitors Association"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aap.2009.10.022"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lanepe.2021.100117"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2017-313809"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0172544"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/ip.2006.012161"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-022633"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2015.302883"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/1753-6405.12866"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/1753-6405.12866"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-8624.2008.01147.x"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1037\/hea0000275"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1136\/ip.2010.026377"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-010-9343-5"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1136\/ip.2008.019471"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)32152-9"},{"key":"e_1_2_10_29_1","unstructured":"National Heart Lung and Blood Institute. 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