Skip Navigation LinksHome > November 2008 - Volume 65 - Issue 5 > School Suspensions, Injury-Prone Behaviors, and Injury Histo...
Journal of Trauma-Injury Infection & Critical Care:
doi: 10.1097/TA.0b013e3181847e7d
Original Articles

School Suspensions, Injury-Prone Behaviors, and Injury History

Ryb, Gabriel E. MD, MPH; Dischinger, Patricia C. PhD; Smith, Gordon S. MD, MPH; Soderstrom, Carl A. MD

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Purpose: To investigate the association of history of school suspension (HSS) to risky behaviors and injury history.

Methods: Adult patients admitted to a Level I trauma center (n = 774) were assessed for demographics, socioeconomic status, educational history, risky behaviors (infrequent seat belt use, drinking and driving, binge drinking, and speeding for a thrill), substance abuse disorders, and prior injury history. Student’s t test and χ2 statistics were used to compare subjects with and without a HSS in relation to risky behaviors and injury history (α = 0.05). Logistic regression models were constructed with each risky behavior and injury history as the outcome adjusting for demographics, socioeconomic status, and substance abuse disorders.

Results: Patients with HSS (n = 260) were significantly younger, more likely to be male, not married, low income, Black, unemployed, smokers, and alcohol and drug dependent than patients without such history (n = 514). They had higher rates of binge drinking (66% vs. 33%), infrequent seat belt use (50% vs. 26%), drinking and driving (24% vs. 12%), and driving fast for a thrill (21% vs. 8%). Similarly, they had more frequent previous history of vehicular injuries (44% vs. 31%) and assaults (36% vs. 16%). Multivariate models revealed school suspension to be associated with infrequent seat belt use (Odds ratio [OR] = 2.02 [1.44–2.83]), binge drinking (OR = 1.95 [1.25–3.04]), speeding for a thrill (OR = 1.83 [1.15–2.92]), prior vehicular injuries (OR = 1.46 [1.06–2.02]), and assaults (OR = 1.67 [1.13–2.47]).

Conclusion: HSS is associated with risky behaviors, and history of prior vehicular crashes and assaults.

© 2008 Lippincott Williams & Wilkins, Inc.

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