Adolescent risk factors for poisonings – a prospective cohort study
Article first published online: 8 NOV 2011
© 2011 The Author(s)/Acta Pædiatrica © 2011 Foundation Acta Pædiatrica
Volume 100, Issue 12, pages 1596–1602, December 2011
How to Cite
Kivistö, J. E., Rimpelä, A. and Mattila, V. M. (2011), Adolescent risk factors for poisonings – a prospective cohort study. Acta Paediatrica, 100: 1596–1602. doi: 10.1111/j.1651-2227.2011.02387.x
- Issue published online: 8 NOV 2011
- Article first published online: 8 NOV 2011
- Accepted manuscript online: 20 JUN 2011 11:18AM EST
- Received 21 February 2011; revised 11 May 2011; accepted 16 June 2011.
- Risk factor
Aim: This study assessed whether adolescents’ socioeconomic background, health and health behaviours are associated with later risk of poisoning hospitalization.
Methods: A prospective cohort of 54 169 Finns aged 14–18 years was followed for an average of 10.6 years. The end-point of the study was poisoning hospitalization, death or termination of follow-up in 2001. The relationships of socioeconomic background, health and health behaviour characteristics with poisoning hospitalization were studied with adjusted Cox’s proportional hazard model.
Results: We identified 443 persons (0.8%) with a diagnosed poisoning leading to hospital admission. The mean age at the time of the poisoning hospitalization was 22.7 years. The strongest risk factors for poisoning hospitalization in males were more than three stress symptoms weekly (HR 1.9), poor school success (HR 1.9) and not living with both of the parents in adolescence (HR 1.8). In females, the strongest risk factors were more than three stress symptoms weekly (HR 2.1), poor school success (HR 2.2) and recurring drunkenness as drinking style (HR 1.7).
Conclusion: Poor school performance, health and health-compromising behaviour adopted in adolescence are associated with a poisoning hospitalization risk in adulthood. Daily smoking and recurring drunkenness were strongly associated with a later poisoning hospitalization.