Childhood injury after a parental cancer diagnosis

A parental cancer diagnosis is psychologically straining for the whole family. We investigated whether a parental cancer diagnosis is associated with a higher-than-expected risk of injury among children by using a Swedish nationwide register-based cohort study. Compared to children without parental...

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Main Authors: Ruoqing Chen, Amanda Regodón Wallin, Arvid Sjölander, Unnur Valdimarsdóttir, Weimin Ye, Henning Tiemeier, Katja Fall, Catarina Almqvist, Kamila Czene, Fang Fang
Format: Article
Language:English
Published: eLife Sciences Publications Ltd 2015-10-01
Series:eLife
Subjects:
Online Access:https://elifesciences.org/articles/08500
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author Ruoqing Chen
Amanda Regodón Wallin
Arvid Sjölander
Unnur Valdimarsdóttir
Weimin Ye
Henning Tiemeier
Katja Fall
Catarina Almqvist
Kamila Czene
Fang Fang
author_facet Ruoqing Chen
Amanda Regodón Wallin
Arvid Sjölander
Unnur Valdimarsdóttir
Weimin Ye
Henning Tiemeier
Katja Fall
Catarina Almqvist
Kamila Czene
Fang Fang
author_sort Ruoqing Chen
collection DOAJ
description A parental cancer diagnosis is psychologically straining for the whole family. We investigated whether a parental cancer diagnosis is associated with a higher-than-expected risk of injury among children by using a Swedish nationwide register-based cohort study. Compared to children without parental cancer, children with parental cancer had a higher rate of hospital contact for injury during the first year after parental cancer diagnosis (hazard ratio [HR] = 1.27, 95% confidence interval [CI] = 1.22-1.33), especially when the parent had a comorbid psychiatric disorder after cancer diagnosis (HR = 1.41, 95% CI = 1.08-1.85). The rate increment declined during the second and third year after parental cancer diagnosis (HR = 1.10, 95% CI = 1.07-1.14) and became null afterwards (HR = 1.01, 95% CI = 0.99-1.03). Children with parental cancer also had a higher rate of repeated injuries than the other children (HR = 1.13, 95% CI = 1.12-1.15). Given the high rate of injury among children in the general population, our findings may have important public health implications.
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spelling doaj.art-0e5b21dbcfba4d49a2e83b9950e0a2602022-12-22T03:52:37ZengeLife Sciences Publications LtdeLife2050-084X2015-10-01410.7554/eLife.08500Childhood injury after a parental cancer diagnosisRuoqing Chen0https://orcid.org/0000-0003-4911-3543Amanda Regodón Wallin1Arvid Sjölander2Unnur Valdimarsdóttir3Weimin Ye4Henning Tiemeier5https://orcid.org/0000-0002-4395-1397Katja Fall6Catarina Almqvist7Kamila Czene8Fang Fang9Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, SwedenDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, SwedenDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, SwedenDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden; Center of Public Health Sciences, Faculty of Medicine, University of Iceland, Reykjavík, IcelandDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, SwedenDepartment of Epidemiology, Erasmus MC University Medical Center, Rotterdam, The Netherlands; Department of Child and Adolescent Psychiatry, Erasmus MC University Medical Center, Rotterdam, The NetherlandsClinical Epidemiology and Biostatistics, Faculty of Medicine and Health, Örebro University, Örebro, SwedenDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden; Lung and Allergy Unit, Astrid Lindgren Children’s Hospital, Karolinska University Hospital, Stockholm, SwedenDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, SwedenDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, SwedenA parental cancer diagnosis is psychologically straining for the whole family. We investigated whether a parental cancer diagnosis is associated with a higher-than-expected risk of injury among children by using a Swedish nationwide register-based cohort study. Compared to children without parental cancer, children with parental cancer had a higher rate of hospital contact for injury during the first year after parental cancer diagnosis (hazard ratio [HR] = 1.27, 95% confidence interval [CI] = 1.22-1.33), especially when the parent had a comorbid psychiatric disorder after cancer diagnosis (HR = 1.41, 95% CI = 1.08-1.85). The rate increment declined during the second and third year after parental cancer diagnosis (HR = 1.10, 95% CI = 1.07-1.14) and became null afterwards (HR = 1.01, 95% CI = 0.99-1.03). Children with parental cancer also had a higher rate of repeated injuries than the other children (HR = 1.13, 95% CI = 1.12-1.15). Given the high rate of injury among children in the general population, our findings may have important public health implications.https://elifesciences.org/articles/08500child of impaired parentscancerinjurycohort study
spellingShingle Ruoqing Chen
Amanda Regodón Wallin
Arvid Sjölander
Unnur Valdimarsdóttir
Weimin Ye
Henning Tiemeier
Katja Fall
Catarina Almqvist
Kamila Czene
Fang Fang
Childhood injury after a parental cancer diagnosis
eLife
child of impaired parents
cancer
injury
cohort study
title Childhood injury after a parental cancer diagnosis
title_full Childhood injury after a parental cancer diagnosis
title_fullStr Childhood injury after a parental cancer diagnosis
title_full_unstemmed Childhood injury after a parental cancer diagnosis
title_short Childhood injury after a parental cancer diagnosis
title_sort childhood injury after a parental cancer diagnosis
topic child of impaired parents
cancer
injury
cohort study
url https://elifesciences.org/articles/08500
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AT amandaregodonwallin childhoodinjuryafteraparentalcancerdiagnosis
AT arvidsjolander childhoodinjuryafteraparentalcancerdiagnosis
AT unnurvaldimarsdottir childhoodinjuryafteraparentalcancerdiagnosis
AT weiminye childhoodinjuryafteraparentalcancerdiagnosis
AT henningtiemeier childhoodinjuryafteraparentalcancerdiagnosis
AT katjafall childhoodinjuryafteraparentalcancerdiagnosis
AT catarinaalmqvist childhoodinjuryafteraparentalcancerdiagnosis
AT kamilaczene childhoodinjuryafteraparentalcancerdiagnosis
AT fangfang childhoodinjuryafteraparentalcancerdiagnosis